Rebirth 90: I opened a hospital in Shencheng

Chapter 241 Vascular Tumor Resection by Four People!
Brush it.

Nie Chen's first cut cut to the patient Kuang Fuliang's face where the vascular tumor intersects the jaw line.

Nie Chen's idea for this operation is that the excision of the entire vascular tumor is the same as that of cyst resection. As long as the epidermis of the flap is not damaged beyond repair by the vascular tumor, the subcutaneous excision will not be performed. resection.

From this point on, we can ensure that Kuang Fuliang's epidermal flap, which seems to be riddled with holes, can cover the completely unusable post-operative wound of vascular tumor.

Before the operation, Nie Chen also made an estimate for Kuang Fuliang's epidermis. The most swollen tumor at the junction of facial blood vessels and nasal blood vessels was actually performed on Kuang Fuliang's face. Caused the effect similar to the implantation of dilators.

Let this operation have enough skin flap to cover the vascular tumor removed by Nie Chen without the need for early expander implantation.

This is why, before the consultation, Li Dayong lamented that Kuang Fuliang's operation was basically in a hurry.

Almost every situation that Kuang Fuliang can encounter is the first time.

This is the first time in China that a targeted specific drug, rapamycin, has been used for preoperative trials on vascular tumors.

At the same time, the operation in this case is the first second operation in China after the tumor relapsed after the operation failed.

In the end, if the dilator was not implanted in this operation, after the resection of the vascular tumor, a large scar would be left on the face without skin flaps, but in the end it was caused by the excessive swelling of this tumor. In addition to the use of epidermal flaps, this is also the first time in history.

However, each patient's situation, combined with his or her own constitution, is unique and cannot be replicated.

It's just that Kuang Fuliang's condition is too unique.

"Hemostatic forceps."

Nie Chen finished cutting a huge swollen vascular tumor, threw the tumor into the aluminum tray in Dai Erni's hand, and reminded Liu Yueqian.

Liu Yueqian, the third assistant, held the hemostat in her hand, clamped the two facial blood vessels and arteries that Nie Chen had debrided and completely removed the lesion, and then stitched them together.

At this moment, the scalpel in Nie Chen's hand has been replaced by tweezers and a needle holder, and the tweezers hold the round needle that has been sutured with absorbable biological thread for blood vessels.

With a brush stroke, this blood vessel was sutured, making a good start.

"First aid, second aid, continue to suture this blood vessel."

Nie Chen gave tips to Song Dongyang and Lin Ronghua, who were already proficient in using the mattress suture method to carry out coordinated sutures.

Song Dongyang and Lin Ronghua, who were very energetic, said "no problem." Holding tweezers and needle holders, they started to debride and remove the tumor from left and right angles. Blood vessels, mattress suture fit.

Nie Chen stopped his movements and observed Lin Ronghua and Song Dongyang's movements and cooperation during the blood vessel suturing process.

Nie Chen nodded slightly.

It seems that it is right to put Song Dongyang, a catfish, into Lin Ronghua and Liu Yueqian, two rookie interns, to practice mattress suture together.

Originally, Lin Ronghua's movements and coordination were extremely jerky. After practicing stitching with Song Dongyang these days, he can now cooperate to such an extent that the rhythm will basically not drag each other down.

At the same time, he can also actively show his thoughts on each step of stitching to his cooperating opponent Song Dongyang during the stitching process.

When Song Dongyang and Lin Ronghua cooperated with each other and saw Nie Chen at the same time, Nie Chen nodded, "Yes, continue." Let them continue to sew up this blood vessel.

Nie Chen did not wait for the three assistants, but continued to debridement and remove the next vascular tumor.

With the cooperation of these three assistants in suturing blood vessels, the speed of the whole operation was more than doubled.

If it is replaced by the small operating table in the operating room at the outpatient clinic, if several assistants are required to cooperate, not to mention three assistants, even if the two assistants were standing in the same position to cooperate with the surgical field, it would still be necessary. As the second assistant, Liu Yueqian had to half-crouch to reach it.

It's different now, the three of them cooperated with each other on the same blood vessel, and Liu Yueqian was holding a pair of hemostats on one side of the operating table. After the blood vessel was anastomosed, Song Dongyang, who was standing above and had enough space Lin Ronghua and Lin Ronghua performed double stitches on this blood vessel at the same time.

As for Nie Chen, who is the main surgeon, his main position on the left side of the operating table is as stable as Mount Tai, and Wei Ran does not move the scraper and scalpel in his hand alternately.

For tumors and vascular distortions stuck to blood vessels, scrape and suck with a scraper first.

If a tumor with an entire vascular lesion is encountered, a scalpel is used for debridement and resection.

Finally, Nie Chen led a suturing army of three assistants like a charge on the facial blood vessels, arteries and veins with the largest number of vascular tumor malformations, clearing them step by step and suturing them at the same time.

After an hour or so, it reached the last one. Kuang Fuliang had performed the first resection in Huacheng Vascular Specialist Hospital, and then blocked the branch vessel.

And this location is also the top priority of Nie Chen's operation, the key to reconnecting the blood vessels and allowing the blood to continue to circulate.

However, Nie Chen, who had already formed the overall rhythm of the operation, did not stop to think at all, but just pushed forward in waves, and directly removed the two large tumors and vascular tumors that had formed in this place.

Then the head and tail positions of the two blood vessels were drawn out, and Liu Yueqian was asked to stretch the two blood vessels directly to their original positions, so that the incisions of the blood vessels were anastomosed together.

In the end, Nie Chen himself held the tweezers and the needle holder to end the whole operation and suture the blood vessels.

Chirp, chirp.

Standing on the periphery, Marianne Froude, who had been standing for a full hour and a half, didn't realize it.

Looking at it for a moment, Nie Chen completed all the stretching of the skin flaps, and finally removed and debrided all the tumors and deformed parts of Kuang Fuliang's facial vascular malformation, and then sutured the surface of the flap.

Under the shadowless lamp, Kuang Fuliang, who originally had large and small tumors on his face and had deformed, made the main lesion appear in the shape of a strawberry and the wine-red vascular tumor changed drastically.

At this moment, he was actually covered by a layer of skin flaps that were originally on the upper cheeks, covering the vascular deformity.

Then, Nie Chen and Song Dongyang sewed the skin together. After finishing the last stitch, the whole machine was sutured in the seam stitching method.

The location of the operation is hidden in the epidermis of the mandible of the facial blood vessels.

At this time, Kuang Fuliang's face was complete, and he was no longer hideous!
This miraculous skill and the complete and smooth thinking of the whole operation, at this moment, really shocked Marianne Froude to the depths of her soul.

She applauded sincerely, then turned around to see the teacher Ma Dongqing who was determined not to move, "Teacher, I want to learn such surgical techniques!"

"Aren't you studying now?" Ma Dongqing laughed heartily.

(End of this chapter)