Su Hongwen's face darkened and glared at Zhuang Ying and said: "I just wanted to praise you for your cleverness, but now when I look at you, you are a fool, this is cosmetic suture, according to you, it has become an ordinary debridement suture, come on, look at how I sew, use dim sum, there are not many opportunities like this." ”

After Su Hongwen finished speaking, he started to get busy again, he still didn't rush to move the needle, but measured it for a while, and then pulled the skin edge of a wound with his hand, seeing that Zhuang Ying and Jin Hao were confused.

Su Hongwen tinkered for about 10 minutes before he stopped, turned his head and said to the instrument nurse: "I need to take a piece of skin from the skin of the patient's buttocks in a while, and there is still a little fat, you are ready." ”

Su Hongwen's request did not surprise the instrument nurse, because the patient must need the skin of the buttocks if she wants to undergo plastic surgery, and the skin of her own face is not enough.

Su Hongwen took the needle holder handed over by the nurse and began to stitch up, the principle is what he said from the inside out, from small to large, he first started with some wounds on the edge of the face, the needle and thread used this time are naturally cosmetic sutures, needle and thread are integrated, so that Su Hongwen can not knot with his hands, he can only choose to tie the knot with the needle holder, a doctor who often goes to surgery knots with his hands is definitely faster than with a needle holder, but Su Hongwen knots with a needle holder is not slower than other doctors knotting with their hands.

Zhuang Ying and Jin Hao were a little dumbfounded, it was really Su Hongwen's speed that he felt that he had finished tying the knot before he could see Su Hongwen's movements clearly in the blink of an eye, and the recovery nurse next to him couldn't help but say when he saw the stunned look of the two students: "Aren't you surprised?" ”

Zhuang Ying and Jin Hao nodded again and again to indicate that they were indeed surprised, and the nurse smiled: "You study hard." In the future, when I become a doctor, I can do more surgeries and tie knots so quickly with Dean Su. ”

The anesthesiologist looked at Su Hongwen's knotting speed and said, "It's not that I poured cold water, the two of them can't catch up with Dean Su's knotting speed after practicing for a hundred years, it's too fast, no one in our hospital can be faster than Dean Su." ”

Su Hongwen didn't want to dampen the enthusiasm of his two students: "Practice makes perfect, and they will definitely be able to achieve this level if they practice more." Su Hongwen said so, but he knew in his heart that his body was not comparable to ordinary people, and no matter how hard Jin Hao and Zhuang Ying tried, it was impossible to reach their own speed.

After Su Hongwen sewed a layer of wounds, he began to sew the outer layer, but this time it was not an ordinary intermittent suture, but an intradermal continuous suture, which was mainly used for thyroid surgery incisions. To put it bluntly, this kind of suture method is all subcutaneous suture. There are only two needle holes on the skin, and conventional intermittent sutures can leave a lot of needle holes on the skin, and one stitch is two needle holes, and the advantages of intradermal continuous suture are good fit, early suture removal, and small healing scars.

However, this kind of suture method has great requirements for incision tension. Zhang Li had to be as small as possible. Once Zhang Li is relatively large, the wound will split. Moreover, the skin of the face often moves because of expressions such as laughing and crying, and if this suture method is used on the face, it is likely to lead to the dehiscence of the wound, so intradermal continuous sutures are not commonly used on the wound sutures of the face.

The primary purpose of Su Hongwen's use of this suture method is naturally not to leave too many scars on the patient's face. In order to prevent the wound from dehiscing, he made certain improvements to this suture method, if someone picks up the wound at this time, they will find that the silk thread inside is cut one by one, forming a natural knot, so that the wound is difficult to crack.

Su Hongwen spent more than half an hour to deal with the wounds on both sides of the cheeks, and then began to deal with those wounds that were deeper and had uneven skin margins, these wounds were not so simple to deal with, Su Hongwen needed to observe the depth of the wound, choose a few layers of sewing according to the depth, and then use tissue scissors to repair the uneven skin edge, and make the skin edge smooth into a straight line. That is, the adhesion between the skin and the fat is bluntly separated by a hemostat, so that the skin tension becomes smaller.

These jobs are very miscellaneous and boring, but Zhuang Ying and Jin Hao watched it with relish, and felt that the best thing in the world was to watch his teacher do such an operation, he kept busy, and it didn't take long for the rotten and crooked wounds to become neat, and then they were stitched together, if the crack in the middle was covered, no one would feel that this part had suffered a very serious and terrifying trauma.

At this time, Su Hongwen was really a tailor, using hemostats, tissue scissors, needle holders, beauty sutures, and tooth tweezers to repair a tattered cloth little by little.

Those deep visible bones that made people creepy at first sight were repaired little by little under Su Hongwen's hands, and returned to their original state little by little, and soon half of the patient's face was stitched up, if it weren't for the severe swelling of her face, she really couldn't see that this face had suffered such a heavy trauma.

Su Hongwen took more than two hours to stitch up the opposite side of the face, and finally the nose and jaw were repaired, and the tongue also needed to be stitched, but the latter was much easier than the former.

Su Hongwen wanted to come to the opener to open the patient's mouth, and when he saw the tongue inside that was like a piece of rotten meat, his brows wrinkled (weakly saying that the matter of biting off the tongue and dying is purely blind), to the point that it is not that the wound of the tongue cannot be sewn, but the wound is too difficult to sew, but it is too hard to sew.

Due to the small area of the mouth, the patient was already asleep at this time and could not cooperate, so the suturing of the tongue became very difficult and laborious, and Su Hongwen took two and a half points to sew the tongue well.

At this point, Su Hongwen was so tired that he had back pain, he had been stitched up for more than five hours, and his body was good, but he couldn't stand it even if he bent over and worked for so long.

But if you can't stand it, you have to bear it, and there are injuries to the nose and mandible waiting for him to stitch up, and the skin in these two positions has long been rubbed, revealing the bone stubble of Bai Sensen below, and if you want to stitch it, you can only take the skin from the buttocks and put it here.

Su Hongwen followed the nurse and began to move away from the patient, after flipping her onto the operating table, Su Hongwen took off two pieces of skin on her buttocks, there was still a certain amount of fat, and turned the patient over again, Su Hongwen looked at the patient's nose and mandible, and then looked at the two pieces of skin, thought for a while, and then picked up tissue scissors and began to trim.

Zhuang Ying touched Jin Hao's arm with her shoulder and whispered, "Do you think Teacher Su is very cruel, terrifying, and bloody?" ”

Jin Hao shook his head in confusion and whispered, "No, why do you think so?" ”

Zhuang Ying rolled her eyes and said, "You wood, what do you think he is doing?" Cutting human skin with scissors, this scene has only appeared in horror movies, aren't you afraid? ”

Jin Hao turned his head to look at Su Hongwen, who was cutting the skin, and then looked at Zhuang Ying and said, "But Mr. Su is saving people, and what I told you is not next to each other at all." ”

Although the voice of the two people talking was small, Su Hongwen's ear was very good, and he still heard it, and he said without raising his head: "Zhuang Ying is talking about me in private, and I will punish you for a month's night shift, and the nurses in the emergency department will stop liking you, saying that you are not afraid of being dirty, not afraid of being tired, and serving feces and urine to patients." ”

Zhuang Ying's face turned pale in an instant, and she hurriedly said: "Teacher Su, I was wrong, you adults have a lot of knowledge, don't be like me." ”

Su Hongwen raised his head and glared at her, then put a piece of skin trimmed in his hand on the patient's nose, feeling that the size was about the same, and then began to do skin grafting, he first pasted the fat that had just been taken out to the nose, and then made an anastomosis between an artery and venule that had just been free on both sides of the nose and the arteries and veins on the fat, which was to increase the survival rate of this piece of skin.

Vascular anastomosis is a delicate job, no matter how high Su Hongwen's level is, he doesn't dare to speed his hands, he can only stitch slowly, but his speed is still faster than other doctors, and after an hour, the nose is finally sutured, and then the mandible, the suture steps of this piece are similar to the nose.

When the debridement and cosmetic suturing of the face was over, Jin Hao exclaimed: "Mr. Su, you are too powerful, if it weren't for the patient's swollen face, I really wouldn't have seen that she had been injured." ”

Su Hongwen said with a smile: "Don't pat yourself on the back, this is only the first level, there is another level after the operation, if the patient is not a scar physique, the skin of the nose and jaw can survive before the operation is completely successful, and the skin flap is done below." ”

This surgery is a very small operation, which is to make an incision in the abdomen, insert the patient's left hand into the guò tissue proliferation, repair so that certain nerves, blood vessels and muscles can appear on the bones, and then perform a second-stage operation.

After these surgeries were completely completed, Su Hongwen did this operation for seven hours, and he was so tired that his waist was almost straight.

Su Hongwen went to the locker room to change clothes, and as soon as he got out of the operating room, he saw that the patient was also pushed out, and a girl who looked a little similar to Chen Jinzhou immediately pounced and cried: "Mom, how are you?" ”

Su Hongwen walked over and said, "Your mother is fine, she can't talk or eat yet, let her rest more." ”

The girl's name is Chen Li, in the afternoon, she first rushed to the county where his father's body was located to meet Chen Jinzhou, Chen Jinzhou let his sister look at his father and asked her to come to the hospital to take care of his mother, and he settled his father's affairs and borrowed money, although he knew that he couldn't borrow much, but he still wanted to try, he didn't want his mother to become a ugly monster that everyone was afraid of.

Chen Li finally breathed a sigh of relief when she heard Su Hongwen say this, thanked him a thousand times, and then followed her mother to the ward.

Su Hongwen went home from work and didn't talk about it for the time being, Li Yan from the emergency department had dinner with a college classmate named Yang Qibing at night, and talked about Chen Jinzhou as he spoke. (To be continued......)

PS: This injury is what I have seen with my own eyes, or I was personally pulled back by the ambulance in the emergency department, that I belong to the otolaryngology department, and it is a rotation in the emergency department, so I was caught by the director and sewn up all night in the operating room, and I almost died of exhaustion! There's also a little joke in it, if you want to hear it, come to the VIP group to find me!! Finally, I asked for a monthly pass, I haven't asked for it for a long time, and I still thank you for the monthly pass.