The female doctor was annoyed and angry, and was about to rush up to find Zhong Yu's theory, but Fang Hao's arm was grabbed.

He pulled her hard into the back seat of the car and warned in a low voice:

"If you dare to cause trouble, get back to me!"

A man who seems to be gentle and shy, his anger inexplicably makes people feel yin.

The female doctor Dong Qian was stunned by him and froze in place.

Yu Jianshe clasped his hands to his chest and watched a good show, with a playful smile on the corner of his mouth.

Zhang Yunfei heard the movement and turned his head to look back, Guo Pengfei unceremoniously flicked a brain crash on her head.

He said with a tiger face: "Don't look blind!"

Zhang Yunfei stuck out his tongue, retracted his head in recognition, and the car was silent for a while.

Zhong Yu leaned on the seat and closed his eyes to recuperate, Zhang Yunfei was quiet for only two seconds, and then leaned into Zhong Yu's ear and asked quietly:

"Doctor Zhong~ Do you think the General Hospital of the Military Region will arrange for you to do any surgery?"

Zhong Yu closed his eyes and shook his head.

"I don't have a clue, let's adapt to the situation, you just do your own work, don't worry about the rest."

Zhang Yunfei shrugged, she wasn't worrying, she was just bored.

got up too early in the morning, Zhong Yu took advantage of this time to squint for a while, and Zhang Yunfei didn't dare to disturb anymore, so he simply closed his eyes and rested like her.

The bus drove for half an hour before it finally stopped, and Zhong Yu hadn't woken up until he reached his destination.

Zhang Yunfei shouted excitedly: "Doctor Zhong, let's go to the General Hospital of the Military Region."

Although Zhong Yu closed his eyes, he did not fall into a deep sleep, and woke up as soon as he moved.

Yu Jianshe walked past her and said happily:

"Sister, you have a really big heart, you can sleep so well in the car, you are really not nervous."

Zhong Yu lazily got up from his seat.

"I kind of think that I can't sleep well in bed, and I can squint for a while when I am wobbly in the car."

Fang Hao didn't know when he followed behind her, and suggested with a smile:

"If you can't sleep in a hotel room, you can consider changing the sheets and quilt covers, and it may be better to have a familiar smell."

Zhong Yu said helplessly: "What I use now is the sheet I brought from home, but unfortunately the effect is not very good."

Dong Qian followed closely behind Fang Hao, muttering in a weird manner:

"Some people are hypocritical, and they don't have a princess's life."

This woman is ridiculous, she comes again and again to find fault, Zhong Yu doesn't have the heart of the Virgin, and she can't get used to her.

She replied with a smile:

"I'm really sorry, I really don't have a princess's life, because I'm the queen's life, what can you do if you're not convinced?"

Zhang Yunfei didn't think it was a big deal to see the excitement and echoed:

"It's just ~ It's okay to chase after others like a licking dog, and you are really idle and panicked when you see that you are better than you and are climbing and biting."

Dong Qian's eyes were red by the anger of the two, and she rushed to Zhang Yunfei to tear her mouth.

Zhong Yu pushed her away and coldly warned Fang Hao:

"You can't even control your own team members, just go back and hide behind the teacher, don't come out and be embarrassed."

She was ruthless in what she said, and Yu Jianshe didn't think it was a big deal to see the excitement, and she also ran over to arch the fire.

"Doctor Fang, your unit is very protective of calves, the adult world has to rely on yourself, what kind of ability is it to hide behind a woman."

Guo Pengfei and Wei Fan immediately ran over and firmly protected Zhong Yu and Zhang Yunfei, in case of any emergency, they had to make sure that the female comrades were not harmed.

Fang Hao was not angry, he ignored Yu Jianjian and sincerely apologized to Zhong Yu.

"I'm sorry Dr. Zhong, it's my colleague who is emotionally unstable and doesn't speak in proportion, don't worry."

Zhong Yu found that this doctor was a bit interesting, so patient, I was afraid that he was not shallow-minded.

She graciously accepted the apology.

"It's better to be kind to people when you're out of the house, it's time for us to go in."

This little friction is nothing, except for Dong Qian, no one is at ease about this matter.

The group followed the staff into the small conference room inside the hospital.

Dean Luo was already waiting inside, and everyone greeted him as soon as they entered.

Dean Luo is wearing a white coat today, and compared to yesterday, his body is a little weaker, and he looks a little gentle.

He beckoned everyone to take their seats and got straight to the point:

"It's a pleasure to see three industry elites, today's on-site surgical demonstration time is compact, and you will randomly enter the outpatient room later, there are waiting patients in it, give you a morning to develop a surgical plan, the plan is formulated and handed over to the expert team for review, and you can start the surgical demonstration if you pass, you can only regret it out if you can't pass it, and during the operation, there will be experts who strictly check it, and withdraw immediately if the operation is improper."

Dean Luo said the rules of the demonstration without any emotional fluctuations, and he looked at Zhong Yu deliberately, as if to ask if she understood.

Zhong Yu nodded hurriedly and obediently, she raised her hand and asked:

"Except for our main knife, the rest of the support personnel, will your people come to help or our own members?"

Guo Pengfei looked at him a little nervously, Dean Luo showed a light smile on his face, and he said in a low and deep voice:

"If you have enough team members, you can do it yourself, and if you don't have enough people, you can do it for the medical workers of our hospital, and you don't have to worry about their lack of ability."

Zhong Yu smiled and put down his hand, and Guo Pengfei and Wei Fan were also happy.

Dean Luo glanced around them, confirmed that they had no other questions, and opened his mouth to announce, "Then let's start now." ”

As soon as he finished speaking, a staff member led them to the consultation room.

Zhong Yu's eyes were full of curiosity, she was not nervous, but eager to try with anticipation.

After everyone left, a person next to Dean Luo who was wearing civilian clothes and had a very low sense of presence asked:

"Are you more optimistic about that young Doctor Zhong?"

Dean Luo was noncommittal, and he said lightly:

"Judging from the information we have received so far, this Doctor Zhong is the best, isn't he?"

The man said with skepticism: "As far as I know, the field of surgery is not the strong point of female doctors, their physical endurance is not as good as that of men, not to mention their skills, and I believe in the strength of male doctors more."

Dean Luo shook his head and smiled, "When did you become so pedantic, capable people can be men and women, wait to see her wonderful performance." ”

After speaking, he strode forward and walked away, Dean Luo is not an idle person, he still has a lot of work to preside.

And Zhong Yu was full of curiosity to the door of the consultation room, there were exactly five consultation rooms in this row, and the doors and windows of each consultation room were closed, and no one knew what kind of patients were waiting inside.

Yu Jianshe touched his chin and asked loudly, "How do we choose?" Do you choose what? ”

The male doctor who brought them over said with a smile:

"You can choose however you want, but there is no room for regret when you open the door."

Zhong Yu didn't care, she took the lead in taking a step forward.

"Then let's just choose, I'll choose the No. 3 clinic in front of me, you have no opinion, right?"

Yu Jianshe hurriedly waved his hand, Fang Hao didn't care, they believed that Dean Luo was fair, and the patients would not be too different.

Zhong Yu stepped forward and gently pushed open the door of the consultation room, only to see a young mother sitting inside holding her child.

The child was asleep, looked to be no more than four or five months old, with long eyebrows and clear eyes, but unfortunately it was a complete bilateral cleft palate with a cleft lip.

Zhong Yu stepped forward and touched the little guy's soft fetal hair distressedly, and asked softly about the child's physical condition.

Congenital cleft palate is a very common disease in oral and maxillofacial developmental malformations, surgery plays an important role in the sequential treatment of cleft palate, surgical repair is still the basic treatment, and the success of initial surgery is very important for children with cleft palate.

Zhong Yu took the child from the young mother's hands, did a detailed examination for him, observed the morphological characteristics of the palate cleft, pharyngeal cavity, and soft palate, and determined that the surgical method needed to be retracted and extended.

When Zhong Yu was busy, the rest of the people were also doing their jobs.

They had a clear division of labor, and soon a surgical plan that was effective and most suitable for the patient came out.

In addition to those invited from various localities, the expert group that reviewed the plan also included the chief physician of the General Hospital of the Military Region.

After comparing the patient's various examination reports and carefully looking at the surgical plan, everyone could not find any omissions.

Although some people are not convinced and want to pick bones in eggs, the chief physician arranged by Dean Luo is not a vegetarian.

In the end, Zhong Yu's plan was unanimously approved, and she was the first to pass and the first to demonstrate the operation.

The General Hospital of the Military Region has a sterile operating room dedicated to preparing surgical demonstrations, which are broadcast live by video for everyone to watch.

Zhong Yu's team members entered the operating room after aseptic disinfection, and Wei Fan first inserted a RAE endotracheal tube into the patient orally, and used intravenous-gas combined anesthesia.

In addition to minimally invasive, cleft palate repair surgery in infancy should also repair the muscle ring of the soft palate. Zhong Yu uses the low-traumatic, quick, and simple procedure of Lan's or two-petal post-thrust to restore the integrity of the levator palatine ring.

She can't see her face clearly when she wears a mask while working, but her preoccupied appearance is fascinating.

Because of the small volume of the baby's oral cavity, the oral endotracheal intubation and the opener placed in the mouth limit the surgical operation space.

She used the Digman opener to achieve a stable opening of at least 3 cm, which allowed her to gain a good field of vision, and she pressed the endotracheal tube against the surface of the tongue and fixed it in the groove of the tongue depressor.

Then, a high-frequency electric knife is used to complete the hard palate relaxation incorporation along the arc of the alveolar ridge with a depth of 2mm.

She started quickly and steadily, and the veteran doctors with rich clinical experience on the scene may not be as good as her.

Children with cleft palate in infancy are mostly edentulous, and the area of the pure mucoperiosteal flap in the palate is small, and if a conventional incision is made, the sum of the widths of the bilateral mucoperiosteal flaps is not much different from the width of the cleft. Therefore, it is necessary to cut part of the alveolar ridge mucosa that is tightly attached to the alveolar bone.

She injected a small amount of saline into the superficial layer of the muscle at the slightly pre-cuff of the uvula root at the fissure margin, and made a fissure incision to 1~2mm in front of the uvula tip after eliminating the depression.

Ni Hui's eyes widened, and he wanted to go to the front to watch, but his eyes didn't blink, for fear that Zhong Yu would make a mistake.

Zhong Yu didn't know his worries, she quickly peeled off the mucoperiosteal flap, loosened the greater palatal nerve vascular bundle and sharply released the 05~1cm loose mucoperiosteal flap for electrocoagulation and hemostasis.

Then use the stripper to slide along the bone surface to the posterior edge of the hard palate and sink between the bone and the muscle, and push the muscle fascicle forward on the surface of the nasal mucosa about 1~2mm below the plane of the hard palate by 05~1cm, and suture bilaterally to form a levator sling.

Guo Pengfei cooperated with her tacitly, and both flaps were operated to trantally transcribe the nasal mucosa 15cm in front of the posterior edge of the hard palate, and fully retreat the two large flaps. The periosteal mucosteal flap fits the palatal fornix, and the sutures are fixed at the vomeroid flap and the mucosa of the bilateral alveolar ridge, and the lax incision is not filled without any tamponade.

The operation went smoothly and the cleft was closed without tension. The operation took about 55 minutes, and Zhong Yu was in good spirits when he came out.

Ni Hui greeted him with a smile on his face, and praised him without hesitation:

"The operation was done perfectly, and your skills are not weaker than mine."

Zhong Yu took the water cup handed over from afar, took a sip of water to moisten his throat, and then said modestly:

"The teacher's praise is too much, and I still have a lot of room for improvement."

Ni Hui's mood was a little complicated, it was a good thing that he was better than the blue, but his student was really good, he didn't have the ability to teach the other party, and he couldn't help but feel a little disappointed.

Cheng Yuan said with a smile to her: "You go and change your clothes first, the next two have just started the operation, you can go to observe and learn."

What he said was right, Zhong Yu came here with the attitude of learning from each other.

She said goodbye to Teacher Ni and went to change clothes with Zhang Yunfei.

The people who were still contemptuous and questioning her at the scene now looked at her with awe.

With such a young surgeon and such achievements, according to her development momentum, she will become a great tool in the future and become a leader in the industry sooner or later.

In the case of too large a disparity in strength, most people will not have the heart to suppress the other party, but can face her ability with a normal heart.

Zhong Yu changed his clothes and came out, and Yu Jianjian's operation had begun.

He was very interested in the surgery for the repair of nasal defects, which Zhong Yu had never encountered in clinical practice.

Cheng Yuan saw that she was looking seriously, and pulled her to find a more forward position and sit down.

Yu Jianjian's patients had nasal defects after resection of external nasal malignant tumors, and such repairs were mostly repaired with forehead pedicle flap, posterior full-thickness free skin sheet, and forearm pedicle flap.

Although Yu Jianshe didn't look out of tune when he spoke, he was serious on the operating table.

He made the patient lie down, drew an excision line at a distance of 5~7mm from the tumor, drew an incision line of the island flap with the same size of the lateral nasolabial fold as the area of the skin defect on the opposite side, and the island flap of the nasolabial fold on the affected side as large as the area of the intranasal defect.

Sterile towels were laid on the skin and mucosa in the surgical area, and the tumor was removed along the safe range of the tumor resection markings under local anesthesia and enhanced anesthesia, and the defect surface was ligated to stop bleeding and trimmed.

Zhong Yu was watching intently, and a cold voice suddenly sounded in his ears.

"If it were you, what would you do next?"

Dean Luo didn't know when he stood behind her.

Is this an additional question after the surgical presentation? Zhong Yu slandered in his heart, but he still replied honestly:

"I will first cut one side of the nasolabial fold island flap to the subcutaneous separation subcutaneous to orbicularis oculi muscle, take part of the orbicularis ori muscle, the labial artery branch as the pedicle, make a tunnel from the donor skin area to the recipient area, and introduce the pedicled flap into the skin surface of the recipient area, which is anastomosed with the nasal cavity and nasal vestibule."

Yu Jianshe happened to do what she said, Zhong Yu frowned and continued:

"Then cut through the skin of the contralateral nasolabial fold island flap to the medial canthus, branch the medial canthal artery as the pedicle, cross the dorsum of the nose from the donor area to the recipient area as a subcutaneous tunnel, introduce the pedicled flap into the contralateral dermatome area, and suture it with the defective surface of the outer nasal skin. Then, the wound of the nasolabial fold donor area was trimmed and sutured, the nasal cavity was filled with petroleum jelly oil yarn wrapped around the ventilation tube, and the external nasal incision and bilateral nasolabial fold incision were bandaged with dressings. ”

She said the surgical plan so easily, and Yu Jianshe did as she said.

Zhong Yu frowned a little dissatisfied, the patient's flap did not fit well enough with the nasal vestibule, and it was not smoothed and leveled.

There is also a tension-free suture between the recipient area and the donor area, and the suture is not fine, but I am afraid that the scar will be somewhat obvious after healing.

(End of chapter)