Chapter 73: Categorical Repair Techniques
Ji Xueli's gaze at her was calm, he was rational and objective.
He was neither skeptical nor overjoyed by other doctors.
He pondered for a moment, and asked in a calm voice:
"Can you develop surgical triage repair techniques based on typology?"
This question is quite difficult, and if she doesn't have the experience of her previous life, she may not be able to explain it clearly.
In addition to her work, her biggest hobby was to study various academic journals, and she was involved in almost all the cutting-edge technologies in her professional field, so she could explain it with a little organization of language.
Ji Xueli saw that her face remained unchanged, so he knew that she was not a showman, and motioned for her to stand on the rostrum.
Zhong Yu was stared at by so many pairs of unfamiliar eyes, and he was not stunned at all.
She said in a clear manner:
"According to whether the fractures accumulate frontal, ethmoid, and sphenoid sinuses, they are divided into three types: type I only involves the frontal orbital bone and is not accompanied by open frontal sinus fractures; Type II fractures cause frontal sinus opening; Type III involves ethmoid ethmoid sinuses or sphenoid disc sinuses. ”
Hearing this, everyone nodded in agreement with her statement, and Zhong Yu continued:
"Pedunculated vascular tissue flap repair techniques were developed according to the type of injury. All patients with type II and III underwent coronary incision double frontal craniotomy through the anterior skull base approach and underwent pedicle tissue flap repair, and lateral pedicle temporal muscle fascial flap and anterior basal fascia flap and muscle plasma were used to repair the cerebrospinal fluid leakage caused by frontal orbital injury. ”
Zhong Yu said in detail, and Ji Xueli listened seriously.
"For extensively depressed or comminuted frontoorbital injuries, the use of pedunculated vascular tissue flap repair is an ideal surgical modality. A new classification scheme for frontal orbital injuries makes surgical decisions easier and more effective for clinicians. Guided by the new classification of frontal orbital injury, the pedunculated vascular tissue flap classification repair technique can reduce the incidence of cerebrospinal fluid leakage and improve the prognosis of patients. ”
After saying that, she bowed solemnly before returning to her seat.
Several of you here have a wealth of clinical experience, and they have their own judgment skills.
Ji Xueli glanced at it for a week, and then said:
"Since there is no more effective surgical plan than Doctor Zhong, let's use her to do it, and ask Doctor Zhong to spare time to help."
After all, this is the plan she proposed, and she has used it in the clinic before, so no one is more suitable to participate in the operation than her.
Zhong Yu nodded without hesitation and agreed, and Ji Xueli pushed the frame and reminded:
"The materials and medicines related to the operation have been prepared for a long time, and the operation will start at two o'clock in the afternoon, and I also ask Doctor Zhong not to find the wrong place and be late, we can wait, but the patient can't."
When the others heard this, they all laughed good-naturedly, and Zhong Yu scratched his head a little embarrassed.
"Don't worry, I will definitely arrive at the operating room early."
The corners of Ji Xueli's mouth rose slightly, and he hummed almost inaudibly, and the consultation was over, and everyone was busy.
Zhong Yu walked out of the conference room to relax his nerves, this Ji Dashen is really not easy to fool.
After going to the cafeteria at noon and having lunch, she simply went to the operating room in advance and waited.
Anyway, there are seats over there, and it's the same for her to sit and wait.
Zhong Yu waited outside the operating room for at least half an hour before he saw that Ji Dashen was late with someone.
Ji Xueli told the team members the precautions for surgery while walking, and when he looked up, he saw Zhong Yu standing at the door of the operating room.
He smiled imperceptibly, and said in a cold voice:
"Dr. Zhong is very punctual this time, which is commendable."
Zhong Yu blushed shamefully because of his words, and quickly changed the topic: "I'll go change into a surgical gown right away."
Most of the people who followed Ji Xueli were middle-aged people in their early thirties and forties.
Although Zhong Yu is calm, he still feels cute in their eyes, and they are kind and tolerant to the young up-and-comers, and they will teach them hand-in-hand if necessary.
Zhong Yu quickly changed into a surgical gown and quickly made preoperative preparations for sterilization and disinfection.
Ji Xueli is a little milder in a surgical gown, and the lethality is not so strong when he wears a mask.
If he wants to be as sharp as in the morning, Zhong Yu's pressure will be great.
All the surgeons were in place, and Zhong Yu consciously stayed in the assistant position.
The patient was anesthetized and is typical of type III with comminuted fracture of the total posterior wall of the frontal sinus.
Comminuted fracture fragments should be removed, frontal sinus skull ossification should be performed, frontal sinus mucosa should be removed as much as possible, and frontonal and nasal canals should be explored.
When the dural is damaged and the fracture is at the bottom of the fracture, the dura membrane needs to be peeled off from the cockscomb, and the dura at the base of the anterior cranial fossa and the frontal lobe are pulled backward together to achieve the purpose of thorough exploration.
Zhong Yu reminded in a low voice while assisting:
"Skull base exploration should be thorough, sometimes there may be multiple leaks, repair should be selected under the microscope with small needles and fine threads, for severe repair of skull base damage is difficult, a layer of fascia is placed under the dural and epidural at the fracture, the cribriform plate is blocked with mashed muscle pulp, the anterior basal flap reverse fold is spread flat at the anterior skull base, and then the frontal window dural is suspended."
Ji Xueli continued to operate without changing his face, and after he did a good job of exploring the skull base, he said directly:
"Doctor Zhong will do fine sutures, this should be your strong point."
Zhong Yu is a plastic surgeon, and she has always had high requirements for sutures, and she doesn't care about this little thing at all.
Since Director Ji made a request, whether it was a test or he wanted to be lazy, Zhong Yu had to take over.
She switched places with Ji Xueli, and then began to stitch up.
Everyone else also observed with a good eye, Zhong Yu does have the ability to make people impressive, just with her sewing hand, even Ji Xueli is willing to bow down.
Ji Xueli thought about taking the school examination, and asked fiercely:
"How can the leak be repaired if the leak is in the sphenoid sinus?"
Zhong Yu blinked helplessly, and said without hesitation:
"For patients with leaks located in the sphenoid sinus, due to the depth of the sphenoid sinus cavity, it is impossible to repair it directly, and the endoscopic nasal septal mucosal flap is repaired."
Ji Xueli nodded with satisfaction, his eyebrows raised slightly, everyone who was familiar with him knew that he was in a good mood at the moment.
Zhong Yu was afraid that Ji Xueli would be a good teacher and ask questions again, so he simply finished the words at once.
"For comminuted fractures of the posterior orbital wall, try to keep free fracture fragments during skull base exploration to avoid postoperative eyeball collapse."
Ji Xueli's face was full of praise, a doctor with outstanding ability like her, it is estimated that no team would not like it.
The main challenges in frontal orbital injury repair include not only bony reconstruction, but also membranous reconstruction, and appropriate repair strategies need to be selected to effectively reduce the incidence of postoperative cerebrospinal fluid leak and intracranial infection.
With Zhong Yu's help, it was also verified that the pedicled vascular tissue flap is a good repair material.
As soon as the operation was over, Ji Xueli realized that he had just come up with his mind.
He pulled down his mask and sincerely invited: "With your ability, staying in plastic surgery is useless, it is better to consider our department."
It is indeed a sense of accomplishment to be favored by Ji Xueli, but Zhong Yu refused without hesitation, she said with a smile:
"I'm not interested in this either, but I'm more interested in plastic surgery, and if I have the opportunity to open my own plastic surgery hospital in the future, thank you very much for your recognition."
Ji Xueli was not disappointed, he said with a straight face:
"Then I wish you to achieve your goal as soon as possible, and if the department encounters problems in the future, please give me advice."
It was the first time for the team members to see Ji Xueli's posture as a corporal, and Zhong Yu was also a little flattered.
"Director Ji is polite, if you need help, please inform me at any time, if I am here, I will not be late."
As soon as her voice fell, everyone laughed tacitly, and she used the meme of being late to lighten up the atmosphere again.
Ji Xueli also thinks that she has a lot of wisdom, and it can be seen that there are high-quality female doctors in surgery, but they are too rare.
Because of the successful completion of the operation, Dean Luo also specially praised her.
Zhong Yu did not get carried away, but modestly said that it would depend on the prognosis of the operation to find out.
Zhong Yu's abilities were satisfactory to Dean Luo, and he had the intention of digging people up completely from the bottom of his heart.
He is a cunning man, he will not act impulsively, and without Zhong Yu knowing it, he silently makes small moves behind his back.
The neurosurgery department prepared a sumptuous working meal, and Zhong Yu went back after eating in the evening.
I also met a lot of people at the dinner table, and I barely memorized a few names, and it was not too late to get acquainted with them in the future.
When she came home, she bought a newspaper and bought lottery tickets, but she didn't pay much attention to it.
Originally, if she had enough time, she planned to go to Hong Kong City to find Wei Zi.
She wants to open her own plastic surgery hospital, which requires huge financial support, and her salary alone is far from enough, so she wants to find opportunities from the stock market.
But now that she is an external expert at the General Hospital of the Military Region, and the work she is engaged in involves secrecy, she is politically sensitive in Hong Kong City, so she definitely can't go.
Although this incident is contrary to her plan, Zhong Yu is not disappointed, there will be gains and losses.
Go into the house and put down the newspaper and call home first.
The phone was quickly picked up, and it was Song Congchun who answered the phone, and Zhou Qin had not yet returned.
The sister and brother hadn't spoken well for a while, and Song Congchun couldn't wait to share with his sister the happy event that he was in the top ten in the grade in the midterm exam.
You can feel his joy through the earpiece, and Zhong Yu is also sincerely happy for him.
She didn't know what was going on, so the ghost sent the god to ask if Song Congchun was willing to live in Guangzhou.
Although Song Congchun was surprised, he did not reject it, and he said with a grin:
"As long as I live with you and my mother, I don't care where I go, the key is to see what my mother thinks."
Zhong Yu suddenly breathed a sigh of relief, and said in a relaxed tone: "Okay, sister, as long as you know what you think, you have to go to bed early, you don't need to mention this matter to your mother for the time being, I haven't thought about it yet."
Song Congchun obediently agreed, hung up the phone, and Zhong Yu sat lazily on the sofa.
Turning his head to look at the newspaper in his hand, he picked it up casually, and now he has time to read the winning information.
She didn't have much hope, so naturally she didn't have any nervousness.
But when he saw the familiar number that won the lottery, Zhong Yu sat up straight in surprise.
She really doesn't know much about this parallel time and space, and the level of technological development here is not much different from the nineties in her previous life.
There were many things that were different in the subtleties, and some things were strangely overlapping, and she really couldn't figure it out, and she didn't have a clue.
The amount of money won this time is 600,000 yuan, and you can't even buy a bigger house in the future, but now the purchasing power of 600,000 yuan is amazing.
Zhong Yu couldn't sit still anymore, she walked back and forth in the house to relieve her emotions.
There is a date limit for claiming the prize, and the bonus will not be available after the specified date.
With these 600,000, she is one step closer to her dream of a plastic surgery hospital.
Zhong Yu wanted to get the bonus at night, but after thinking about it, out of safety considerations, he still stopped in time.
Although she was happy to win the lottery, she was not to the point of ecstasy and disregarded her safety, and she slept very soundly this night.
When he got up early the next day, Zhong Yu deliberately wore inconspicuous black clothes to go out.
She wore a hat and a mask, wrapped herself tightly, and went to the place where she received the award.
The staff of the lottery station couldn't see her face clearly, but this thing has always been a ticket and does not recognize people, as long as she takes the lottery ticket to redeem the prize, others can't question anything.
After the cash check arrived, the staff wanted to invite her to take a group photo, but Zhong Yu refused without hesitation.
Wealth is not exposed, she does not have the courage to take risks.
Make an excuse to go to the bathroom, quickly change out of your coat, and leave straight through the back door.
She lives alone, even if she lives in the family building of the hospital, she has to pay more attention.
She was relieved to go to the bank to deposit the money into the account, looking at the balance in the passbook, Zhong Yu was extremely happy, and sure enough, working hard to make money is the happiest thing in the world.
She didn't eat breakfast in a hurry in the morning, and she felt hungry when she was done.
I just walked near the hospital, found a breakfast shop with a good environment and walked in, but I saw Ji Xueli as soon as I arrived at the door.
Ji Xueli was also surprised to see Zhong Yu when he looked up, and asked:
"Didn't you eat breakfast too? Whatever you want to eat, I'll pay for it. ”
Zhong Yu hurriedly waved his hand and refused, "Don't bother Director Ji, I'll just come by myself, I can't eat much." ”
Originally, I was quite excited, but when I met Ji Xueli, my brain cleared.
I don't know what's going on, I'm not comfortable being stared at by him, it's like running into a dean.
In fact, Ji Xueli is only harsh on people when he is working, and he seems to be approachable at this time.
Seeing that she had ordered breakfast, she invited her, "Sit down, where do you live now?"
Ji Xueli was in the hospital, except for studying cases, but his ears did not listen to the outside of the window.
Zhong Yu said a little stiffly: "I live in the family building of the hospital, and Dean Luo takes good care of me, and everything is arranged properly after coming here."
Ji Xueli said clearly: "Dean Luo is benevolent and righteous, he takes good care of his subordinates, Guangzhou is quite far away from Haishi, you always work back and forth like this, don't you feel tired?"
Just as the waiter brought her millet porridge over, she took a small spoon and stirred it gently, trying to let the heat dissipate.
She said honestly: "When I participated in the academic exchange meeting, I didn't expect to be left as an external expert, and the trip back and forth is really tiring, and I don't know what to do in the future."
After speaking, she scooped a spoonful of millet porridge, gently cooled it, and put it in her mouth.
Ji Xueli said: "With your ability, it is okay to jump ship directly to the General Hospital of the Military Region, and the hospital over there in Haishi will restrict your development."
Zhong Yu didn't expect today's situation, her steps were a little bigger, and she was a little unbalanced.
Ji Xueli seemed to see Zhong Yu's hesitation, and said in a deep voice: "Don't you want to start your own plastic surgery hospital?" The policies in Guangzhou are very friendly, and you can run your own plastic surgery hospital while being an external expert of the General Hospital of the Military Region, and this arrangement is most beneficial to you. ”
Zhong Yu took the spoon and pondered, Director Ji's idea is good, she retains the name of an external expert of the General Hospital of the Military Region, which is indeed beneficial to the initial development of her plastic surgery hospital.
She smiled and said, "Thank you Director Ji for your order, I'm still too young, and I still need to accumulate more clinical experience, so there is no need to rush the affairs of the plastic surgery hospital."
The reason why Zhong Yu wants to set up his own plastic surgery hospital is not purely to seize the opportunity to make money.
More importantly, she wants to become a benchmark in the plastic surgery industry, to establish a standardized plastic surgery market, and to save countless patients who have been disfigured by unqualified plastic surgery hospitals.
She has her own beliefs and doesn't want to see the plastic surgery profession she fought for become a derogatory term.