Chapter 77: Miraculous
Zhou Ze was not absent from this operation, and he still worked with Zheng Jun as an assistant for Zhong Yu.
When Chu Jianwen entered the operating room, he looked around first, but he didn't see Ji Dashen's extremely lethal face, and he was immediately relieved.
Her exaggerated expression made Zheng Jun and Zhou Ze, who understood her mind, laugh.
Zhong Yu heard the movement and looked over blankly, a little unsure of what they were doing, Chu Jianwen said angrily:
"What are you laughing at? If you have completed your internship under Ji Dashen, you may be more afraid of him than me. ”
Zhong Yu asked curiously, "Is Director Ji very strict?"
Chu Jianwen looked at her meaningfully and said with a wicked smile:
"He's naturally harsh and harsh on us mortals, but not necessarily for you."
Zhong Yu didn't think about it, but said objectively:
"He should be strict when performing surgery, this is responsible for the patient, and the daily work should be done according to his requirements, and there is no need to be too nervous."
Chu Jianwen nodded perfunctorily and admittedly: "Anyway, when I work with Director Ji, it's right to cheer up 120,000 points."
Zhong Yu smiled and said no more.
When patient No. 10 arrived at the operating room, she immediately put away the expression on her face, put on a mask and said, "Let's start the operation."
Her voice fell, and all the staff returned to you.
Patient No. 10 underwent a CT of the costochondral before surgery, and Zhong Yu evaluated the degree of calcification of the costochondral and the location of the sample.
On the 10th, the standing position was taken, and Zhong Yu marked the nasal columella combined with the nasal vestibular incision line, and the nasal cartilage support implantation range.
Then he was instructed to change to a supine position, and Chu Jianwen disinfected the routine operation area with iodine and sterile towels after his general anesthesia took effect.
Zhong Yu had a serious face when she underwent the operation, and she judged the degree of cartilage calcification based on the plain radiograph, and selected the appropriate rib at the 6th or 7th rib under the chest fold.
Chu Jianwen underwent swelling anesthesia at the place where the materials were taken, Zhong Yu made an incision of skin and subcutaneous along the ribs, the incision was about 2cm long, the pectoralis major muscle and the costal perichondrium were separated, and the entire costal cartilage and costopondrium about 3cm long were separated and placed in Qingda saline for later use.
The muscle, fascia, fat and subcutaneous layers are then sutured layer by layer with 3/0 absorbable threads, and the skin is sutured intradermally with 5/0 absorbable threads.
This step can actually be left to Zheng Jun and them, but Zhong Yu is not at ease, he still feels that it is safer and more reliable to control everything by himself, and Zheng Jun and Zhou Ze can assist them.
Chu Jianwen used local anesthetic to infiltrate the nose, Zhong Yu made an incision along the incision line, lifted the nasal columella flap, and carefully loosened the adherent cartilage and scar tissue.
She fully separates the alar cartilage surface to the lateral foot, separates and opens the membranous septum, and appropriately separates the cartilage surface of the nasal septum downward.
Then she carved the prosthesis into a "willow leaf shape", and in Chu Jianwen's eyes, she seemed to be carving a work of art, and after carving, the prosthesis was placed in Qingda salt water for later use.
Zhong Yu carved and trimmed the costal cartilage into a columellar to support the graft and the extension graft of the nasal septum, and built a triangular scaffold to form the nasal tip, which was fixed with 5/0 PDS sutures.
She was confident in every step, as if she had done it countless times.
Zhong Yu also used a stripper to peel off the appropriate prosthesis space under the nasal dorsal fascia, and implanted the "willow leaf-shaped" prosthesis into the cavity.
Take an appropriate amount of the rib cartilage and trim it into a cap shape, and place it together with the fascia on both sides of the dorsal nasal graft and the nasal tip bracket and fix it with 5/0 PDS sutures. 6/0 absorbable sutures were used to suture the columella in the columella, and the morphology was satisfactory, 7/0 nylon sutures were sutured to the columella skin incision, and 6/0 absorbable sutures were sutured to the nasal vestibular incision.
One No. 8 indwelling needle drainage tube was built into the cavity of the operation area, and a 5ml negative pressure empty needle was connected. Intranasal expansion sponge tamponade, sterile compression bandaging of the nose, and thermoplastic nasal splint fixed on the lateral side of the nose. The rib incision is taken and wrapped with a wet compress of alcohol gauze.
Zhou Ze's eyes flashed slightly, he rarely admired people, every time he saw Doctor Zhong for surgery, he felt that her strength was super strong, and he couldn't see where her limit was.
After doing the nose surgery, Zhong Yu began to shape No. 10's lips again.
Chu Jianwen hesitated a little and said, "Doctor Zhong, will the workload be too much today?" Don't you need to take a break before coming back? ”
Zhong Yu's hand kept moving, and she refused:
"I can bear this amount of work, do it all at once, and the tenth can suffer less sin, don't worry about me, concentrate on work."
Chu Jianwen nodded without saying much, and began to focus on work.
Zhong Yu had done lip measurement and design for him before, so without thinking too much, she first drew the midline of red lips with methylene blue.
The apex of the triangle is about 1~2 mm outside the vertical line of the lip peak, the medial point is located on the midline of the red lip, the outer point is about 5 mm away from the corner of the mouth, and the bottom edge of the triangle is located at the junction of dry and wet mucosa or wet lip.
The two triangles can be differentiated according to the difference in the thickness of the left and right lips, and when the thickness of the lip bead is too full, part of the lip bead volume can be appropriately removed.
In order to highlight the sagittal central sulcus and lateral labial beads of the lower lip, Zhong Yu designed three triangles, the vertices of the middle triangle were located on the midline, and the lateral points were located 1~2 mm outside the lip peak, corresponding to the upper lip vault.
The outer triangle is smaller than the middle triangle, the vertex is about 10 mm inside the corner of the mouth, the outer point is located at the corner of the mouth, and the inner point continues with the middle triangle.
The bottom edge of the three triangles is also located at the wet-dry junction of the mucosa or the wet lip.
Then adjust the height of the triangle appropriately according to the thickness of the upper and lower lip of the photo.
Chu Jianwen was given 2% lidocaine + 1,100,000 epinephrine to anesthetize the surgical area locally, 2 ml of the upper and lower lips. Zhong Yu used a No. 11 sharp knife to cut the red lip mucosa along the preoperative design line of the lip mucosa to the submucosal tissue, and then used fine scissors to cut off the excess lip mucosa and submucosal glands and tissues, and if necessary, remove part of the orbicularis oculi muscle.
In order to avoid local depression and bilateral asymmetry after surgery, Zhong Yu tried to remove the submucosal tissue in a balanced manner during the operation, and bipolar electrocoagulation fine hemostasis. 5-0 absorbable sutures intermittently suture submucosal tissues and mucosa, 7-0 nylon sutures intermittently suture lip red mucosa, and the suture knots should not be too tight.
After the operation, Zhong Yu advised:
"Erythromycin eye ointment is applied to the incision, and you can eat normally, but avoid overly hot food. 72 hours after the operation, the lips were ice, oral cefradime and metronidazole were taken every day to clean the incision until the sutures were removed, and the lips were removed 7 days after surgery. ”
Zheng Jun nodded and agreed and made a record, the situation of patient No. 10 is special, and all matters related to postoperative care are handled by Zheng Jun.
Despite the low temperature in the operating room, Zhong Yu's back was still drenched with sweat.
The consequence of being highly focused is that you will relax and feel extremely tired, but fortunately, the surgery was a success, and Zhong Yu is confident that the results will satisfy everyone.
In the following days, Zhong Yu was completely idle, except for paying attention to the postoperative recovery of the 10th, she didn't have to worry about anything else.
With plenty of time, Zhong Yu went shopping to prepare gifts for his mother and younger brother.
She packed the slightly heavier luggage and sent it back to Haishi first, leaving only a small number of valuables to bring back by herself.
Time passed in a flash, and the 10th finally ushered in the day of stitch removal.
No. 10 has always lived alone in a single room, and he basically doesn't go out and walk around the rest of the time, except when he is wrapped in gauze and pushed out by the nurse to bask in the sun.
As a result, many people know very little about him, and the hospital's confidentiality work is also very good.
Dean Luo personally came to accept the whole results, and Ji Xueli came with him.
The faces of the two were solemn, and Ji Xueli looked at Zhong Yu with a faint worry in his eyes.
At first, Zhong Yu didn't quite understand his eyes, but later he reacted when he removed the gauze.
They were worried that the operation would fail, after all, there was a significant gap between the number 10 and the person in the photo.
Zhong Yu also understands their thoughts, there is no such large-scale plastic surgery success case in China.
But what others can't do doesn't mean Zhong Yu can't do.
Zhong Yu untied the layers of gauze in front of everyone, Dean Luo clenched his fists nervously, Ji Xueli also subconsciously held his breath, they stared without blinking, and when the last layer of gauze was torn off, the face of No. 10 was revealed as if it was no different from the person in the photo.
Even if there are still sutures that have not been removed, you can see it with all eyes, and this plastic surgery has been an unprecedented success.
Dean Luo couldn't hide his excitement and shouted:
"Like! It's so similar! It's amazing!! I'm afraid that even when his wife comes, he may not be able to tell the difference between the real and the fake. ”
Zhong Yu said with a smile: "The postoperative effect is not bad, I pay attention to the details of the modification, when the tenth performs the task, as long as the performance is not too out of line, I probably won't wear a goof."
Although No. 10 was mentally prepared, he was still a little flustered when he looked at the face in the mirror that did not belong to him.
Ji Xueli seemed to see his thoughts, patted him on the shoulder, and said in a deep voice:
"Don't worry, just get used to it."
Ten looked up at him, as if there was some kind of tacit understanding between the two, and everything was silent.
Dean Luo looked at Zhong Yu's eyes full of admiration, "Doctor Zhong, you can help him remove the stitches first." ”
Zhong Yu nodded, stepped forward to continue working, and Ji Xueli stood silently aside.
When all the sutures on No. 10's face are removed, it will really be the same as in the photo.
Dean Luo was completely relieved, and he said to Ji Xueli:
"Is it up to you to send Ten back to base?"
Ji Xueli nodded expressionlessly, "I took this task, don't worry, dean." ”
Dean Luo has always trusted him and has always cultivated him as his successor, so he is not too worried about this little thing.
Even when he was in the hospital, he didn't stop studying, and this time he would receive a more core message before he went on a mission.
Zhong Yu didn't know anything about this, so he could only stand aside and wait quietly.
After Dean Luo finished explaining the matter to Ji Xueli, Ji Xueli walked straight towards Zhong Yu under his surprised gaze.
Zhong Yu was looking down at her toes, her mind was empty and she didn't want to think about anything.
When Ji Xueli stood in front of her, she came back to her senses, and Ji Xueli said softly:
"I heard you're going back to Haishi?"
Zhong Yu nodded strangely, not quite sure what he meant.
"So when are you leaving? Can I invite you to a meal tonight? I still have some professional doubts to ask you. ”
Zhong Yu wanted to refuse, but he didn't just invite him to dinner, if he really had something important to ask, it would not be good to delay.
She said honestly: "If I can buy a ticket at the station tomorrow, I should leave tomorrow, Director Ji has any questions, just ask, don't be so polite to invite dinner."
Ji Xueli returned to the field unit a few days ago, and the two of them hadn't seen each other for a while, so they obviously had some differences.
He instinctively didn't like this feeling, and couldn't help but say:
"Inviting you to dinner is regarded as paying tuition, and please don't refuse."
Dean Luo hurriedly smiled and said, "I don't have time today, just let Director Ji practice it for you on our behalf, you can't shirk."
The words have come to this, and Zhong Yu can't say anything even if he wants to refuse.
"Then let Director Ji break the bank!"
Ji Xueli waved his hand, "What kind of expense is a meal?" Later, you can go back and rest directly, and I will drive to the family building to pick you up after I am busy. ”
Zhong Yu nodded without any opinion, Dean Luo raised his hand to look at his watch, and reminded Ji Xueli:
"It's time for you to go, don't get down to business."
As soon as No. 10 heard that he was leaving, he immediately straightened up, turned around and gave Zhong Yu a standard military salute.
His eyes were sincere, and he was full of gratitude when he looked at Zhong Yu.
Zhong Yu's eyes were sour by his momentum, and her voice choked:
"It is your mission to complete the task, but please take care of your health, as long as you can survive, even if you are disabled, there is still hope for recovery, if you don't like this face, come back and I will fix it for you for free."
Ten suppressed his emotions and nodded slightly, his eyes were firm, and he had emotions in his heart that he couldn't tell, but he trusted Doctor Zhong, and although he hadn't had an in-depth conversation with her, he was really treated sincerely by her.
Seeing that the atmosphere was a little depressing, Zhong Yu's tears were really eyesore, Ji Xueli said indifferently:
"Ten, it's time for us to go."
Ten quickly regained his composure, he showed a rare smile at Zhong Yu, and then walked out of the ward without looking back, his steps firm and resolute.
Dean Luo and Ji Xueli followed closely behind, and it was not until they were far away from the ward that Dean Luo said firmly:
"You're thinking about Doctor Zhong!"
Ji Xueli has the combat effectiveness and willpower that is not inferior to the members of the combat unit.
Since I met him, how have I ever seen him talk nonsense with female comrades?
According to his character, he must have had other thoughts.
Ji Xueli is far-sighted, but he respects his leader.
Therefore, he did not intend to hide his thoughts, and he honestly said:
"It's really moving, but I'm not sure if I'm going to die on a whim, so I can't act rashly for the time being."
Dean Luo knew that he acted cautiously and behaved in a way that was beyond reproach.
But Zhong Yu is also one of the best talents, Dean Luo values her very much, and he can't allow her to be wronged under his nose.
couldn't help but mention it out loud: "If you are sure of your own mind, you can start as soon as possible, the pearl of Doctor Zhong will not be dusted, and people who are worried about her are lined up."
Ji Xueli is well aware of this fact, she is so good, and it is normal for her to be remembered.
Seeing that his face was calm, Dean Luo continued with a tiger face:
"If you kid is on a whim, you can go as far as you want, don't rely on your face to make other girls sad, if it affects her work, see how I teach you."
Ji Xueli is confident that she will not make Zhong Yu sad, such a girl with a thousand rays of light should not fall in love and be bruised all over her body.
If he can hold hands with her, he will help her Ling Yunzhi and never let her be trapped in daily trivialities.
When I thought about it like this, something broke out of my heart, and my brain instantly realized it.
Treasure! I've seen it all, so let's leave a monthly pass~