Chapter 86: Repair of Lip Defects

Xin Peiming's eyes flashed slightly, he rubbed his fingers, and his body unconsciously leaned forward slightly.

"What is the success rate of Dr. Chung's surgery? I don't want to look like a normal person, but to get back to normal! ”

His words made the atmosphere tense, and there was an inexplicable feeling of sabre-rattling.

Zhong Yu looked calm and did not panic at all, she chuckled:

"If Mr. Xin has any doubts about me, you can ask Gao Ming, there is no shortage of skilled plastic surgeons in Hong Kong City, why don't you find them?"

Xin Peiming looked at her with a torch, Zhong Yu looked back with a light smile, and the two competed silently.

Xin Peiming smiled, his body relaxed and his momentum recovered, and he became kind again, and he said lazily:

"Doctor Zhong, don't mind, there are too many quacks now, and I rely on my face to eat, so I can't afford to lose anything, so I speak more aggressively, I am good friends with Wei Zi, she believes in you, and I naturally believe in you."

Zhong Yu raised his eyebrows slightly, and replied with a smile:

"Wei Zi is willing to bring you here, she must have told you something about herself, you question me, I don't care, anyway, I don't rely on you to brush up on performance, Wei Zi doesn't mind."

These two are not easy to mess with, Wei Zi didn't plan to interfere, she shrugged indifferently when she was named:

"The two bigwigs discuss it themselves, and it's good if I don't exist."

Xin Peiming put on his mask and said, "Doctor Zhong, I am prone to accidents if I don't show up for a long time, and I want to trouble you to arrange surgery as soon as possible."

Wei Zi also helped: "Senior brother has a drama to join the crew in the first half of next year, and he will take makeup photos after a while, and he will pay a lot of liquidated damages for breach of contract, so I can only ask you."

Zhong Yu motioned for her to be calm, and she first looked through her notepad to see the recent surgery schedule.

She handed over the general minor surgeries to Guo Pengfei and Cai Yizhong to do, and Director Tang also took over a few, and she still has time to spare.

"Okay, you go to the hospital first, and then go for a routine examination, if there is no problem, I will arrange the operation as soon as possible."

Wei Zi happily rushed over and hugged her, "I knew you were the best!" ”

Zhong Yu deliberately rubbed her hair, and said angrily:

"Don't burden me next time, which hotel do you stay in?"

Wei Zi is now living a prosperous life, and he is a lot more cheerful.

She has always regarded Zhong Yu as a benefactor and is close to her from the bottom of her heart.

"I'm staying at a Vienna hotel near the hospital, so let's have a meal together?"

Zhong Yu also wanted to catch up with her, nodded and said:

"I have nothing to do at night, I will design a surgical plan for Mr. Xin in the afternoon, and let the operating room prepare materials and medicines before leaving."

Wei Zi groaned: "Then I'll accompany my senior brother to go through the formalities and do the examination first, you are busy and call me in the ward, and the two of us will go together."

Zhong Yu agreed, but Xin Peiming was not in a high mood and did not speak.

After they left, Zhong Yu continued to be busy.

After all, Xin Peiming is a well-known star, he went through the admission procedures, and Director Tang also received the news.

He specially came to Zhong Yu to inquire about the situation, and as soon as he entered the office, he got straight to the point:

"Xin Peiming's surgery is a hot potato, what surgical plan are you going to use?"

The relationship between the two is good, and Tang Jiaren is worried that if she doesn't handle it well, she will be in trouble when the time comes.

Zhong Yu didn't feel any pressure.

"For the repair of lip tissue defects that cannot be directly sutured for any reason, the ideal repair method should be to restore not only the unique red and white lip structure of the lips, but also its unique anatomical and physiological functions."

Director Tang didn't know this.

"What method do you plan to use if the adjacent or distal flap method can not be achieved, and it will affect the effect of the surgery, and the only way to meet these requirements is to repair the lip tissue itself?"

Zhong Yu rationally analyzed: "The commonly used method is the cross lip flap method, but the operation needs to be carried out in two parts, with an interval of at least 3 weeks, and the patient cannot open his mouth within 3 weeks, which is extremely inconvenient, and takes a long time and costs a lot."

Although lip composite tissue free transplantation can be completed at one time, the transplanted tissue itself does not have blood supply, is not easy to survive, and the amount of transplanted tissue is small, which limits its application.

Recently, it has been reported that the contralateral lip defect is repaired by the cross transfer of the labial valve with bilateral labial arteries as the pedicle, although the operation is completed at one time, the blood vessels need to be dissected, the operation is complex and traumatic. ”

Tang Jiaren's brows furrowed even tighter.

"Every surgical method has drawbacks, and Xin Peiming is a public figure, so it's too difficult for you to do."

Director Tang sincerely considered Zhong Yu, for fear that her career would encounter Waterloo.

How could Zhong Yu not understand his good intentions, and smiled and said with relief:

"Director Tang, don't worry, I already have a better surgical plan here, I plan to design a lip flap with the labial artery as the vegetative vascular pedicle to promote the repair of moderate to severe lip defects, which is repaired with the lip tissue itself, which can not only completely restore its unique morphological structure and anatomical and physiological functions, but also make use of the extensibility of the lip tissue, the constancy of the labial artery, and the rich communication branches between the upper and lower labial arteries and between the labial arteries on both sides, so that the ideal repair of severe lip defects that were difficult to complete satisfactory repair in the past has become a reality."

Tang Jiaren simulated the operation scene in his mind according to Zhong Yu's method, and then asked with some excitement:

"How did you come up with it, let's talk about it specifically."

Zhong Yu chuckled: "Because of the abundant communication branches between the upper and lower lip and the labial arteries on both sides, the lip flap on the defective side can extend to the contralateral lip around the corner of the mouth, forming a composite lip flap including the contralateral lip.

As a result, lip tissues can be used to the maximum. This surgical method is not difficult to operate, easy to master, no need to dissect blood vessels during the operation, no special equipment is required, and the success rate of the operation is high. ”

Tang Jiaren asked: "What about the simple red lip defect that cannot be directly sutured and the range is 1/2~3/5 of one lip or the red and white lip defect at the same time?"

Zhong Yu said confidently: "It can be repaired by this method, if one lip flap extends to the opposite lip through the corner of the mouth, the corner of the mouth may become round and blunt after surgery, and the mouth corner can be opened after 3 months."

Tang Jiaren pondered for a long time, and Zhong Yu did not bother him.

After Tang Jiaren clarified his thoughts, he said with emotion:

"Today is really beneficial, when you have surgery, I will go to observe, and I can be your assistant."

Zhong Yu said humorously: "My assistant's position can be competed for, you can discuss it with them yourself."

Tang Jiaren laughed, he had also heard about the affairs of the department, Cai Yizhong and Guo Pengfei were secretly competing, and he also knew it.

Based on the fact that this matter is conducive to promoting the growth of young people, he did not intervene.

"Then I won't fight with them, I'll just observe and observe, you get busy first, I'll go to the ward."

It's all come to this point, Zhong Yu has nothing to do, so he simply went to find Wei Zi.

In order to ensure Xin Peiming's privacy, a single ward was specially arranged for him, and when she passed, Wei Zi was making up for sleep.

When Zhong Yu knocked on the door, Xin Peiming was reading a book, Wei Zi was awakened, raised his head in confusion and asked:

"Ah Yu, are you busy?"

Zhong Yu smiled and nodded, "If you're too tired, we can make an appointment tomorrow." ”

Wei Zi waved her hand, she pulled her hair, and bent over to put on her shoes.

"Let's go now, senior brother, you rest first, and I'll bring you food back later."

Xin Peiming closed the book and said softly: "Pay attention to safety, don't drink, come back early."

Wei Zi seemed to be accustomed to his concern, and didn't feel anything wrong.

Zhong Yu was a little puzzled about the relationship between the two, and when she came out of the ward, she asked curiously:

"You and Mr. Xin are a couple?"

Wei Zi hurriedly shook his head and denied: "Where do you want to go, we are just a simple brother and sister relationship, the same brokerage company, the same agent, he has always taken care of me when I entered the industry, of course I have to be good to him."

Zhong Yu understood, and she said lightly:

"When I examined Mr. Xin's wounds, I found that he had his upper lip cut off with a sharp blade, I don't know exactly what happened, but if you are close to him, you should also pay attention to personal safety."

Wei Zi's face was ugly, obviously she knew the truth of the matter.

"Thank you Ah Yu for reminding me, I know everything, my brother's affairs can't even affect me, can this operation really make him recover as before?"

Zhong Yu smiled, "Don't worry, I'll let him return to normal." ”

With her words, Wei Zi was not worried, and the two chatted while walking.

Zhong Yu took her from the obstetrics and gynecology department to take a detour, and as soon as she walked to the end of the obstetrics clinic, she heard a man shouting:

"My lover and I are both blood type B, and it is impossible for us to have a child with blood type A, you must be mistaken."

The obstetric nurse yelled grumpy:

"Isn't it your child in your hand, how can you be mistaken? Don't make trouble for us. ”

The nurse's attitude made Zhong Yu very dissatisfied with what she heard, and she stepped forward quickly and said:

"What's going on? There are still many pregnant women who are waiting to give birth here, and they can communicate well if they have any questions. ”

The nurse saw Zhong Yu's face change, and she preemptively said:

"Doctor Zhong, this man is deliberately looking for fault, two children came out of the delivery room just now, a boy and a girl, his family is a daughter, how could he be mistaken."

The man was unconvinced and said: "But this blood type is not right, my lover and I are both blood type B, how can we have a blood type A, this is not scientific."

The nurse was angry and said, "Maybe this child is not yours at all?" Then you'll have to ask your lover. ”

The man said righteously: "You are spurting blood, I believe that my lover will never betray me, I ask you to take a new blood test in the hospital."

Zhong Yu hurriedly said: "Don't worry, this comrade, we can re-check the child's blood type, and there are mistakes in the busy."

After she said this, she saw Dr. Shao of the obstetrics department hurriedly coming over, she nodded with Zhong Yu, and then said apologetically:

"I'm really sorry, the two children's checklists were wrong, it was a mistake by our medical staff, a misunderstanding."

The man hurriedly took the checklist she handed over and checked it, and after seeing it clearly, he pushed the glasses on the bridge of his nose and breathed a sigh of relief:

"I'll just say that you are mistaken, this little nurse is so disagreeable, you are so arrogant when you make a mistake, I want to complain to you!"

Dr. Shao hurriedly played a round, "Our nurses are too young to deal with this kind of thing, please forgive me......

Zhong Yu saw that there was an attending physician to deal with this matter, so she didn't have to overstep her responsibilities and pulled Wei Zi away.

Wei Zizheng is watching with relish, good guy, a small mistake almost involved a family ethics drama.

"Do you have so many stories in your hospital every day?"

Zhong Yu cried and laughed:

"It's just an accident, the hospital definitely doesn't have as many stories in your entertainment industry."

Wei Zi was stunned, but she didn't deny her statement.

Although the two haven't seen each other for a long time, Wei Zi still has the same enthusiasm for her.

She can't talk about her past with new friends, and occasionally she looks back on the sad days of the past.

To this day, only she can understand all the tastes, and Zhong Yu, as a witness to her transformation, can let her speak freely.

This meal, almost all of them were talking to her, Zhong Yu was listening, and it didn't end until more than eight o'clock.

Wei Zi returned to the ward and was still unsatisfied, pulling Xin Peiming and talking about it in the middle of the night, he didn't have a good rest.

The next day, Zhong Yu was in a good state, and Xin Peiming specially asked her before entering the operating room if she wanted to postpone the operation.

Zhong Yu was a little puzzled, and she said with a straight face: "The operating room has already been arranged, and the operation cannot be postponed without reason."

Xin Peiming saw her energetic appearance, so he didn't say anything, he yawned and said vaguely:

"Then go ahead with the original plan."

When the group entered the operating room, Tang Jiaren had been waiting for a long time.

Guo Pengfei didn't come to work today, so naturally Cai Yizhong and Tang Jiaren were assistants.

Director Tang didn't compete with the young man, and directly gave up the position of one assistant to Cai Yizhong.

Zhong Yu changed into a surgical gown and made preoperative preparations such as sterilization and disinfection, and then began the operation.

Xin Peiming's upper lip is a lip defect caused by trauma, and only the scar tissue at the wound margin of the defect needs to be removed, and a rectangular full-thickness lip defect is formed on the lip after resection, and the ligation of the labial arteries on both sides can be seen and a long line is left.

Zhong Yu did the composite lip flap design, and she drew a line horizontally on the side of the defect and the bottom of the defect at the same height to both sides.

The incisional design line of the labial flap with a larger defect extends to the corner of the mouth and to the contralateral lip, creating a composite lip flap that includes part of the contralateral lip.

She also sutured a 1-line at each of the labial flaps on both sides of the defect for traction, and used an 11-gauge sharp blade to cut the lip tissue along the design line to form the lip flap, and paid attention to bringing the labial artery into the labial flap.

After one lip flap is cut, the other side is cut in the same way.

At this time, the upper and lower lip branches of the facial artery are found on the outside of the mouth corner, and the upper and lower ends of the branches are ligated to cut off the facial artery to increase the movement of the lip flap.

She advanced the two free labial flaps horizontally towards the defect area, first sutured the orbicularis oculi muscle at the butt of the two labial flaps to restore its continuity, and then sutured the rest of the wounds in the order of mucosa, muscle, and skin.

After Zhong Yu was stitched up, Director Tang took a closer look.

Zhong Yu gave him a seat, and Wen Sheng explained:

"Because the lip flap incision is at the lip arch, the postoperative incision scar will not be noticeable."

Tang Jiaren breathed a sigh of relief and said: "That's fine, otherwise I have to worry about the aesthetic effect after the operation."

Cai Yizhong replied disappreciatively:

"If Dr. Zhong is not satisfied with the surgery, then he will not be able to find a satisfactory doctor."

Zhong Yu was not carried away, she looked at Cai Yizhong calmly and said:

"Don't talk big, the strong have their own strong players, you haven't seen it doesn't mean that you don't, I'm still young, and I still have a long way to go."

Cai Yizhong was a little stunned by her, and he also knew that he had lost his words, so he quickly apologized.

"Doctor Chung: I'm sorry! I said the wrong thing. ”

Zhong Yu turned around indifferently, she didn't have the heart to worry about him, she just didn't like to be killed.