Chapter 88: Congenital atavism
She explained all the surgeries she had done in the past few days to Ji Xueli in detail.
The part that involves the privacy of patients is not disclosed.
He didn't even mention Xin Peiming's name, although Ji Xueli may not know this person.
When she talked about lip defects, Ji Xueli sighed:
"When I first joined the military station, I also encountered such a case, when the recruit was born after bilateral cleft lip repair, secondary to the upper lip red lip defect deformity.
A young man who is very good in all aspects, he collapsed because of this flaw.
At that time, the conditions of the station were poor in all aspects, and there were no professional plastic surgeons, so they had to choose to be discharged from the army. ”
Zhong Yu is well aware of the current lack of skilled plastic surgeons in China, and her personal strength is limited after all.
Ji Xueli said in a depressed mood: "I can't help at that time, if you are here, how will you deal with it?"
Zhong Yu thought for a moment and said seriously:
"Based on what you said, I'm probably going to use a red lip flap with an arch island of the lower labial artery to repair the red lip defect on the upper lip."
Ji Xueli was puzzled, "Why don't you use the cross lip flap method to repair it?" ”
After this incident, Ji Xueli was haunted for a while, and he also consulted relevant information.
Zhong Yu sat lazily back in his chair and explained softly:
"Compared with the crossed lip flap, it has more advantages, this method only requires one operation, and it can also avoid the pain of suturing the upper and lower lips together, and the anatomy is similar, the alignment is more accurate, and the anatomical function is more perfect."
After Zhong Yu said this, he said with some curiosity:
"Director Ji is a god of neurosurgery, shouldn't he pay attention to the knowledge points related to neurosurgery? Could it be that Director Ji wants to be transferred to our department as an assistant to me? ”
Ji Xueli chuckled: "This proposal can be considered, I forgot to tell you, I was promoted to vice president, and I may increase the work of administrative management in the future, no matter which department has relevant professional knowledge, I have to have some understanding, so that I can make more objective and rational judgments in my future work."
I see! Zhong Yu realized it and said, "Then I have to call you Dean Ji......"
Ji Xueli doesn't care about these titles, he just moves forward step by step, no matter what position, he is always himself.
His voice was unhurried and said, "It should be Vice Dean Ji!" I'd rather hear you call me by name, though. ”
Zhong Yu touched her nose and was silent, Ji Xueli didn't embarrass her, and continued the topic just now:
"What is the specific surgical procedure?"
Zhong Yu said with a straight face: "First of all, the surgical design is carried out, at the junction of the mucosa of the lower lip and the red lip, touch it with a Doppler blood flow detector or finger to confirm the existence and walking of the labial artery arch, and draw it with gentian purple marking, up to the corner of the mouth, as the pedicle of the red lip flap of the lower lip."
Then use gentian purple to mark the anatomical landmarks of the lip, measure and record the length of the lip peak, the lip valley to the lower edge of the red lip, and the length of the lip peak point to the lower edge of the red lip to be constituted by surgery, and design the red lip flap of the lip including mucosa and orbicularis oculi muscle, the height of which is equal to the height of the defect, the width of the bottom is the width of the defect, and the thickness is the full-thickness composite tissue block containing the red lip, muscle and mucosa. ”
Ji Xueli's brows tightened when he heard this, just the preoperative design was so complicated, which was not something that ordinary surgeons could easily grasp, he didn't interrupt and motioned for her to continue.
Zhong Yu said in a calm tone: "The operation should be carried out under local anesthesia, draw lines according to the design, make an incision from the red lip flap to the corner of the mouth at the junction of the lower lip mucosa and the red lip, and first peel off the vascular pedicle containing the artery arch of the lower lip on one side.
Then the lower red lip flap is incised according to the design line, and the infraorbital nerve blocks the anesthesia to form the wound of the median defect area of the upper red lip, and the wound is made along the junction of the lip mucosa and the red lip from the wound to the corner of the mouth, and the lip mucosa is cut to the corner of the mouth, and it is connected with the incision of the pedicle of the lower lip valve, and the wound margin is separated to form a submucosal open channel.
The lower lip flap and its pedicle containing the lower labial artery arch were rotated 180° and transferred to the upper lip, the pedicle was placed in the open passage and the upper lip mucosa was sutured, and the inferior red lip flap was sutured with the wound edge of the upper lip defect.
Then, the lower lip donor valve area and the mucosal incision after peeling off the vascular pedicle were directly sutured. ”
Ji Xueli listened a little hard, barely able to keep up with her train of thought, Zhong Yu continued:
"After lip valve transfer, the incision is bleeding obviously, swollen, and slightly dark red, and the bleeding is significantly reduced after 2~3 days, and the color is ruddy and slightly swollen.
Ji Xueli smiled bitterly after hearing this: "In private, I need to do more homework to expand my knowledge reserves."
Zhong Yu understood the meaning of his words, and said with intimate relief:
"You don't need to understand too thoroughly, the key to doing administrative work is to know how to make good use of people, you are not a god, you can't be perfect."
Ji Xueli agrees with her very much, he has his own weak links, and he also needs to continue to learn and grow.
"I just took over the position of vice president, and I don't have enough experience, so I'm afraid I'll have to debug it for a while."
Zhong Yu felt that he was very real like this, and chuckled:
"At first, there was always a bit of a rush, but when I go back to the hospital, Dean Ji will probably be able to do it easily."
Ji Xueli was comforted by her, and his heart seemed to be injected with energy, and even his voice was full of joy.
"Thank you Dr. Zhong for your recognition, please come back after the year to teach and teach newcomers, the army needs a lot of backbones."
Zhong Yu Zhengse said: "I will cooperate with the relevant work."
Removing that ambiguous relationship between men and women, they are also good partners.
By the time Zhong Yu hung up the phone, there was already a thick layer of snow on the greenery outside the window.
She was lying on the folding bed in the duty room, and her heart was extremely down-to-earth and quiet.
If you don't think about the final direction of this relationship and think too much about mental internal friction, you will only trap yourself in it and can't get out.
It's certain that she likes each other, but she always loves herself more, everything has to be carried by herself, and spiritual independence is precious.
Because no one bothered her, she slept beautifully on this big night shift.
In the morning, Director Tang specially brought hot beef noodles to treat her, so that she could eat and sleep enough, and Doctor Zhong could live the day full of vitality.
After breakfast, she went to the ward first, then changed Xin Peiming's dressing, and then went to the outpatient clinic.
Probably because the road was slippery on a snowy day, there were not many patients, and after receiving the last patient, Zhong Yu was going to eat in the cafeteria, and as soon as he stood up, he saw Song Botao standing at the door of the clinic dressed sloppily.
He looked a little embarrassed, there were blood stains on his clothes, his face was red from the cold, and he saw Zhong Yu rubbing his hands a little embarrassed.
Although the marriage of the two parents broke down and there was some trouble at his wedding, Zhong Yu would not fall into the trap, she frowned and asked:
"Why did Brother Song come to the hospital, did something happen at home?"
With her words, Song Botao's sense of embarrassment retreated slightly, and he rubbed his hands and said bitterly:
"Ah Yu, there is nothing major in the family, but Wang Hui was born prematurely......"
Zhong Yu was taken aback, "She's only been more than eight months pregnant, why is she so careless?" ”
It's all come to this point, and Song Botao doesn't have any thoughts about family ugliness that can't be publicized, he said bluntly:
"In the morning, my brother-in-law came to Wang Hui to ask for money, Wang Hui didn't push and shove the two, the ground was icy and the road was slippery, so I fell prematurely, and finally sent to the hospital to give birth safely, but there were many mothers who gave birth at the end of the year, and there was no hospital bed in the obstetrics department.
Zhong Yu didn't want to deal with the Song family, if she had other things, she would have shirked it, but the mother had just given birth to a child and was born prematurely, so she would be a little too unkind if she didn't accept it.
"Okay, I'll give you a bed, and you can ask the nurse to send someone over."
Song Botao smiled gratefully, he rubbed his hands that were red from the cold and said:
"Thank you, Ah Yu, I'll pick them up."
Zhong Yu nodded and didn't say anything more.
Wang Hui was thrilled in this birth, and he stepped into the ghost gate with half a foot, and he was really frightened.
She hugged her skinny son and felt alive again.
Song Bingkun looked at his little grandson from afar, feeling distressed, and when Song Botao came back, the family moved the mother and son into the ward as if they were fleeing, Song Botao was tired and sweating.
Song Bingkun, the father-in-law, can only watch his grandson and change his grandson's diaper, and Wang Hui can only come by himself if there is anything on Wang Hui's side.
thought that Zhong Yu would not pay attention to them, but she didn't expect her to agree to open this back door.
Wang Hui went to the hospital in the morning, the children were all born, and she didn't see Song Meiting show up, so she guessed that she was too lazy to come over to help.
Zhong Yu finished his work and went to the ward.
Although it was the obstetrics and gynecology patients who occupied their beds, since she agreed, she had to come and ask about the situation.
As soon as she came over, Wang Hui smiled kindly, as if she had seen a relative.
Probably because of doing a lot of physical work, Wang Hui's body recovered quickly, and he was already able to sit at this time.
She said in a weak voice:
"Ah Yu is really embarrassed, I have to trouble you when I give birth to a child, if it weren't for you, I'm afraid I would have to freeze in the hospital corridor."
Zhong Yu said detachedly: "You're welcome, I just have an empty bed, how do you feel?"
Wang Hui was in charge of the house after getting married, and she didn't lose anything during her pregnancy, but now she looks richer than before.
She didn't care about Zhong Yu's coldness, and said with a smile:
"I have a strong body, and now I feel okay, but my son has lost a little weight."
Zhong Yu glanced at the child, he was indeed quite thin, and Song Bingkun held the child expressionlessly and did not speak.
Wang Hui only realized that the taste was coming now, and it was a great loss for their family to miss this capable sister-in-law.
So when she got the opportunity, she wanted to be close to Zhong Yu, and she sighed exaggeratedly.
"If Dad and Aunt Qin hadn't divorced, I wouldn't have been without my mother-in-law to take care of me at this time, I wouldn't even be able to eat decent food, and I would have to take care of it at home and abroad, and my sister-in-law would be away from home all day, just like without her, I would be pitiful."
Song Botao glanced at his father, pulled Wang Hui's clothes with some embarrassment, and motioned her to shut up.
Zhong Yu didn't have the leisure to listen to her verbosity, and said officially: "If you have any questions, you can go through the corridor to find the obstetrics and gynecology medical staff, and I won't disturb the mother's rest."
After she said this, she was about to leave, and Wang Hui hurriedly shouted:
"Ah Yu, I haven't finished my words yet, don't be in a hurry to leave."
Zhong Yu frowned and said, "I still have patients waiting for, so I don't have time to listen to you."
Wang Hui hurriedly sat up and said, "I want to tell you about business, Bo Tao was born with a small tail on the back of his buttocks, and I want to ask if you can cure it."
Zhong Yu was a little surprised, she had never heard of this in the past ten years, and she kept it a secret.
Song Botao was annoyed and said angrily: "What are you doing with this?" I'm just a ball of meat, how can I be so exaggerated as you say. ”
Song Bingkun also looked ugly, and reprimanded in a low voice:
"Brainless things, say anything outside, don't even want your man's face."
Wang Hui said disappreciatively:
"If you are sick, you have to be cured, this thing has been there since birth, who knows if it will have an impact on life expectancy, my son is still young, how pitiful it would be if he lost his father at a young age."
Her words made Song Bingkun blow his beard angrily, Song Botao looked at Zhong Yu ashamedly, and he was a little embarrassed to say:
"Ah Yu, the thing on my body has grown thicker and a little longer in the past few years, and there is usually no discomfort, but there is a sense of friction when sitting for a long time or riding a bicycle, which is not very comfortable, there should be no problem, right?"
Zhong Yu said with a serious face: "I haven't had a specific examination, I don't know what the foreign body on your body is, if it hasn't grown up, there is no discomfort, you can ignore it, but now that it is growing, then you have to undergo surgery to remove it, and you have to do a pathological examination to see if it is a malignant tumor."
As soon as they heard the word malignant tumor, Song Bingkun and Song Botao became nervous.
Song Botao hurriedly asked, "Then what should I do?"
Zhong Yu treated him as an ordinary patient, and said patiently:
"You go to register first, and then I'll help you make a bill and do a check first."
When it comes to life, Song Botao didn't dare to be careless, and obediently did what Zhong Yu said.
Song Bingkun didn't stop him at this time, and Wang Hui couldn't help but nag.
"I'll just say that this matter can't be delayed, your father and son are still hiding it tightly, and you are really not sober-minded."
Song Bingkun let her say that he didn't squeak while holding his grandson, and waited patiently for his son to come back.
Because of Zhong Yu's help, Song Botao's examination results came out quickly.
She took the checklist and looked at it for a while before she said:
"You have a congenital tail malformation, which is a rare atavistic malformation, there is no abnormal bone development in the sacrococcygeal region, the sacrococcygeal region is a normal physiological curvature, and the bone is not damaged, which can be treated by surgery."
As soon as Song Botao heard about the operation, he was a little reluctant.
"Isn't it okay if this thing doesn't move? It doesn't hurt anyway. ”
Zhong Yu said helplessly: "It's growing up, and it has affected your daily life, if you don't cut it off, will you really let it grow into a small tail?"
Song Botao is naturally unwilling, he has never exposed this flaw in front of outsiders, just for fear of being laughed at, if he really grows a small tail, he has no place to put his face.
After thinking about it again, he finally gritted his teeth and said:
"I'm willing to do a surgical excision, but you have to do it yourself, and I don't worry about the others."
Zhong Yu has real skills, but others may not be, he doesn't want to practice for others.
Zhong Yu didn't refuse, the operation was simple, and it was arranged for him on the same day.
Song Botao didn't expect it to be so soon, and he was still a little stunned after entering the operating room.
Under his local anesthesia, Zhong Yu calmly performed a lumpectomy along the root of the lump.
When she cut it, it was revealed that the tail structure was the same as that of the skin and subcutaneous tissue of the buttocks.
No bone, cartilage, hair, or other special tissues were seen, and the incision was sutured without tension.
The operation was completed quickly, and they came out of the operating room and arranged for the couple to stay in a ward.
After the medical staff pushed Song Botao into the ward and settled down, Zhong Yu instructed Song Bingkun:
"The stitches can be removed in about eight days from the wound, and I will inform you of the results when the pathology report comes out." (End of chapter)