Chapter 201: Facial Trauma Defect Repair

Zhong Yu and the others took a leisurely turn around the park.

With the detailed explanation of Ji Xueli, Zhong Yu did not miss any scenery with ornamental value.

She was tired from walking, and she was about to sit on the bench to rest for a while, when she vaguely heard someone shouting Dean Zhong.

Zhong Yu subconsciously felt that she had heard it wrong, and she couldn't help but laugh and cry:

"Xueli, am I working too hard to hallucinate, why do I always feel that someone is calling me."

Ji Xueli took a few steps in the direction where the voice came from, he listened carefully for a while, frowned, and said:

"It shouldn't be your auditory hallucinations, I also heard someone shouting, didn't you say that you met the small front desk in the hospital, could it be that she had an accident?"

The expression on Zhong Yu's face suddenly became serious, there was really only Li Jiajia who was most likely to ask her for help, she quickly stood up and said:

"Let's go to the south side of the park, where Li Jiajia painted before."

Although Ji Xueli didn't want people to disturb their date, he couldn't turn a blind eye to the helpers, so he led Zhong Yu to speed up his pace in the direction where the shouts came from.

At this moment, Yu Yang was still being suppressed and lying on the ground, he was a little more sober after the initial madness, and when he saw Li Jiajia's anxiety and panic sideways, it didn't seem to be fake, and he persuaded loudly:

"Jiajia, Yang Liu deserves it, you are also a victim, you shouldn't worry about her, I just ruined her face, she can't die."

Li Jiajia didn't want to deal with him, she felt that it was good not to be with him, he was an emotionally unstable person who did extreme things, like a time bomb, I don't know when I touched his sensitive point, he would be crazy and nervous, it was too terrifying to live with such a person.

Li Jiajia ignored him and was still looking for Zhong Yu everywhere, Yu Yang only felt sad when he saw it, he regretted more and more that he missed such a good girl, but it was too late to do anything.

When Zhong Yu came over, the nearby police also came, and Li Jiajia saw her as if she was seeing a savior, and said with a crying voice:

"Dean, you are here, look at my classmate, she has shed a lot of blood, her face is scratched, can she still be saved like this?"

Zhong Yu said with a solemn face: "Don't worry, I'll go see the patient."

The scene of the incident has been fenced off by the police, so as not to let others approach and hurt the victim again, when Zhong Yu came over, the police also stopped her, and the teacher who led the team saw that Li Jiajia brought her over, and hurriedly stepped forward to explain:

"Comrade policeman, this is a professional plastic surgeon, let her come and treat my student first."

Without waiting for Zhong Yu to speak, Ji Xueli took the initiative to negotiate with the police comrades, while Zhong Yu walked up to Yang Liu to check carefully.

Her face was bloody and blurry, and in addition to scratches, she had varying degrees of skin defects on her left cheek and upper eyelid, and the situation was somewhat complicated.

Zhong Yu did not have medical equipment at hand, and the current environment could not provide her with treatment, so the teacher who led the team said worriedly:

"Doctor, why did my student faint, doesn't it matter to her?"

Zhong Yu said calmly: "The patient is just too stimulated by too much, or a short-term coma due to pain, and it will not be life-threatening, but the wound on her face must be operated on immediately, otherwise it will affect the aesthetics of the face."

No matter what the nature of this incident, the teacher who led the team has to bear the relevant responsibility, and she couldn't bear to watch the beautiful little girl ruined like this, she said without hesitation:

"Then let's take her to the hospital for surgery quickly, you don't have to worry about the medical expenses, the school will pay in advance."

Everyone knows how important face is to girls, Zhong Yu has no opinion, and stands up and motions for everyone to help send her to the car.

Ji Xueli walked up to Zhong Yu and said very quickly:

"I can't leave for the time being until the event is over, and I will take you back to the hospital in a police car with the patient later, and I will be busy picking you up and going home."

Zhong Yu nodded absentmindedly in agreement, she was now all focused on the patient, and she was thinking about the surgical plan in her mind.

Ji Xueli knew her character, and he didn't expect her to be distracted by himself at this time, so he sent Zhong Yu away and found a place to call Guangfu Hospital to get the operating room over there ready.

The teacher who led the team also had to go to the hospital to go through the relevant procedures, although she was a teacher, she was also very young, experienced few things, and was a little panicked.

She thought that Li Jiajia was all-encompassing and knew Zhong Yu, so she simply asked her to accompany her.

Li Jiajia couldn't rest assured about this, and didn't hesitate to follow into the police car, Ke Ting also wanted to follow to see the excitement, but the teacher who led the team directly rejected her, and Li Jiajia always had to go back to the dormitory, and she would know everything by then.

The police car drove away from the park, Yang Liu still did not move, the carriage was filled with blood, making their faces a little pale, Li Jiajia turned her head sideways and saw Zhong Yu's calm face, she was also a little relieved, and came to her side and asked in a low voice:

"Dean, can my classmate's face be stitched up directly? Will this wound heal and leave a serious scar? ”

Li Jiajia believed in Zhong Yu's professional ability, but the eversion of the knife and the defective skin on Yang Liu's face looked too terrible, which made her unsure.

Zhong Yu helped Yang Liu and said calmly:

"If direct suture is used, excessive tension will leave obvious scars or granulation tissue hyperplasia, and it is easy to lead to secondary traction deformity, which will affect the aesthetic effect and related functions of the face."

Li Jiajia can also understand this simple truth, she is curious: "How to deal with it?"

Zhong Yu said calmly: "Her situation can only be repaired with a local flap, because the biggest advantage of the flap formed in the adjacent part of the defect area is that the color and texture of the transplanted tissue are very close to the skin of the defect site, which can obtain better functional and cosmetic effects, and the facial skin is rich in blood supply, which is conducive to the design of various forms of local flap repair wounds."

Li Jiajia nodded as if she didn't understand, and the leading teacher looked at Yang Liu with pity, and she said softly:

"In any case, please ask Dean Zhong to try her best to help her recover, she is still young and can't bury her good future because of her facial disfigurement."

Zhong Yu said with a serious face: "Don't worry, the teacher is benevolent, the doctor is benevolent, I will do my best."

They arrived at the hospital a few minutes early, and as soon as the police car stopped, Guo Pengfei and Cai Yizhong quickly stepped forward to carry the patient onto the stretcher.

Zhong Yu was surprised: "How do you know?"

Guo Pengfei worked neatly with his hands and feet, and explained to Zhong Yu:

"It was Dean Ji who called us in advance, so everything is ready, and you can operate directly."

Zhong Yu unconsciously raised the corners of her lips, Ji Xueli can always get extra points from her in these small details.

Now at this time, she can't be distracted and think too much, and began to think about the surgical plan again, the head and face are the most obvious exposed parts of the body, and it is not easy to perfectly repair the skin and soft tissue defects of patients with head and facial trauma.

After they arrived at the operating room, Zhong Yu first went to change into surgical gowns and prepare for preoperative disinfection and sterilization, Chu Jianwen first gave the patient local anesthesia, and then Cai Yizhong first rinsed the wound with iodine, hydrogen peroxide and sterile saline many times.

He also had to use tissue scissors to remove the inactivated tissue at the edge of the wound to reduce the chance of postoperative infection, and he pruned until the wound edge was punctate.

They proceeded in an orderly manner, and Zhong Yu's side soon made preparations and began to repair the defects.

The design of the local flap of the head and face is determined by the location, size, and shape of the defect, as well as the degree of laxity of the surrounding skin.

Due to the abundant blood supply to the head and face, the flap can be 3:1 in length and width, and 4:1 if well-known blood vessels are included in the flap.

The rotating flap is mainly suitable for the repair of circular and oval wounds, and an important principle in the design of the rotating flap is that the area formed by the rotating arc is 3~4 times the area of the primary defect.

When she found that a flap was not enough to repair the defect, she made a flap on each side of the defect and designed it flexibly according to the location and shape of the defect.

Her surgical plan is not static, she wants to maximize the beauty of the patient's postoperative results, so she will make appropriate adjustments during the operation.

After transferring the flap, she found that the tension was slightly larger, and immediately relieved the tension by the reverse incision method, in addition to forming a flap that could completely cover the defect wound, she also minimized the auxiliary incision line, sutured the wound with less tension, and used 6-0 absorbable sutures to stop the bleeding during the operation.

After the operation, the incision suture of the flap was covered with petroleum jelly gauze, and the upper edge of the flap was pressurized and bandaged with loose gauze pads for 3~5 days.

After Zhong Yu bandaged it, he whispered: "Change the dressing and change the gauze dressing every 2 days, observe the blood circulation of the local flap, and remove the sutures 7~9 days after surgery."

Guo Pengfei hurriedly nodded to indicate that he had written it down, and Zhong Yu pulled down his mask and signaled that he could send the patient out.

Teacher Shao and Li Jiajia, who led the team, went through the formalities and sat at the door of the operating room and waited, no matter what Li Jiajia had about Yang Liu, for the sake of her classmates, she couldn't ignore it at this time.

Teacher Shao has already explained the situation to the school, because their class counselor went out for training, so she has to take care of her for a few more days, fortunately, Li Jiajia is familiar with the hospital, and there are many things she can solve, which also saves her a lot of effort.

The two of them waited at the door of the operating room for almost two hours before the door opened, and after Zhong Yu came out, he saw Li Jiajia's face worried, and hurriedly relieved:

"You don't have to worry too much, your classmate is in good physical condition, the operation was successful, wait for the postoperative rehabilitation effect before making other arrangements."

Teacher Shao asked, "If her face is injured like this, can it be cured by a first-stage operation?"

Zhong Yu Zhengse said: "It depends on the scar condition of her postoperative recovery, as well as the effect of the skin flap recovery, if it is not ideal, she may have to undergo second-stage repair surgery."

Teacher Shao nodded clearly, this is also a matter of course, after all, the surgery is done the same, and the recovery effect varies from person to person, she asked again: "Then is there anything else we can do next?"

Zhong Yu said gently: "Postoperative dressing change monitoring is carried out by medical staff, but patients with head and face defects due to trauma are often more likely to have anxiety, nervousness, and impatience, if it is not handled well, it will bring physical and psychological damage to the patient, and her emotional instability will not be conducive to wound healing, so the teacher may need to actively communicate with her, understand her psychological state, and guide her to actively cooperate with the treatment."

Teacher Shao didn't know much about Yang Liu, after all, they only had a short time together in class, although she regretted organizing this outing sketching activity, but it had happened, and she could only try her best to do a good job in the follow-up.

She said solemnly: "Thank you Dean Zhong for reminding me, I will try my best to do a good job in psychological counseling."

Zhong Yu nodded, and she said to Li Jiajia familiarly: "You can also enlighten and enlighten your classmates when you are free, it doesn't matter if the work of the hospital is put away."

Li Jiajia respected her very much, and said without hesitation: "I know the dean, Sister Zhao Di has already put your lunch in the office, you can go eat first."

Zhong Yu bowed her head, and only when she left Teacher Shao did she ask in a low voice, "Why are you so familiar with Dean Zhong?"

Li Jiajia explained while guiding her to the ward: "I couldn't think about some things before, but Dean Zhong persuaded me, and then she gave me liposuction surgery and accepted me to work part-time here, she is a very good person, you will know it later."

Teacher Shao can see that Li Jiajia admires Dean Zhong very much, and she can understand that she is already a leader among women when she teaches in colleges and universities, and Dean Zhong can start her own hospital at a young age, which is really admirable.

When they arrived at the ward, Yang Liu was already lying on the hospital bed, Teacher Shao saw that her face was wrapped in gauze, looking very pitiful, fortunately, she slept peacefully with anesthetic, Teacher Shao tucked the corner of the quilt for her, turned to Li Jiajia and whispered:

"I still have to run to the Public Security Bureau, how to deal with Yu Yang's side depends on the attitude of Yang Liu's family, I have to communicate with both of them, before Yang Liu's parents come over, you take care of it more here, and I will say hello at the school."

Teacher Shao does have a lot to do, she didn't mean to shirk, Li Jiajia can understand, she promised:

"Teacher, you go and get busy first, and I'll take care of Yang Liu first."

Li Jiajia is now steady and down-to-earth, and she is not arrogant or impatient when she speaks, and Mr. Shao is very relieved that he will hand over the weight to her.

After Teacher Shao left, Li Jiajia saw that the water in the infusion bottle did not need to be changed for the time being, and the blood stains on Yang Liu's body had not been cleaned up, so she took the basin to fetch hot water to scrub her.

When she went to fetch water, she ran into Sun Wenhui, she looked at Li Jiajia and teased: "The little girl inside is the one who robbed you and bullied you?" You're still in the mood to take care of her, what a fool! ”

Li Jiajia knew that she would say this to herself, and said with a smile:

"That matter has completely turned the page in my place, I don't mind at all, taking care of her is not only to help the teacher, but also for the sake of my classmates, I have a clear conscience."

Sun Wenhui said with a smile: "I'm afraid that she will be angry with you when she wakes up, people like her have no conscience at all, they will only complain about heaven and others, and they will never reflect on themselves."

Li Jiajia's eyes widened, and she pretended to be fierce and said:

"If she is really so uninteresting, see how I teach her, don't worry, she can't bully me."

Li Jiajia didn't say big things, just Yang Liu's half-dead appearance, she really didn't dare to offend her.