Vol 2 Chapter 1677: 130 What a pity

   Chapter 1677 Chapter 130 What a pity
   Surgical skills, talent is one aspect, but also requires a lot of practice. In previous decades, the medical system emphasized technology rather than skill.
There was a joke at the time that experts in the top three hospitals would not read colds. It sounded funny, but it was the truth. Then the country thought that if this continued, the overall medical education level was catching up with the nationalization, but the medical level of Nima was getting worse and worse. .
   This is where the training system comes into being. There are advantages and disadvantages too.
   To put it simply, medical education is actually technology, and practical application is skill. In this regard, tea has suffered a lot. Zhang Fan and Ouyang went south to recruit after Chasu Hospital had just started to improve.
   We recruited a lot of Ph.D.s and masters with outstanding academic qualifications and academic performance in school, but in two years, they did not perform as good a job in the hospital as they did.
   On the one hand, it is related to the factor that tea is a primary hospital, and on the other hand, it has an inseparable relationship with medical education.
  The group of people at the time can read, take exams, write papers and do experiments, but Nima can’t see a doctor. Internal medicine is a bit better, but surgery, one counts as one, and there are two or three doctors who haven't won basic surgery so far.
  Fortunately, Chasu has the International Medical University, otherwise these doctors can be called non-performing assets.
   For example, Li Cunhou’s team originally said that they were participants in the invention, and their application of materials for allograft should be better than others. However, it is unexpected that this group includes Li Cunhou. Once the difficulty of the operation increases, they will sit in wax.
   and the mean, the whole can almost be said to be the ceiling of Huaguo Medical.
  The surgeon's main surgeon: Zhang Fan, when Zhang Fan used to fly the knife, it was embarrassing to fill in the surgical records.
  Before anesthesia and before the surgical bag is opened, the itinerant nurse has to confirm the list of surgeons again. Even if people know it, they must ask it in the operating room.
   This is one of the supervisory powers of itinerant nurses. In the past, when I went out to fly knives and met a smarter nurse, I would say that the chief knife is Zhang Fan, and Dean Zhang.
Although the statement    is wrong, it sounds better after all, because in the operating room, this confirmation does not refer to administrative duties, but professional titles.
  For example, the director refers to a doctor of high rank, not the director in charge of the department.
   There are also honest ones, who directly called out Zhang Fan, the chief resident doctor.
   Not only Zhang Fan was embarrassed, but the director who invited Zhang Fan to fly the knife was also embarrassed.
  It's better now, it's not as embarrassing as it used to be.
  The first assistant is Academician Li Cunhou, and the second assistant is the deputy chief doctor of the Department of Dermatology Ma Yusheng.
   Actually, when Li Cunhou was on the operating table, Director Ma took his place. Li Cunhou was helping to prepare the consumables for the allotransplantation on the instrument table of the instrument nurse.
   Working with Li Cunhou, when Zhang Fan did it, it was like working with someone who was slow. Obviously they all went in, waiting for the other party to respond, but they didn't wait, and when they continued to the next step, the guy screamed out, making Zhang Fan, who was preparing for the second step, nervous.
  It was only at this time that he reacted, and they all went in.
   Fortunately, I have cooperated with Li Cunhou a lot, and Zhang Fan is also used to it.
   But working with Director Ma was different. From the moment Zhang Fan held the knife, he felt different.
   How to describe this, it's like a muscular man meets a muscular woman, back and forth, and it can also give each other a sense of urgency.
   It's like the muscle girl is always tensing her muscles to come up.
   Cut the skin, pull, and stop the bleeding without talking, not to mention Zhang Fan holding tweezers to make a prompt.
  The movements of each step are perfectly matched, where Zhang Fan's knife is, where is his attractor, where is Zhang Fan's scissors, where are his tweezers.
   And, after all, it is Director Ma who is the old chief surgeon. On the operating table, he can better understand how to pose to make Zhang Fan more comfortable. This is definitely not driving, but a serious fact.
   This is why, before going to the operating table, a chief surgeon must first determine an assistant. As for other assistants, it is enough to have hands and be obedient.
  This operation is very difficult, but Zhang Fan did it very comfortably. Because Director Ma Ma Yusheng is highly skilled in feeding.
  The two didn't speak, or even looked at each other, just the blending of hands and hands.
   The operation became more comfortable and faster, and Zhang Fan felt more and more satisfied.
  Compared with Ma Yusheng's surgery, and Li Cunhou's surgery, Nima is a middle-aged man's task, and he comes with gritted teeth.
   "Three centimeter wedges!"
   Zhang Fan said softly, without raising his head, Li Cunhou saw the progress of the operation on the operating table, and immediately made a wedge-shaped skin graft of about three centimeters.
  This product is not suitable for surgery, but he has a good hand in getting the material. For example, the material near the chin of the child. This material must have a certain curvature.
   To speak his conscience, Lao Li really ruined this pair of poisonous eyes by not going to be a device dealer.
  When the hemangioma was completely removed, the difficult operation came.
  Although the child's face is small, the corresponding face transplant area is larger. First, the punctate vascular distributed under the grafted skin should be established.
  How to describe it, this thing is like a dimple on a potato, and this dimple is used for germination.
   And the vascular valve is this function. After making the vascular valve and covering the allogeneic skin, relying on the vascular valve will slowly derive countless vascular nets like spider webs, and these vascular nets can provide nutrients to the allogeneic skin.
  Allogeneic skin will survive, and then slowly absorb, and finally you can hardly see any difference on the face. This is the reason why Lao Li can be an academician.
   Little by little, four hands, four different cuts and slants, constantly crossing each other and intersecting each other.
   The action between the tweezers and the tweezers at this time, like the mouth-to-mouth feeding between the dead young lovers, is not an exaggeration at all.
   Little by little, gently cover the baby's face, just like a girl's mask before going to bed, gently cover it.
   Then use a damp gauze dipped in physiological saline, gently push with your fingers, and apply it a little bit. At this time, you must not leave any excess or bulging areas.
  This kind of small drum bag seems to be indifferent now. Once it is sewn up, when the child is normal, luck is good, maybe this place is a dimple.
   But once you are unlucky, this place will be like a willow disease, and a fleshy thorn will grow.
  The doctor didn't dare to gamble, and he couldn't gamble either. One finger Zen was wrapped in wet gauze and pushed little by little.
   Finally, the hardest part comes, stitching.
   For other surgeries, during the suture period, the surgery is almost finished, but the dermatology department is not. The dermatology department is often the most difficult place to suture at the end.
  The suture is not good. The simplest thing is that the recovery is not good. People who have undergone surgery may encounter the incision that does not heal.
   This kind of suture is very troublesome if it does not heal with a few stitches.
   It looks like a child's mouth has been added to his stomach, and he has to endure torture-like dressing changes every day.
   And this kind of facial suture is afraid that it will not heal, and it is even more afraid that there will be a lot of thick scars after healing.
   All surgeries hardly mention sutures, only dermatology surgery emphasizes a fine suture.
   What is fine stitching.
   Zhang Fan sutured with a microscope.
  Zhang Fan and Ma Yusheng are like pirates. They put a microscope on each eye, the small round needle is much smaller than the embroidery needle, and all the surgical instruments are extraordinarily small.
  Two pairs of big hands were placed on the child's face, and there was only a little gap left for the operation space.
   In this gap, two people operated unimaginable actions.
   Pushing forward little by little, the child's lower jaw started, Zhang Fan probed, and Ma Yusheng could only kneel.
The position of a child is too difficult to manipulate, Zhang Fan is a little ahead, Ma Yusheng can only retreat, but the jaw is so big, not much bigger than a small cake, in this position, Ma Yusheng can only operate from the side with his head raised on his knees. .
   Zhang Fan's neck stretched and half bent was uncomfortable, and Ma Yusheng's half-kneeling and raised his head was even more uncomfortable.
   However, you can only persist like this, grit your teeth and persist.
   He can only hope that Zhang Fan can be faster, but he can't rush. The more he urges, the slower he becomes weaker.
  The suture of the lower jaw makes the doctor uncomfortable, then the suture of the nasal cavity and the eye socket directly makes the doctor collapse.
  Especially for the suturing of the parts derived from the inside and outside of the nasal cavity. It used to be a small hole, but now two instruments need to be inserted into the suture and knotted inside.
   This kind of operation, every time the knot is knotted, the two of them shut their mouths and hold their breaths, waiting for the two pairs of big eyes, just like a pair of male and female toads staring at each other.
   Little by little, the surgical suture is done slowly, but time passes quickly.
   Outside the operating room, the child's parents, from the irritability at the beginning, gradually became lethargic, and finally lost their strength.
   Even the eyes of the two did not have the strength to meet.
   The people waiting were like this, and the doctors in the operating room were even more exhausted.
  The itinerant nurses have changed twice.
  Finally, but after the last stitch between the eyebrows was cut, the operation on the child's face was finally completed.
  Because of the long-term facial manipulation, the child's fleshy face has become round like a silver plate at this time.
  Especially at the sutures on both sides, it was swollen like a small head was put into a balloon full of water.
   However, the suture of the surgery was done really well. Except for a faint circle of red scars, there was hardly any suture.
   "It's really good, this material is covered, it's the same as the original skin!" Old Li boasted and said the same thing.
   "What a pity!" Zhang Fan let out a long sigh.
   Originally, after the surgery, not only the doctor was happy, but even the anesthesia and nurses in the operating room felt a sense of joy and even a sense of accomplishment.
   Everyone gathered to see the baby. The scary burgundy color was gone. Although the face was swollen like a big egg, it was no longer scary at this time.
  But Zhang Fan let out a long sigh, which made everyone feel so tight.
   Was the surgery not done?
   Ma Yusheng's face turned extremely ugly!
   (end of this chapter)