Chapter 1063: :Let me do it!


Cang Cang took the knife and started the muscle-flap free transplant operation!
However, before the flap is free, the two little girls need to be separated in advance.
This separation requires the abdominal wall that connects the two to be cut open, unbiased.
Cang Cang glanced at the assistants on both sides and said, "Start!"
Ford and Jim nodded one after another.
Chen Cang's knife started to cut according to the guide line, without too much obstruction, no abdominal wall, no muscle, no connective tissue ...
When the knife slowly cut through the skin fat ...
The bodies of the two gradually separated, and Hamilton on the side carefully stopped bleeding, and the red gauze was taken out one by one and piled on the side.
At this time, the gauze on the side had piled up.
Transfusion also lost nearly 800 ml.
Such an operation is not only a test for doctors, but also a test for patients.
Chen Cang is not for success, but simply wants to give the two girls complete surgery.
Are all little girls, who has no love for beauty?
Flap transplantation seems simple, but it is not difficult to do well.
Especially for such a large area of ​​surgery!
If the blood vessels and other treatments are not good, the skin color will be asymmetrical, and scars will spread all over the abdomen and back, which may affect their mind and life as well
Therefore, Chen Cang decided to save people to the end!
After the separation, the two operations need to be done separately.
Cang Cang could have distinguished Judi and Ollie, but after the separation, suddenly it was not clear.
Tissue expander is a very common device outside the skin, and the effect is also very good. It can also be regarded as preparing raw materials for yourself.
Chen Cang looked at the abdominal wall, and the four-dimensional figure and the beautiful eye began to work at the same time.
How to perform surgery?
Chen Cang did not say a word at the moment, his hands were wearing gloves, and he kept making gestures.
Is constantly calculating in his eyes.
Children have an advantage, the skin has good elasticity, and the stretching force is relatively strong. In this way, it may be advantageous for flap transplantation.
The abdominal wall has the functions of protecting and supporting abdominal internal organs, participating in breathing and trunk movement, and producing abdominal pressure to facilitate coughing and defecation, so the reconstruction of the abdominal wall is particularly important during surgery!
The anterior wall of the abdomen is flat and full of elasticity, and the stretching force is strong. The tissue cultured by the dilator is calculated.
Can see that the other party is very professional!
After about 10 minutes, Chen Cang started to do it.
He made a lateral incision according to the dermatoglyph, and took out the dilator, and then gradually cut the skin, fat layer, fiber layer, and finally the muscle layer!
These are very important!
The abdominal muscles on both sides of the girl are obviously not enough, they must be supplemented through the side wall.
In this way, how to carry out myocutaneous flap transplantation will test the level of the doctor.
Everyone can't help at this time, they can only fight.
And Chen Cang does not need others to help.
There are many methods of flap transplantation, and the implementation is the simplest and the most effective.
But it is obvious that it is very difficult for the little girl to use the flap, and it is necessary to open the flap and then transplant it.
How to choose is particularly important!
After removing the tissue expander, a surplus tissue appeared on the entire right abdominal wall.
Chen Cang said to Hubert: "Help me pull it."
Hubert nodded quickly!
Chen Cang then made a "Z" shaped incision in the abdominal wall.
Is the skin of the abdomen, and the blood supply of the comes from the abdominal blood vessels, which is very convenient!
Make a long-axis skin area that requires two parallel incisions in line with the main blood vessel!
Cang Cang peeled from the incision on one side to the surface close to the fascia.
Up to the contralateral incision, forming a skin band.
Then, Chen Cang quickly stopped bleeding!
……
Flap was quickly released successfully, but at this time, the step of twisting the pedicle needs to carefully cue the blood vessels, otherwise the operation will be successful, the blood will not pass, and it will definitely cause tissue necrosis.
These are ordinary men!
Where do you understand aesthetics?
For such an incomprehensible flap transplant operation, everyone is already a little drowsy.
However, it was already 4 or 5 o'clock at this time. Many people were exhausted after a night of tossing.
Time passes by one minute and one second!
Just when Chen Cang sutured the flap in half, the door of the operating room suddenly opened!
Two men in their forties came in, and after seeing Chen Cang's operation, he was stunned for a moment!
"President Hubert ... this ... Oli and Judy ... the operation failed?"
In a word, startled Hubert who was carefully watching the operation!
Turned to stare angrily at the man: "Close your crow mouth!"
Say this at the operation site and make everyone angry.
Connie quickly turned to look at the monitor, vital signs are completely normal!
But ... why not call yourself an operation?
"Sorry, Dean Hubert, I ... I don't call you surgery when I see you ... I thought ..."
Hadn't spoken yet, Hubert glared at him, and the other party no longer spoke.
He looked at the stitching Chen Cang: "This is ..."
Connie suddenly understood!
Dean Hubert found the expert and abandoned himself ...
Cang Cang ignored Connie and looked up at Hubert: "Come, push my skin towards me!"
Hubert also had no time for this nonsense idiot!
Continue to start the operation.
At this time, Chen Cang's operation has been completed, and the transplantation of the entire abdominal wall has been gradually successful!
After all the stitches were completed, Chen Cang looked up.
And at this time, Connie was looking for Dean Hubert to appraise, but after seeing the patient's surgical skin, he was stunned!
God!
What about needlework?
What about the wound?
Wrong! This is suture according to the direction of abdominal skin stripes ~ EbookFREE.me ~ I chose a concealed suture ...
Connie immediately covered his mouth and looked at the scene in disbelief in disbelief!
Understand that the expander on the abdomen was placed by him. He knows the difficulty of the operation!
Who is the operative?
Connie stared at Chen Cang wearing a mask, who was this? Why is it familiar?
And the people around them also looked down at this time. When they saw the flat skin on the patient's abdomen, they suddenly opened their eyes.
"What about the wound? Bah? What a clever method of stitching!"
Several people looked around carefully, and the more they watched, the more they were surprised.
Cang Cang looked at Connie, and he felt like he had seen it before.
And Hubert looked at Oli at this time, his eyes filled with tears, full of excitement!
How long have I waited for this day!
Finally succeeded.
He gently touched his abdomen with his hand, an unprecedented feeling filled his heart, the real sense of this moment is unprecedented!

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