Doctor Started a Plug-in
Chapter 83
Epicanthectomy can effectively remove epicanthus, so as to change the shape of canthus and clear wrinkles.
This kind of micro adjustment is very popular at present, especially by middle-aged and elderly women.
Before the operation, Xiao Tianhua lay there, and Chen Cang began to draw a line with a pen to draw the removal range of bilateral epicanthus.
This is the hardest step!
After Chen Cang finished painting, the supporting role came on stage.
Zhang Zhixin was routinely disinfected, covered with sterile towel, and an appropriate amount of 2% lidocaine was applied to the local infiltration anesthesia of inner canthus.
After the effect became apparent, Yang Tao first cut the skin on the right side, improved the "Z-shaped flap" along the inner canthus design line, separated the subcutaneous tissue and formed the flap.
Then at this time, Qin Xiang cooperated very well. He was quick in eyes and hands. He used 7-0 nylon thread to hang the inner canthus point subcutaneous tissue and inner canthus ligament to tighten and sew a needle.
Proper trimming of the skin edge of the flap can effectively reduce the skin folds, remove the redundant skin, align the anastomosis, and then use 8-0 nylon suture to suture intermittently.
It''s very simple. Chen Cang feels that he can read it once.
However, this is not the case.
Because the facial nerve distribution is extremely complex, after all, it can be used as a bedside book (hypnosis book) for medical students. We can imagine how difficult and complex it is.
Chen Cang''s current understanding of facial nerve knowledge only exists at the level of one smell, two sight and three eye movement.
For extraocular canthus incision, we need to pay more attention to the understanding of facial nerve.
Chen Cang was there watching the study. Qin Xiang and Yang Tao said while doing the work: "Xiao Chen, look here, the facial nerve sneaks through here, so when you open the knife, you must be stable. The facial plastic surgery is not better than the stomach, the hand should sink, the knife should float up, and you can feel it slowly!"
The operation lasted nearly an hour and a half!
It''s going well!
Also very successful, several people cooperate very tacit understanding.
Chen Cang also played a great role. In addition to marking, he also participated in the operation with his full name and played an indelible auxiliary role.
Don''t underestimate assists!
Chen Cang has passive skills.
Just at this time, the sound suddenly started!
[Ding! Newcomers in the operating room have a 1% chance to trigger the passive learning skill and obtain Yang Tao''s skill: incision double eyelid surgery.]
[incision double eyelid surgery, level, advanced, special effect: rapid recovery.]
Hi, a small double eyelid operation!
satisfied!
Double eyelid surgery, that is, double eyelid surgery, is mainly three methods, one is the most commonly used thread embedding, the second is incision, and the last is suture.
Among them, suture is the simplest and suitable for novices, but... Simple things may have many defects and deficiencies.
Suture has many side effects, so it is generally not recommended to try.
Because after suture, the whole layer of eyelid tissue is ligated and lymphatic reflux is blocked, the oblique fiber adhesion is formed between the aponeurosis of levator palpebrae muscle on the upper edge of tarsal plate and the skin, but the number of fibers is often different.
Once the scar is released, the folds become shallow or disappear.
Many often lead to too high plica, which is difficult to lower.
Moreover, if the position of through ligation is too high, it limits the activity of levator palpebrae superioris muscle and Muller muscle, which can lead to ptosis, eye fatigue and eye opening.
Therefore, now the common surgical methods are embedding and incision.
But among the two, embedding thread is the most commonly used method, while incision is the operation with the highest upper limit and the most test level.
It can be said that those who dare to use incision to cut double eyelids, if not black iron, if not king!
These are two extremes!
Just after the operation, Xiao Tianhua was sent to rest, while Chen Cang looked at the two tasks still unfinished.
Should we wait until President Xiao recovers?
It seems that we have to wait for some time!
At least seven days.
However, it was a wonderful trip to get a good skill from Yang Tao today.
Just as Chen Cang was ready to rest, suddenly the phone rang.
"Xiao Chen! What are you doing?"
It''s Li Baoshan!
What''s going on?
Director Li seldom calls himself. Is there an emergency patient in the hospital: "director, I''m fine."
Chen Cangyin lied about coming out to learn plastic surgery.
Li Baoshan said, "come to my house. I have something to tell you."
Li Baoshan''s home is in the community near the hospital. Basically, it''s only a five minute walk to the hospital. The price is not cheap, but it''s bought by the hospital.
Li Baoshan was introduced to the second Provincial People''s court. At that time, he gave a house of 100 square meters.
After Chen Cang knocked, Li Baoshan opened the door.
After entering, several people in the room were already sitting, and they were all acquaintances, an Yanjun, Chen Bingsheng and... Is that Qin Xiaoyuan? Hao Xuliang?
What''s the big deal?
Chen Cang muttered in his heart, but with a smile on his face, after greeting him from big to small, he found a place to sit down.
On this occasion, it is obvious to listen more and speak less.
Qin Xiaoyuan said to Li Baoshan, "Baoshan, tell me about it."
Li Baoshan nodded and said to the crowd, "I called you home today to discuss something with you."
"The development of thoracic surgery is not good at all. The hospital wants to remove thoracic surgery. Of course, it just has this plan and has not been implemented. However... Although thoracic surgery is not big, there is a special operating room, and the original operating room No. 8 is empty. Therefore, after discussing with President Qin, I want to set up an emergency operating room. What do you think?"
As soon as these words came out, everyone''s expression suddenly became wonderful.
There is an independent operating room!
That means it''s up to grade!
There''s no need to schedule surgery with other departments.
Generally speaking, the operating room of the hospital is an independent department, but some large departments basically have their own operating rooms, such as obstetrics and Gynecology, general surgery, orthopedics and neurosurgery. As long as the operation is arranged within the Department, there is no need for the overall participation of the operating room.
Although there are many operations in the emergency department of the second provincial hospital, there is really no independent operating room. They all send relevant diseases to relevant operating rooms in cooperation with relevant departments.
To put it bluntly, just like the door-to-door son-in-law, door-to-door delivery plus helpers and materials.
The emergency department has become a "second dealer". After slightly treating the patients and recognizing the reasons, they are directly sent to the corresponding department or... Morgue.
This means that there may be no autonomy!
With an independent operating room, the meaning is different. Serfs turn out to be landlords!
Of course
Advantages have disadvantages.
At least all the expenses of the operating room in the future include: rent, water and electricity, consumables, nurses, expenses... All the expenses go to the emergency room!
You know, the hospital is like a large commercial building, and the departments are like the tenants in the commercial building. They have to pay rent, water and electricity every month.
Then after paying and deducting, your money will go to the department account!
Therefore, the hospital is also a small shopping mall with serious polarization.
The emergency department is a poor and bitter department. It often takes care of itself. If it weren''t for the support of special funds and special funds, it might have gone bankrupt
Of course, hospitals can''t let the emergency department go bankrupt.
But... If you don''t go bankrupt, it''s even harder to apply for an operating room!
PS: it''s good to get up early today, isn''t it~