godfather of surgery

Chapter 695 Really Uncomfortable
After making sufficient preoperative preparations, Mr. Sun was pushed into the operating room at eight o'clock the next day.

This is Ivan's first surgery in China, and it is also the first time that he does not wear his own hand sanitizer and slippers, does not use his own exclusive surgical instruments, and does not even have his own nurse with royal equipment.

Of course, this is what Ivan wanted, because he asked Yang Ping to participate in his operation and complete the orthopedic part.

He will soon be the chief surgeon for the surgical case. If he wants to do the best in the orthopedic orthopedic part, he can only ask Yang Ping to be the chief surgeon.

At the same time, Ivan hopes to learn Yang Ping's orthopedic orthopedic technology, and also hopes to obtain Yang Ping's skin augmentation technology in vitro.

In short, for Ivan, if he can exchange these precious things with a voluntary surgery, he is very willing.

Ivan put on the hand washing clothes of Sanbo Hospital, and Yang Ping accompanied him to the operating room.

At this time, many people had already arrived in the operating room. In addition to the general surgeon's own doctor, Director Lan and Director Chi also took their positions early.

Naturally, many people want to watch the surgery performed by the world's top masters. Unfortunately, in order to abide by the strict aseptic system, the number of visiting places in the operating room is limited, and most people can only watch in the demonstration classroom through video.

The anesthesiologist was naturally Fatty Liang. This kind of world-class master performed the surgery. In Sanbo Hospital, only Fatty Liang, who followed Yang Ping all over the world, could hold the table.

Director Lan couldn't intervene, and basically became a close observer.

However, Director Lan still tried to straighten his chest intentionally, feeling very aggrieved, is this Russian obsessive-compulsive disorder, why he always can't understand his hunchback.

Because Director Lan is thin and tall, he habitually bows his waist during the operation.

Even in the face of the world master Ivan, Fatty Liang's Erlang legs, which have remained unchanged for thousands of years, are not deformed or out of shape. He always wears pants that hang ten centimeters above his ankles, cropped pants, which are his favorite.

Therefore, in the face of such a complicated operation, Director Lan and Director Chi were under great pressure.

"Well, I forgive you! Any splicing facial skin graft will leave scars, even if the scars are light, it is unacceptable, and the inevitable scars can only be left in hidden places." Dr. Ivan said.

But Ivan knows where their theoretical level is, where the base needs to be thinner, and where the base needs to be thicker, he knows it by heart.

Whether it is Director Lan and Director Chi on the operating table, or the audience watching the video in the classroom, witnessing this world's top plastic surgery technology is extremely shocking.

Today, without his own assistant, Ivan can only do every detail by himself. He is a person who pursues perfection, or he has obsessive-compulsive disorder when it comes to surgery, and he is a paranoid.

In short, if Ivan, the world's top expert, performs this operation, the details of the operation will be very complicated.

The first step of the operation is to replace the facial scar with normal skin. Ivan intends to cut off the entire facial scar and replace it with a piece of normal and healthy skin.

"My God, why is it you again? I saw those two nasty moles on your forehead, and they are both on the left side. It's so unbearable!" The moment Ivan took off the microscope, Ivan saw Director Lan Two moles on forehead.

From the midpoint of the forehead hairline, clockwise, to the front of the right ear, continue down the contour of the ear along the junction of the face, to the junction of the jaw and neck, to the midpoint of the jaw-neck junction.

"I'm sorry, Dr. Iwan. Director Lan didn't do it on purpose. He has been like this all along. His spine has been fixed, that is, the thoracic kyphosis is a bit large." Director Chi quickly explained that Dr. Iwan had mentioned this matter twice.

"We have completed the first step of facial skin grafting. Next, we need to make a piece of skin that fits perfectly. It is very difficult to fit it completely at one time. It requires superb technology. Don't move around. I will do everything. .” Ivan once again explained the next step of the operation.

The entire face is surrounded by this circle. At this time, the assistant should help lift the skin at the midpoint of the forehead, which is also the corner of the scar skin at the twelve o'clock position, and then hand the raised corner of the skin to Ivan.

Holding a corner of the skin himself, the sharp scalpel began to peel away the scarred skin, cutting between the scar and the base of the tissue.

"Sir, as I said, don't hunch your back. It will make me uncomfortable and affect my mood." Ivan said a little angrily when he saw Director Lan who was a little hunchbacked again.

After the preoperative check, Dr. Iwan checked the sterile sheet again, and there were no annoying wrinkles, so he took the scalpel from Zhou Can, the equipment nurse.

Preoperative theoretical deduction is one thing, and intraoperative time manipulation is another.

After Mr. Sun was under general anesthesia, Dr. Iwan personally positioned himself and sterilized the bed sheets.

Director Lan was criticized by Ivan again, and he couldn't laugh or cry. For the first time, he criticized that he was hunchbacked, which made sense, at least it could be classified as an irregular surgical posture.

After hemostasis was completed, Ivan put down the bipolar coagulation, and asked Xu Zhiliang to help him take off the microscope.

"Don't worry, be gentle and precise, and never make mistakes, even small ones." Ivan said slowly, in the tone of a preacher.

If the entire face is regarded as a clock, the starting point can be regarded as the direction of twelve o'clock, and the midpoint of the junction of the mandible and neck at this time is regarded as the direction of six o'clock.

This time the instrument nurse is Zhou Can, the itinerant nurse Xiao Su, the first assistant Director Lan, the second assistant Director Chi, Yang Ping and Song Zimo are also on stage, Song Zimo is the third assistant, and Yang Ping purely plays the role of a platform. He puts on a surgical gown and sits by the side to watch the battle .

This kind of scar is completely different from normal skin. There are natural anatomical gaps between the normal skin and the subcutaneous layer, and between the subcutaneous layer and the deep fascia, so the anatomical layers are distinct, but the scar will be widely adhered, which eliminates this natural gap. anatomical hierarchy.

The world's top plastic surgery technology is so shocking!

It is estimated that in this world, except for Ivan, no one can replace the whole skin at one time like this.

When Director Chi heard Iwan's complaint, he immediately turned to look at Director Lan next to him. Indeed, he had two moles on his forehead, both on the left side, and nothing on his right forehead.

Director Lan was very embarrassed. I am 1.8 meters [-] tall and thin. I have been slightly hunched since high school. Even if I want to stand up straight now, I can't do it.

Ivan stared at Mr. Sun's face for dozens of seconds, and then began to cut the skin with a sharp scalpel, starting from the hairline on his forehead. Of course, this is the theoretical hairline, not the actual hairline. The fact is Due to the formation of a large number of scars, Mr. Shangsun has no hair, let alone a standard hairline.

Mr. Sun's X-rays and photos from various angles were hung on the reading light, and various parameters were marked on the photos.

The complete facial skin includes not only the forehead, both sides of the face, and the lower jaw, but also the upper and lower eyelids, nose, upper and lower lips, and even the narrow strip of leather in the nasal septum. There is no defect in any place, and there is no break in any place.

Any bleeding point may form a blood clot, which will separate the transplanted skin graft from the tissue base, and the toxin produced by the blood clot will seriously affect the blood supply of the skin graft, so the base of the skin graft must be completely hemostasis.

"Give me the head-mounted microscope!"

Teacher Sun's entire face was peeled off, exposing the blood-colored soft tissue base, and the whole face became bloody.

This is to replace the whole piece of skin, just like the human skin mask on TV, tear off one piece and put on another piece.

Director Lan obviously couldn't keep up with Ivan's rhythm. The gap between him and Ivan's surgery level was not just a little bit, but the gap between a world champion and a city-level athlete.If you use the level of boxing to compare, it is roughly equivalent to the difference between Tyson at his peak and the main players of the boxing team in G City, Nandu Province.

After Ivan was sterilized, he began to spread the sheets. After laying the last layer of large sheets, he smoothed out the wrinkles of a sterile sheet with his own hands. Not even a small wrinkle was allowed to exist. Director Lan and Director Chi were sweating when they saw it. .

In this way, with the sharp peeling of the scalpel, Ivan stopped the bleeding while peeling off, and a whole piece of scarred skin was completely cut off by Ivan.

Ivan raised his head and moved his head out of the operating area. Xu Zhiliang from the audience helped Ivan put on the head-mounted microscope.

If it wasn't for asking Professor Yang, Ivan would never tolerate such a rookie assistant.

He usually does surgery without saying a word, but today is different, his assistant is a complete rookie, he must let the rookie understand the meaning of each step, otherwise it is easy to make mistakes.

The electronic screen specially used to display medical records and images in the operating room is also pulled to the best angle. The control panel of the screen is sealed and wrapped by a transparent sterile protective film. During the operation, Ivan can operate the screen by himself at any time, call out Any picture you want to see.

Putting on the microscope, Ivan ignored Director Lan's hunched back and began to use bipolar coagulation to completely stop the bleeding on the exposed face.

Ivan's knife continued slowly, without pause or repetition, across the six o'clock direction to the front of the left ear, and then along the side hairline back to the midpoint of the forehead hairline.

This requires superb technology, and the complete separation of a whole piece of skin requires very high knife skills; and the whole piece of skin transplanted is not too much, and it just fits the face; after suturing, in order to fully obtain the skin from the soft tissue base For nutrition, the skin piece and the base must be very close. Some places use pressure bandages, while some places need to use packs to pressurize. This bandaging technique is also very complicated and ingenious.

Therefore, there is only a theoretical level between this scar and the base, and there is no natural anatomical level.

"Don't hunch your back. Frankly speaking, I will feel very uncomfortable if I see any irregular movements during the operation." Ivan said to Director Lan, but the movements of his hands did not stop.

But now the two moles on my forehead are on the left side, is it wrong?Is this also wrong?
Yang Ping was sitting and resting next to him. Seeing Ivan's scene, he almost laughed out loud.

Painful OCD, poor OCD!
Yang Ping was very curious. Didn't his assistant have moles on his face, or did the moles grow symmetrically?
"Remember! Equipment should be placed at equal intervals!"

Ivan waited for the skin grafts to be delivered to the operating table. When he saw the instruments placed by Zhou Can, he immediately walked over and adjusted the spacing of the instruments so that they were lined up at equal distances.

For Ivan, it is so cruel not to use his own assistant, not to use his own equipment nurse, not to wear his own hand washing clothes, and not to wear his own slippers. How much Dr. Ivan paid for Yang Ping’s technology sacrifice.

(End of this chapter)