Nineteenth Century Medical Guide

Chapter 347 343. The Second Discussion

Plastic surgery is definitely not as dangerous as those fatal major surgeries. It can even be said that as long as the patient does not have the risk of anesthesia, the surgery is very safe.But different from those life-saving operations, patients' requirements for plastic surgery are not simply survival, but a higher level of satisfaction with shape expectations.

This puts the focus of the operation on the preoperative design and postoperative recovery, and the operation during the operation is more about realizing the preoperative design and preparing for and paving the way for postoperative recovery.

Often the appearance of a plastic surgery is unsatisfactory when it is just completed, but after half a month or even a month of recovery, through the body's own repairs, the previously formulated shape really emerges in front of outsiders.

Laura’s reconstruction of the cervix requires two incisions, and the incisions are very large. Nearly 60 stitches are needed for suturing alone, which will inevitably cause swelling after the operation.

"We placed a negative pressure drainage tube next to the surgical area, and connected it to the negative pressure wide-mouth glass bottle that was used for the perianal abscess before."

When Carvey was suturing, Cedieu made a small incision on the side according to the steps of the previous cadaver practice, and passed through the perforated rubber tube: "From the perspective of size, it is slightly smaller than the healthy breast on the right. A little bit, but that's because."

Before he finished speaking, there was applause in the arena, which was the third time that Carvey encountered intraoperative applause after the cesarean section.

Even if the new breast on the left side is a little smaller, it doesn't matter. Compared with the unsightly sunken scars before, this restoration is absolutely perfect.The applause is the surgeon's affirmation of Kavey's technique, and the duration of the applause shows the level of the evaluation.

During the first caesarean section, when Carvey quickly fished out the fetus from the womb, the applause lasted for a full 26 seconds, and did not stop until the mother and child were confirmed to be safe.Because the second cesarean section is not the first one, the time has been shortened, and it started to drop in about 18 seconds.

But this reconstruction received a full 37 seconds of applause, and the enthusiasm during the period did not give Carvey time to speak.At the end, when the voice gradually taunted, some people clapped harder in order to prolong the time deliberately.

In contrast, Cedieu even forgot when was the last time he received applause.

And he has never seen a surgeon like Carvey who can win three consecutive applause for two completely different operations in just over half a month.It also includes his teacher, and the teacher's teacher.

At the beginning of this surgery, the operating specifications only exist in the hands of individual people, and the learning cost is very high.It is not easy to get a standard solution for one kind of surgery. Most other surgeries can only be done well and can be done, but cannot be done well and beautifully.

It is because of the surgical practice with Carvey that Cedieu is more aware of how troublesome this operation seems to only need to be transferred from one skin to another.

In addition to precise cutting and pruning, it is also necessary to preserve the slender supra-abdominal artery, which is not a technique that can be learned with just one or two exercises.

As for the vascular anastomosis under the microscope, it is beyond the scope of Cedieu's understanding. It took him five full days of practice to learn how to peel off the capsule of the thoracic and dorsal arteries and veins under the microscope.However, Carvey only practiced a few times, and he was able to anastomose blood vessels after being familiar with the multiples of the lens.

Although it failed once in the middle, the main reason was the suture thread.Fortunately, when the myocutaneous flap was taken, Carvey considered this possibility and prepared for the second suture to deliberately lengthen the blood vessels. 【1】

The entire suturing process was completed on a small platform under a microscope, and no matter how you looked at it, it was more difficult than all previous operations.

The most important thing is that this surgery has huge economic benefits. If it is developed, it may be able to regain confidence for those ladies whose breasts are too small or sagging.

It is not easy to learn these, and it is far from enough to practice only with cadavers and this one operation.But if I can really learn it, my income can be doubled at least a few times, and I am no longer a poor substitute for a teacher.
Half of Cedieu's thinking is on the operation, and half has drifted into the fantasy of a better life in the future, but in fact the operation is not over at this point, and there is still the most important step to finish.

"Originally, the reconstruction of the rutous head had to be done after the postoperative recovery, but because I didn't have much time to stay in Paris, and considering Miss Laura's financial situation, it was impossible to make a special trip to Vienna, so I decided to do it together."

Carvey briefly introduced, "There are reconstruction methods that focus on dizziness, which depends on the size and color of the patient's dizziness. Of course, some reconstruction operations also take into account the preferences of patients and doctors. For example, some people are If you like different colors on the left and right, then there is no way.

Miss Laura's request is very simple, that is, the same color as the original.At the beginning, I wanted to do a simple transplant, that is, to cut off a part of the right side and move it to the left side. 【2】

But her halo and head are not big enough, so she can only find materials from her body.After color comparison, we selected the inner side of the thigh root as the flap donor site for transplantation. Prof. Cedieu. "

"Huh? Oh, I see."

Sedie recalled the content of the previous practice, and quickly said: "The skin flap will be taken by Dr. Kawei, and the second assistant and I will make an incision on the new breast. Be sure to pay attention to the position and size."

Because the longitudinal myocutaneous flap is sutured, the incision is longitudinal according to the tension.

Carvey designed and removed a circular skin flap, which formed two wings radially from the central base, lifted the wing flap deep in the dermis, and lifted the full-thickness flap at No. 3 for suturing[3].Another piece of refined superficial suture turned the originally flat and round skin into a bumpy new head and halo.

The final step is to place it over the incision and sew it up again.

Although the auditorium is far away, such a drastic plastic reconstruction can be more effective if it is far away.

The new breast, which was slightly smaller just now, is now almost the same size as the normal right breast because of the new skin flap with darker color embedded.If you ignore the sutures and the strangely shaped new head, the visual effect is perfect.

This effect was regarded as a miracle by the surgeons, but for Edward who was sitting at the side, the miracle had been seen long ago, and the success of the operation was also within his expectation.

It can be said that from the first moment he saw Laura, Edward regarded her as his own.

The status of a diplomatic ambassador who arranged for a talented surgeon to come to Paris to demonstrate his skills might not be enough to satisfy him.Perhaps it will be more eye-catching to be accompanied by a beautiful woman who has been reborn with a new operation.

Edward is not picky, as long as the quality of the new room is not bad, the real important thing is the person lying on the operating table.

After the operation, Laura was sent to the main palace hospital ward, and Carvey also spent a lot of time explaining the doubts of many people.These include the blessing effect of the microscope on surgery and the correct anastomosis of blood vessels.

In just over an hour, Edward relied on his relationship with Carvey and his official position to successfully connect with Laura who had just woken up.

"Are you awake?" Edward took off his top hat, and sat on the edge of the bed with a smile, "My name is Edward, and I am a man who is hopelessly obsessed with your beauty."

"Ah, this"

Laura was just waking up with a bad nose from the ether, a little nausea, and not quite clear-headed.But years of experience in sex transactions made her see the value of this middle-aged man at a glance, maybe this is what she wanted to be flattered.

The man is always romantic, otherwise he wouldn't have been caught by that perverted Fernand in Vienna.The woman is also well versed in the relationship between men and women, and she is very clear about the meaning of this man who suddenly appeared in front of her.

The two did not test each other too much, and the basic relationship was established in a few words.This kind of continuous shooting is known to be able to match, which is beyond the category of hit it off.

"You will be resting in a single ward during this time, and I will send a servant to take care of your daily life." Edward asked after receiving an affirmative reply, "Any other requests?"

Before her breast cancer was removed, Laura was quite well-known in the circle, and there were quite a few people who asked for support.But like Edward, I have never seen a man who only pays attention to the actual situation to meet the requirements, and does not talk about money at all.

"What do you do?" Laura wanted to know him. "I used to work in Xiaohuanglou, uh, that's the kind of place."

Edward also guessed her occupation early on. After all, not many women from good families can take off their clothes so calmly in public, even with a charming smile on the corner of their mouth: "I am a French diplomat stationed abroad. I used to live in Vienna. , this time to accompany Dr. Carvey from Vienna to Paris."

"Oh"

Laura didn't have much strength, and it was difficult to even raise her hand, but she was extremely excited in her heart.This is the man of her dreams, a man who is powerful and can satisfy all her material needs.

But at this time, she suddenly remembered the operation: "Ah, my breasts"

"Please trust Dr. Carvey's god-like hands." Edward stood up and stopped her right hand that was about to touch the bandage, "Don't worry, I saw the operation, and the operation was very successful."

"really?"

"I swear by my title." Edward stroked her cheek, like looking at his own watchdog, "Please promise me that you will only belong to me from now on."

"Yes, Mr. Diplomat." Laura laughed, "I swear"

Li Ben naturally didn't know this.

Considering Carvey and Mick, he can't get close to the main palace hospital.If it was like the previous free clinic, he could get away with wearing some covering hats and scarves, but now it is a ward, and once he is found, he can't escape with his broken leg.

It's too stupid to go to the tiger's mouth just to see more beauties, but he still knows how to restrain himself.

As long as the surgical incisions are almost healed, Laura will be discharged from the hospital to look for him.At that time, Ashley's "investment" money should also be in place, and the two of them will find a place where no one will know about them and start a new life together.

There are three variables.

One is whether he will be found by his enemies.

This includes Mick and Alphonse. Considering the relationship with these two people, Carvey is also counted as one.Although it was very troublesome, Li Ben had already figured out their rules of action, and he was confident to avoid these troubles.

The second is whether Laura will change her mind halfway.

Two weeks is not a short period of time. Li Ben has thought about this issue carefully, and there is indeed such a possibility, but the probability is very low.The main reason is Laura's physical defects and the long recovery period after the operation.

He thought that few men would like such a woman, and he completely forgot why he fell in love with Laura in the first place, and also forgot the real reason why he was so obsessed with her.

Last but not least, Ashley's money.

In his opinion, this is the most likely to change among the three variables, so in the next week, Li Ben has been thinking about how to control this variable.Try to eliminate all uncertainties before the second negotiation is finalized.

In practice, it is nothing more than to increase the credibility of the whole thing.

Now the land mineral content report in his hand is really thin. In the next week, he got the business license of the non-mining company, the power of attorney and seal of the boss West, and a detailed report of the company. asset report.

Although they are all fake, just seeing these documents will give people an illusion of professionalism and reliability, thereby increasing credibility.

For the old liar Li Ben, these are all things that come at his fingertips, and there is basically no difficulty except that it takes a little time.But when he took these things and tried to get rid of Safit and find Ashley in advance, the noble daughter did not agree immediately.

"Where's Mr. Safit?" Ashley felt a little strange, "Isn't he here?"

"Something happened to Safit's family, so I was entrusted to handle this business."

In order to show the special relationship between himself and Safit, he did not prepare the so-called power of attorney. After all, what the two claimed to do was a gray area, and it was not a legal act: "He and I are old friends, and I will pay the money." Sent it to him."

"This..." Ashley put away her smile, "Mr. Safit is a geological surveyor, and I trust him very much."

Li Ben understood the voice: "Miss Ashley means that Mr. Safit must be present?"

"He is an important partner, and I would not have participated without his nod." Ashley suddenly laughed again, "Of course, if Mr. Safit is sitting across from me now, I will use the same to describe your importance to the deal in terms of tone and content.”

Li Ben nodded, since the other party insisted on this, it would be fake if he persisted any longer.All I can do now is push the boat along the way: "Well, if this is the case, then set the time at five o'clock tomorrow evening, and I will bring him over."

"I'll be away all day tomorrow."

"That"

"It's better to be later." Ashley thought for a while, and suggested, "Mr. Bizet's new work will be released at the Grand Theater at seven o'clock. How about we meet at the theater?"

"Then it's a word."

"It's a word."

(End of this chapter)