Dr. Chung’s 90s

Chapter 121 Auricle severed and replanted

Jiang Dalian picked up the wine glass and said to Yao Wenyuan sincerely:

"Thank you for your strong support. Shenzhen City has your leadership. It is a blessing for us ordinary people. I drank this glass of wine, you can do whatever you want!"

He drank the wine in the glass boldly. Yao Wenyuan took a sip to show his dignity, and then said:

"There are a lot of lesbians here today. Let's drink less and spend more time eating and chatting with them. Just treat it like a small gathering among friends. No need to be too polite."

His original intention was to use this dinner to repay Zhong Yu's favor and not owe each other anything in the future, but now the appearance of Ji Xueli made him change his mind. Maybe it would be more cost-effective to make friends with him.

Some people are born like this. No matter what they do, they like to take one step at a time and always think about maximizing benefits.

It cannot be said that such a person is not good, but it is still necessary to keep an appropriate distance from him.

Yao Wenyuan set the tone for the dinner with one sentence, and everyone else knew it.

Zhong Yu didn't have much idea in her mind. She was not here to make friends, so she had to have a social attitude when socializing.

Li Siqi was an exquisite person. Seeing the close relationship between Zhong Yu and Liao Sha, she leaned over and asked curiously:

"Are you two college classmates? Then aren't you also a doctor?"

Liao Sha positioned herself as a foil, and she did not expect that Li Siqi would take the initiative to come over. She smiled and said:

"Yes, Mrs. Yao, the three of us are classmates, and Zhong Yu and I have been roommates for many years."

Li Siqi heard this and said with envy: "You two have such a good relationship. I have never lived in a dormitory when I was in school, and there are almost no female classmates who are close to me."

Liao Sha was very polite to unfamiliar people. She said gently:

"When we were in school, we were either busy with classes or doing internships, and we didn't think it was that beautiful at that time. Now that I look back, I feel it is really precious."

Li Siqi took the watermelon brought by the waiter and handed it to them, and said in a brisk voice: "Then which hospital do you work in now?"

Liao Sha shook her head with regret and said with a wry smile: "I used to work in the Capital Hospital, but I resigned after getting married. However, I will look for a new job in Shenzhen in the near future."

Li Siqi is someone who has been there before, so he understands without having to explain it. He understands her state of mind very well, and comforts her with a smile:

"Actually, working in Shenzhen City is not bad. We will stay in Shenzhen City for several years. We can go shopping and eat together when we have time."

Li Siqi likes to go out for walks in her free time. Liao Sha is also a highly educated woman, so she and she still have a common language.

With many friends and many paths, Liao Sha was happy to make friends with her. The two chatted happily and even made an appointment for the next time they go shopping together.

Zhong Yu waited for them to chat, then smiled and took out a beautifully packaged box and pushed it over.

"Sister Siqi, this is a skin care product I developed myself. It has the effect of whitening and removing freckles. You can try it."

Li Siqi took the gift box with eyes full of surprise and couldn't wait to open the box.

The skin care products she usually uses are all international brands, and the gift box Zhong Yu gave her didn't even have a logo. But because of her confidence in her ability, Li Siqi thought it must be a good thing.

She touched her face and said helplessly:

"After I gave birth to my daughter, I didn't know what happened to my face. I had a lot of freckles inexplicably. I couldn't get rid of them even after using a lot of skin care products. I could only cover them with powder. The thick layer on my face was not what I wanted. It’s breathable, and it’s really uncomfortable to sweat a little when you go out.”

Zhong Yu opened the bottle cap for her and said calmly:

"Sister Siqi, you can try this cream. You can see the effect in about half a month. The packaging is relatively simple, but it is made by hand. It is extracted from pure plant ingredients and will not have other side effects."

Zhong Yu has a cautious personality, and not all materials can be used to apply things on his face.

After hearing this, Li Siqi became even more curious. She took the cream and put it under her nose to smell the smell. She said with a look of surprise:

"This fragrance smells really good. It's like spring. It's fresh and elegant but not greasy."

Liao Sha also came over curiously. She gently fanned the fragrance with her hand and sniffed it carefully with her nose.

"It smells really good, maknae, you're partial, don't you get my share of such a good thing?"

Liao Sha is not a delicate pig girl. She has a carefree temper and never takes skin care seriously. Even when she goes out to meet people, she just messes around casually, as long as she is not rude.

Zhong Yu smiled and said: "How come you are missing? You are here."

She took out another bottle from the bag. Li Siqi's bottle had a packaging box, but hers didn't.

Liao Sha didn't mind either. She took it excitedly, couldn't wait to open it, picked a little with her fingers and applied it on the back of her hand.

The white cream immediately blends into the skin and deeply moisturizes it after being pushed away. Coupled with the catalysis of body temperature, the fragrance of the cream is even better.

Liao Sha couldn't put it down as if she had found a treasure, "You're so awesome, the youngest. The fragrance smells good, and I feel very moisturized, and it's smooth to the touch."

Li Siqi heard what she said was so magical, and couldn't help but reach out and touch the back of her hand, and then specially touched the back of her other hand. The touch was completely different, and it really felt like skin was like gelatin.

She was amazed at the effect of this cream and couldn't wait to open her own. She also applied some on her wrists. After gently kneading it evenly, she raised her hand and put it under her nose. With a face full of intoxication he said:

"This delicate and moist feeling is so comfortable. After it blends into the skin, the fragrance is different."

Liao Sha also smelled the back of her hand and said in surprise: "There is a secret fragrance filling the sleeves ~ this is the feeling."

No matter how old a woman is, she always loves beauty. Zhong Yu said gently:

"The fragrance is not strong, but it will blend with the body fragrance. Different people emit different smells, and the fragrance can last for a long time."

Zhong Yu understands women's thoughts, so there is no need to worry about the market for the products she develops.

Jiang Dalian also approached Liao Sha. He picked up the facial cream and asked in surprise:

"You developed and prepared this all by yourself?"

Zhong Yu nodded. This was not a problem for her. She explained softly:

"The fragrance is a selling point, but the most important thing is its whitening, moisturizing and freckle-removing effect. You can carefully observe the condition of your skin after using it."

Jiang Dalian did not doubt the authenticity of her words and said excitedly:

"This cream can definitely become our flagship product. Have you chosen a name?"

Zhong Yu said without hesitation: "Then call it Huayan. You don't have to give it a complicated name. Once your company is ready, it can be put into production. Huayan alone is not enough. You have to set up a research and development department as soon as possible."

Jiang Dalian didn't expect her to move so quickly, which inadvertently put some pressure on him. He patted his chest and assured:

"Don't worry, youngest, I will get this done as soon as possible and I will never hold you back."

Zhong Yu put down the tea cup in his hand and said softly: "Quality issues always come first. It doesn't matter if we make money later. Our reputation must be good from the beginning. I don't ask you about your business management model, but you have strict requirements for product quality. Do you get me?"

Even if they are classmates, they still have to say ugly things first, so as not to make things unclear later.

Jiang Dalian doesn't just do one-time business. He certainly knows that quality is the key to long-term development. Now that Zhong Yu has shown his attitude, he has no worries.

"Don't worry, I'm not ignorant."

Although Yao Wenyuan didn't say anything, he admired their attitude towards doing things. He could feel more at ease by cooperating with such people.

It was almost ten o'clock when the dinner ended. Yao Wenyuan had been focusing on building friendship with Ji Xueli. Although Ji Xueli didn't like socializing, he was willing to make exceptions for Zhong Yu, and the atmosphere was harmonious. After saying goodbye to them, Zhong Yu got into the car and sat slumped in the passenger seat without moving. She complained to Ji Xuelia:

"I'd better take part in such occasions as little as possible in the future. It's more tiring than surgery."

Ji Xueli rubbed the top of her hair and comforted her in a low voice: "I'll give you a hot bath when I get back, and then give you a massage to relieve your fatigue."

Zhong Yu turned his head sideways with a look of surprise on his face, "When did Dean Ji learn this skill?"

Ji Xueli was driving the car towards the main road when he heard the words and wrote lightly:

"This is not a difficult task at all. I know the acupuncture points of the human body very well. I don't dare to say anything else. I can still do it to relax your muscles and bones and relieve fatigue."

Zhong Yu smiled with satisfaction on her face. Although her body was a little tired, her spirit was happy. After this busy work, she shouldn't need to worry too much later.

She was very optimistic about Jiang Dalian. If he could do something great in his last life, he would definitely be able to do it in this life.

After returning home and washing up, Zhong Yu lay on the bed and read a book. Ji Xueli massaged her shoulders in a very measured way.

She held her chin and asked casually: "What do you think of Yao Wenyuan?"

Ji Xueli didn't care too much and said: "He is a smart man. Although he is utilitarian, he also has principles and can still interact with each other."

Ji Xueli was very good at judging people. Although Yao Wenyuan tried his best to make friends with him at tonight's dinner, he was always neither humble nor overbearing, and he could be considered a principled person.

Zhong Yu suddenly turned sideways, and Ji Xueli's hand touched a piece of softness. He raised his brows slightly and instead stepped forward, Zhong Yu slapped his hand away and said angrily: "Don't be ridiculous, I'm telling you business."

Ji Xueli was already distracted and had no intention of talking to her about business. He turned over and trapped her, rubbing her face with his stubble. Zhong Yu dodged uncomfortably, and the two of them twisted into a ball after a while...

The next day, Zhong Yu was sitting in the consulting room and felt pain in her waist and legs. She beat her waist to relieve it, silently complaining about someone's lack of restraint.

She was about to ask the nurse on duty to call the patient to come in for treatment, when she heard someone running towards her in a hurry and shouting:

"Director Zhong, a patient with a severed auricle has been sent to the emergency room and needs your help to rescue him."

Zhong Yu stood up with a serious face after hearing this, "I'll come right away."

She trotted all the way to the emergency room, where Director Sun said very fast:

"Director Zhong, the patient's right ear hit the metal door frame, causing the right auricle to be almost completely severed. Only a 0.3cm wide patch of skin on the earlobe was left connected to the severed auricle. The disconnection ratio was over %, and the severed edge was uneven. , the pollution was serious, and the patient was diagnosed with avulsion and dislocation of the right auricle. The patient was still conscious when he first went to the hospital, but he was irritable, short of breath, pale, and had a weak pulse."

Zhong Yu nodded to show her knowledge. She put on the mask and lowered her head to see that most of the patient's shirt was soaked in blood and the wound was bleeding.

Everyone knows that auricle separation and replantation surgery is difficult. Successful replantation depends on age, injury mechanism, auricle integrity, auricle vascular conditions, etc.

The auricle has a rich blood supply. Although the skin has dual blood supply, for a completely severed auricle, the blood vessels in front of the auricle are generally thin, mostly capillaries, and there are no conditions for anastomosis. There are also no blood vessels available behind the auricle. It is limited. If the severed part of the auricle is small, replantation will be more difficult.

After checking the patient's physical condition, Zhong Yu said calmly: "Prepare the hair around the ears and perform surgery immediately."

Patients with completely severed auricles should undergo replantation of the severed ear as soon as possible to drain the blood as soon as possible to reduce the degree of tissue necrosis of the severed auricle.

The anesthesiologist follows the instructions and immediately performs anesthesia. After the patient's general anesthesia is successfully completed, routine disinfection and draping are performed.

The nurse repeatedly rinsed the severed auricle wound with normal saline, and Zhong Yu treated the wound again. She rinsed it twice with hydrogen peroxide, and then trimmed the skin edge of the auricle.

Subsequently, further debridement was performed under a 10x microscope to remove dirt from the wound surface.

She concentrated on searching for the broken ends of blood vessels in the wound on the outside of the auricle based on the remaining bleeding points, and marked them with microscopic sutures.

Mainly find the arteries, veins and nerves for kissing behind the auricle, and wrap the debrided and marked isolated auricle in heparin saline gauze.

She inserted a sterile cotton ball into the patient's external auditory canal and debrided the proximal stump wound under a microscope.

Also search for and mark the severed ends of blood vessels and nerves in the proximal wound behind the auricle.

She was careful with every step she took, not allowing herself to make any mistakes. The doctor who was her assistant held her breath unconsciously for fear of disturbing her.

Zhong Yu reset the auricle cartilage section, freed the skin on both sides appropriately, and fixed the perichondrium on the inner and outer sides of the auricle with 5/0 absorbable sutures intermittently.

The suturing requirements are extremely high and should not penetrate the cartilage plate and should not be too dense to avoid affecting local blood supply and cartilage healing.

The distance between each suture is about 0.5 cm. After the cartilage suturing is completed, a needle is sutured to the outer edge of the auricle and fixed on the cheek to tilt the auricle forward to facilitate the exposure of the posterior auricular blood vessels.

She also freed the severed ends of blood vessels and nerves on both sides according to the marked lines under a ten-fold microscope, trimmed the orifices of the blood vessels, and flushed the lumen with heparin saline to remove the emboli in the vascular lumen.

Place the blood vessel clamp on the proximal blood vessel orifice, anastomose the artery and vein at fixed points in sequence, join the nerve with the adventitial method, and then release the blood vessel clamp.

Because there was blood leakage from the patient's vascular anastomosis, Zhong Yu added another injection.

It was difficult to find the patient's veins. Zhong Yu waited until the arteries were filled and the external auricle gradually filled. He then searched for veins based on the bleeding, anastomosed as many blood vessels as possible, accurately aligned the skin edges, and sutured the inner and outer skin of the auricle intermittently with 5/0 absorbable sutures. , when suturing, the tightness should be appropriate and should not be compressed to affect the blood flow of subcutaneous blood vessels.

The entire operation took more than 6 hours, and Zhong Yu was in a state of high concentration throughout the process.

After the operation, she loosely wrapped the front and back of the auricle with sterile gauze, turned to the nurse and told the nurse: "Pay attention to local heat preservation."

Then the patient was injected with tetanus antitoxin and continued to warn:

"Patients are routinely treated with antibiotics for 3 days after surgery, microcirculation improvement and anticoagulant drugs for 7 days. After the patient is sent to the ward, the blood supply is closely observed."

After Zhong Yu said this, she motioned for them to push the patient out. Then she pulled down the mask and took a deep breath. Because of wearing the mask for a long time, there were marks behind her ears and on her face, which made her feel a little uncomfortable.

The emergency room door opened and they pushed the patient out. When Zhong Yu walked out, he saw Ji Xueli standing outside the door.

He stepped forward and handed her a bottle of water and asked softly: "How is the patient's condition?"

Zhong Yu said with a calm expression: "The operation was successful. Careful post-operative care is not a big problem. How did the patient get injured?"

Ji Xueli said calmly: "He was injured due to a malicious attack by gangsters while performing a mission. Fortunately, his companions appeared in time, otherwise the consequences would be more serious. It would be nice if someone rescued him. It's all thanks to you."

Zhong Yu waved his hand nonchalantly. It didn't matter if she was tired, as long as she was busy and valuable.


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