Dr. Chung’s 90s

Chapter 201 Repair of Facial Trauma Defects
Zhong Yu and the others took a leisurely circle around the park.

With Ji Xueli's detailed explanation, Zhong Yu did not miss any valuable sights.

Tired from walking, she was about to sit on a bench and rest for a while when she vaguely heard someone calling Dean Zhong.

Zhong Yu subconsciously felt that she had heard wrongly, and she couldn't laugh or cry:
"Xue Li, am I working so hard that I am hearing hallucinations? Why do I always feel like someone is calling me?"

Ji Xueli took a few steps in the direction of the sound. He listened carefully for a while, frowned and said:
"You shouldn't be hallucinating. I also heard someone shouting. Didn't you say you met the little receptionist in the hospital? Could something have happened to her?"

The expression on Zhong Yu's face suddenly became serious. Li Jiajia was the only one here who was most likely to ask for help. She quickly stood up and said:
"Let's go to the south of the park, where Li Jiajia used to paint."

Although Ji Xueli didn't want anyone to disturb their date, he couldn't turn a blind eye to the caller. He led Zhong Yu and walked faster in the direction of the shout.

At this moment, Yu Yang was still being suppressed and lying on the ground. He had regained consciousness after the initial madness. He turned his head and saw that Li Jiajia's anxiety and panic did not seem to be fake, and he loudly persuaded:
"Jiajia, Yangliu deserves it. You are also a victim and you shouldn't worry about her. I just ruined her face. She can't die."

Li Jiajia didn't want to talk to him. She thought it was good not to be with him. People like him who were emotionally unstable and acted in extreme ways were like a time bomb. He didn't know when he would hit his sensitive spot. They will become crazy and crazy. It is too scary to live with such people.

Li Jiajia ignored him and still looked for Zhong Yu. Yu Yang felt sad in his heart. He regretted more and more that he had missed such a good girl. Unfortunately, it was too late to do anything.

When Zhong Yu came over, the nearby police also came over. When Li Jiajia saw her, it was like seeing a savior, and said with a cry:
"Dean, you are here. Look at my classmate. She is bleeding a lot and her face was scratched. Can she be saved like this?"

Zhong Yu comforted him with a solemn expression: "Don't worry, I'll go see the patient."

The scene of the incident had been surrounded by police to prevent others from approaching and harming the victim again. When Zhong Yu came over, the police also stopped her. The teacher who led the team saw that Li Jiajia had brought her here and quickly stepped forward to explain:
"Comrade police, this is a professional plastic surgeon. Let her treat my student first."

Before Zhong Yu could speak, Ji Xueli took the initiative to negotiate with the police comrades, while Zhong Yu walked to Yang Liu and inspected carefully.

Her face was bloody and bloody. In addition to scratches, there were varying degrees of skin damage on her left cheek and upper eyelid. The situation was somewhat complicated.

Zhong Yu had no medical equipment at hand, and the current environment was unable to provide her with treatment. The leading teacher said worriedly:
"Doctor, why did my student faint? Is she okay?"

Zhong Yu said calmly: "The patient just received too much stimulation, or was temporarily comatose due to pain. It is not life-threatening, but the wound on her face must be surgically treated immediately, otherwise it will affect the beauty of her face."

Regardless of the nature of this incident, the leading teacher must bear the relevant responsibilities. She could not bear to see the beautiful little girl ruined like this. She said without hesitation:
"Then let's take her to the hospital for surgery quickly. You don't have to worry about the medical expenses. The school will pay for it in advance."

Everyone knew how important face was to a girl, but Zhong Yu had no objection. He stood up and motioned for everyone to help get her into the car.

Ji Xueli walked to Zhong Yu and spoke very quickly:
"I can't leave until the event is over. You and the patient will ride back to the hospital in a police car later, and I'll be busy picking you up home."

Zhong Yu nodded absentmindedly and agreed. Now all her thoughts were on the patient, and she was also thinking about the surgical plan.

Ji Xueli knew her character, and he didn't expect her to pay attention to him at this time. After sending Zhong Yu away, he found a place to call Guangfu Hospital to prepare the operating room there.

The teacher leading the team also had to go to the hospital with him to go through relevant procedures. Although she was a teacher, she was also very young, had not experienced much, and was a little panicked.

Thinking that Li Jiajia knew everything and knew Zhong Yu, she simply asked her to accompany her.

Li Jiajia was worried about this and followed her into the police car without hesitation. Ke Ting also wanted to follow to see the excitement, but the teacher in charge refused her directly. Li Jiajia would have to go back to the dormitory, and she would know everything by then. .

The police car drove away from the park, but Yangliu remained silent. The smell of blood filled the car, making their faces a little pale. Li Jiajia turned her head and saw Zhong Yu's calm face, and she felt a little more at ease. She leaned close to her and asked in a low voice:
"Dean, can my classmate's face be sutured directly? Will the wound healing leave serious scars like this?"

Li Jiajia believed in Zhong Yu's professional ability, but the everted incisions and damaged skin on Yang Liu's face looked too scary, making her unsure.

Zhong Yu held Yang Liu up and said calmly:
"If direct suturing is used, excessive tension will leave obvious scars or granulation tissue hyperplasia, and can easily lead to secondary traction deformity, which will affect facial aesthetics and related functions."

Li Jiajia could also understand this simple truth. She asked curiously: "Then how should we deal with it appropriately?"

The leading teacher also listened carefully. After all, it is related to the student's recovery. She has to explain it to the parents and the school. Zhong Yu said calmly: "In her case, she can only use local skin flaps to repair it, because it is near the defect area." The biggest advantage of the skin flap formed at the defect site is that the color and texture of the transplanted tissue are very close to the skin at the defect site, which can achieve better functional and cosmetic effects. The facial skin has a rich blood supply, which is conducive to the design of various forms of local skin flaps. Repair the wound.”

Li Jiajia nodded in understanding, and the leading teacher looked at Yang Liu with pity in her heart. She said softly:
"In any case, please ask Dean Zhong to try his best to help her repair it. She is still young and cannot ruin her promising future just because her face is disfigured."

Zhong Yu said with a serious face: "Teacher, don't worry, doctors are kind-hearted, I will do my best."

With a police car escorting them, the journey went smoothly. They arrived at the hospital a few minutes early. As soon as the police car stopped, Guo Pengfei and Cai Yizhong quickly stepped forward and lifted the patient onto a stretcher.

Zhong Yu said in surprise: "How did you know?"

Guo Pengfei worked quickly with his hands and feet, and explained to Zhong Yu:
"Dean Ji called us in advance, so everything is ready and you can go directly to the operation."

Zhong Yu unconsciously raised the corners of his lips. Ji Xueli could always get extra points from her on these small details. At this time, she couldn't be distracted and thought too much, and began to consider surgical options. The head and face were the most exposed parts of the body. It was not easy to perfectly repair the skin and soft tissue defects of patients with head and face trauma. It often seemed simple and straightforward. Surgery is the greatest test of a doctor's ability.

After they arrived at the operating room, Zhong Yu had to change into surgical clothes and prepare for preoperative disinfection and sterilization. Chu Jianwen first gave the patient local anesthesia, and then Cai Yizhong first used iodophor, hydrogen peroxide and sterile saline to rinse the wound multiple times. .

He also had to use tissue scissors to remove the inactive tissue at the edge of the defect wound to reduce the chance of postoperative infection. He trimmed it until spotting bleeding appeared at the edge of the wound.

They proceed in an orderly manner, and Zhong Yu is soon ready to start repairing the damage.

The design of local skin flaps on the head and face is determined by the defect location, area, shape, and the degree of relaxation of the surrounding skin.

Zhong Yu concentrated on the surgery. When she found that one advancement flap was not enough to repair the defect, she made one advancement flap on each side of the defect and flexibly designed it according to the location and shape of the defect.

Her surgical plan is not static. She wants to ensure the patient's postoperative cosmetic effect to the greatest extent, so she will make appropriate adjustments during the operation.

After transferring the skin flap, she found that the tension was slightly high, and she immediately relieved the tension. In addition, the formed skin flap should be able to completely cover the defective wound. She also tried to reduce the auxiliary incision line as much as possible and suture the wound with low tension.

After the operation, the suture line of the skin flap incision is covered with Vaseline gauze, and the upper edge of the skin flap is compressed and bandaged with a loose gauze pad.

After bandaging, Zhong Yu whispered: "Change the dressing and gauze dressing every 2 days, observe the blood supply of the local skin flap, and remove the sutures 7 to 9 days after the operation."

Guo Pengfei nodded quickly to indicate that he had remembered it, and then Zhong Yu pulled down his mask, signaling that the patient could be sent out.

Teacher Shao and Li Jiajia, who led the team, completed the formalities and sat waiting at the door of the operating room. No matter what opinions Li Jiajia had about Yang Liu, for the sake of her classmates, she could not ignore them at this time.

Teacher Shao has already explained the situation clearly to the school. Since their class counselor has gone out for training, she has to take care of her for a few more days. Fortunately, Li Jiajia is familiar with the hospital and she can solve many things, which saves her time. A lot of effort.

The two of them waited at the door of the operating room for almost two hours before the door opened. When Zhong Yu came out, he saw Li Jiajia had a worried look on his face and quickly comforted him:
"You don't have to worry too much. Your classmate is in good health and the surgery was successful. We will wait for the postoperative recovery results before making other arrangements."

Teacher Shao asked: "Her face is so injured, can it be cured by one stage of surgery?"

Zhong Yu said seriously: "It depends on the scar condition of her postoperative recovery and the effect of skin flap recovery. If it is not ideal, a second-stage repair surgery may be necessary."

Teacher Shao nodded in understanding, which was as it should be. After all, the surgeries are all done the same, and the recovery effects vary from person to person. She asked again: "Then is there anything else we can do next?"

Zhong Yu said gently: "Postoperative dressing changes and monitoring are all carried out by medical staff, but patients with head and face defects due to trauma will be more likely to have an anxious state of mind. If not handled well, it will bring physical and psychological consequences to the patient. "Double injury, and her emotional instability will also be detrimental to wound healing. The teacher may need to actively communicate with her to understand her mental state and guide her to actively cooperate with the treatment."

Teacher Shao didn't know much about Yang Liu. After all, they only had a short time together in class. Although she regretted organizing this sketching activity, things had already happened, and she could only do her best to follow up.

She solemnly said: "Thank you, Dean Zhong, for reminding me. I will work hard to do a good job in psychological counseling."

Zhong Yu nodded, and she said to Li Jiajia familiarly: "Come and enlighten your classmates when you have time. It doesn't matter if you let go of your work in the hospital."

Li Jiajia respected her very much and said without hesitation: "I know the dean, Sister Zhaodi has put your lunch in the office. You go to eat first."

Zhong Yu nodded, and after she left Teacher Shao, she asked in a low voice: "Why are you so familiar with Dean Zhong?"

Li Jiajia explained while guiding her to the ward: "There were some things that I couldn't think about before, and it was Dean Zhong who persuaded me. Later, she performed liposuction on me and accepted me to work part-time here. She is very good. Man, you will know later.”

Teacher Shao could tell that Li Jiajia admired Dean Zhong very much. She could also understand that she was already considered a leader among women teaching in colleges and universities. Dean Zhong was able to start his own hospital at a young age, which was indeed quite impressive. Admirable.

When they arrived at the ward, Yang Liu was already lying on the hospital bed. Teacher Shao saw that her face was wrapped in gauze and she looked very pitiful. Fortunately, she was sleeping peacefully under anesthesia. Teacher Shao tucked the quilt in for her. He turned around and said softly to Li Jiajia:
"I still have to make a trip to the Public Security Bureau. How to deal with Yu Yang's side depends on the attitude of Yangliu's family. I have to communicate with them both. Before Yangliu's parents come, you should pay more attention here. I'll come to the school. greet."

Teacher Shao did still have a lot to do. She didn’t mean to push the envelope. Li Jiajia could understand, and she agreed:
"Teacher, you go and do your work first. I'll take care of Yangliu first, no problem."

Li Jiajia is now steady and down-to-earth when dealing with things, and she is not arrogant or arrogant when speaking. Teacher Shao is very relieved to entrust her with the task.

After Teacher Shao left, Li Jiajia saw that the water in the infusion bottle did not need to be changed for the time being, and the blood stains on Yang Liu's body had not yet been cleaned up. She took a basin to get hot water to scrub her.

When she went to fetch water, she met Sun Wenhui. She looked at Li Jiajia and joked: "Is that little girl inside who stole your partner and bullied you? You are still in the mood to take care of her, what a little idiot!"

Li Jiajia knew that she was saying this to him, so she smiled and said:
"That matter completely changed for me. I don't mind at all. Taking care of her is not only a favor to the teacher, but also for the sake of my classmates. I have a clear conscience."

Sun Wenhui said with a smile: "I'm afraid she will be angry with you when she wakes up. People like her have no conscience at all. They only blame others and never reflect on themselves."

Li Jiajia glared and pretended to be fierce:
"If she is really that ignorant, let's see how I teach her a lesson. Don't worry, she won't be able to bully me yet."

Li Jiajia wasn't talking big words. With Yang Liu's half-dead look, she really didn't dare to offend her.