Dr. Chung’s 90s

Chapter 30 Engraving and splicing
Tang Jiaren's surgical skills are not inferior to anyone's, and his position as chief physician is not for nothing.

It's just that Zhong Yu's strength is so amazing that it pales in comparison.

He removed the soft ribs and stopped the wound bleeding.

Tang Jiaren's face was serious at the moment, and he did not look towards Zhong Yu.

They have a clear division of labor, and he must complete his part of the task within the set time.

Tang Jiaren has passed the age of greedy for success and rash pursuit of blockbuster success. He still seeks stability more.

Not to hold Zhong Yu back, this is the position he gave himself, and in fact he did it very well.

After the wound has stopped bleeding, a chest inflation test is performed step by step. He needs to determine whether the patient has pleural rupture or pneumothorax.

The removed soft ribs were handed over to Zhong Yu, who had to perform the difficult carving and splicing of the ear brackets.

The ear support is divided into three layers from bottom to top, namely the base layer used to raise the cranial ear angle, the second layer forming the sinking mechanism, and the third layer forming the convex structure.

The main task of the actual first-stage surgery was to splice and carve out the second and third layers, which had to be completed by Zhong Yu.

Zhong Yu selected the seventh costal cartilage as the main body of the second layer based on the natural curvature of the seventh costal cartilage that matches well with the maximum bending part of the outer ear.

She carefully traced the eardrum with a paintbrush. After tracing it, she used a sharp knife to carve out an arc-shaped cartilage and dug out the depression to form the scaphoid. The flat area formed the helix and the upper foot.

Her movements seemed to be carving exquisite works of art. Even wearing a white coat, Guo Pengfei still found it enjoyable to watch.

This kind of appreciation is not due to her bright skin, but to the pure technical beauty of her surgery, awe mixed with admiration and admiration.

At this time, the lateral width of the upper part of the ear support was insufficient. Zhong Yu spliced ​​the curved part of the sixth costal cartilage to the upper inner side of the body and carved a triangular depression to form the triangular fossa and the lower foot of the antihelix.

Everything went on in an orderly manner according to Zhong Yu's expectation. She smoothed the long strip of cartilage dug out from the ear scapho, and stacked the flat cartilage face down on the opposite helix and upper foot to deepen the projection. In the same way, Trim the short piece of cartilage dug out from the triangular fossa to raise the base of the helix.

Since the eighth costal cartilage is long, soft and flexible, the appropriate thickness can be cut along the coronal axis according to the required size and then bent into the external helix. The lower part of the ear support is wide enough to directly carve the tragus.

Tang Jiaren sculpted and spliced ​​the remaining shredded cartilage and transplanted it in situ and then sutured the perichondrium. This step was to reduce the occurrence of thoracic deformity in the patient.

In order to reduce the pain after soft rib removal and promote rapid postoperative recovery, 0.5% ropivacaine was used for intercostal nerve block before closing the chest wound.

Zhong Yu placed the carved and spliced ​​stent into the prefabricated bag in the mastoid area. A silicone tube with several side holes cut out above and below the auricle was placed on the surface of the stent through the earlobe and fixed.

The incision was sutured intermittently, gentamicin was injected into the cavity through the drainage tube to flush and introduce the accumulated blood clot.

Zhong Yu concentrated on checking whether the drainage tube was leaking, and then connected the drainage tube to the central negative pressure.

At this moment, it can be seen that the stent is in close contact with the skin flap, and the concave and convex structure is revealed. After confirming that there is no air leakage, she connects the drainage tube to the 5ml syringe, supports it with the needle cap of the syringe, and then gently applies erythromycin ointment to the incision.

The negative pressure needs to be maintained at an optimal state that can clear the structure of the auricle without affecting the blood supply of the skin flap. Only then can the first stage of the surgery be considered a successful conclusion.

Tang Jiaren took off his mask and took a breath. He smiled and admired Ruirui's freshly baked little ears. Others present also had expressions of relief.

Director Tao turned off the video recorder that had been filming, and gave Zhong Yu a thumbs up with admiration in his eyes.

Zhong Yu smiled lightly, and she sat on the ground relaxed and exhausted.

Although the temperature in the operating room was very low, her forehead was still covered with beads of sweat.

Guo Pengfei stepped forward and asked with concern: "Is Dr. Zhong feeling unwell? Is it because he is hungry and has low blood sugar again?"

After the baptism of this operation, Guo Pengfei spoke in a more respectful manner to Zhong Yu.

Everyone else saw his gesture, and although they were surprised, they didn't think too much about it.

Zhong Yu waved her hands and said in a normal voice:
"I'm fine. I'm just very nervous. Once I relax, I can't relax."

In fact, Resurrection Vine was cheating for her, so she could handle such intense work.

Guo Pengfei nodded, not feeling disappointed at all.

For the first time, he eagerly hoped to learn from Zhong Yu, and he rekindled his career ambitions.

Of course, no one will care what Guo Pengfei wants to do.

After Ruirui was cleaned up, several male doctors pushed him out of the operating room. Zhong Yu quickly stood up and followed behind.

At this moment, at the door of the operating room, in addition to several people from the Tan family waiting, Song Bingkun also came with Zhou Qin and Song Meiting.

Zhou Qin was originally not willing to come over to warm up to the Tan family, but Song Bingkun said that Zhong Yu's surgery would take a long time, so she asked her to prepare some nourishing soup for Zhong Yu to take with her to replenish her body when the time comes.

There was nothing else to do, so Zhou Qin was willing to be busy for her daughter.

When they arrived at the hospital, Rarity was already in the operating room.

The two families just exchanged simple greetings and had no intention of talking about anything else at this time.

Zhou Qin had met Mrs. Tan before. At that time, she was aloof and didn't even bother to talk to her.

But they said behind her back that she was remarried, and it looked like she was not living a steady life with Song Bingkun. She even felt that she was superior to Song Bingkun.

At that time, Song Congchun was still young and Zhong Yu was still in high school. She and Song Bingkun had to continue living together.After hearing those words, she could only hold back her tears, swallow her grievance, and pretend she didn't hear anything.

Later, she never went to Tan's house again. Even when Song Bingkun visited Tan's house and called her, she didn't even go.

Although she didn't tell anyone about her grievances, she still subconsciously felt disgusted when she saw Mrs. Tan.

Unexpectedly, the aloof old lady would actually take the initiative to have sex with her.

Both inside and outside the words were asking about A Yu, and even though Zhou Qin was a fool, he understood her intentions.

She almost couldn't help but swear, and without even thinking about it, she pushed Song Meiting out to deal with it.

Watching Song Meiting pretending to please her with cold eyes, she carried the soup in the thermos bucket and walked to a long bench far away from them to sit down.

Song Bingkun was a little disappointed. He knew the thoughts of the Tan family and his wife, and expected that they would think highly of Zhou Qin because of Zhong Yu.

He called Zhou Qin over, intending to use Zhou Qin's advice to help Song Meiting deal with the Tan family.

Unexpectedly, she would show no mercy and actually sit far away by herself.

Although Song Bingkun was angry, he couldn't say anything.

The reality is that now that Zhou Qin's daughter is promising, she really doesn't need to look at his face to live her life.

There was really no other way, so Song Bingkun had to bite the bullet and deal with Mrs. Tan.

Song Meiting is not a smart person to begin with. Without Song Bingkun's help to smooth things over, Mrs. Tan would be able to wipe out her old fortune.

It's a pity that the father and daughter working together can't match the shrewdness of an old lady Tan. After finding out what the father and daughter are planning, old lady Tan is not very willing to pay attention to it.

With Zhong Yu in front of her, Song Meiting really couldn't get enough of her, so it's no wonder she disliked her.

Seeing that her future mother-in-law's route was deadlocked, Song Meiting had no choice but to turn her attention to Tan Shijie.

Thinking that Tan Shijie was mentally fragile at this time, she might be able to impress him if she was gentler, so she worked extra hard.

Tan Shijie was worried about his son. He felt that the longer time went by, the more his son would suffer. The guilt and pain made him unable to breathe.

At this time, Song Meiting took the initiative to approach. Even though he was not attracted to her, he subconsciously wanted to use her to escape reality and relieve his emotions.

There is a kind of person in this world who likes to divert his attention when encountering pressure or conflict, eager to draw happiness from others, thereby deliberately avoiding the problem.

Tan Shijie happens to be this kind of person. He doesn't have much affection for Song Meiting, but he is greedy for this moment of relaxation.

The two of them were not very close in public, but the sight of them gathering together and whispering was just adding fuel to the fire in the eyes of Mrs. Tan.

If so many people weren't watching, she would definitely have a seizure.

Just when everyone had different thoughts, the operating room door opened.

Tan Shijie still had some awareness of being a father, so he rushed over immediately.

Looking at his unknown son lying on the hospital bed, his eyes were filled with pain.

The ears that were originally deformed and mutilated have now completely changed.

Although the reconstructed auricle is not perfect, it fits the normal ear as if it were a natural match.

After removing those ugly sutures, Tan Shijie almost felt that his son's ears were just like normal people.

He looked at Zhong Yu excitedly and said with a choked voice:
"Dr. Zhong, thank you very much! You have given Ruirui a new life, and he will never forget this kindness for the rest of his life."

Zhong Yu was holding the soup brought by her mother and said politely:
"This is what a doctor should do. You don't have to worry too much."

Tan Shijie tried his best to adjust his emotions and asked impatiently:
"How long will it take for Rarity to have her stitches removed? When will the second stage surgery be performed?"

Zhong Yu didn't care to talk to her mother at the moment, and patiently said to Tan Shijie:
"The drainage tube will be removed three to five days after the operation, depending on his condition, and the sutures will be removed about ten days later. The second-stage surgery will have to be scheduled three months later at the earliest, depending on the recovery of his auricle."

Tan Shijie was a little disappointed when he heard that the second-stage surgery had to wait so long, but when he thought that his son's condition was much better now, he had nothing to worry about.

"Thank you all doctors for taking you so long. I'll invite you all to go out for a home-cooked meal."

Zhong Yu shook his head quickly. Director Tang was not willing to deal with the patient's family members. He said with a cold face:
"The hospital cafeteria has left food for us. You don't have to spend any money. It's better to send the child to the ward and take good care of it."

Ruirui's surgery was successful, she had a good postoperative reaction, and there were so many doctors around her watching her, so it was nothing serious.

Tan Shijie couldn't continue talking, so Tang Jiaren sent the child back to the ward with them.

Song Bingkun and Song Meiting also went with them, and they were more concerned about it than their own children's surgery.

Zhou Qin didn't care about them, she only cared about her daughter.

No matter how I looked at her, she looked haggard and said distressedly:
"You don't need to worry about the rest, right? Hurry up and drink some soup and eat some meat to replenish your health. I see you've been busy for most of the day. Being a doctor is really hard."

(End of this chapter)