Dr. Chung’s 90s

Chapter 73 Classification Repair Technology

Ji Xueli looked at her calmly, he was rational and objective.

He was neither skeptical nor as happy as other doctors.

He thought for a moment and asked in a calm voice:
“Can you develop surgical classification and repair techniques based on classification?”

This question is quite difficult. If she didn't have experience in her previous life, she might not be able to explain it clearly.

In addition to work, her biggest hobby was studying various academic journals. She was involved in almost all cutting-edge technologies in the professional field, so she could explain it with a little organization of language.

Seeing that her expression did not change, Ji Xueli knew that she was not a showman and motioned for her to stand on the podium and speak.

Zhong Yu was not at all frightened by so many pairs of unfamiliar eyes.

She said clearly:
"Based on whether the fracture involves the frontal sinus, ethmoid sinus, and sphenoid sinus, it is divided into 3 types: type I only involves the frontal and orbital bones, without open frontal sinus fracture; type II fracture causes the frontal sinus to open; type III involves the ethmoid or ethmoid sinus or Sphenoidal sinus.”

Everyone nodded and agreed with her statement. Zhong Yu continued:
"The pedicled vascular tissue flap repair technology is formulated based on the injury classification. All patients with type II and III types were treated with a coronal incision and bifrontal craniotomy through the anterior skull base approach and underwent pedicled tissue flap repair, using the lateral pedicled temporalis muscle tendon. The membranous flap, anterior basilar fascia flap, and muscle plasma repair cerebrospinal fluid leakage caused by damage to the fronto-orbital area."

Zhong Yu spoke in detail, and Ji Xueli listened with seriousness.

"For extensive sunken or comminuted fronto-orbital injuries, the use of pedicled vascular tissue flap repair is an ideal surgical method. The new classification scheme for fronto-orbital injuries makes surgical decisions easier and more effective for clinicians to master. The classification and repair technology of pedicled vascular tissue flaps under the guidance of the new classification of frontal-orbital area injuries can reduce the incidence of cerebrospinal fluid leakage and improve patient prognosis."

After speaking, she bowed solemnly and then returned to her seat.

Several people here have rich clinical experience and they have their own judgment ability.

After Ji Xueli glanced around for a week, he said:
"Since there is no more effective surgical plan than Dr. Zhong's, let's use her method and ask Dr. Zhong to spare time to help."

After all, this is the plan she proposed and she has used it in clinical practice before, so no one is more suitable than her to participate in the operation.

Zhong Yu nodded in agreement without hesitation. Ji Xueli pushed the frame of the mirror and reminded:
"Materials and medicines related to the surgery have been prepared long ago. The surgery will start at two o'clock in the afternoon. I also ask Dr. Zhong not to find the wrong place and be late. We can wait, but the patient cannot."

When the others heard this, they all laughed kindly, and Zhong Yu scratched his head in embarrassment.

"Don't worry, Master Ji, I will arrive at the operating room in advance."

Ji Xueli raised the corners of his mouth slightly and gave an almost inaudible hum. The consultation ended and everyone got busy.

Zhong Yu only relaxed his nerves after walking out of the conference room. This Master Ji is indeed not easy to fool.

After having lunch in the cafeteria, she simply went to the operating room in advance to wait.

There were seats over there anyway, so it was the same for her to sit and wait.

Zhong Yu waited outside the operating room for at least half an hour before he saw Master Ji and others arriving late.

As Ji Xueli walked, he warned his team members about the precautions for surgery. When he looked up, he saw Zhong Yu standing at the door of the operating room.

He smiled imperceptibly and said in a cold voice:
"Dr. Zhong was very punctual this time and deserves praise."

Zhong Yu blushed shamefully because of his words, and quickly changed the subject: "I'm going to change into surgical clothes right away."

Most of the people following Ji Xueli were middle-aged people in their late 40s or early [-]s.

Although Zhong Yu is calm, he still feels cute in their eyes. They have a kind and tolerant attitude towards the young up-and-comers, and will teach him step by step if necessary.

Zhong Yu quickly changed into surgical clothes and quickly made preoperative preparations for sterilization and disinfection.

Ji Xueli looked a little gentler in surgical clothes, but his lethality was not so strong when he wore a mask.

If he is still as sharp as in the morning, Zhong Yu will be under great pressure.

All operating personnel were in place, and Zhong Yu consciously stayed in the first assistant position.

The patient has been anesthetized. He has a typical type III disease, which is accompanied by a comminuted fracture of the total posterior wall of the frontal sinus.

During treatment, the comminuted fracture fragments should be removed, the frontal sinus cranialized, the frontal sinus mucosa should be removed as much as possible, and the frontonasal canal should be explored.

Ji Xueli performed epidural exposure during skull base exploration. When the dura mater is damaged or the fracture is at the bottom, the dura mater needs to be peeled off from the comb, and the dura mater at the base of the anterior cranial fossa and the frontal lobe are pulled backward together to achieve the purpose of thorough exploration. .

Zhong Yu reminded in a low voice while assisting:
"The skull base must be thoroughly explored. Sometimes there may be multiple leaks. The repair must be done with small needles and fine threads under a microscope. When it is difficult to repair severe skull base damage, subdural and epidural placement should be performed at the breach. A layer of fascia is used to seal the cribriform plate with crushed muscle slurry, the anterior basal flap is folded flat on the anterior skull base, and then the frontal window dural suspension is performed."

Ji Xueli continued to operate without changing his expression. After exploring the skull base, he said directly:
"Dr. Zhong, let's do fine suturing. This should be your strength."

Zhong Yu is a plastic surgeon and has always had high requirements for suturing, so she doesn't take this trivial matter lightly.

Since Director Ji made the request, whether it was a test or he wanted to be lazy, Zhong Yu had to take over.

She switched places with Ji Xueli and began to sew.

Others also observed with keen eyes, Zhong Yu indeed had impressive abilities, and with her sewing skills, even Ji Xueli was defeated.

Ji Xueli started to think about taking the school entrance examination and asked abruptly:
"How should the leak be repaired if it is located in the sphenoid sinus?"

Zhong Yu blinked helplessly and said without hesitation:
“For those who have leaks located in the sphenoid sinus, since the sphenoid sinus cavity is too deep to be repaired under direct vision, endoscopic septal mucosal flap repair is required.”

Ji Xueli nodded with satisfaction and raised his eyebrows slightly. Anyone who knew him well knew that he was in a good mood at the moment.

Zhong Yu was afraid that Ji Xueli was a good teacher and would ask questions again, so he simply finished his sentence at once.

"For comminuted fractures of the posterior orbital wall, try to keep free fracture fragments during skull base exploration to avoid postoperative eyeball collapse."

Ji Xueli's face was full of approval. It is estimated that no team would not like a doctor with such outstanding ability like her.

The main challenges in repairing injuries in the fronto-orbital area include not only bony reconstruction, but also membranous reconstruction. Appropriate repair strategies need to be selected to effectively reduce the incidence of postoperative cerebrospinal fluid leakage and intracranial infection.

With Zhong Yu's help, it was also verified that the pedicled vascular tissue flap is a good repair material.

Just after the operation, Ji Xueli saw him and became interested.

He pulled down his mask and sincerely invited: "With your ability, you are overqualified to stay in the plastic surgery department, why not consider coming to our department."

It was indeed a sense of accomplishment to be favored by Ji Xueli, but Zhong Yu refused without hesitation. She smiled and said:
"This is not my ambition. I am still more interested in plastic surgery. If I have the opportunity in the future, I would like to open a plastic surgery hospital of my own. Thank you very much for your recognition."

Ji Xueli was not disappointed, he said seriously:
"Then I wish you will achieve your goal as soon as possible. If the department encounters any problems in the future, I hope you will give me your advice."

This was the first time for team members to see Ji Xueli behave like a polite and virtuous corporal, and Zhong Yu was also a little flattered.

"You're welcome, Director Ji. If you need help, please let me know anytime. If I'm here, I won't be late."

As soon as she finished speaking, everyone smiled tacitly, and she used the joke of being late to lighten the atmosphere again.

Ji Xueli also felt that she was quite intelligent, which showed that there were also high-quality female doctors in the Department of Surgery, but they were too rare.

Because the operation was successfully completed, Dean Luo specially praised her.

Zhong Yu did not get carried away, but modestly said that he would only know the outcome after seeing the prognosis of the surgery.

Dean Luo was satisfied with all the abilities Zhong Yu displayed, and he had the intention to poach people completely from the bottom of his heart.He was a cunning man and would never act impulsively. Without Zhong Yu's complete knowledge, he silently made small moves behind his back.

The neurosurgery department prepared a sumptuous working meal, and Zhong Yu did not go back until after dinner in the evening.

I got to know a lot of people at the dinner table, and I managed to memorize a few names so that I could get to know them more slowly in the future.

She bought a newspaper when she got home, but she didn't take it too seriously about buying lottery tickets.

If she had enough time, she planned to go to Hong Kong City to find Wei Zi.

She wants to open her own plastic surgery hospital, which requires huge financial support. Her salary alone is far from enough, so she wants to look for opportunities in the stock market.

But now she is an external expert at the Military Region General Hospital, and her work involves confidentiality. The Hong Kong City is politically sensitive, so she will definitely not be able to go there.

Although this matter went against her plan, Zhong Yu was not disappointed. Every gain must come with a loss.

Go inside, put down the newspaper, and call home first.

The phone was quickly picked up, and it was Song Congchun who answered the phone. Zhou Qin had not returned yet.

The siblings haven't talked to each other for a while, and Song Congchun couldn't wait to share with his sister the great news that he entered the top ten of his grade in the midterm exam.

You can feel his joy through the receiver, and Zhong Yu is also sincerely happy for him.

She didn't know what was going on, but somehow she asked Song Congchun if he was willing to live in Guangzhou.

Although Song Congchun was surprised, he did not reject it. He said carelessly:
"As long as I live with you and my mother, it doesn't matter where I go. The key is to see what my mother thinks."

Zhong Yu suddenly breathed a sigh of relief and said in a relaxed tone: "Okay, I just know what you think. You have to go to bed early. There is no need to mention this matter to mom for the time being. I haven't thought about it yet."

Song Congchun agreed obediently, hung up the phone, and Zhong Yu lazily sat on the sofa.

He turned to look at the newspaper at hand and picked it up casually. Now he had time to read the winning information.

She didn't have high hopes, so naturally she wasn't nervous.

But when he saw the familiar string of winning numbers in the lottery, Zhong Yu sat up straight in surprise.

She really doesn't understand much about this parallel time and space. The level of technological development here is not much different from that of her previous life in the 90s.

Many things were discrepant in subtle ways, and some things overlapped in a strange way. She really couldn't figure it out and had no clue.

The amount won this time was 60. In future generations, one would not even be able to buy a larger house, but now the purchasing power of 60 is astonishing.

Zhong Yu couldn't sit still anymore. She walked back and forth at home to relieve her mood.

There is a date limit for receiving the prize, and the prize will be gone after the specified date.

With this 60 yuan, her dream of a plastic surgery hospital is one step closer.

Zhong Yu originally wanted to go get the bonus at night, but after thinking about it for safety reasons, he stopped in time.

Although she was happy to win the lottery, she was not so ecstatic that she didn't care about her safety. She slept particularly soundly that night.

When he got up early the next day, Zhong Yu deliberately went out wearing inconspicuous black clothes.

She wore a hat and a mask, wrapped herself tightly, and went to the place to receive the award.

The staff at the lottery station couldn't see her face clearly when they saw her, but this thing always recognized the ticket but not the person. As long as she took the lottery ticket to redeem the prize, no one else could question it.

After receiving the cash check, the staff wanted to invite her to take a photo, but Zhong Yu refused without hesitation.

She doesn't have the guts to take risks if her wealth is not exposed.

I made an excuse to go to the bathroom, quickly changed out of my coat, and then left directly through the back door.

She lives alone, even if she lives in the family building of the hospital, she has to be careful.

She felt relieved after going to the bank and depositing the money into her account. Looking at the balance in the passbook, Zhong Yu was extremely happy. Sure enough, working hard to make money was the happiest thing in the world.

She was in such a hurry in the morning that she didn't eat breakfast, and she didn't feel hungry until she finished her work.

I happened to walk near the hospital, found a breakfast shop with a good environment and went in. Unexpectedly, I saw Ji Xueli as soon as I arrived at the door.

When Ji Xueli looked up and saw Zhong Yu, he was also surprised and asked:
"Didn't you have breakfast too? Just order whatever you want and I'll pay for it."

Zhong Yu quickly waved his hand and refused, "Don't bother Director Ji. I can just do it myself. I can't eat much."

I was quite excited at first, but when I met Ji Xueli, my mind became clear.

I don’t know what’s going on, but I feel uncomfortable everywhere when he stares at me, just like meeting the dean.

In fact, Ji Xueli is only harsh on others when he is working. At this time, he seems very approachable.

Seeing her ordering breakfast, he invited her: "Sit down, where do you live now?"

Ji Xueli did not hear anything outside the hospital except studying cases.

Zhong Yu said a little cautiously: "I live in the family building of the hospital. Dean Luo takes good care of me. Everything has been arranged properly since I came here."

Ji Xueli said clearly: "Dean Luo Renyi takes good care of his subordinates. Guangzhou is quite far from Haishi. Don't you feel tired when you are always running back and forth like this?"

Just as the waiter brought her millet porridge, she gently stirred it with a small spoon, hoping to dissipate the heat.

She told the truth: "When I participated in the academic exchange meeting, I didn't expect to be retained as an external expert. It was really tiring to go back and forth. I don't know what will happen in the future."

After speaking, she scooped a spoonful of millet porridge, blew it gently to cool it, and put it into her mouth.

Ji Xueli said sternly: "Depending on your ability, you can directly jump to the Military Region General Hospital. The hospital in Haishi will restrict your development."

Zhong Yu didn't expect today's situation. She took a slightly longer step and became a little unbalanced.

Ji Xueli seemed to have noticed Zhong Yu's hesitation and said in a deep voice: "Don't you want to open your own plastic surgery hospital? The policies here in Guangzhou are very friendly. You can run it while being an external expert at the Military Region General Hospital. Your own plastic surgery hospital, this arrangement is most beneficial to you.”

Zhong Yu held the spoon and began to think deeply. Director Ji had a good idea. She retained the title of external expert of the Military General Hospital, which would be really beneficial to the early development of her plastic surgery hospital.

She smiled and said: "Thank you, Director Ji, for your advice. I am still too young and need to accumulate more clinical experience. There is no need to rush into the plastic surgery hospital."

The reason why Zhong Yu wants to set up his own plastic surgery hospital is not purely to seize the opportunity and make money.

More importantly, she wants to become a benchmark in the plastic surgery industry, establish a standardized plastic surgery market, and save countless patients who have been disfigured by unqualified plastic surgery hospitals.

She has her own beliefs and does not want to see the plastic surgery profession she strives for become a derogatory term.


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