Chapter 84 The Emergency Plan

Epicanthal excision can effectively remove the epicanthus to achieve the purpose of changing the shape of the corner of the eye and clearing the wrinkles.

This kind of micro-adjustment is very popular at present, especially by middle-aged and elderly women.

Before the operation began, Xiao Tianhua was lying there, and Chen Cang began to draw a line with a pen to draw the scope of the bilateral epicanthal removal.

This step is the hardest step!

After Chen Cang finished painting, the supporting roles appeared.

Zhang Zhixin routinely sterilized and spread sterile towels, and an appropriate amount of 2% lidocaine was infiltrated into the medial canthus for local infiltration anesthesia.

After the marked effect, Yang Tao first moved to the right side, modified the "Z-shaped flap" along the inner canthal design line and incised the skin, separated the subcutaneous tissue, and formed a skin flap.

Then at this time, Qin Xiang cooperated very well, with quick eyes and quick hands, and used a 7-0 nylon thread to hang the subcutaneous tissue of the medial canthus and medial canthal ligament to tighten and sew a stitch.

Appropriate trimming of the skin flap can effectively reduce the skin folds, remove the epidermis, and then use 8-0 nylon thread to suture intermittently after anastomosis.

It's very simple, Chen Cang feels that he can read it once.

However, this is not the case.

Because the distribution of facial nerves is extremely complex, after all, it can be used as a pillow book (hypnosis book) for medical students, so one can imagine how difficult and complicated it is.

Chen Cang's current knowledge of facial nerves only exists at the level of one olfactory, two vision, and three eye movements.

But more attention should be paid to the understanding of facial nerve in lateral canthotomy.

Chen Cang was watching the study there, Qin Xiang and Yang Tao were talking while they were doing it, "Xiao Chen, look here, the facial nerve sneaks through here, so when the operation is performed, you must be stable, facial plastic surgery is no better than the stomach, The hand is going to sink, the knife is going to float up, you can feel it slowly!"

The operation lasted almost an hour and a half!

very smooth!

It was also very successful, and several people cooperated very well.

Chen Cang also played a big role. In addition to marking the line, he also participated in the operation with his full name, which played an indelible assist role.

Don't underestimate assists!

Chen Cang has passive skills.

Just at this moment, a warning sound suddenly sounded!

【Ding! Newcomers in the operating room have a 1% chance of passive learning skills to trigger, and get Yang Tao's skill: incision double eyelid surgery. 】

[Incision double eyelid surgery, level, advanced, special effects: quick recovery. 】

Xi mention double eyelid minor surgery!

satisfy!

Double eyelid surgery is also called double eyelid surgery. There are mainly three methods. One is the most commonly used embedding method, the second is incision, and the last is suture method.

Among them, the suture method is the simplest and suitable for novices, but... simple things may often have many defects and deficiencies.

The suture method has many side effects, so it is generally not recommended for everyone to try it.

After the suture, the entire thickness of the eyelid tissue is ligated, and the lymphatic flow is blocked. Therefore, after the operation, the reaction of the tissue to the suture is used to form an oblique line from the inside to the outside between the levator aponeurosis on the edge of the tarsal plate and the skin. Adhesion to fibers, but often the fibers formed are more or less different.

In few cases, once the scars are released, the folds become lighter or disappear.

Many often cause the folds to be too high and difficult to lower.

What's more, if the position of the ligation is too high, it limits the mobility of the levator palpebrae and Muller muscles, which can lead to ptosis, easy eye fatigue, and laborious eye opening.

Therefore, the common surgical methods now are embedding and incision.

But among the two, thread embedding is the most common method, while incision is the highest and most challenging technique.

It can be said that the person who dares to use the incision to cut the double eyelid is not the black iron, or the king!

These are two extremes!

Just after the operation, Xiao Tianhua was sent to rest, while Chen Cang saw that the two tasks were still unfinished.

Does it have to wait until President Xiao recovers to be considered a success?

Looks like we'll have to wait a while!

At least seven days.

However, getting a good skill from Yang Tao today is a good thing, and it's a worthwhile trip.

Just as Chen Cang was about to rest, the phone rang suddenly.

"Xiao Chen! What are you doing?"

It's Li Baoshan!

what happened?

Director Li rarely calls himself. Is there an emergency patient in the hospital: "Director, I'm fine."

Chen Cang concealed the fact that he came out to study plastic surgery.

Li Baoshan snorted: "Come over to my house. Come and tell you something."

Li Baoshan's home is in a community near the hospital. Basically, it is only a 5-minute walk to the hospital. The price is not cheap, but the hospital bought it.

Li Baoshan belonged to the talent introduction to the second hospital of the province, and was given a house of 100 square meters.

After Chen Cang knocked on the door, Li Baoshan opened the door.

After entering, several people were already sitting in the room, and they were all acquaintances, An Yanjun, Chen Bingsheng, and... Is that Qin Xiaoyuan? Hao Xuliang?

What's the big deal?

Chen Cang murmured in his heart, but with a smile on his face, after greeting each other in order from big to small, he found a place to sit down.

In this case, it is obvious to listen more and talk less.

Qin Xiaoyuan said to Li Baoshan, "Baoshan, tell me."

Li Baoshan nodded and said to everyone, "I called everyone home today because I wanted to discuss something with everyone."

"The development of thoracic surgery is not good at all. The hospital wants to remove the thoracic surgery. Of course, there is only this plan, but it has not been implemented, but... Although the thoracic surgery is not big, it has a special operating room, and the original one The No. 8 operating room is also empty, so after a discussion with President Qin, I want to set up an emergency operating room, what do you think?"

As soon as these words came out, everyone's expressions suddenly became wonderful.

There is a separate operating room!

That means it's up to the mark!

You don't have to go to other departments for surgery.

Generally speaking, the operating room of a hospital is an independent department, but some large-scale departments basically have their own operating rooms, such as obstetrics and gynecology, general surgery, orthopedics, and neurosurgery. That's it, there is no need for the overall participation of the operating room.

Although the emergency department of the Second Provincial Hospital has a lot of operations, it really does not have an independent operating room, and all related diseases are sent to the relevant operating rooms in cooperation with the relevant departments.

To put it bluntly, just like a door-to-door son-in-law.

The emergency department has become a "second trafficker", treating the patient a little bit, and after recognizing the cause, it is directly sent to the corresponding department or... mortuary.

This means that there may be no autonomy!

But with an independent operating room, the meaning is different. The serfs have turned into local owners!

Of course……

There are pros and cons.

At least all the expenses of the operating room in the future include: rent, water and electricity, consumables, nurses, expenses... All expenses go to the emergency room!

You know, the hospital is like a large commercial building, and the departments are just like the tenants in the commercial building. They have to pay rent, utilities, etc. every month.

Then after paying and deducting, your money will go to the department account!

Therefore, the hospital is also a small shopping mall, with serious polarization.

The emergency department is a poor and miserable department. It is often overwhelmed by itself. If it weren't for the support of special funds and special funds, it might have gone bankrupt long ago...

Of course, the hospital can't let the emergency department go bankrupt.

But... if you don't go bankrupt, it will be even more difficult to apply for an operating room!

ps: Get up early this morning, isn't it very good~