Chapter 695 is really uncomfortable
After making adequate preoperative preparations, Teacher Sun was pushed into the operating room at eight o'clock the next day.
This was Ivan's first surgery in China, and it was also the first time that Ivan did not wear his own washcloths and slippers, did not use his own exclusive surgical instruments, and did not even have his own nurse with royal instruments for knife surgery.
Of course, this is what Ivan is willing to do, because he wants Yang Ping to participate in his surgery and complete the orthopedic part.
He will soon be the surgeon for a surgical case. If he wants to do the best in the orthopedics department, he can only ask Yang Ping to be the surgeon.
At the same time, Ivan hopes to learn Yang Ping's orthopedic technology, and also hopes to obtain Yang Ping's skin in vitro amplification technology.
In short, for Ivan, if he could exchange these precious things with a voluntary operation, he would be very willing.
Ivan changed into Sanbo Hospital's hand-washing gown, and Yang Ping accompanied him to the operating room.
At this time, many people had come to the operating room. In addition to the own doctors from the General Surgery Department, Director Lan and Director Chi also arrived early.
Naturally, many people want to watch the surgeries performed by the world's top masters. Unfortunately, in order to comply with strict sterility rules, the number of visitors to the operating room is limited. Most people can only watch via video in the demonstration classroom.
The anesthetist was of course Fatty Liang, a world-class master who performed surgeries. Only Fatty Liang, who followed Yang Ping all over the world in Sanbo Hospital, could keep his head above water.
Even when facing the world master Ivan, Fatty Liang's legs that have remained unchanged for thousands of years have not deformed or gone out of shape at all. He always wears pants hanging ten centimeters above the ankle, nine-point pants, which are his favorite.
This time the equipment nurse is Zhou Can, the roving nurse Xiao Su, the first assistant Director Lan, the second assistant Director Chi, Yang Ping and Song Zimo also came on stage, Song Zimo was the third assistant, Yang Ping purely acted as a platform, he put on surgical clothes and sat aside to watch the battle .
After Teacher Sun was put under general anesthesia, Dr. Ivan personally positioned himself and disinfected the bed sheets.
Today, Ivan does not have his own royal assistant, so Ivan can only do every detail by himself. He is a person who pursues perfection, or he has obsessive-compulsive disorder when it comes to surgery, and he is a paranoid.
Teacher Sun's X-rays and photos from various angles were hung on the reading lamp, and various parameters were marked on the photos.
The electronic screen in the operating room, which is specially used to display medical records and images, has also been pulled to the best angle. The control panel of the screen is sealed and wrapped with a transparent sterile protective film. During the operation, Ivan can operate the screen at any time and call up the Any picture you want to see.
Ivan finished disinfecting and started to spread the sheets. After laying out the last large layer of sheets, he smoothed out the wrinkles of a sterile sheet with his own hands. Not even a small wrinkle was allowed to exist. Director Lan and Director Chi were sweating as they watched. .
The first step of the operation is to replace the facial scar with normal skin. Ivan plans to cut off the entire facial scar skin and replace it with a piece of normal and healthy skin.
This requires superb technology. Complete separation of a whole piece of facial skin requires very high knife skills. The whole piece of skin transplanted is not too much or too little, just fitting the face. After suturing, in order to ensure that the skin piece fully obtains from the soft tissue base. For nutrition, the skin graft and the base must fit very well. Pressure bandaging is used in some places, while in other places it is necessary to use packs for pressure. This bandaging technology is also very complex and ingenious.
In short, if Ivan, the world's top expert, performs this operation, the details of the operation will be very complicated.
Preoperative theoretical deduction is one thing, intraoperative time manipulation is another.
Therefore, faced with such a complicated operation, Director Lan and Director Chi were under great pressure.
After the preoperative check was completed, Dr. Ivan looked at the sterile drape again. There were no annoying wrinkles, so he took the scalpel from the instrument nurse Zhou Can.
Ivan stared at Teacher Sun's face for tens of seconds, and then began to cut the skin with a sharp scalpel, starting from the hairline on the forehead. Of course, this is the theoretical hairline, not the actual hairline. Due to the formation of a large number of scars, Teacher Shang Sun has no hair, let alone a standard hairline.
From the midpoint of the forehead hairline, clockwise, to the front of the right ear, continue down along the contour of the ear to the face, to the junction of the mandible and the neck, to the midpoint of the junction of the mandible and the neck.
If the entire face is regarded as a clock, the starting point can be regarded as the twelve o'clock direction, and the midpoint of the junction of the mandible and the neck at this time is regarded as the six o'clock direction.
Ivan's knife continued slowly, without pause or repetition, past the six o'clock direction to the front of the left ear, and then along the side hairline back to the midpoint of the forehead hairline.
The entire face is surrounded by this circle. At this time, the assistant should help lift the skin at the midpoint of the forehead, which is also the corner of the scarred skin at the twelve o'clock position, and then hand the lifted corner of skin to Ivan.
Director Lan obviously couldn't keep up with Ivan's pace. The gap between his and Ivan's surgical skills was not just a little bit, but the gap between a world champion and a city-level athlete. It was a world of difference. If compared in terms of boxing level, it is probably equivalent to the difference between Tyson at his peak and the main members of the boxing team of G City, Nandu Province.
"Don't be anxious, be gentle and precise, and make absolutely no mistakes, not even small ones." Ivan said slowly, with the tone of a preacher.
Because Director Lan is tall and thin, he habitually bends his waist during surgery.
"Don't hunch your back. Frankly speaking, I would feel uncomfortable if I saw any irregular movements during the operation." Ivan said to Director Lan, but the movements of his hands did not stop.
He held up a corner of the skin, and the sharp scalpel began to peel off the scarred skin. The knife cut between the scar and the tissue base.
This kind of scar is completely different from normal skin. There are natural anatomical gaps between normal skin and subcutaneous, and between subcutaneous and deep fascia, so the anatomical layers are clear. However, scars will have extensive adhesions, and adhesions eliminate this natural anatomical gap. Anatomical levels. So there is only a theoretical layer between this scar and the base, there is no natural anatomical layer.
But Ivan knew where their theoretical level was, where the base needed to be thinner, and where the base needed to be thicker. He knew it by heart.
Director Lan couldn't get involved and basically became a close observer.
Just like that, with the sharp peeling of the scalpel, Ivan stopped the bleeding while peeling off, and a whole piece of scarred skin was completely cut off by Ivan.
The complete facial skin not only includes the forehead, both sides of the face, and the lower jaw, but also includes the upper and lower eyelids, nose, upper and lower lips, and even the narrow leather strips leading to the nasal septum. There is no defect or break in any place.
Teacher Sun's entire face was peeled off, revealing the bloody soft tissue base, and the entire face became bloody.
Whether it is Director Lan and Director Chi on the operating table, or the observers watching the video in the demonstration classroom, they are extremely shocked to witness this world-class plastic surgery technology.
This is to replace the entire mask, just like the human skin mask on TV, tear off one piece and put another one on.
It is estimated that no one in this world, except Ivan, can replace the entire dough at once.
The world's top plastic surgery technology is so shocking!
"Sir, I said, don't hunch your back. This will make me uncomfortable and affect my mood." Ivan said angrily when he saw the hunchbacked Director Lan again.
"I'm sorry, Dr. Ivan. Director Lan didn't mean it. He has always been like this. The spine has been fixed, which means the thoracic kyphosis is a bit large." Director Chi quickly explained that Dr. Ivan had mentioned this matter twice.
Director Lan was very embarrassed. He was 1.84 meters tall and relatively thin. He had been slightly hunchbacked since high school. Even if he wanted to stand up straight now, he couldn't.
However, Director Lan still tried to puff up his chest intentionally, feeling very aggrieved. Did this Russian have obsessive-compulsive disorder? Why could he always dislike his hunchback?
"Okay, I forgive you! Any spliced facial skin grafting will leave scars. Even the faintest scars are unacceptable. The inevitable scars can only be left in hidden places." Dr. Ivan said.
He usually does surgery without saying a word, but today is different. His assistant is a complete rookie. He must let the rookie understand the meaning of each step, otherwise it is easy to make mistakes.
If it weren't for Professor Yang's request, Ivan would never tolerate such a rookie assistant.
"Give me the head-worn microscope!"
Ivan raised his head and moved his head out of the surgical area. Xu Zhiliang in the audience helped Ivan put on the head-mounted microscope.
Ivan, who put on the microscope, ignored Director Lan's hunchback and began to use bipolar electrocoagulation to completely stop the bleeding on the exposed face.
Any bleeding point may form a blood clot, which will separate the transplanted skin graft from the tissue base. Moreover, the toxins produced by the blood clot seriously affect the blood supply of the skin graft, so the bleeding at the base of the skin graft must be completely stopped.
After completing the hemostasis, Ivan put down the bipolar electrocoagulation and asked Xu Zhiliang to help him take off the microscope.
"We have completed the first step of facial skin grafting. Next, we have to make a completely fitting skin. It is very difficult to fit it completely at one time. This requires superb skills. Don't move around. I will complete everything. ." Ivan once again explained the next step of the operation.
"Oh my God, why is it you again? I saw those two terrible moles on your forehead. They are both on the left side. It's so uncomfortable!" The moment he took off the microscope, Ivan saw Director Lan Two moles on forehead.
Director Chi heard Ivan's complaint and immediately turned to look at Director Lan next to him. Indeed, he had two moles on his forehead, both on the left side, and nothing on the right forehead.
Director Lan was criticized again by Ivan. He couldn't laugh or cry. The first time he was criticized was that he had a hunchback. This was reasonable, at least it could be classified as irregular surgical posture.
But now the two moles on my forehead are on the left side. Is it wrong? Is this also wrong?
Yang Ping was sitting next to him and resting. When he saw Ivan, he almost laughed out loud.
Painful obsessive-compulsive disorder patient, poor obsessive-compulsive disorder patient!
Yang Ping was very curious. Did his assistant have no moles on his face? Or were the moles symmetrical?
"Remember! The equipment must be placed at equal intervals!"
Ivan was waiting for the skin graft to be delivered to the operating table. When he saw the instruments placed by Zhou Can, he immediately walked over and adjusted the distance between the instruments so that they were lined up at equal distances.
For Ivan, it is so cruel not to use his own assistants, not to use his own equipment, nurses, not to wear his own wash clothes, and not to wear his own slippers. How much did Dr. Ivan pay to obtain Yang Ping's technology? sacrifice.
(End of chapter)