Chapter 83: The Ergency Big Plan
Translator: 549690339 |
The procedure for removing epicanthal folds can effectively eliminate the excess skin in the inner corners of the eyes to change the shape of the eye corners and clear up wrinkles.
This minor costic surgery is currently very popular, especially among middle-aged and elderly won.
Before the surgery began, Xiao Tianhua lay there while Chen Cang started drawing lines, delineating the range for the removal of the epicanthal folds on both sides.
This step was the most difficult!
After Chen Cang finished drawing, the supporting role made a dazzling entrance.
Zhang Zhixin routinely disinfected the area and laid out sterile drapes, then applied a suitable amount of 2% lidocaine to the inner canthus for local infiltration anesthesia.
Once effective, Yang Tao first addressed the right side, cutting along the designed line for an improved “Z-plasty” on the skin, separated the subcutaneous tissue, and ford a skin flap.
At this ti, Qin Xiang, very cooperative and agile, used a 7-0 nylon suture to anchor the subcutaneous tissue and the inner canthal tendon, tightening and suturing it with a stitch.
Properly trimming the skin flap edges can effectively reduce skin folds, remove the excess skin, and after proper alignnt, they used an 8-0 nylon thread for interrupted suturing.
It seed simple, and Chen Cang felt he could do it after just one observation.
But in fact, it was not so simple.
Given that the facial nerve distribution is extrely complex, and that it could serve as the dical student’s bedside book (hypnotic book), one can imagine how difficult and complicated it is.
Chen Gang’s current understanding of facial nerve anatomy was limited to a very basic level.
And greater attention was required for the understanding of how the procedure for cutting the lateral canthus affected the facial nerve.
As Chen Cang watched and learned, Qin Xiang and Yang Tao explained while performing the procedure, “Little Chen, look here, the facial nerve passes stealthily from this spot, so when using the scalpel, you have to be steady. Facial plastic surgery is different from abdominal surgery; the hand must be heavy but the scalpel must be light. You’ll gradually get a feel for it!”
The surgery lasted almost an hour and a half!
It went very smoothly!
It was also very successful, the team worked together with great tacit understanding.
Chen Cang played a significant role too; apart from drawing lines, he was fully engaged with his watchful eyes during the surgery, providing an indelible supporting role.
Don’t underestimate the power of an assist!
Chen Cang had his passive skills, after all.
Just at that mont, a notification tone sounded!
[Ding! Operating room rookie passive learning skill triggered with a 1% chance, acquiring Yang Tao’s skill: incision thod blepharoplasty.)
[Incision thod blepharoplasty, level: advanced, special effect: rapid recovery.]
Scored a minor blepharoplasty surgery!
Satisfying!
Blepharoplasty, or double eyelid surgery, mainly involves three thods: the most commonly used is the suture thod, followed by incision, and lastly the stitching thod.
Of these, the stitching thod is the simplest, suitable for beginners, but… the simplest things often have the most flaws and shortcomings.
The stitching thod has many side effects, so it’s generally not recomnded for people to try.
Because after suturing, the entire thickness of the eyelid tissue is tied off, creating an obstruction in lymphatic flow. Post-surgery, it relies on the tissue reaction to the stitching to form an oblique fibrous adhesion from the inside upper to the outside lower between the levator aponeurosis and the skin. However, the amount of fibrous tissue ford often varies.
If there’s too little, once the scar loosens, the fold may beco shallower or disappear.
If there’s too much, the fold can be excessively high and difficult to reduce.
In severe cases, if the through-and-through suture is placed too high, it can limit the movent of the levator and Muller’s muscles, leading to eyelid ptosis, eye fatigue, and difficulty opening the eyes.
Therefore, the suture and incision thods are the most common surgical approaches used now.
Among them, suturing is the most commonly used thod, while incision is the technique with the highest potential and the one that tests the surgeon’s skills the most.
It can be said that those who dare to perform double eyelid surgery using the incision thod are either at the lowest ranks or at the level of kings!
These are two extres!
Just after the surgery, Xiao Tianhua was sent to rest, and Chen Cang noticed that two of his tasks were still incomplete.
Could it be that he had to wait until General Manager Xiao recovered to consider it a success?
It seed he would have to wait a while longer!
At least seven days.
But today, I got a great skill from Yang Tao, which makes the trip worthwhile.
As Chen Cang was getting ready to rest, his phone suddenly rang.
“Xiao Chen! What are you up to?”
It was Li Baoshan!
What’s the matter?
Director Li seldom calls , could there be an ergency patient at the hospital? “Director, I’m free.”
Chen Cang hid the fact that he had gone out to learn about plastic surgery.
Li Baoshan made a sound of acknowledgent, “Co over to my place. There’s sothing I want to discuss with you.”
Li Baoshan’s ho was in a residential area near the hospital, just a 5-minute walk to the hospital. It wasn’t cheap, but the hospital had purchased it for him.
Li Baoshan was brought to the Second Provincial Hospital as part of a talent recruitnt program and was given a 100-square-ter apartnt.
After knocking, Li Baoshan answered the door.
Once inside, there were a few people already sitting there, all familiar faces: An Yanjun, Chen Bingsheng, and… was that Qin Xiaoyuan? Hao Xuliang?
What big issue could this be?
Chen Cang wondered to himself but smiled and greeted everyone in order of seniority before finding a place to sit.
In this setting, it was clear that it was better to listen more and speak less.
Qin Xiaoyuan addressed Li Baoshan, “Baoshan, you tell us.”
Li Baoshan nodded and addressed everyone, “I called everyone here today because I want to discuss an important matter with you all.”
“The developnt of the thoracic surgery departnt is not working out. The hospital is considering closing it down. Of course, that’s just the intention; no specific actions have been taken yet. But… even though the thoracic surgery departnt isn’t large, it does have its own operating room, and the original operating room number eight is also vacant, so after discussing with Director Qin, we’re considering setting up an ergency surgery room. What do you all think?”
As soon as these words ca out, everyone’s expressions suddenly beca animated.
Having a separate operating room!
That would an moving up in status!
No more need to compete with other departnts for surgery ti.
Typically, the surgery rooms in a hospital are an independent departnt, but so large departnts have their own surgery rooms. For example, departnts like gynecology and obstetrics, general surgery, orthopedics, and neurosurgery all schedule surgeries within their own departnt without needing to involve the central surgery departnt.
While the ergency departnt in the Second Provincial Hospital did conduct a fair number of surgeries, it didn’t have its own dedicated operating room. It worked with relevant departnts on related diseases and used the relevant operating rooms.
To put it bluntly, it was like a son-in-law who cos to live in the wife’s parents’ house, delivering goods and also lending a hand with work.
The ergency departnt had beco a “middleman,” preliminarily dealing with patients and identifying the cause before sending them directly to the corresponding departnt or… to the morgue.
That ant there could be a lack of autonomy!
However, having a separate operating room would change things entirely; it was like a serf turning into a landowner!
Of course…
There were pros as well as cons.
At the very least, all the expenses of the operating room, including rent, utilities, consumables, nurses, supplies… all costs would be on the ergency departnt!
You have to understand, a hospital is like a large comrcial building, and the departnts are like tenants inside the building—each has to pay monthly rent, utilities, and so forth.
Then, after everything is deducted, your money is deposited into the departnt’s account!
So, the hospital has its own marketplace, with severe polarization.
And the ergency departnt is a poor, struggling departnt that often can barely make ends et, and if it weren’t for special funds and targeted subsidies, it might have already gone bankrupt…
Of course, the hospital wouldn’t actually let the ergency departnt go bankrupt.
But… not letting you go bankrupt doesn’t an that applying for an operating room would be any easier!
ps: Waking up early to code, aren’t I good?-
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