After making sufficient preoperative preparations, Teacher Sun was pushed into the operating room at eight o'clock the next day.
This is the first time Yin Wan has performed surgery in China, and it is also the first time that he does not wear his own washcloths and slippers, does not use his own exclusive surgical instruments, and does not even have his own nurse with special instruments during flying knife surgery.
Of course, this is what Yin Wan wants, 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, Yin Wan hopes to learn Yang Ping's orthopedic technology, and also hopes to obtain Yang Ping's skin in vitro amplification technology.
In short, for Yin Wan, if he could exchange these precious things with a voluntary operation, he would be very willing.
Yin Wan 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 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 anesthesiologist is, of course, Fatty Liang. As a world-class master who performs surgeries, only Fatty Liang, who followed Yang Ping all over the world in Sanbo Hospital, can keep his head down.
Even when facing the world master Yin Wan, 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 the third assistant, Yang Ping purely acted as a platform, he put on surgical clothes and sat aside to watch the battle
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[In view of the general environment,
After Teacher Sun was put under general anesthesia, Dr. Yin Wan personally arranged the bed and disinfected the bed sheets.
Today, without his own royal assistant, Yin Wan 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, photos from various angles are hung on the reading lamp, and various parameters are 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, Yin Wan can operate the screen at any time and call up the
Any picture you want to see.
Yin Wan finished disinfecting and started to spread the sheets. After laying out the last layer of large 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.
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The first step of the operation is to replace the facial scars with normal skin. Yin Wan plans to cut off the entire facial scar skin and then completely 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 graft fully obtains from the soft tissue base.
For nutrition, the skin graft and the base must fit very well. In some places, pressure bandaging is used, while in other places, pack stacking is required for pressure. This bandaging technology is also very complex and ingenious.
In short, if one of the world's top experts like Yin Wan performs this surgery, the details of the surgery 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. Yin Wan looked at the sterile drape again. There were no annoying wrinkles, so he took the scalpel from the instrument nurse Zhou Can.
Yin Wan 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. In fact,
Due to the formation of a large number of scars, Teacher Shang Sun no longer has much hair, let alone a standard hairline.
From the midpoint of the forehead hairline,
Clockwise, go 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, and to the midpoint of the junction of the mandible and the neck.
If the entire face is viewed as a clock, it can be seen as the twelve o'clock direction, and the midpoint of the junction of the mandible and the neck is considered the six o'clock direction.
Yin Wan's knife continued slowly, without pause or repetition, past the six o'clock direction and continued to the front of the left ear, 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 Yin Wan.
Director Lan obviously can't keep up with Yin Wan's pace. The difference between his and Yin Wan's surgical skills is not a little bit, but the gap between a world champion and a municipal athlete. It's a huge difference. If you compare it with boxing level, it's probably about the same.
The difference between Tyson in his prime and the main members of the boxing team in G City, Nandu Province.
"Don't be anxious, be gentle, be precise, and never make any mistakes, not even small ones." Yin Wan 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." Yin Wan said to Director Lan, but the movements of his hands did not stop.
He held 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 gap.
Anatomical levels.
Therefore, there is only a theoretical layer between this scar and the base, and there is no natural anatomical layer.
But Yin Wan knows where their theoretical level is, where the base needs to be thinner, and where the base needs to be thicker. He knows 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, Yin Wan stopped the bleeding while peeling off, and a whole piece of scarred skin was completely cut off by Yin Wan.
The complete facial skin not only includes the forehead, both sides of the face, and the mandible, but also includes the upper and lower eyelids, nose, upper and lower lips, and even the narrow leather strip of the nasal septum. There is no defect or break in any place.<
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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 when they 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 on another one.
It is estimated that no one in this world except Yin Wan can replace the dough in one piece like this.
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." Yin Wan saw the hunchbacked Director Lan again and said angrily.
"I'm sorry, Dr. Yin Wan, Director Lan didn't mean it. He has been like this all the time. The spine has been shaped, which means the thoracic kyphosis is a bit large." Director Chi quickly explained that Dr. Yin Wan had mentioned this matter twice.
Director Lan is very embarrassed. He is 1.84 meters tall and relatively thin. He has been slightly hunched since high school. Even if he wants to stand up straight now, he can't do it.
However, Director Lan still tried to deliberately raise his chest, 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 scars are unacceptable. The inevitable scars can only be left in hidden places." Dr. Yin Wan said.<
/p>
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, Yin Wan would never tolerate such a rookie assistant.
"Give me the head-mounted microscope!"
Yin Wan raised his head and moved his head out of the surgical area. Xu Zhiliang in the audience helped Yin Wan put on the head-mounted microscope.
Yin Wan, who put on the microscope, ignored Director Lan's hunchback and began to use bipolar electrocoagulation to completely stop the bleeding on ***'s face.
Any bleeding point may form a blood clot. Blood clotting will separate the transplanted skin graft from the tissue base, and the toxins produced by the blood clot will seriously affect the blood supply of the skin graft, so the bleeding base of the skin graft must be completely stopped. p>
After completing the hemostasis, Yin Wan 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.
." Yin Wan 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, Yin Wan saw Director Lan.
Two moles on the forehead.
When Director Chi heard Yin Wan's complaint, he 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 Yin Wan, and he couldn't laugh or cry. The first time he was criticized was that he had a hunchback, which was reasonable. At least it could be classified as irregular surgical posture.
But now the two moles on my forehead are both on the left side. Is it wrong? Is this also wrong?
Yang Ping was sitting next to him and resting. When he saw Yin Wan's scene, he almost laughed out loud.
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!"
Yin Wan waited 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 Yin Wan, 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 sacrifice did Dr. Yin Wan make in order to obtain Yang Ping's technology?