For Zhao Yuan, entering the dermatology department not only fills the gap in knowledge, but also has a potential idea.
He was worried about the burn marks on Chai Jing's legs and was determined to help Chai Jing solve this problem.
There are burn scars on her legs, which are not as simple as skin grafting surgery.
Skin grafting has many disadvantages.
First, auxiliary incisions are needed to remove skin or flaps, which will increase the surgical trauma.
Skin removal is usually performed on the thigh or buttocks, and the location where the skin is removed is equivalent to a trauma.
Secondly, there will be problems with the survival rate after skin grafts and flaps are transplanted. If necrosis occurs, further surgical treatment is required;
Also, after skin grafting or flap surgery, the skin graft will appear discolored, the surface will be uneven, and it will still not be perfect.
If you want to treat Chai Jing's burn scars, you need a higher level of technology.
Tan Min had previously exposed Zhao Yuan to the most basic knowledge of dermatology.
Now I finally get to know the dermatological surgery part.
Zhao Yuan still knew something about the staged resection surgery for giant nevus.
Fractional excision can utilize the elasticity and natural stretch of the skin to repair the wound, resulting in small incision scars and minimal surgical trauma.
Of course, fractional resection is only suitable for benign giant nevus. If there are hemorrhoids with a tendency of malignant transformation, this method is not suitable.
Moreover, the interval between fractional resections should be six months. The next operation can only be performed when the skin is completely relaxed and the wound has healed.
Zhao Yuan only stayed in the dermatology surgery department for one month and it would end soon, so he only had the opportunity to participate in the first operation.
Under Tan Min's watchful eye, Zhao Yuan easily removed a piece of tissue from the patient's body.
Pathological analysis of the tissue will have to be done later.
Whether to perform fractionated resection depends on the results before making a decision.
Even though it was just the simplest way of removing skin, Tan Min had an understanding of Zhao Yuan's ability, which was much better than the level of several graduate students he had led.
"Xiao Zhao, do you usually do some surgical training?"
"Sewing pig skin, stuffing fish, occasionally practicing picking raisins with toothpicks, and folding 5mm paper cranes." Zhao Yuan did not hide anything.
Tan Min glanced at the two residents beside him and said calmly, "Did you see that? Kung fu lies beyond poetry. Skills cannot be developed overnight. Don't make excuses and give up on improving yourself because of busy work or other reasons. You are still too young.
How come Director Shan of the Department of Neurosurgery is respected by his peers? Even though he is very old, he has been practicing basic skills for thirty years, such as peeling raw eggs, hand-sewing noodles, hand-sewing plant leaf stems, and horizontal bars!"
The two residents looked at each other with no expression on their faces.
But I was roaring in my heart, starting from tomorrow I will undergo this kind of terrifying training method.
…
Cardiothoracic surgery, ward.
Shan Zhenyu found Zhang Fuxiang with the film.
"Would you consider conservative treatment?"
Zhang Fuxiang has actually consulted experts in related fields in southern Hunan, "How many years can one live with conservative treatment?"
"It depends on the growth rate of the tumor."
Faced with the same answer, Zhang Fuxiang smiled bitterly, "It could be a year in the long term, or a few months in the short term?"
Shan Zhenyu knew that Zhang Fuxiang was a doctor before he retired. Although he was not a neurosurgeon, he still had some basic knowledge.
He nodded slightly, "You should know something about neurosurgery. The hemangioma currently shows no signs of rupture, and the risk of forced removal is also very high."
Zhang Fuxiang's eyes were firm, "When you perform surgery, you hold your head up to do it. If you don't do surgery, you hold your head up to live. Rather than living in fear every day, it's better to find a way to have fun and just perform surgery on me. I won't die on the operating table."
Blame no one."
Zhang Fuxiang has calculated that if he finds a reliable doctor and the surgery is successful, he can live at least five to ten years.
Half a year or five years?
It’s not hard to choose!
Shan Zhenyu saw that Zhang Fuxiang was in a good mood and said, "Your physical indicators are good now. Please sign the agreement later and have the surgery tomorrow!"
Zhang Fuxiang was still very excited when he knew that Shan Zhenyu had performed the surgery on him personally.
Previously in Shonan, a friend also suggested that Shan Zhenyu perform flying knife surgery. However, Shan Zhenyu rarely performed flying knife surgery, so he was rejected.
Zhang Fuxiang originally planned to find another neurosurgery expert from Tianhua Hospital for surgery.
Unexpectedly, I actually found Shan Zhenyu in the end, which was considered a lucky hit.
Shan Zhenyu returned to the office and called Zhao Yuan.
He had a good impression of Zhao Yuan, "Xiao Zhao, arrange for your fellow countryman to have an operation tomorrow afternoon."
Zhao Yuan did not expect that Shan Zhenyu would take this matter to heart and contact him specifically, "Thank you, Director Shan."
Shan Zhenyu smiled and said, "If you have time, you can also participate in this operation."
Zhao Yuan quickly said: "Thank you, Director Shan, for giving me the opportunity. I will definitely come to study."
Early the next morning, Zhao Yuan explained the situation to Deng Lun and came to the neurosurgery department.
Shan Zhenyu had just finished checking the room and called Zhao Yuan to the office and handed him a head CT scan.
Zhao Yuan's expression changed slightly when he looked back.
The aneurysm is located in the interchange section of the right internal carotid artery. The largest one is 25x19x18mm, expands in an oval shape, and involves the entire blood vessel. Such a huge brain aneurysm is relatively rare, and once it ruptures, the mortality rate is extremely high.
No wonder Zhang Fuxiang is determined to defuse the "bomb" in advance.
"What plan do you think should be used?" Shan Zhenyu asked with a smile.
"Brain aneurysm stent-assisted coil embolization!" Zhao Yuan thought for a while before saying.
Shan Zhenyu was a little surprised!
Originally it was just a casual question.
Zhao Yuan has shown talents in many fields.
Especially Sun's surgery, which is at the deputy director level.
Unexpectedly, he also conducted research in neurosurgery, and the plan he proposed coincided with his own ideas.
…
Preoperative conversation.
Shan Zhenyu led a group of people to find Zhang Fuxiang and told him and his family the plan.
After the more formal talk, Shan Zhenyu and Zhang Fuxiang smiled and said, "Your little fellow will also enter the operating room later."
Zhang Fuxiang didn't know Zhao Yuan well. He was a little confused, "Isn't Zhao Yuan an emergency doctor?"
Shan Zhenyu smiled, "Zhao Yuan is a young doctor with great potential in our hospital. He has performed well in many fields of surgery."
Zhang Fuxiang said nervously: "Director Shan, are you the chief surgeon?"
He knew that many operations were performed by the director in name, but in fact he was only responsible for the main part, and most of them were completed by young doctors.
Shan Zhenyu patted Zhang Fuxiang on the shoulder, "I will perform the surgery on you myself! Don't think too much and adjust your mentality."
In the afternoon, I entered the operating room as scheduled.
Zhao Yuan knew that he would not have the chance to undergo the surgery today and would mainly observe it, but he still brushed his hands.
Liu Sha also participated in the operation and was responsible for starting to lay out the orders and perfecting the instruments needed for the operation.
When Liu Sha looked at Zhao Yuan, Zhao Yuan blinked at her.
Liu Sha felt her heartbeat speed up.
The second time I worked in the operating room with Zhao Yuan.
The last time I saw a visitor, Zhao Yuan was my assistant.
This time the identities and roles were reversed, Zhao Yuan was the spectator.
Shan Zhenyu ordered in a deep voice: "Start!"
The operating room is obviously at a constant temperature, but the air seems to freeze instantly...
