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Chapter 83: The grand plan of the emergency department

The epicanthus skinectomy can effectively remove the epicanthus skin to achieve the purpose of changing the shape of the corners of the eye and clearing wrinkles.

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

Before the operation began, Xiao Tianhua was lying there, and Chen Cang began to use a pen to mark the lines and draw the range of removal of the bilateral canthus stripes.

This step is the most difficult step!

After Chen Cang finished painting, the supporting role made a brilliant appearance.

Zhang Zhixin routinely disinfected and sterile towels were placed, and 2% lidocaine was used to treat local infiltration and anesthesia.

After the effect was shown, Yang Tao first went to the right side, improved the "font flap" along the design line of the inner canthus to cut the skin, separate the subcutaneous tissue, and form the flap.

Then at this time, Qin Xiang cooperated very well, with quick eyes and hands, and tightened and sutured with a stitch using a 7-0 nylon thread with a 7-0 nylon thread hanging the subcutaneous tissue and the medial canthal ligament.

Appropriate trimming of the skin flap can effectively reduce the skin folds, remove the skin, and after the alignment is matched, use 8-0 nylon thread to intermittent suture.

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

But, in fact, this is not the case.

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

Chen Cang’s current understanding of facial nerves is only at the level of one sniff, two sniff, three eye movements.

The understanding of facial nerves with lateral canthotomy needs more attention.

Chen Cang was watching the study there, Qin Xiang and Yang Tao were talking while talking: "Xiao Chen, look here, the facial nerve sneaks through here, so when you start the surgery, you must be stable. Facial plastic surgery is not as good as the stomach, your hands must sink, the knife must float up, and you can feel it slowly!"

The operation lasted nearly an hour and a half!

Very smooth!

It was also very successful, and the few of them cooperated very well.

Chen Cang also has a great effect. In addition to marking, he also participated in this operation with his full name, which played an indelible assisting role.

Don't underestimate the assists!

Chen Cang has passive skills.

At this moment, the prompt sound suddenly sounded!

[Ding! The passive learning skills of newcomers in the operating room are triggered by 1% chance to obtain Yang Tao's skill: double eyelid surgery.]

【Incision method, level, advanced, special effect: rapid recovery.】

I like to have a minor double eyelid surgery!

satisfy!

Double eyelid surgery is also a double eyelid surgery. There are three main methods: one is the most commonly used thread burial, the second is incision, and the last suture method.

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

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

Because after suture, the entire layer of the eyelid tissue is ligated and lymphatic reflux is hindered, the surgery depends on the tissue's response to the suture, and oblique fiber adhesions from the inner to outer to lower between the aponeurosis of the upper edge of the meibomone, but the fibers often form a different number.

Once the scar is loose, the folds become shallow or disappear.

In many cases, the folds often cause too high and it is difficult to change to low.

Even so, if the position of the penetration ligation is too high, the mobility of the levator and muller muscles is limited, which can lead to ptosis, eye fatigue, and difficulty in opening the eyes.

Therefore, the common surgical methods nowadays are to bury threads and incision.

However, among these two, the most common method of burying threads is the most common method, while incision is the highest upper limit and most test-level method.

It can be said that those who dare to use incision to cut double eyelids are not black iron or king!

These are two extremes!

Just after the operation, Xiao Tianhua was sent to rest, but Chen Cang saw that the two tasks were not completed.

Could it be that it will be successful after Mr. Xiao recovers?

It seems that I have to wait for a while!

At least seven days.

However, it is still a pleasure to obtain a good skill from Yang Tao today, and it is worth the trip.

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

"Xiao Chen! What are you doing?"

It's Li Baoshan!

What's going on?

Director Li rarely calls himself. Does the hospital have emergency patients: "Director, I'm fine."

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

Li Baoshan said oh, "Come here to my house. Come here and have something to talk to you."

Li Baoshan’s home is in a community near the hospital. It is basically only a 5-minute walk to the hospital. The price is not cheap, but it was bought by the hospital.

Li Baoshan was introduced to the Second Provincial Hospital of the Provincial People's Court and was given a 100-square-meter house at that time.

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 and Hao Xuliang?

What's the big deal?

Chen Cang muttered in his heart, but smiled on his face. After greeting each other from big to small, he found a place to sit down.

In this occasion, it is obvious that you need to listen more and speak less.

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

Li Baoshan nodded and said to everyone: "I called everyone home today to discuss something with you."

"The development of thoracic surgery is not good at all. The hospital wants to remove thoracic surgery. Of course, it is just a plan and has not been implemented in detail. However... Although the thoracic surgery is not big, it has a special operating room, and the original operating room No. 8 is also empty. So, after discussing with Director Qin, I wanted to set up an emergency operating room. What do you think?"

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

There is an independent operating room!

This means getting higher-level!

No need to go to another department to schedule surgery.

Generally speaking, the operating room of a hospital is an independent department, but some departments with great achievements basically have their own operating rooms, such as obstetrics and gynecology, general surgery, orthopedics, and neurosurgery, etc., as long as the operation is arranged internally, and the operating room does not need to participate in the overall operation room.

Although there are many emergency departments in the Second Provincial Hospital, there are really no independent operating rooms. They all cooperate with relevant departments to send relevant operating rooms for related diseases.

To put it bluntly, it is like a son-in-law who delivers goods to the door and provides assistance materials.

The emergency department became a "second-hand dealer". After treating the patient slightly, after recognizing the reason, he was sent directly to the corresponding department or... morgue.

This means that there may be no autonomy!

And with an independent operating room, the meaning is different. The serf turned over to the local owner!

Of course...

There are advantages and disadvantages.

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

You should know that hospitals are like a large commercial building, and departments are like tenants in commercial buildings. They have to pay rent, water, electricity, etc. every month.

Then you will get your money to the department account after you have paid it and deducted it!

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

The emergency department is a poor and miserable department, and often has no time to take care of itself. If it weren't for the support of special funds and special funds, it might have gone bankrupt long ago...

Of course, hospitals naturally cannot let emergency departments go bankrupt.

But... it is naturally even more difficult to apply for an operating room if you don’t go bankrupt!
Chapter completed!
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