godfather of surgery

"Can you take out the skin?"

Li Guodong asked, he was waiting by the aseptic box where the skin slices were stored, ready to provide skin slices of various specifications to the surgery at any time.

"Okay! Take it out, a rectangle, 30 by 40 centimeters, and put it on a flat plate." Ivan reported the area needed for the skin slice.

Xu Zhiliang helped to open the aseptic box. Li Guodong put on sterile gloves, measured with a sterile ruler, and then cut out a 30 by 40 cm piece of skin with scissors and handed it to Song Zimo.

Song Zimo spread the skin on the sterile table, with a flat and smooth plate under it.

"I'll take a break!"

Ivan was a little tired, not from the operation, but from the assistant's two moles.

He didn't want to see the two nasty moles on his assistant's forehead, which would make him uncomfortable.

If this assistant was a member of his team, he would absolutely not tolerate this kind of thing, and would definitely ask him to cut off these two nasty moles, without any room for negotiation.

Yang Ping picked up the scalpel and began to trim the skin. The round knife trimmed the contours of the edges, while the sharp knife cut away some needed cavities.

"I suffered from muscular torticollis when I was a child, resulting in a yin and yang face. The left and right faces are a bit asymmetrical. I'm sorry, I'm very sorry." Director Lan explained aggrievedly.

Ivan was also very helpless: "I'm sorry, it's my problem, not your fault. I can't tolerate incompleteness, asymmetry or sloppy. I didn't mean it. You really made me feel very uncomfortable."

"It's too bad, the left side of your cheek is bigger than the right?"

For the first time, Ivan doubted his own judgment, doubted that he had made a mistake in his judgment, and this piece of skin couldn't possibly be suitable.

Song Zimo sent the skin together with the tablet to Dr. Iwan. Iwan saw that it was a trimmed piece of skin, not the original rectangular skin.

Song Zimo didn't know what Yang Ping was going to do.

Ivan looked at the skin in his hand, and then looked at Mr. Sun's exposed face. After 3 minutes, he made a judgment.

Ivan doesn't believe this is true, he has always thought that only he has this superb ability.

Well, the operation will continue, Ivan no longer thinks about it, and continues the operation.

Director Lan was dazzled by the sidelines. He had never seen most of the suturing techniques. As the chief physician of plastic surgery, Director Lan felt that he was a complete novice at this time.

Although this piece of skin is very suitable by visual inspection, common sense tells Ivan that it is impossible, let alone a few minutes, even if he is given more time to take the piece of skin to cover his face, it is impossible to trim such a precise piece of skin.

said Ivan sternly.

"It's very suitable, just use this one."

After the face was bandaged, Ivan tied a beautiful finishing knot, Director Lan's scissors clicked, and cut off the excess bandage tail.

"professor?"

Ivan nodded, and said with a wry smile, he would not exceed this level of pruning himself, but he managed to pruning casually, whether it is luck, or he really has the same ability as himself, Ivan really dare not think about it, but now the facts are In front of his eyes, this piece of skin that he trimmed was just right, with moderate tension and no excess. Even Ivan, who has always been harsh, felt very comfortable looking at the skin, and the pain caused by the two moles disappeared completely.

Next, Ivan will sew up the dough. He will personally complete every stitch, and every stitch will be perfect.

After the suture is completed, it is the last step to bandage.

"Look, is it okay?" Yang Ping finished trimming, and threw the excess leftovers into the curved plate.

World Master is still World Master!

The skin graft for skin grafting has no blood vessel connection with the base tissue, and its blood supply depends on the exudation supply of the base, so the poor fit will cause the exudate to fail to reach the skin graft, let alone penetrate into the skin graft, so extra care is required after surgery. pressure.

"Leave a way, I'll trim the skin." Ivan rested for two to three minutes and opened his eyes.

Director Lan sighed, just because of the complexity of this bandaging technique, it is enough for me to learn for a long time, not to mention the various suturing techniques just now, and the overall planning ability of the entire operation.

"Facial plastic surgery is just the first step. Most of the future surgeries will revolve around facial plastic surgery. In the second step, we need to fill some parts of the face with fat to make him look plump and three-dimensional. In the third step, we need Perform nasolabial fold shaping, double eyelid shaping, and eyelash implantation. In the fourth step, we complete the scalp and hair transplantation. In the fifth step, we need to adjust the facial muscles to make his expression normal. These operations, In the future, I will come to perform the surgery regularly until after the last operation, and you will surely be amazed at the magic power of the doctor's hands." Ivan said with a sense of accomplishment.

He didn't move fast, but he seemed very stable, because there were no repetitive or redundant movements during the entire operation, so even if the movements seemed slow, the entire operation time was very short.

This kind of skin graft that formed the entire face at one time, except for Ivan, no one could do it, because it was very difficult to make the surrounding contours tightly stitched, and to make the cavities of various shapes fit just right.

How can this be?

Bandaging is also a high-tech job. The aseptic elastic bandage is combined with the ordinary bandage. Various windings and various directions are used to pressurize the part that needs to be pressurized, and the pressure is evenly perpendicular to the skin, so that the skin can be stretched. The sheet and the base are well adhered without causing slippage. Slippage will not only cause poor blood supply of the skin sheet, but also cause misalignment.

It is so high that only Ivan can complete it. After trimming a whole piece of skin, it just fits the bare face without skin coverage. Whether it is the face, forehead, eyelids, upper and lower lips, or nasal septum, all must be strictly Stitching, no more, no less, a little more or a little less will cause the coverage to be misplaced.

Suturing in plastic surgery is a real technical job. Plastic surgeons often use cosmetic sutures to reduce the formation of scars. Ivan specializes in suturing, and every stitch is meticulous. Different parts use different cosmetic suturing methods. Many suturing methods are either Either he improved it, or he created it himself.

"symmetry!"

Although Director Lan was wearing a mask, Ivan still judged the asymmetry of the left and right faces from the exposed facial skin.

"Try it! I think it's okay." Yang Ping didn't want to waste materials.

Ivan carefully lifted the skin sheet from the plate, and then stuck it to the exposed face. It fit just right, not too much, not too little, and even the thickness of the trim was very suitable.

Ivan looked up and saw the assistant again, feeling pain in his heart again.

But Ivan still decided to give it a try, whether it works or not, you will know if you try it.

Those masters who paid millions and tens of millions of dollars to ask him to have an operation definitely did not waste their money in vain, and it was worth the money.

For example, the implanted skin graft of the eyelid needs to be designed to be piled and pressurized, and the thread must be left for packing. In order to hide the small sutured scars, Ivan set the lower suture point at the part where the double eyelid will be formed in the future, and uses horizontal suture. The upper pressurized anchor point is set in the area where the eyebrows will be implanted in the future, so that when all the operations are over, there will be no scars left.

He took the scissors himself, and trimmed the bandage tails that had just been left, so that the two bandage tails looked absolutely symmetrical, at least to the naked eye.

This skin repair technique is very demanding, very, very high.

Just like his tone of voice, Ivan never rushes for surgery, and he follows the principle of slow work and meticulous work.

"Let's rest for a while. Next, we will replace all the scars on the whole body with normal skin. Compared with facial skin grafting, this step is very simple. He is only skin grafting, and facial skin grafting is equivalent to replacing him with a normal skin. face." Ivan said slowly.

"Dr. Iwan, is it suitable? I was afraid of wasting your time. I just trimmed it for you. If it doesn't work, you can make a new skin. Anyway, there are enough skins, so I don't worry about wasting it." Yang Ping thought that Ivan was not satisfied.

However, the skin grafting on the eyelid cannot use pressurized bandaging, which will cause pressure on the eyeball, so it is necessary to design a special pack for pressure, which can not only pressurize the skin graft, but also achieve zero pressure on the eyeball.

"Who asked you to repair the skin?" Ivan was a little angry, but immediately realized that his tone was wrong, and said slowly: "Take another piece of rectangular skin that is 30 by 40 centimeters, you are really extravagant, it is so good to waste a piece of skin." skins."

Teacher Sun's face can definitely return to normal in Ivan's hands, making it difficult to see that he has had plastic surgery.

Song Zimo really couldn't tell whether this thing would work or not, and he had never seen Yang Ping undergo plastic surgery anyway.

"Is the skin still suitable?" Yang Ping reminded him to help him divert his attention.

Looking at the bandaged patient's face, Ivan thought of the perfect piece of skin, and healed instantly.

"Perfect! It's like a good medicine."

"Sorry, sir, I beg you not to stand opposite me, okay? You and the second assistant can exchange positions, and I will feel better."

Ivan looked at the director of the second assistant pool, at least there was no mole on his forehead, no obvious asymmetry between the two sides of the face and ears, and no hunchback.