Surgeons dressed as poor people in the Republic of China

Chapter 118

Richard and Laura have prepared isotonic saline wet gauze, 0.005% epinephrine saline gauze and Vaseline gauze bandage, etc. The former is used to place the excised skin piece, and the latter is used to pressurize the donor site to stop bleeding.

Jona squatted down, staring at the thickness of the blade under the razor.

"Doctor Ye, you can go down a little further on the left."

"Okay." Jona said.

Ye Yibai nodded, the angle of the blade changed slightly, "Richard."

Richard nodded to Ye Yibai.

The blade moved horizontally, and the blood quickly gushed out from the wound and flowed down the skin of Lisa's thigh, staining the sterile towel under the operating bed in a short time.

Richard quickly stuffed gauze into the incision to stop the bleeding. In the operating room, some nurses and the head surgeon quietly moved their eyes away, unable to bear to look any further.

Ye Yibai's face was expressionless, and the movements of his hands were not slow at all. The razor passed through the flesh smoothly, and after getting the right size, the corner turned upwards, bringing out a trace of blood.

"Jonah."

Qiao Na nodded, and passed the treatment tray covered with isotonic saline gauze forward, a piece of medium-thick skin with bloodshot wounds slightly larger than Lisa's face was smoothly placed on the isotonic saline wet gauze. over gauze.

The moment Ye Yibai took away the razor, Richard quickly used the prepared 0.005% epinephrine saline gauze to stop the bleeding.

"Gauze, quick!" Richard said.

Laura nodded, her lips pursed, and she handed Richard the Vaseline gauze, the sterile dressing, and the bandage in turn.

The bloody gauze quickly filled the treatment tray. The little nurse carefully removed the sterilized towel under the donor area and replaced it with a new one. When the little girl wrapped the donor area firmly with white bandages, the little nurse present We all breathed a sigh of relief.

I don't know why, in the eyes of these little nurse girls, this kind of fleshy belly is much more terrifying than an open belly. Probably this kind of fleshy superficial wound makes them feel more substituting.

"Take a pillow and raise the affected limb." Ye Yibai said as he walked to the wound on Lisa's right cheek, and the next step was to implant the skin graft on the wound on her face.

The operating table in the Republic of China did not have a lifting function. Ye Yibai took a chair and sat on it, but the height was still wrong.

"Richard help," he said, kneeling down.

The height of kneeling is just right, which allows him to fix the skin flap very smoothly.

Ye Yibai performed the initial fixation of the skin, and Richard needed to adjust the direction of the skin at any time according to Ye Yibai's fixation, so he also knelt down beside Ye Yibai.

"Too much, trim this side."

Surgical scissors trim off the excess skin, and then suture little by little. Whether the skin and soft tissue bed fit closely is the most important factor for the survival of the skin after surgery. The needle and thread go through the skin and flesh, and the entire operating room is quiet. Quietly.

One hand pressed the skin gently, and blood seeped out from the gap of the wound. After a while, Dr. Ye's rubber gloves were covered with blood and tissue fluid.

"Jonah, get me a new pair of gloves."

There is a lot of blood and tissue fluid on the gloves, and it is difficult to feel the fit between the skin graft and the soft tissue bed, so Ye Yibai sews and adjusts, changing gloves when there is too much fluid on the hands, in pursuit of the fit of the skin graft His attitude can almost be called demanding.

The little girl's fair face had a circle of unsightly black stitches, like a black centipede hovering over her face, which was shocking.

Ye Yibai slowly let go of his hand, and the skin patch has been sutured on Lisa's face. Little Lisa's face and legs are relatively fair, and the color difference of skin grafting is relatively not serious.

Ye Yibai changed his gloves again, and then moved his knees that were numb from kneeling for a long time.

"cotton."

One or two days after surgery is the critical period for skin graft inventory. A successful skin graft operation can allow the skin graft to obtain facial blood supply and establish a preliminary blood circulation within these two days. Although Ye Yibai has paid great attention to the skin graft and The fit of the soft tissue bed, but after all, it is the implanted skin, it is impossible to say that the thickness is just right, or 100% fit, without a trace of overhead.

So packing and bandaging came into being, using cotton to press evenly on the skin, and then fixing the cotton with the packing line on the edge of the skin to form a protruding cotton bag.

When the ugly knot on the cotton bag was tied, Ye Yibai let out a long breath.

The rest of the white coats looked at this novel way of knotting in surprise, and Qiao Na suddenly realized that it turned out that Doctor Ye asked her to prepare an appropriate amount of sterile dry cotton balls before the operation was used here.

"Oh, my God, my knee is almost useless, Ye, your dressing method is really unique, is it to make the skin graft and the soft tissue bed of the wound fit together?"

Ye Yibai and Richard stood up slowly while supporting the armrests of the operating table. The operation lasted for more than two hours, which was not short or long. Dr. Ye and Dr. Richard stood where they were and moved a little. It took 5 minutes for the soreness and numbness on the knee to disappear.

"Yes, for such skin defect or burn, use this packing compression method to pressurize accurately after skin grafting, especially for small wounds or parts of the face that cannot be bandaged and compressed, this packing is more suitable It's gone." Ye Yibai said.

Richard nodded repeatedly. He took off his gloves, took the operation sheet from the table not far away, and began to write and draw.

So he likes the operation with Ye Yibai the most, and he can always learn something different every time.

He moved closer with a pen and paper.

"This is packed with edge stitches, will the edge lift part be overhead?"

"You have asked the key point. Many beginners will have this problem. It is not only related to the bandaging method, but also the choice of skin thickness. The thickness of the skin must be based on the surrounding skin, and the edge must be covered when bandaging. Here, look at this..."

The two discussed the operation without anyone else, and Qiao Na shrugged at Laura and began to check the instruments and arrange the instruments.

Richard nodded while listening, and when he wrote down the last point and stopped writing, what Ye Yibai said to him echoed, and Richard showed a hesitant look on his face.

"You said... many novices will have this problem? Have you ever had skin grafting in other places?"

Dr. Ye glanced at him, but did not speak. The powerful aura from the former university teacher successfully made Richard shut up.

"Okay, pretend I didn't say it." Richard shrugged, and quietly reviewed the points he had written down.

While the two were talking, Lisa's anesthesia time was approaching, and Ye Yibai stood up from the chair.

"Breathing resumed."

"Pulse recovery."

"Blood pressure is normal, heartbeat is normal. You can wake up."

"Lisa, Lisa, can you hear me? We're done."

"Lisa, Liza..."

Little Lisa's eyelids moved, the operation is over?She snapped her eyes open.

"Doctor Ye! The patient's heartbeat is accelerating!" Lili, who was monitoring Lisa's heartbeat, suddenly shouted.

There was a silence in the operating room, and then there was a burst of joyful laughter. Laura on the side nodded Lily's head lightly, "Okay, I see. Look, little Lisa is blushing."

Lily looked over belatedly, and met little Lisa's anxious, expectant and embarrassed eyes.

Lily's face was also red.

Ye Yibai looked at Lily, who was a little frustrated, and said seriously: "Lily, it's great. No matter what the reason is, the change of basic signs should remind the doctor loudly."

Lily looked at Ye Yibai anxiously after hearing the words, "I'm great?"

"Yes, you are great." Ye Yibai gave an affirmative answer.

With the support of the chief surgeon, Lily immediately raised her head and chest up again. She even gave Laura a demonstrative look, and then went back to her work with great vigor.

Lisa looked at the group of familiar and fresh white coats in front of her, and her tense nerves were completely relaxed.

"Extubation." Ye Yibai said.

Richard nodded, and first sucked out the retention and secretions from Lisa's mouth, nose, throat, air sac, etc., "Lisa, we have extubated, you can talk later."

As he spoke, he slowly pulled out the trachea.

Little Lisa's face wrinkled instantly, but she still opened her mouth very cooperatively.

With a sound of "Bo", the trachea was pulled out, and little Lisa took in big mouthfuls of oxygen, with a relaxed smile slowly showing on her face.

Ye Yibai and Richard looked at each other and nodded.

"One, two, three." Little Lisa was pushed steadily onto the push bed next to her, and the little nurse began to tidy up the operating bed. The disinfectant towel on the operating bed was still stained with a lot of blood, which made Lisa's heart pounding.

Lili, who was working hard, felt the change of little Lisa's heartbeat, and immediately looked up at little Lisa. Lisa's heart paused, and her heartbeat slowed down a lot in an instant.

Laura stepped forward and pushed open the door of the operating room, and Jona whispered to little Lisa, "Get out."

A group of white coats pushed little Lisa to the door of the operating room.

Outside the operating room, Mr. Thomas stared at the word "in operation" sorely. When the operating light went off, he seemed to be in a dream and didn't react for a while.

It was the Joneses who exclaimed, stepped forward quickly, and walked to the door of the operating room.

Jona and Laura came out first, and each of them opened the door of the operating room.

Counselor Thomas was sitting on the wheelchair, and he was about to stand up while supporting the wheelchair under excitement. If his colleague hadn't found out and quickly helped him, he would probably have fallen to the ground directly.

"Lisa."

"Lisa!"

"Oh, my little Lisa." Everyone surrounded the push bed at once.

The first thing they saw was the cotton bag that stood out on Lisa's face. What is this?

Mr. Thomas stood up from the wheelchair with the help of his friend. He had just taken two steps when he heard Ye Yibai's dissatisfied voice in his ear, "Sit down. Your legs can't walk yet."

Doctor Ye frowned and looked at Thomas.

Under the dissatisfied gaze of the white coat, the consulate staff who supported Thomas subconsciously helped Mr. Thomas back to the wheelchair. After he realized it, he realized that he was ordered by the eyes of a Chinese doctor? ?

"Doctor, this is on Lisa's face..." Mrs. Jones asked the question that everyone wanted to know.

Dr. Ye has always been very patient with family members of patients who can listen to the doctor's reasonable advice. "This is just a way of bandaging, so that the newly implanted skin graft and the soft tissue bed can fit closely, and blood circulation can be established as soon as possible."

A group of British people were confused by the technical terms Ye Yibai said. Is it really their mother tongue?

Dr. Ye obviously overestimated the popularization rate of medical knowledge in this era. Unlike later generations who have nothing to do with Baidu and Google, information and knowledge in this era are in a closed or very slow-flowing environment.

For example, the group of people in front of them, the officials and employees of the consulate, can be regarded as high-level intellectuals of this era, but they obviously still have trouble understanding the words such as soft tissue bed and blood circulation in Ye Yibai's mouth.

"It's like this." Dr. Ye raised his hand, "For example, if there is a piece of flesh missing on my hand, I remove a piece of skin from my arm, and the skin will heal itself, everyone knows."

Everyone nodded, each of them was as well-behaved as a student listening to the teacher's speech in the classroom.

"So when choosing a skin graft, you can only choose one that is about the same thickness as the surrounding skin or slightly thinner, otherwise the skin will bulge out when it grows. A lot will be empty.”

"It's like you ladies sew clothes. To be smooth, the patch must have a certain tension. If there is also tension, the fit will be affected, and it will collapse there." Ye Yibai compared with gestures.

When he was about to continue talking, a familiar figure appeared in the corridor of the hospital. Seeing this person waving at him as if nothing happened, Dr. Ye's heart was in a hurry.

"Doctor, what then?" Counselor Jones actively asked the teacher questions like a good student.

Ye Yibai came back to his senses, he was wearing a mask so people couldn't see his expression clearly under the mask.

"The skin piece collapsed on the surface, and the flesh could not fit the facial tissue, and the blood of the human body could not supply the free skin piece, and it would shrink and die, and the operation would fail."

"So press it with cotton?"

"Yes, the cotton is very light, and can be applied evenly with moderate pressure. Let it blend with the facial skin as soon as possible."

Everyone nodded again and again, looking at the young Chinese doctor with unprecedented respect.

"Then doctor, how long will we know if the skin graft is successful or not?" Mr. Thomas asked nervously.

Everyone present looked at Ye Yibai, and Lisa nervously grabbed the armrest of the push bed.

"In 3-7 days, it can be determined whether the skin graft is alive, and then the stitches will be removed after two weeks. There is a process of facial recovery, which has something to do with the individual's physique. If there is a scar constitution, it may require secondary treatment. Little Lisa's wound Although it is big, but the position is good, it is relatively back, I try to sew the front suture according to the direction of the skin, and try to sew it in a place where people's eyes are easy to ignore. In the future, our little Lisa will grow her hair and cover it up. It would be too obvious."

In the last sentence, Dr. Ye lowered his head and said softly to Little Lisa.

Little Lisa nodded, and said in a hoarse voice with a hint of dryness: "Thank you, Dr. Ye."

Ye Yibai patted her hand lightly, and then said to Mr. Thomas: "Push little Lisa back, take a good rest these few days."

Thomas and the others nodded repeatedly, and together with Lily they pushed little Lisa into the ward.

Everyone pushed little Lisa to take two steps. Little Lisa on the hospital bed suddenly turned her head and said loudly to Ye Yibai: "Doctor Ye, if, I mean if, if my face recovers well, I can't tell , can I pursue you and be your girlfriend?"

The seven or eight-year-old girl solemnly said that she wanted to be Ye Yibai's girlfriend, which stunned all the adults in the corridor.

Walking past the passers-by in white coats, they quietly moved their steps and raised their ears. Mr. and Mrs. Jones looked at each other, and then burst out laughing. Mr. Thomas looked embarrassed, but looked at Ye Yibai with gratitude.

Children are the most sensitive. She can tell who treats her well and who treats her badly. Little Lisa would say such words only if Dr. Ye really gave her heart.

As for the only foreigner in the corridor.Pei Zebi was stunned, and then there was a look of displeasure on his face, is he too bad, even worse than a seven or eight year old girl.

A smile appeared on Ye Yibai's face under the mask, his brows and eyes were curved with a gentle smile.

"Okay, as long as our little Lisa grows up healthy, if you still think so when you become an adult, I will think about it carefully."

"Yeah!" The little girl let out a burst of cheers.

The white gauze, the wounds all over the body and the bright smile constitute the most beautiful picture in the hospital today.