The operation officially begins

Nominally Chen Qi and Hashimoto Ken are co-surgeons, but in fact Chen Qi is the chief surgeon, Hashimoto Ken is the first assistant, and the second assistant is Professor Ge Minghua from China.

Poor Professor Ge is the king and hegemon in the country, but he has always been an assistant to Chen Qi.

Of course, he also figured it out. Anyway, as long as there are benefits, it can be paid for labor service, or he can be the third author of the paper. Why not?

Professor Dewey personally entered the operating room to observe the "tubular rhinoplasty and reconstruction and cleft lip and palate repair".

He is the president of the ICPF society, and he is here on behalf of the international society this time. He says it is a visit, but in fact it also means supervision.

After all, academic fraud is not a patent of a certain country. In fact, it is also very popular abroad. The difference lies in whether you will be discovered.

For example, the problem of doping among athletes is actually more serious in China.

So why are there less exposure to doping incidents like the one by Taylor Swift? Is it because they are of high quality? Or is it that their competitive level can really crush their opponents without doping?

In fact, it's very simple. That's because their "technology and hard work" are so powerful.

What others have invented are the most advanced stimulants, and these stimulants cannot be detected using existing detection methods, so it seems that athletes from the United States are very honest.

Of course, everyone has to admit that their "technology and hard work" are brilliant, but they are only limited to certain specific groups of people.

Unlike a certain country, "technology and hard work" are smart enough to provide food for the people.

Outside the operating room, through closed-circuit television, officials from China and Japan, experts and professors in related disciplines were all seated, ready to watch the live broadcast.

The current operating rooms and ancillary equipment of the Fourth Hospital of Yuezhong are the most advanced in the country. Closed-circuit television is a must. This is an indispensable thing for teaching surgery.

Yoshiya Yuta sat alone in the front, wishing to press his face to the TV screen, clasping his hands together, and kept praying for the blessing of Bodhisattva.

This time, Professor Hashimoto Ken’s team was very impressive. Not only did they bring many professionals, they also brought the most advanced “Doppler blood flow meter”, which Chen Qi specifically asked for.

There is no way, China cannot provide such advanced equipment, Japan does.

Chen Qi’s surgery this time abandoned the traditional surgical resection. The first-of-its-kind preparation was based on the anatomical characteristics of constant anastomosis between the ophthalmic artery, medial palpebral artery, facial artery and medial canthal artery, with the medial canthal artery as the main blood supply source.

Transfer method.

This surgical method relies heavily on Doppler blood flow meter.

Before surgery, it is necessary to first use a Doppler blood flow meter to measure the course of the medial canthal artery within the facial artery, then draw it with gentian violet, and finally use iodine to fix the course of the blood vessel and draw the line.

In this way, the blood vessels will be clearly displayed, and the difficulty of the operation will plummet, and Chen Qi will no longer need to perform "blind operations".

The technical requirements for blind exercise are too high, and it also requires a certain amount of luck. Not everyone has a golden finger like Chen Qi.

For a new surgical procedure to be popularized, it must have a unified standard and a simple surgical method, so that more clinicians can master it and benefit more patients.

In medicine today, there has always been debate about whether people or machines are more important.

In fact, when Chen Qi was asked to answer, he would say: This is all debate among laymen, pretending to understand if they don’t understand.

If you ask professional doctors to answer, there is only one answer, that is, they are all important, and both humans and machines are indispensable.

Modern hospitals, especially surgeries, focus on accurately locating the diseased area and then removing it at a targeted location, so that the pain can be solved at the minimum cost.

This is difficult to do without the help of machines.

To give the simplest example, you have stomach pain and acute abdomen.

What to do if there is no machine inspection?

Just like what Chen Qi did when he was in Huangtan Health Center, he would always make a huge incision, explore the whole abdomen, and kill the chicken with a machete.

But if the health center had CT, color ultrasound, MR, angiography and other examination equipment at that time, then the location of the lesion would be clear, and the surgery could be targeted and achieve precise treatment with the smallest incision.

This is the advantage of the machine. Coupled with a top doctor, it is simply a good horse with a good saddle, and a swordsman with a sword, like a fish in water.

While Chen Qi was drawing the line, he kept explaining in English the reasons why he was doing this, including which artery he was drawing the line on now and how the anastomosis would be needed later.

Experts and students alike nodded one after another, and then their minds were working rapidly, following Chen Qi's ideas.

After completing all the preoperative preparations, Nurse Qiu spread out all the surgical instruments on the sterile tray.

They are all products of Nipro Medical Equipment Company. The horizontal "8"-like logo shines brightly under the shadowless lamp, which is particularly obvious.

The entire teaching operation is videotaped, so not only the experts on site can see it, but if the operation is successful, the video data will be taken abroad for viewing by relevant plastic surgeons from various countries.

To use the words of later generations to describe it, it means that the "flow" is enough.

It is also the best opportunity for Nipro surgical instruments to be displayed to doctors from all over the world.

100,000 US dollars is not that easy to get, Chen Qi still has advertising slogans.

Chen Qi asked in English: "Head nurse, are all the surgical instruments ready?"

(Note that at this point in the post-recording, there will be a large close-up of the Nipro trademark, which looks like product placement)

No one at the scene, whether it was Professor Dewey, Professor Hashimoto Ken, or Professor Ge Minghua from China, showed anything strange, and they were used to it.

Product placement is a "welfare" for the surgeon, and it is also an unspoken rule in the industry. No one will criticize too many advertisements.

Today, Chen Qi can be implanted. It is also the same as Professor Dewey’s teaching surgery, and there are also many implanted advertisements. The president does not have any objections, but who else has any objections?

As for the officials of the two countries, they are laymen and obviously do not understand the inside story of this industry, so they are even more indifferent.

When the commercial time is over, Chen Qi takes his "chess knife" and is ready to start. (The chess knife is also labeled with Nipro's trademark, after all, the chief knife's tools are the most photographed)

"Professor Hashimoto, Professor Ge, let's get started."

Professor Hashimoto Ken and Professor Ge Youhua both nodded, indicating that they were ready.

The surgical process is actually not complicated. According to the pedicle transfer method of blood vessels designed by Chen Qi himself, it actually explains the surgical idea, and both Ken Hashimoto and Ge Minghua can do it.

The specific surgical steps are as follows.

The skin of the tubular nasal pedicle is pedicled from the inside. First, make a tongue-shaped flap and open it, like peeling an orange peel. This flap cannot be cut off and should be reserved later for repairing the inner canthus wound.

At this time, the tubular nasal pedicle is exposed, the blood vessels from the ophthalmic artery are cut off, and the subcutaneous tissue connected to the medial canthal artery is carefully protected.

At this time, the tubular nose becomes an island-shaped composite tissue with subcutaneous tissue as the pedicle. Move the tubular nose pedicle to the affected side of the nose. Draw the position of the half-nose reconstruction on the affected side of the nose, and form a hole for the tubular nose to be repaired.

Transplanted wound.

Cut open the tubular nose, trim it into a suitable shape, and transplant it to the cut wound on the affected side of the nose. After adjusting the shape to a suitable shape, suture it into shape. Use the originally raised skin flap on the inner canthus to trim off the excess skin and then suture it.

But there is a problem, that is, the soft tissue of the nose has been reset, but due to the lack of bony support, the nose still collapses.

Chen Qi’s previous method was to use a “nose mold”.

But in China, the nose mold industry does not exist, so this kind of nose mold needs to be customized abroad according to the patient's size, which requires a lot of money.

Yukiko Yoshiya has no money, so Chen Qi has thought about how to be economical and affordable while still achieving the same effect as the nose mold.

In order to fill in the groove in the middle of the nose, Chen Qi took a 4cm square piece of costal cartilage from the patient to create the tip of her nose.

This peculiar idea caused everyone in the operating room and outside the operation to exclaim in surprise.
Chapter completed!