When the Doctor Uses A Hack -
Chapter 1273 - 1276: Such Surgery Has No Soul!
Outside in the office at this moment.
This was the first time Xiao Runfang and Cao Yu came to observe the surgery.
However, Chen Cang didn't make any special move because of their arrival.
To him now, the little girl lying on the bed waiting for surgery was the main character of the day.
Xiao Runfang and Cao Yu were genuinely shocked when they saw the little girl.
No nose, the two hollow voids akin to a suspense movie gave the two adults an extreme discomfort.
This included Tan Jishan and Tan Zhengyang at the moment as well.
Li Kai suddenly said, "Actually, today's surgery is already the second step."
"After Professor Chen came, he first performed the allotransplantation detachment surgery on the patient, and he's actually quite exhausted now."
Tan Jishan suddenly said at this time, "Allotransplantation plus total nasal reconstruction surgery is not difficult, but… after all, the allotransplant is still external, and the range has always been quite large, so wishing to form a natural, seemingly boundary-less nose with the original skin, is very challenging!"
At this point, everyone remembered that Mr. Tan had also come from a clinical background before.
However, at this time, Li Kai suddenly said, "I think Professor Chen should handle it well."
"After all, he is the 2019 World's Best Plastic Surgeon of the Year, I think… it shouldn't be a problem."
Hearing Li Kai's words, everyone was momentarily stunned.
Xiao Runfang couldn't help but feel a tightness in her heart, worried: It seems a big shot hasn't come in plastic surgery here, will they come…
While Cao Yu's eyes lit up again.
He now thought of another matter.
A big thing!
Thinking of this, Cao Yu made up his mind to have a good talk with Chen Cang after he comes out.
And when Tan Jishan heard these words, he couldn't help but smile bitterly and shook his head.
Hidden depths!
Tan Zhengyang's brain had already crashed.
Now, for him, the difficulty had exceeded the reading comprehension range from his high school days.
After all… who else had the honor of having two ministers waiting outside the operating room for Chen Cang?
This pride was incomparable to anyone else.
Yet, it was this person who he had caused trouble for.
For a moment, Tan Zhengyang didn't know if he should feel proud or incredibly awkward…
But what they didn't know was.
Chen Cang didn't have much mind to consider other things at the moment.
His eyes were solely focused on Zhao Sihan's nose now.
Total nasal reconstruction usually requires skin tissue primarily in the form of flaps, mostly using the forehead.
But Zhao Sihan's nasal defect was very severe, and it was apparent that relying solely on autologous flap grafting surgery, there wouldn't be sufficient skin, leaving behind free grafting traces in the forehead donor site, affecting facial aesthetics.
Tearing down the east to mend the west was obviously an inappropriate method of handling this!
The next alternative was to use an implant to perform surgery.
But for a little girl like Zhao Sihan, using an implant is somewhat inappropriate.
Moreover, aside from the growth factor, there are many other insufficiencies.
The only choice now is allotransplantation plus total nasal reconstruction.
This approach aids in the redistribution of facial nerves, allows for a more complete external repair, and achieves better effects for nasal cavity function.
Both Yang Qing and Zhao Sihan's father had hidden the truth about the use of allotransplantation.
But looking at Chen Cang, Zhao Sihan spoke softly:
"Uncle, um… did the sister who gave me a nose really die…"
These words made Chen Cang pause for a moment.
He wanted to lie, to hide the truth.
But…
Looking at Zhao Sihan's innocent big eyes, Chen Cang genuinely didn't know what to say.
This was actually within the realm of medical ethics.
Every allotransplantation might come from a deceased person.
A long time ago, the primary sources of allogeneic tissues and organs were unclaimed executed prisoners.
Now allotransplantation has gradually improved, with specialized organizations formed by the state, and some voluntary and gray-area ones in the public sector.
Not just Chen Cang, even Gong Daizhen and others preparing for surgery didn't know how to answer.
This was the first time a patient had asked such a question.
Usually quick to respond, they found this question very hard to answer now.
Chen Cang could only say, "She chose to help more people."
Upon hearing this, Zhao Sihan immediately cried.
She felt she was a burden.
Someone in need of care, even needing someone else's donation for her own nose.
Seeing this, Chen Cang couldn't help comforting her, "Actually, she's also grateful to you for giving her another chance to breathe in this world."
Zhao Sihan suddenly smiled, revealing her white teeth; the nasal defect didn't affect the charm of her smile.
But it made her all the more heart-wrenching to others.
"Thank you, uncle, and thank you, too…"
The nose's position is very special, located in the center of the face!
Even the beauty of the nose determines the beauty of the whole face.
Furthermore, its function is extremely important, comprising root, ridge, tip, and airway sections of the nose.
Nasal surgery is the most complex in facial surgery because it involves many considerations.
For example, the length of the nose is 1/3 of the face length, and the tip height is 1/2 of the nasal length.
You even have to consider many factors like the nasolabial angle, nasofacial angle, and nasofrontal angle.
After careful preparation, the surgery was ready to begin.
Gong Daizhen and Chen Cang prepared together.
After general anesthesia, the nurse prepared 500 milliliters of blood, getting ready.
Ordinary nasal surgeries are not difficult; plastic surgeries are not hard either.
But Zhao Sihan's damage was genuinely troublesome.
The nearby retrieved allogenetic skin was still refrigerated.
Because there was no blood supply, blood vessels and nerve cells would age and necroptose at room temperature.
Over here, Zhao Sihan's nose was being cleaned first.
After this period of recovery, granulation tissue had started to appear, but this needed to be cleared away.
The whole process looked very sinister.
The only difference between a doctor and a butcher lies in their purpose.
After Chen Cang finished cleaning, he began observing Zhao Sihan's facial condition, thinking about how to proceed.
Who would supply the flap's blood vessels?
How should the skin size be designed?
The height, angle, wings of the nose… etc., all need to be prepared in advance.
Chen Cang was staring blankly at Zhao Sihan's face.
People around him looking at Chen Cang staring straight at the wound didn't know what he was thinking, somewhat curious.
"Are you starting to measure and calculate?" a doctor nearby asked.
Chen Cang shook his head, "No need, what's measured has no soul, let's follow the patient's facial form."
These words made the doctor pause for a moment.
What kind of soul is he talking about?
Even Gong Daizhen couldn't help but glance at Chen Cang…
But then Chen Cang truly showed the patient what a soulful surgery is.
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