An old boy, just reading the text, the Japanese cartoon scenes will appear in Shen Lang's mind.

The long silver hair sways in the wind, but in fact it is just that the hair turns silver, and the face has not changed. That cool feeling arises naturally and can make girls scream.

But in the real world, when the old boy walked with difficult steps, a sense of desolation rose in Shen Lang's heart.

This is not the picture you imagined.

The distance between ideals and reality is billions of light years.

If it hadn't been for the psychological expectations yesterday, Shen Lang would have directly thought that the few people who came were middle-aged sons and elderly fathers to see a doctor.

The staggering steps and the stacked wrinkles seemed to be clear in his eyes at first glance, which proved that he was still a young man in his twenties.

Zhou Congwen did not waste time and directly asked for consultation and physical examination.

The patient's scalp and forehead skin thickened and aged, forming wrinkled and concave ridges. There are 20 ridges with asymmetric distribution, with a groove width of about 1 cm and a depth of about 0.3~0.7 cm, which is changed in the cerebral sulcus.

The upper and lower eyelids are thickened, the eye fissures are small, and the lower eyelid and zygomatic arch form a length of about 6cm and a width of about 0.8cm, as well as the pouch-like skin bulge, the saddle nose and nasolabial grooves deepen.

The skin of the palms, fingers, feet and toes is thicker and thicker as a mallet; sebum is secreted more.

After checking the patient, Zhou Congwen was almost 100% sure, but he still took the patient to have an X-ray.

Just like what I said yesterday, X-rays of both hands show that except for the distal phalanx, the bone cortex is thickened, rough, and the marrow cavity density is high.

"Professor Zhou, is that okay?" Xiao Kai asked carefully.

"The surgery can be done, but it does not treat the symptoms." Zhou Congwen told Xiao Kai after the diagnosis, "The periosteum problem may take for a lifetime, but the good news is that it will not worsen again."

"Oh, it's also good news. The child... can live. Let me tell my classmate and see what the family thinks." Xiao Kai turned around and communicated with the patient's family.

Shen Lang glanced at Zhou Congwen and vaguely heard him sigh.

"Congwen, are you sighing?" Shen Lang and Zhou Congwen were familiar with each other, and they were also very straightforward. They asked when they heard it.

"There are still few researches on similar invisible genetic diseases." Zhou Congwen shook his head, "I don't know how many years it will take to conquer them."

conquer?

Shen Lang never thought of similar words.

In the past, when I was in the Third Hospital of Jianghai City, I didn’t have to use my brain to meet such a patient. I only had one sentence - go to the higher hospital to have a look.

Although Shen Lang had a sense of desire to cure no matter what disease he was, he knew his weight.

Unexpectedly, what Zhou Congwen thought of was conquest.

Shen Lang didn't know what to say. He thought about the old boy, mixed with the novels he had read, and his definition of old age changed again and again in his heart.

The patient did not go through the hospitalization procedures, but only had relevant preoperative examinations in the outpatient clinic. The next day, Zhou Congwen took Xiao Kai to perform surgery on the patient in the treatment room.

Shen Lang was always curious about how to do the surgery, so he followed him to take a look.

The patient's hair is shaved, which is a preoperative step of skin preparation.

Without hair, the patient looks particularly old, as if time has passed quietly and the old man's hair has fallen off naturally. (Note)

Xiao Kai warmed salt water in advance to wash the patient's face.

The deep wrinkles were covered with mud and dirt, and Shen Lang could see it out of his mind.

If you get old, will it be like this? The wrinkles like mountains... It's just that the patient is not because of the traces left by time, but because of the disease.

It seemed that Zhou Congwen's sigh came from Shen Lang's ears again, as if there were and there were nothing, like an old man who had experienced many vicissitudes of life.

Zhou Congwen is regretting, but isn’t it normal for a disease to be cured? What is Zhou Congwen regretting?

After cleaning the deep wrinkles in the surgery area, Zhou Congwen used Meilan to design the incision line at the front edge of the hairline and mark the wrinkles.

Conventional disinfection, local infiltration of 2% lidocaine + 0.75% bupivacaine suspension anesthesia, and the skin is incised along the incision line to reach the periosteum.

Shen Lang put on gloves and acted as a nurse in the equipment, and Xiao Kai served as an assistant to Zhou Congwen.

A considerable operation was actually performed in the treatment room. Xiao Kai cheered up and held a sterile gauze in his hand, ready to press it on the bleeding point anytime and anywhere.

This is the head, and the blood circulation is very rich. There are many people with bloody faces in the emergency department who finally cleaned the wound and checked the wound. In fact, it was only 1-2cm cut, just stitching two stitches. The cut is not big, but it looks scary.

Once the bleeding cannot be stopped, it will affect the operation. Xiao Kai is unwilling to Zhou Congwen scold himself on the operating table for such a thing.

In addition, Xiao Kai was not familiar with the local anatomy structure, so he focused on his mind and focused his vision on Zhou Congwen's hands.

However, nothing unexpected happened to Xiao Kai.

Zhou Congwen's movements were very gentle. The key was that he could see the slightly larger blood vessels in advance. No matter how deep they were, they were blocked by something, and the two pliers in his hand clamped, cut off and ligated the blood vessels like living things.

Until he separated the cap-shaped aponeurosis, there was only a little blood on the sterile gauze in Xiao Kai's hand, which was stuck by him when he actively pressed it.

As for the imagined pieces of gauze were completely soaked, the disposal room was full of blood, and the scene of the surgeon's anxiety did not happen at all.

You must be familiar with the local anatomy to achieve this level!

Xiao Kai knew why this happened, and he felt that Zhou Congwen was really omnipotent.

Zhou Congwen injected swelling anesthesia fluid into the cape-shaped aponeurosis layer, continued to segregate under the cape-shaped aponeurosis until complete, and cut off part of the frown muscle between the two eyebrows.

Then, the cape-shaped aponeurosis and frontal muscle were cut horizontally along three perpendicular lines on the plane above 1 cm horizontal to form 6 sections; 2 broad muscle strips of 1.5 cm were separated in parallel on the superficial layer of the frontal muscle, with a spacing of 3~4 cm, and then the separated aponeurosis and frontal muscle were cut off together.

Seeing some of the cape-like aponeurosis and frontal muscles being removed, looking at the clean operation area, and looking at the patient who felt painless under local numbness, Xiao Kai had already begun to feel numb.

The principle of the surgery is very simple, and Zhou Congwen's technique is also quite meticulous. Xiao Kai is too lazy to think about why even Zhou Congwen does this kind of surgery so well.

Some people are born with monsters, so there is no need to think too much, so why bother with yourself?

No matter how much I think about it, why bother?

Back then, did the students in the class think they were evil?

Swelling anesthesia solution was injected into the subcutaneous tissue layer, and Zhou Congwen completely bluntly peeled off the layer.

His technique was stable, and Xiao Kai felt like he had returned to college.

At this moment, it is not a surgery in the treatment room, but a teacher in the anatomy teaching and research room is taking samples of local anatomical structures.

Zhou Congwen's blunt separation was very simple. Although it was not fast, it did not bleed. Xiao Kai did not realize many dangerous places.

It was not until he finished wandering that he saw Zhou Congwen avoiding a few blood vessels just now, avoiding the rush to stop bleeding, and avoiding the local blood flow after the operation to delay growth due to insufficient local blood circulation.

Xiao Kai also found that Zhou Congwen paid special attention to thin subcutaneous tissue in the wrinkles, and tried to avoid penetration as much as possible, and the trimming was very moderate.

Xiao Kai didn't ask about the specific principle, and he simply didn't think about it after seeing it.

It's just a cosmetic surgery, and I don't want to do this, so why bother asking?

Soon Zhou Congwen asked Xiao Kai to tighten his scalp flap upwards and backwards, fix it with the standard 5-point method, and remove the excess scalp.

3-0,5-0 Absorbable layered suture incisions.

Place drainage and wrap the elastic bandage on the head and face.

The operation took 34 minutes.

"Director Xiao, please know the precautions for changing the dressing." Zhou Congwen asked.

"Is there something special?" Xiao Kai asked cautiously.

"No, if you don't understand anything, you're asking me." Zhou Congwen said, "The operation was successful because considering the damage was relatively large, so the lower eyelid part would be done in half a year."

Xiao Kai was a little strange just now, and with Zhou Congwen's explanation, he understood it.

Dividing one face into two and completing two surgeries is also a clinical routine.

"Professor Zhou, what are your estimates of the postoperative effect?"

"No problem, I can recover to the age of about 25."

...

...

Note: I think the surgery should be general anesthesia, but the literature says local anesthesia. I have never seen it, and I have never seen a similar patient at all. It is difficult to understand why it is local anesthesia.

It's better to respect the literature.
Chapter completed!