Chapter 346 342. Another use of microscope

Author: Hao Xifeng

Chapter 346 342. Another use of microscope

In the French medical community, breast reconstruction has always been a surgical legend that only exists in vague reports. The only thing they know is that Countess Giustine's breast cancer was successfully removed, and then her missing breast was removed in the same room.

The young man's hands grew back again.

The economic base determines the superstructure, and the same goes for medicine. They don't even understand breast cancer, and the recurrence and mortality rates are ridiculously high, so no one cares about the appearance after surgery.

And this kind of postoperative plastic surgery problem that I didn't even think about was now solved by Kawei, and the impact it brought can be imagined.

The surgery received a lot of attention and discussion as soon as it was launched.

However, the surgical theater in Paris was basically decoupled from entertainment. The press only got rid of the first wave of popularity and abandoned Carvey. They started looking for new hot spots as early as a week ago.

Those who can truly understand and recognize their strength are those surgeons who pursue cutting-edge medical technology. Since he first came here in early November, Kawei has never stopped talking about topics, and as time goes by, he can always come up with new ideas.

With new tricks, this situation is getting worse.

But just like when the West brought advanced technology to the East, Kawei brought them new technologies, new surgical plans, new drugs, and new equipment. At the same time, it also brought an absolute crushing of medical standards.

The past half month or so has not been very pleasant for those surgeons who pursue the ultimate and break through existing bottlenecks.

The joy of learning a new technology is intertwined with the huge sense of loss caused by the gap in abilities. It is like eating a piece of chocolate with a light shit flavor mixed with syrup and spices. It is very sweet and smooth, but it always tastes like shit when chewed.

Apart from Kavi, the only person who can really find happiness from the surgical demonstration is Edward, who single-handedly facilitated this event.

Especially for the reconstruction of your breast, he was even more excited after learning the surgery time, because as soon as he walked into the theater, he became the only person who saw two reconstructions in a row.

Although outsiders were not interested in this personally made-up name, Edward was still happy to call himself that, and as a diplomatic ambassador, he enthusiastically talked about the surgical scene at that time with the doctors around him.

"The theaters in Vienna are still not as good as Paris." Edward looked at the circular glass dome and said with emotion, "I didn't expect that it would be so long before the second reconstructive surgery."

Such a famous diplomatic ambassador can be regarded as a junior minister of foreign affairs. Today he is a specially invited guest to watch. Naturally, the doctors don't like politicians very much, and they have no desire to communicate with Edward. Some even think that this kind of person is malicious.

Taking up the position that should belong to other doctors.

Edward looked for several people in a row, but none of them started chatting. He could only talk to himself.

At the same time, as the opening speaker of the operation, Kawei must first introduce the patient's condition at the beginning.

"I don't know if there is a simplified diagram of the operation process. Kawei's operation is too complicated."

"."

[Welcome to all of you to come and see my breast reconstruction surgery today. Although the technology is not yet mature enough, I already have a patient who successfully underwent the surgery, Countess Giustina.]

"By the way, have any of you ever had this kind of surgery?"

"."

[The patient, well, I can’t really call her a patient, her name is Laura Patty, she is very beautiful. Compared with her face, her body, which has just undergone breast cancer resection, does not look so good.]

"Surgery is quite interesting. Seeing that thing suddenly rising up, I feel that the future of surgery is extremely bright."

[Now, we invite Miss Laura to enter, please applaud her courage~]

Edward didn't listen to Kawei's opening remarks at all, but he kept looking at the audience. Amidst the fierce applause, the last word in his throat was stuck on the word "beautiful", and for a moment he didn't know how to describe the feeling of walking into the theater.

That girl.

Perhaps because it was her second time entering the surgical theater, Laura Patty was more confident and eloquent than other women. After entering the door, she "greeted" everyone generously: "Just call me Laura. Today's

There are many more people than when I had the surgery two years ago."

Kawei watched her circle around the surgery area and became a little impatient: "Lie down on the bed quickly."

"Come on, come on." Laura took off her shirt generously, revealing the scar left after the previous operation, "Dr. Kawei, you said you would help me remove this scar."

"It depends on luck. After all, the best repair time has passed." Kawei asked someone to disinfect her. "It's a bit cold, just bear with it."

“It’s okay, it’s okay.” Laura was not afraid to smile back, “It’s not too bad to see so many outstanding men.”

"Amor~" Kawei knew her occupation, but did not say it clearly, "Now we are performing routine disinfection. Because the operation is divided into two areas, it will take some time. Please be patient. I am just fine.

Take this time to briefly talk about some key points of myocutaneous flap transplantation."

Laura is indeed very beautiful and has attracted admiration from many doctors.

Some people also saw the left mastectomy performed two years ago and felt that it was a pity that the tumor destroyed a beautiful woman. At the same time, it also added some mystery to the operation.

How far can Kawei restore the lost breast? Will it be different from the original? Will it fail? If it is really successful, will it be equally effective for other women who have lost their breasts?

If we think more divergently, can many women with poor breast shape and higher requirements also undergo this kind of surgery?

Most doctors view Laura's beauty and figure from a medical perspective, but Edward does not. He has no medical knowledge, so naturally he has no medical thinking, and his mind is full of male content.

".So beautiful, so beautiful!"

Edward immediately thought of the new actress Sarana who had just acquired him before. She was also very beautiful, but she was still far from perfect. In addition to makeup, she inevitably wore a lot of jewelry and styled her hair on weekdays.

It always makes people feel like there is a makeup artist between themselves and the beauty.

But the Laura in front of her was different. Her facial features and figure just hit Edward's liking zone. Her long hair was tied with a band, and she was only wearing a simple surgical gown.

Now that I have taken off my clothes, my body is almost all natural. There is no makeup, no jewelry, not even perfume. Edward slapped his thigh and cursed himself in his mind: Am I stupid? People have to undergo surgery. How is this possible?

Go wear these things.

But no matter what, this girl is really beautiful.

He was obviously tempted, and the desire to dominate the female arose spontaneously.

In the past, this kind of attraction would only stay on the surface. Once he discovered her strange figure, even if Edward was not frightened, he would stay away and try to keep his distance. But now, Kavi appears out of nowhere.

Things have changed.

The countess was the first woman in the world to undergo this kind of surgery. She was very beautiful, and the count was very satisfied with the results of the surgery.

What about the second station?

Whose wife will the woman on Channel 2 be?

Because of this operation, Laura not only had a label of beauty, but also represented an operation record. This undoubtedly stimulated Edward's possessiveness even more, because he knew very well that there would be no problems with Kawei's operation.

Rather than saying this is a reconstruction technique, it would be better to use a more modern word - reinvention.

Different from facial plastic surgery, breast reconstruction is much more difficult, with large incisions, large trauma areas, and long postoperative recovery time. The surgeon requires detailed physical examination and evaluation before surgery.

What is checked is the general condition. Except for medical diseases that cannot be changed at this stage, the main target is the oncological condition of the surgical area and the conditions of the donor and recipient areas.

"Actually, in terms of difficulty, I don't recommend you to undergo such surgery."

Kawei gave everyone a vaccination at the beginning of the operation: "It tests not only the surgical level, but also the processing and design of the myocutaneous flap. How to turn the flat skin and muscles into a three-dimensional hemisphere, and

The absence of ulceration and necrosis is the basis for the successful completion of this operation.

During the entire postoperative recovery process, you also need to consider the swelling, contracture, and scar formation in the surgical area, and then it is possible to create a perfectly symmetrical other half."

This is a warning and a display of one's own strength.

"Now we are back to the operation." Kawei has already cut open Laura's abdominal skin. "Before the operation, I have already made incision marks on Laura's abdomen. Because enough blood vessels must be preserved,

The main blood vessel perforators are in the periumbilical area, so when designing, choose an incision above the umbilical cord, while the lower incision should be fine-tuned considering the size of the patient's chamber." [1]

"There are many types of myocutaneous flaps, and a lot of anatomical basis is used to distinguish them [2]. In fact, the surgical method is similar to recreating the ancient Indian nose reconstruction surgery. The forehead skin is cut off, the lower blood vessels are preserved for rotation, and then the reconstruction is done.

Make a new nose.

The rectus abdominis myocutaneous flap I chose belongs to the 'double vascular pedicle'. There are two major vascular bundles coming from different arteries. We retain the superior epigastric artery, cut off the inferior artery, and then treat it in a counterclockwise direction.

Transfer, transfer to the defective left chest."

After that, he simply waved the scalpel and explained the whole process of the operation to everyone in one movement, while putting aside the classification of myocutaneous flaps and saying nothing.

There are two methods for treating skin flaps here.

One is the first choice for modern surgery, which is to completely separate the myocutaneous flap and use microsurgery for vascular anastomosis. [3]

The other is the pedicle rotation used when surgery first appeared, which retains a blood supply. Even if there is a problem with the surrounding blood vessel suturing after rotation, the blood supply can be maintained by this blood vessel. This is what Kawei will do today.

【4】

Choosing the second option does not mean simplicity.

Unlike those life-saving large blood vessel anastomoses, myocutaneous flap transplantation deals with small blood vessels. Although the original blood supply is retained in the second type, it is not uncommon for necrosis to occur around it because of the single blood supply.

Of course, Kawei prefers the first option. As long as the vascular anastomosis technology is passed, it can be considered once and for all.

However, the two blood vessels that supply blood to the rectus abdominis are not large enough, so they are usually avoided during general surgeries. If they are encountered, they will be disconnected and ligated, which makes anastomosis difficult. Currently, we are limited by the materials of suture needles and threads.

It's difficult to sew them up properly.

Kawei's choice of the second option can be regarded as a compromise, because as long as the rotation is correct, one of the blood supplies can be guaranteed, and most of the entire myocutaneous flap can survive.

As for the possible complications, he could only do his best. One of the options was to use a microscope to anastomose some small blood vessels: "In order to complete the anastomosis on some small blood vessels, I modified Professor Sedieu's microscope.

Let it help us see these blood vessels clearly during surgery."[5]

“Adding a microscope to surgery?”

“What to do with the sutures?”
To be continued...