Surgery Godfather -
Chapter 777 - 695: It’s Really Upsetting
Chapter 777: Chapter 695: It’s Really Upsetting
After making sufficient preoperative preparations, Teacher Sun was wheeled into the operating room at eight o’clock the next day.
This is Dr. Ivan’s first surgery in China, and it’s also his first time performing a surgical procedure without his own scrub clothes and slippers, not using his own exclusive surgical instruments, and even without his personal operating room nurse.
Of course, this is something Ivan is willing to do, as he needs help from Yang Ping in hoping for Yang Ping to participate in his surgery and perform the orthopedic correction part.
The case for which he is to be the chief surgeon soon, if the orthopedic correction part is to be done at its best, only Yang Ping can be called in as the chief surgeon.
At the same time, Ivan hoped to learn Yang Ping’s orthopedic correction techniques and also hoped to acquire Yang Ping’s skin expansion technology.
In short, for Ivan, if a voluntary surgery can be exchanged for these precious things, he is very willing.
Ivan put on the scrub suit of Sanbo Hospital, and Yang Ping accompanied him to the operating room.
By then, many people had already come to the operating room. In addition to the doctors from the Comprehensive Surgery Department, Directors Lan and Chi were also in place early.
A surgery performed by a top world master is naturally a spectacle that many people want to witness, but to maintain strict sterile conditions the number of people allowed in the operating room is limited, and most people can only watch via video in the teaching room.
Of course, the anesthesiologist is Liang Fatty. For this world-class master surgeons, the only one in Sanbo Hospital who could handle the case is Liang Fatty who often travels with Yang Ping.
Even when facing world master Ivan, Liang Fatty’s eternal cross-legged posture does not change, does not deviate, and as always, he wears pants ten centimeters above the ankle, capris, which is his favorite.
This time the surgical nurse is Zhou Can, the patrolling nurse is Xiao Su, the first assistant is Director Lan, the second assistant is Director Chi, and Yang Ping and Song Zimo are also on stage. Song Zimo is the third assistant, and Yang Ping purely serves as the stand, he wears the surgical gown and watches the surgery from the side.
After Teacher Sun was put under general anesthesia, Dr. Ivan personally positioned the body and sterilized and laid the covers.
Today, without his own assistant, Ivan had to personally handle every detail. He is a perfectionist, or in terms of surgery, he is obsessive-compulsive, a maniac.
Teacher Sun’s X-ray, photos from various angles are hung on the viewing light, and various parameters are marked on the photos.
The electronic screen specifically used for displaying medical records and image photos in the operating room was also pulled to the best angle. The control panel of the screen was sealed with a transparent sterile protective film, and during the operation, Ivan could operate the screen at any time to call up any picture he wanted to see.
After Ivan sterilized, he began to lay the covers. After laying the last large cover, he personally smoothed out a wrinkle in a sterile cover, not allowing a single wrinkle to exist, making Directors Lan and Chi sweat from watching.
The first step of the surgery is to replace the facial scars with normal skin. Ivan intends to completely cut off the entire facial scarred skin, and then replace it with a piece of normal healthy skin in the same piece.
This requires superb skills, the complete separation of a whole piece of facial skin requires very high knife skills; the size of the transplant skin graft should be just right to fit the face; after suturing, in order to enable the skin graft to obtain sufficient nutrition from the soft tissue bed, the skin graft and the bed must fit perfectly. Some places use pressure dressing, and some places require stacked pressure, this kind of dressing technique is also very complex and skillful.
In short, letting Ivan, a top world-class master to do this surgery, the details of the surgery will be very complex.
The theoretical deduction of the operation is one thing, and the time operation in the operation is another thing.
Therefore, facing such complex surgery, Directors Lan and Chi feel immense pressure.
After preoperative checks are completed, Dr. Ivan once again inspects the sterile covers. Seeing no annoying wrinkles, he accepts the scalpel from surgical nurse Zhou Can.
Ivan stared at Teacher Sun’s face for about tens of seconds, then began to cut the skin with the sharp scalpel, beginning from the hairline of the forehead. Of course, this was the theoretical hairline, not the actual hairline, in fact, Teacher Sun, due to the formation of a large number of scars, no longer has any hair, let alone a normal hairline.
From the midpoint of the forehead hairline, in a clockwise direction, to the front of the right ear, continue downward along the contour of the ear to the face, to the junction of the lower jaw and neck, to the midpoint of the lower jaw neck junction line.
If the entire face is viewed as a clock, the starting point can be regarded as the 12 o’clock direction, and the midpoint of the lower jaw and the neck junction can be considered the 6 o’clock direction.
Ivan’s knife continues slowly, without pause or repetition, crossing the 6 o’clock direction and continuing to the front of the left ear, then along the side hairline back to the midpoint of the forehead hairline.
The whole face is encircled by this round. At this time, the assistant should help lift the corner of the skin, also the scarred skin at the 12 o’clock position, at the forehead’s midpoint, and then hand this lifted corner to Ivan.
Director Lan obviously could not keep up with Ivan’s rhythm. The difference in surgical level between him and Ivan is not a bit, but the difference between a world champion and a city-level athlete, a world of difference. If he were to compare his boxing level, it would probably be equivalent to the difference between prime Tyson and a main player of the Nandu Province G City boxing team.
"Do not rush, be gentle and precise, you absolutely cannot make a mistake, not even a small mistake." Ivan said slowly, in a tone of a preacher.
Because Director Lan is lean and tall, he is somewhat used to hunching back when performing surgery.
"Don’t hunch your back; frankly speaking, I feel uncomfortable seeing any irregular movements during surgery." Ivan said to Director Lan, but the operation didn’t stop.
He held onto a corner of the skin himself and the sharp scalpel began to peel off the scarred skin, cutting between the scar and the tissue bed.
This kind of scar is completely different from normal skin. Between normal skin and the subcutaneous tissue, and between the subcutaneous tissue and the deep fascia exist natural anatomical gaps, so the anatomical layers are distinct, but the scar will adhere widely, and the adhesions eradicate these natural anatomical layers.
Therefore, there is only a theoretical layer between these scars and the base, not a natural anatomical layer.
However, Ivan knows where their theoretical layers are, where the base needs to be thinner, where the base needs to be thicker, he knows them all by heart.
Director Lan couldn’t participate much and essentially became a close-up observer.
So, with the sharpness of the scalpel for stripping, Ivan coagulated the blood while stripping, and an entire piece of scarred facial skin was completely cut off by Ivan.
The complete facial skin not only included the forehead, both sides of the face, the jaw, but surprisingly also included the upper and lower eyelids, nose, upper and lower lips, even narrow strips of skin inside the nostrils were included, there was no absence anywhere, and no cuts anywhere.
Teacher Sun’s entire facial skin was peeled off, exposing the bloody soft tissue base, and the entire face became bloody.
Whether it was Director Lan and Director Chi at the operating table, or spectators watching the video in the teaching room, the sight of this world-leading cosmetic surgery technique left them deeply stunned.
It was like changing an entire piece of facial skin, tearing off one part and putting on another, like the skin masks on TV.
Probably in this world, apart from Ivan, no one could replace the entire facial skin in one piece like this.
World-leading plastic surgery techniques are indeed shocking!
"Sir, as I said, don’t hunch over, it would make me uncomfortable and affect my mood." Ivan saw Director Lan hunching over again and said a bit angrily.
"Sorry, Dr. Ivan, Director Lan didn’t do it on purpose. He’s always like this, his spine is already fixed, in other words, his thoracic spine is a bit protruded," Director Chi hurriedly explained. Dr. Ivan had already mentioned this twice.
Director Lan felt very embarrassed. He was 1.84 meters tall and was rather thin. He had a slight hunchback since high school. Now, even if he wanted to stand straight, he couldn’t.
Still, Director Lan tried to puff out his chest consciously. He felt very wronged inside. Was this Russian man obsessed with it? Why was he always dissatisfied with his hump?
"All right, I forgive you! Any splicing facial graft will leave scars, even the faintest scars are unacceptable to people. The unavoidable scars can only be left in hidden places," said Dr. Ivan.
He usually didn’t talk during surgery, but today was different. His assistant was an absolute beginner, so he had to make sure the beginner understood the meaning of each step, otherwise, it could easily lead to mistakes.
If it wasn’t for needing something from Professor Yang, Ivan would absolutely not tolerate such a beginner assistant.
"Bring me the head-mounted microscope!"
Ivan raised his head, moving it out of the surgical area, and Xu Zhiliang beneath the table helped Ivan put on the head-mounted microscope.
With the microscope on, Ivan stopped paying attention to Director Lan’s hump and started to completely stop the bleeding on the exposed face using bipolar electrocoagulation.
Any bleeding point could possibly form a blood clot. The blood clot could separate the transplanted skin flap from the tissue base, and the toxins produced by the blood clot could severely affect the blood supply to the skin flap, so the bleeding of the skin graft base must be completely stopped.
After he finished stopping the bleeding, Ivan put down the bipolar electrocoagulation. He let Xu Zhiliang help him take off the microscope.
"We have completed the first step of facial skin grafting. Next, we’ll create a perfectly fitting skin flap. It’s extremely difficult to create a complete skin flap in one go. This requires superior technique. Don’t move around. Let me finish everything," Ivan explained the next step of the operation again.
"My god, it’s you again! The two awful moles on your forehead bother me. Both are on the left side, it’s so annoying!" When Ivan took off the microscope, he noticed the two moles on Director Lan’s forehead.
Upon hearing Ivan’s complaint, Director Chi immediately turned to look at Director Lan beside him. Sure enough, there were two moles on his forehead, both on the left side, and there was nothing on the right side of the forehead.
Director Lan was criticized by Ivan again and didn’t know whether to laugh or cry. The first criticism said he was hunchbacked, which was acceptable because at least it could be classified as irregular operating posture.
But now, there were two moles on the left side of his forehead. Was this wrong? Was this also wrong?
Yang Ping sat beside them to rest. Seeing Ivan act this way, she almost laughed.
Poor obsessive-compulsive disorder patient!
Yang Ping was very curious, did his assistant not have any moles on the face, or were the moles symmetrical?
"Remember! The spacing of the instruments should be equal!"
While Ivan was waiting for the skin flap to be brought to the operating table, he saw the instruments that Zhou Can had arranged, immediately walked over, adjusted the spacing of the instruments, and arranged them in a straight line with equal distances in between.
For Ivan, it was so cruel not to have his own assistant, not to have his own surgical nurse, not to wear his own scrubs, not to wear his own slippers. In order to obtain Yang Ping’s technique, Dr. Ivan had to make great sacrifices.
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