Chapter 1061

Chen Cang took the knife and started the muscle flap free transplantation!

However, before the flap is free, the two girls need to be separated in advance.

This separation requires the incision of the abdominal wall connecting the two people, impartial.

Chen Cang glanced at both sides and said, "here we go!"

Ford and Jim nodded.

The knife in Chen Cang's hand began to cut according to the guidelines. There were not too many obstacles. There was no abdominal wall, muscle and connective tissue in his abdomen

When the knife slowly cuts through the skin fat.

The two people's bodies gradually separated. Hamilton was careful to stop bleeding. The red gauze was taken out one by one and piled aside.

At this time, the gauze on one side has piled up into a mountain.

The blood transfusion also lost nearly 800 ml.

Such an operation is not only a test for doctors, but also a test for patients.

Chen Cang didn't want to show off, but simply wanted to give the two little girls a complete operation.

They are all little girls. Who doesn't love beauty?

Skin flap transplantation seems simple, but it is not easy to do well.

Especially such a large area of an operation!

If the blood vessels are not handled well, the skin color will be asymmetric and the scars will be all over the abdomen and back, which may also affect their mind and life?

Therefore, Chen Cang decided to save people to the end!

After separation, the two operations need to be done separately.

Chen Cang could have distinguished Judy and Ollie, but after they separated, they were suddenly confused.

Tissue expander is a very common device outside the skin, and the effect is also very good. It can be regarded as preparing raw materials for itself.

Chen Cang looked at the abdominal wall, and the four-dimensional map and the beautiful eye began to work at the same time.

How to operate?

At this time, Chen Cang said nothing and kept gesturing with gloves on his hands.

The eyes are constantly calculating.

Children have one advantage, good skin elasticity and strong telescopic force. In this way, they may have an advantage for flap transplantation.

The abdominal wall has the functions of protecting and supporting abdominal organs, participating in breathing and trunk movement, and generating abdominal pressure for cough and defecation, so the reconstruction of abdominal wall is particularly important in surgery!

The anterior abdominal wall is flat and elastic, with strong telescopic force. The tissue cultured by expander is calculated.

I can see that the other party is very professional!

About 10 minutes later, Chen Cang began to do it.

He made a transverse incision according to the dermatoglyphic defense line, took out the expander, and then gradually cut the skin, fat layer, fiber layer and finally muscle layer!

These are very important!

The abdominal muscles on both sides of the girl are obviously insufficient and must be supplemented through the of the side wall.

In this way, how to carry out myocutaneous flap transplantation will test the level of doctors.

We can't help at this time. We can only start.

Chen Cang doesn't need help.

There are many methods of skin flap transplantation. The implementation is the simplest and the curative effect is the best.

However, it is obvious that it is difficult for a little girl to use the skin flap. The free skin flap must be opened and then transplanted.

How to choose is particularly important!

After removing the tissue expander, a surplus tissue emerged from the whole right abdominal wall.

Chen Cang said to Hubert, "help me pull it."

Hubert nodded quickly!

Chen Cang then made a "Z" shaped incision on the abdominal wall.

They are all abdominal skin, and the blood supply of the flap is also from abdominal blood vessels, which are very convenient!

The skin area with long axis needs two parallel incisions consistent with the direction of main blood vessels!

Chen Cang peeled from one side incision to the opposite side close to the fascia surface.

Until the contralateral incision forms a skin strip.

Subsequently, Chen Cang quickly stopped bleeding!

……

The flap was successfully dissociated soon, but at this time, the blood vessels need to be carefully smoothed in the step of pedicle torsion. Otherwise, if the operation is successful, the blood will not pass through, which will certainly cause tissue necrosis.

These are all foreigners!

Where do you know aesthetics.

For such an incomprehensible flap transplantation, we are already a little sleepy.

However, it's already four or five o'clock at this time. Many people are tired after a night of tossing and turning.

Time goes by!

Just when Chen Cang was halfway through the flap suture, the door of the operating room suddenly opened!

Two men in their forties came in and were stunned when they saw Chen Cang's operation!

"Dean Hubert... This... Ollie and Judy... The operation failed?"

In a word, Hubert, who was watching the operation carefully, was startled!

Turn around and stare at the man angrily: "shut your crow's mouth!"

Saying this at the scene of the operation makes everyone angry.

Connie quickly turned and looked at the monitor. His vital signs were completely normal!

But... Why not call yourself an operation?

"Sorry, Dean Hubert, i... I saw you don't call me for surgery... I thought..."

Before he could speak, Hubert stared at him and the other party stopped talking.

He looked at Chen Cang who was sewing: "this is..."

Connie suddenly understood. Come here!

Dean Hubert found an expert and abandoned himself

Chen Cang ignored Connie and looked up at Hubert: "come on, push your skin towards me!"

Hubert also has no time for this dumb idiot!

Continue to start the operation.

At this time, Chen Cang's operation has come to an end, and the transplantation of the whole abdominal wall has been gradually successful!

After finishing all the stitching, Chen Cang looked up.

At this time, Connie was about to talk to President Hubert, but when he saw the patient's surgical skin, he was stunned!

God!

Where's the needle and thread?

What about the wound?

incorrect! This is the suture according to the direction of transverse lines of abdominal skin. A hidden suture method is selected

Connie immediately covered his mouth and looked at the scene in front of him in disbelief. Disbelief!

To know that the abdominal expander was placed by him, he knows the difficulty of the operation!

Who is the operator?

Connie stared at Chen Cang with a mask. Who is this? Why is it a little familiar?

Several people around also looked down at this time. When they saw the flat skin on the patient's abdomen, they immediately widened their eyes.

"Where's the wound? Yi? What a clever suture!"

Several people looked around carefully, and the more they looked, the more surprised they were.

Chen Cang looked at Connie and felt like he had seen him somewhere.

At this time, Hubert looked at his own Ollie, his eyes filled with tears and full of excitement!

How long have you been waiting for this day!

Finally succeeded.

He gently touched his abdomen with his hand. An unprecedented feeling filled his heart. The reality of this moment was unprecedented!