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第一百八十一章 不可能完成的手术操作(1 / 2)

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郁芷若确实紧张,但更多的是羞涩,从小到大,她那赤身裸体的出现在一个男人面前?一时间脸红得都快滴出血来了,也不敢看贝一铭,眼神左右躲闪,更是不说话。

贝一铭猜到了她这个样子的原因,轻声安慰道:“一会消毒会让女医生来,监控会暂时关闭,铺好无菌单我才会进来,不会看到你的。”为了郁芷若的手术,手术人员从麻醉师、助手到护士全部是女性,郁芷若的身份毕竟太特殊,在有她也不可能跟其他患者似的赤身裸体的进行消毒时也开着监控,在这个时候会关闭,手术开始后才会再次打开。

为什么如此小心翼翼,贝一铭也是怕医院里有人拿到监控拍摄下来的视频发到网上去,那可是赤身裸体的郁芷若,一旦这样的视频发布到网上去,虽然不是什么色情视频,但郁芷若多年苦心经营的玉女形象顷刻间就会毁于一旦。

听贝一铭这么说,郁芷若总算不那么害羞了,轻声的发出“嗯”的一声。

贝一铭安慰的拍拍她的手道:“手术一定会成功的。”说完他冲麻醉师以及护士点点头迈步出去刷手了。

这次是脸部植皮,贝一铭选择了全麻,当他在进去的时候郁芷若已经沉沉的睡了过去,身上铺着绿色的无菌单,只暴漏出了一块平坦小腹,这是贝一铭要取皮的位置。

术前他已经对郁芷若做了全身评估,当时郁芷若就穿着**站在贝一铭面前,被他摸了一个遍,这不是贝一铭要站郁芷若的便宜,而是他要评估郁芷若的皮肤,选择一块最接近脸上皮肤颜色的皮肤。最终他选择了郁芷若腹部的皮肤,因为郁芷若经常锻炼的原因,这里的皮肤弹性更好。颜色也十分接近脸上的皮肤。

当时郁芷若真恨不得找个地方钻进去,全身上下的白皙的皮肤一片通红。颜色跟刚煮熟的螃蟹一样。

取皮的办法有三种,分别是取皮刀取皮移植法,滚轴取皮植皮法,最后是鼓式取皮机取皮法。

世界上任何医生做植皮术的时候都是先对受皮区进行清创,说白了就是刮下一层已经愈合的组织,让供皮区域有新鲜出血的肉芽,然后在供皮区取下皮肤植入受皮区,带有新鲜血液的肉芽组织会跟植入的皮肤逐渐连在一起。建立新的血管网,为植入的皮肤供应养分,保证植入皮肤的存活率。

贝一铭第一步也是清创,手法很熟练,但在朴日凡看来没什么大不了的,这样的清创别说他了,就算是他刚收没多久的几个学生也能做出来,但很快朴日凡的脸色就变了。

因为贝一铭没有按照常规的手术方案去取皮,而是用止血钳不断的游离创面,骆子恒看变了脸色的朴日凡道:“朴医生是不是手术出了什么问题?”

朴日凡皱着眉头又仔细看了一会道:“他在游离肌肉内的动静脉毛细血管。他疯了吗?难道他想在植皮的时候把这些游离出来的毛细血管与供皮的毛细血管相连?那可是毛细血管,不是主要动静脉,细如头发的毛细血管就算他给电子显微镜他也别想吻合上。”

植皮术最怕的就是因为血管网在术后不能尽快建立。造成供皮坏死,很多医生都知道如果能尽量游离植皮区域的一些毛细血管,与供皮的毛细血管做血管吻合术会大大的提高供皮的成活率。

但这几乎是不可能的,毛细血管太细,细得跟头丝似的,甚至还可能更细,细到肉眼都看不清楚的地步,如此细小的毛细血管怎么进行血管吻合术?

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