Recently, Lele (pseudonym), who is 2 and a half years old in Guangdong Clifford Hospital, held a pennant tightly and handed it to his "doctor grandfather" - Professor Hu Zhiqi with a serious face. Although he may not fully understand the deep meaning behind the pennant, this innocent act warms everyone's heart.
A week ago, Professor Hu Zhiqi of the same hospital successfully performed a huge black hair mole removal surgery for him. This three-month treatment journey was not only a challenge of time and distance, but also a transmission of hope and trust.
2-and-a-half-year-old Lele (pseudonym) presented a pennant
Born with a giant mole causes anxiety, and the road to seeking medical treatment is long and finally sees the light of day
The story goes back to 3 months ago, when Lele, who was 2 years old and 3 months old, came to Clifford Plastic Surgery Center. He is from Huizhou and has a handsome broken wolf tail hairstyle, but there is a hair on the top of his head that is particularly dark. According to Professor Hu Zhiqi, chief consultant of the plastic surgery center and chief physician of the plastic surgery department of the hospital, "a black hair mole with a size of about 10 cm × 14 cm grew on the top of the child's head, covering most of the scalp. This congenital giant nevus may enlarge with age, which not only seriously affects the appearance, but also may cause the child to have low self-esteem due to abnormal staring, and also has a certain malignant rate, so it needs to be surgically removed. ”
A type of pigmented nevus is a benign tumor formed by the accumulation of nevus cells in a localized area. It is characterized by a large area and wide distribution, which may cover the head, limbs, and trunk parts, and have a great impact on the appearance. Professor Hu Zhiqi reminded that since the size and growth location of black hair nevi vary from person to person, it is necessary to go to the outpatient clinic for a face-to-face examination before a personalized diagnosis and treatment plan can be formulated. For small black hair nevi, patients can generally go to the hospital for comprehensive treatment by laser and surgery; Congenital giant moles like Lele require surgical removal.
Since Lele was born, the black mole on the top of her head has become a hidden pain in the hearts of her parents. They rushed to major hospitals in South China, just to find a hospital with good diagnosis and treatment skills, hoping to dispel the "haze" above Lele's head before he went to kindergarten. In the process of searching for doctors, they learned that Professor Hu Zhiqi was an expert in the field of plastic surgery, so they came to the plastic surgery center of Guangdong Clifford Hospital. "Professor Hu and his team not only conducted a detailed examination, but also patiently explained every detail of the surgical plan, and shared his past cases of successful treatment of black hair nevi, which gave us a lot of confidence." Lele's father said.
With a clever hand, the expert team swept away the haze above their heads in one fell swoop
"For a huge black hair nevus like Lele's, we recommend the first stage of head skin expander placement to fully dilate the flap around the lesion, and the second stage to completely remove the melanocytic nevus at one time, and use the dilated local flap around the wound to cover the wound. This minimizes the number of surgeries and alleviates the pain of the toddler, while preserving the function and appearance of the donor area as much as possible. Professor Hu Zhiqi explained when talking about the surgical plan.
Head skin expander implantation (schematic, picture from the Internet)
The principle of dilator treatment is similar to placing a deflated balloon under the skin and tissues, and the expansion of the balloon by filling the balloon with water also expands the skin tissue outside the balloon. In this way, the scalp can be reshaped by tissue expansion, and the dilated flap can be used to cover the wound of the defect after the removal of the pigmented nevus.
The child is examined after the dilator is inserted
In mid-April this year, Lele underwent a first-stage skin expander implantation on the head, followed by regular water expansion and flap maintenance for up to 3 months. This process not only tested the skills of the medical team and the ability to control the details, but also tested the patience and persistence of the Lele family. Although Professor Hu recommended Lele to go to a hospital closer to home for regular water injections to reduce the pain of long-distance travel, Lele's parents insisted on driving more than two hours each way to take their children to the plastic surgery center for water injection treatment.
As Lele's father said, "Although it is a long way to go back and forth, we see our children here more relaxed and comfortable, and every medical staff makes us feel loved and valued." "The warm environment and friendly faces can give children more security, which is also very beneficial for the recovery process.
After the first-stage surgery to insert the head skin expander, the scalp tissue of the child gradually expanded. During the water injection treatment, the medical staff held toys to divert Lele's attention
After the first-stage surgery was implanted with a skin expander on the head, Lele's scalp tissue gradually expanded. During the water injection treatment, the medical staff will also hold toys to divert Lele's attention. At the beginning of July, the second-stage surgery was carried out as scheduled. Professor Hu Zhiqi and his team worked closely with the team from the Department of Anesthesiology and the operating room to successfully remove the dilator embedded in Lele's head and remove the skin of the black nevus at one time. They used an expanded flap to repair the excised wound. "This skin can be moved 'alive' to repair the mole removal site, and the whole color and texture are relatively close to the skin of the healthy area, and it can also grow hair. When the hair grows, you can hardly see the difference with the naked eye. Professor Hu added. After the operation, the metastasis flap was well vascularized and recovered ideally, and Lele was successfully discharged from the hospital four days later.
During the postoperative follow-up, Lele's family was full of praise for Guangdong Clifford Hospital and all the medical staff. Whether it is a complex surgical operation or meticulous postoperative management, the medical team led by Professor Hu Zhiqi has demonstrated professional medical standards and rigorous professional attitude. During the ward rounds, the medical staff not only paid attention to Lele's recovery, but also carefully prepared simple and heart-warming gifts such as small toys or small candies, which added a touch of color to the child's hospitalization. It is this kind of sincerity for sincerity that has the warm scene of the child giving the pennant. The bright pennant not only demonstrates the high recognition and affirmation of the patient's professional skills and humanistic care of the medical team, but also witnesses the trust and understanding between doctors and patients.
Text/photo: Panyu financial media reporter Deng Fang correspondent Li Jingyan