godfather of surgery

Chapter 120 [-]D Reconstruction
The next day, at 08:30, the operation started on time, the first operation in the Department of Comprehensive Orthopedics.

Director Han also took the time to sit by and watch, so as to check for gaps in the work process.

The experience of the multifunctional operating room is very wonderful. The high-definition LCD screen is fixed by the cantilever protruding from the ceiling, and can move freely from multiple angles.

There are several screens, one for the surgeon, one for the assistant, and one connected to the computer host in the operating room. The patient's medical records and video data can be transferred to the screen at any time for the doctor to temporarily view during the operation.

Moreover, the control panel of the screen connected to the host is covered with a transparent sterile isolation film. If the chief surgeon is dissatisfied with the off-stage control, he can personally control the screen and call up the desired information.

With color ultrasound positioning, sciatic nerve and femoral nerve block anesthesia, Fatty Liang's business is superb.

"How long will it take?" Fatty Liang asked.

This kind of block is a one-time drug, and it cannot be added in the middle. If there is too much anesthetic, the patient will not be able to move his lower limbs after the operation; if there is less anesthetic, the patient will start to feel pain before the operation is completed.This requires extremely accurate calculation of the anesthetic dose based on body weight, age, and liver and kidney function, and familiarity with the operating speed of the chief surgeon.

"Half an hour!" Yang Ping said.

"Is it enough?" Fatty Liang confirmed.

In half an hour, apart from brushing hands, disinfecting sheets, dressing, and postoperative bandaging, there is only more than ten minutes of space for intraoperative operations.

"Enough!" Yang Ping said with certainty.

Brush hands!Disinfecting the drapes, re-disinfecting the hands, dressing, laying the disposable arthroscopic sheet, connecting various lines and pipes, expelling blood, inflating the tourniquet, Song Zimo's assistant.

The sharp knife pierces the skin and joint capsule, and makes small incisions of 0.5 cm on both knees and eyes. The puncture sheath is placed on the left side, enters the knee joint cavity, straightens, enters the suprapatellar bursa, pulls out the puncture cone, inserts the lens, and the operation begins.

A clear circular field of view is displayed on the cantilever screen, and after a thorough examination of the joint, the right hand is placed into the hook, and the popliteus tendon rupture appears to be quite normal.

The probing hook enters, and a cord synovium is gently pulled out.

The basket forceps entered, bit off the synovial strip, and the plasma knife performed hemostasis and ablation on the stump less than two millimeters.

The whole process takes more than ten minutes, attracting and withdrawing the device.

The full thickness of the two small incisions was closed with long-acting local anesthetic, the two 0.5 cm incisions were sutured, the cotton pad elastic bandage was bandaged under pressure, and the tourniquet was loosened.

The anesthesia was just right, the bandage was over, the patient's right lower limb could move, and the feeling also recovered.

In the first operation, the whole team cooperated very well and the rhythm was mastered very well. The damage and stimulation to the human body of this operation will not exceed the knee skin abrasion caused by the fall.

Nerve block anesthesia is also a kind of local anesthesia. You can eat immediately after the operation, and you can even walk out of the operating room by yourself.

When the patient moves the knee joint, the pain and stiffness are gone, and the effect can be experienced right away.

"You can leave the hospital tomorrow. Don't get wet on the wound until the stitches are removed. Regularly go to a nearby hospital or our hospital to change the dressing. The stitches will be removed after ten days." Song Zimo is in charge of postoperative education.

"Try! Walk back by yourself?" Xiao Wu supported her, and Zhang Lin found her shoes.

"So fast? I'll try!" The patient put on his shoes and tried to step on the ground, but he still didn't dare.

Yang Ping encouraged her: "It's okay, just take a few steps!"

She summoned up the courage to take the first step, and it felt good and stable. After the second and third steps, she could really walk back and move her knee joint. Except for a little restriction caused by the bandage, there was no problem and no pain. No card.

Director Han stood up, Yang Ping's proficiency in arthroscopic surgery was beyond his imagination.

The patient's daughter, who was waiting at the door of the operating room, saw her mother coming out of the operating room, talking and laughing with the doctor, thinking that the operation would not be done.

"What's wrong?"

"finished!"

finished?So quickly, the patient moved the knee joint, then deliberately walked a few steps, and turned around to show her daughter that it was normal.

"It's finally resolved this time, what about Yangyang, I'll pick him up." The patient was so happy that he couldn't close his mouth from ear to ear.

"Can you really leave the hospital tomorrow?" The patient's daughter supported her mother and stared at her legs.

After two surgeries, the third one was finally resolved. Fortunately, I was not in a hurry to leave the hospital.

The old lady was full of praise all the way.

"Aren't you married?" the old lady asked, and when she was happy, she wanted to introduce a girlfriend.

"I'm getting married soon." Zhang Lin answered with help.

The old lady was a little disappointed.

"I have a friend whose knee joint is so swollen that he can't walk now. Should I ask him to come and see you?" the old lady was very happy.

The daughter is upset, and thinks that her mother is meddling in her own business, and it is thankless to introduce such things as doctors.

The old lady obviously didn't care and just wanted to help her friend.

The first operation was completed perfectly, and everyone was very happy, marking the official start of operation of the comprehensive orthopedics department.

Song Zimo began to write the operation records, Zhang Lin wrote the course records, the comprehensive orthopedics department had [-] beds, Zhang Lin and Xiao Wu were in charge of [-] beds each, and each of them brought two Gui Peisheng, the number of people in the team was enough to support [-] beds hospital bed.

Yang Ping began to study Mr. Ning's condition again. There were images of nerves in the cross-section of CT, and images of nerves in the three sections of MRI.

Three-dimensional reconstruction is to use these cross-sectional images to reconstruct a three-dimensional image. This work is done by the software that comes with the CT or MRI machine.

Yang Ping found that his brain's ability to compose pictures has improved rapidly, and his memory, especially the memory for details, is very strong, almost to the point of never forgetting it. This is the result of the system's super training plan.

He tried to use the brain to reconstruct a stereoscopic image of the patient.

A pair of images and pictures appear, superimpose, and combine in the mind, and the details of attention and non-attention can be preserved as they are.

The three-dimensional spine, tumors, blood vessels, and nerves gradually take shape. This is not the function of the system, but the processing of your own brain, without relying on the system.

In order to be eye-catching, the nerves are marked in red, and the direction of the red nerves gradually becomes clear.

Constructing this three-dimensional image is not easy and very laborious.Some key details need to be repeatedly enhanced to achieve stability and clarity. One side is added, another side is missing, this side is clear, and that side is blurred again. After repeated enhancements, the image barely takes shape.

Song Zimo stood not far away, watching Yang Ping staring at the screen with focused eyes, like a sculpture of a thinker. He didn't want to disturb Yang Ping, but wanted to see what he was doing, so focused and devoted.

Yang Ping took out a piece of paper and began to draw on it with a pencil, starting with outlines, then lines, finally three-dimensional processing, and then details.

The perfect application of surreal painting techniques in medicine, a picture is vivid on the paper, Song Zimo approached, but Yang Ping didn't notice it, he was too involved.

"What is this? He actually made a reconstruction with CT and MRI images? He made a reconstruction with his brain? Then he expressed the reconstruction with pictures."

Is this still a human? Are you working with a mortal?
Director Han also came in. Seeing Song Zimo's strange expression and Yang Ping's sculptural concentration, he didn't know what happened.

Go closer and look at the drawings, and look at the images on the screen.

I also understand that this is reconstructed with the brain? The reconstructed image is drawn with a pencil?
This requires such a powerful brain composition ability. No wonder, the content of the genius's thinking is pictures, and the content of ordinary people's thinking is to simulate language and sound.

Both of them didn't want to disturb him, so they put down their pens, and Yang Ping touched his forehead, sweating. It seems that it is still very difficult to construct such an image, and his ability to compose pictures needs to be improved in the future.

"Oh, Director Han!" Yang Ping felt an aura behind him, turned around, and saw Director Han and Song Zimo.

"Song Zimo, how is the patient doing after surgery?"

"It's fine, it's fine!"

"Director Han, this is the picture I drew based on CT and MRI. You can see that this is the spine, this is the spinal cord and the dural sac, this is the nerve root, this is the intervertebral foramen, the thoracic 2 nerve root is invaded by the tumor, and It was pushed away by the tumor, and this tumor has a very rich blood supply." Yang Ping pointed to the picture he drew and said.

"The oncology department has already done embolization therapy for liver cancer. There are still relatively few blood vessels now, and there were more blood vessels before the embolization." Director Han said, Song Zimo pulled a chair for Director Han to sit on, and sat down around himself.

"Are you still thinking about the nerve root block?" Director Han knew what he was thinking.

"Yes, it seems that there is no other way except this?" Yang Ping was very distressed.

"Is this the reconstructed image you drew?" Director Han asked.

"Sketch!" Yang Ping nodded slightly and answered concisely.

This sketch can already catch up with the real CT or MRI [-]D reconstruction, and the details are clearer than it. It is right not to train him as a normal person.

"Is there any good way?" Director Han couldn't help asking curiously.

"Not yet!" The answer was confident and precise.

It is not easy to find a method, but both theory and practice must be feasible and safe without causing side effects. This is the reason why the progress of medicine is slower than other disciplines.

Director Han looked at his mobile phone and received a notification: the patients in the Overseas Chinese Building will have a general consultation at [-]:[-] pm. In addition to the directors of various departments of the hospital, there will also be orthopedics, tumor and pain specialists attached to the first and second attached.

Originally, the consultation was scheduled for [-] pm, but Professor Su Qingyun was not available and would not be there until [-] pm, so it could only be arranged at [-] pm. The family members used a lot of connections to invite Professor Su to come.

Professor Su, Meng Heng from the imperial capital, Hong Zhigang from the magic capital, and Fu Shancheng from the west are all popular candidates for academicians.

"In the afternoon, will you join us too?" Director Han admired not only his talent, but also his attitude towards medicine.

Yang Ping himself also wants to participate. I heard that Professor Su Qingyun is very strong, rigorous in his studies, and advanced in thinking. Whether it is surgery or academic achievements, he is the top in China and has a place in the world. He is a spiritual banner in the orthopedic academic circle.

Being able to invite him must not be a matter of money, it must be friendship. Maybe Mr. Ning has a deep friendship with Professor Su in a certain relationship.

What a rare opportunity to have the opportunity to discuss cases with him up close!Yang Ping thought.

The voice outside is very familiar, the aunt who had the operation today is talking.

With another aunt, the family members pushed her in a wheelchair and went directly to the doctor's office.

"Doctor Yang, this is the friend I was talking about. Look, the knee joint is so swollen that I can no longer move it. How long has it been?" the aunt was very enthusiastic.

The patient said: "It has been swollen for several years, and it often gets stuck suddenly, and you can walk with a little movement. This time, it's been stuck for a month, and I can't move at all."

"Have you seen a doctor?" Yang Ping asked.

"No!" The patient touched his left knee.

"You guys are busy, I have something else to do." Director Han got up and left. Yang Ping continued to see a doctor. He asked about the medical history in detail and did a physical examination.

"This is probably synovial chondromatosis. There are a lot of peanut-like things growing in the joints. Check it out to confirm the diagnosis. Get an X-ray and MRI. Xiao Wu, you can arrange it." Yang Ping said after the examination.

Xiao Wu explained to the patient's family how to apply for a medical card, and after completing the card, he came up and issued a checklist.

After the patient's family understood it, they pushed the patient to apply for the card.

They didn't have any doubts and trusted Yang Ping very much.

This is the power of word of mouth, nothing is more convincing than word of mouth.

(End of this chapter)