godfather of surgery

Chapter 153 You Don't Come Here

The start of the operation every day is more accurate than a clock.

The surgery for the reconstruction of the anterior cruciate ligament started on time at 08:30.

In order to make this operation more beautiful, Yang Ping used the spare [-] points, took out [-] points, and bought another [-] sets of anterior cruciate ligament reconstruction surgeries in the system space for special training, turning this single operation from a specialized Refined to the level of perfection.

Director Han is very relieved of Yang Ping, and he has achieved both speed and quality in every operation, which is impeccable.

However, people are always curious. The meniscus suture last time was not satisfying. Director Han decided to have a look at the anterior cruciate ligament reconstruction this time.

Huang Jiahui didn't come, Zhou Can called several times, but she didn't answer, Zhou Can put the sterile packaged consumables on the equipment cart.

Song Zimo frowned when he didn't see Huang Jiahui, but Yang Ping didn't say anything, and Song Zimo didn't plan to express his opinion for the time being. He wanted to talk to the little girl afterwards. If he didn't come, he should have a call.

"operation time?"

Fatty will habitually ask every time he encounters a new type of operation.

"Half an hour!"

Yang Ping looked at the MRI of the left knee on the film reading lamp and the plain CT scan + [-]D reconstruction of both knees. The intercondylar notch of the left knee had been severely deformed, and the intercondylar notch had to be formed during the operation.

The intercondylar fossa is like an arch-shaped cave. Now that the cave has collapsed, it needs to be rebuilt and restored. How can it be restored without its original appearance?I have to refer to the one on the right, and the right and left are mirror images.

"This intercondylar notch is so difficult to form!" Song Zimo pointed out the intercondylar notch in the picture.

"The patient went to a foreign hospital, and we didn't do it for him because he was afraid that the shape would not be good enough to cause problems. If the shape was not in place, it would cause collision after reconstruction, and the operation would fail completely; if the shape was too much, the patellofemoral joint would lose its stability, and new troubles would arise." Yang said. Ping explained to Song Zimo.

Song Zimo took out a folded piece of paper: "Look, this is the intercondylar fossa of the left knee that I drew based on the CT three-dimensional reconstruction of the intercondylar fossa of the right knee, in a one-to-one ratio."

Song Zimo unfolded the paper, and Yang Ping took it over. The painting was indeed very good.

If you do a rough shape casually, many doctors will, but you have to draw a specific and precise picture on the left side based on the right side. This kind of spatial imagination ability is absolutely rare, very rare.

This kind of spatial imagination ability is not possessed by everyone, it requires talent, and it is not an exaggeration to say that it is one in a hundred thousand.

Song Zimo played Go blind chess all morning without missing a single piece or making a mistake. What kind of ability is this?Memory and spatial imagination that ordinary people can't match.

The thinking of ordinary people is language, but the thinking of geniuses is composed of a large number of pictures. Song Zimo is a genuine genius, verification is complete!

"Bring a pen!" Yang Ping improvised to guide Song Zimo.

Song Zimo asked Zhou Can for a blue-black gel pen. Yang Ping brought up the [-]D stereogram constructed in advance in his brain. For some slightly blurred places, Yang Ping immediately filled in the blurred places according to the CT image in front of him. It was not that laborious. Although it was still difficult, at least it would not sweat.

Yang Ping sketched out a new drawing under his drawing: "When CT is doing [-]D reconstruction, some graphics will be deformed due to the interference of artifacts, and we need to correct it. You see, it should not stand out here, it should be smooth Here, it should be a little deeper; and this arc needs to be corrected a little.”

Song Zimo could only smile wryly. He could only make a mirror composition based on the CT [-]D reconstruction image, and could not use the original cross-sectional view to reconstruct it on the blueprint.

But Yang Ping can do it. Mr. Ning of the Overseas Chinese Building did not do [-]D reconstruction at that time, but just a plain CT scan. Yang Ping only relied on the plain scan pictures to carry out hand-painted [-]D reconstruction on the drawings. What a terrifying brainpower it takes. This is not manpower. achievable.

But Yang Ping just did it, and Song Zimo saw him do it with his own eyes.

If Song Zimo knew that Yang Ping in front of him didn't need drawings at all, he could compose the picture in his brain, he would probably grab Yang Ping to take CT and MRI of his head to see if there was anything like a chip inside.

"Are you discussing the formation of the intercondylar notch?" Director Han put the phone on the shelf next to it and walked over.

Although Director Han completely let go, he still knows the condition of the patient in Corey very well, which is a kind of responsibility.

He leaned over to look at the drawings, and the two boys actually used the intercondylar notch on the healthy side to draw the correct intercondylar notch on the affected side, and one of them even processed the artifacts of the reconstructed image.
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Huang Jiahui didn't sleep well all night. She was feverish all the time. In a daze, she reached out to touch the mobile phone next to the bed and barely opened her eyes: "It's [-]:[-]! It's [-]:[-]!"

The operation started at 08:30, and I should have arrived in the operating room ahead of time. Now I should be in the operating room, standing next to the equipment trolley.

It was as if a basin of ice water had been poured from her head, and she suddenly woke up. Her muscles ached all over her body, and her lower abdomen was even more painful.

My brother had something to do last night and he didn't come back, otherwise he would definitely wake her up.

Jiahui was about to cry, got up immediately, dragged her heavy body, and rushed to wash up, no, make a phone call first.

The operation has already started, who to call, call Song Zimo, it seems that Dr. Yang is entrusting him to do these things.
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On the shelf, Song Zimo's phone vibrated.

Zhou Can picked up the phone: "Song Zimo, Huang Jiahui's number?"

"You pick it up!" Song Zimo was busy.

Zhou Can answered the phone, heard it clearly and relayed it to Song Zimo: "Huang Jiahui said I'm sorry, she caught a cold and had a high fever last night, and she's still running a high fever now, she's late, she'll be here right away."

"Tell her not to come here!" After probing the knee joint, Yang Ping confirmed that the anterior cruciate ligament was ruptured, and began to prepare the tendon, semitendinosus and gracilis muscle on the same side.

"Little girl, you've worked so hard. You have to rush here when you have a high fever. In fact, you don't need her to come for surgery in the future." Yang Ping said while doing it.

Zhou Can understood Yang Ping's intention and said into the phone, "Dr. Yang said, you don't need to come here in the future."

This level of communication, the Chinese is definitely not good enough, "don't come in the future", and "don't come", do they mean the same thing? ——
What do you mean you don't have to come here in the future, just be straightforward and get out!Don't do this business anymore!
Without any advance notice, absent from the operation, this is a serious mistake. I have a colleague like this. I angered a big professor. That's what the professor said-you don't come here in the future. The company directly fired the professor to appease the professor. colleagues.

Jiahui didn't even have the heart to wash her face and brush her teeth, and she shed tears. This time she was in trouble, and a big mess was made. He immediately called her brother for help, but there was a busy tone.

There was no other way, she bit the bullet, washed up quickly, and changed her clothes.

Regardless of the pain in her whole body and lower abdomen, she rushed out with the environmental protection bag. There was a gust of wind outside, and she shivered, crossed her hands involuntarily, and hugged herself.
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The movements were a bit exaggerated. Song Zimo didn't see clearly at all when he made a one-centimeter transverse incision on the inner side of the knee. He only saw the vascular forceps, the sharp knife, and the tendon stripper, operating in the small incisions one after another.

The two tendons were taken out one by one by Yang Ping, and the length of the taken out reached the limit, the semitendinosus and gracilis tendons both exceeded [-] centimeters.

"Treat the braided tendons!" Yang Ping handed the two tendons to Song Zimo, and Song Zimo sat on the sterile instrument table to handle the tendons.

At the same time, Xiao Wu supported his leg, and Yang Ping continued to work on his knee joint.

The lens is reinserted, the meniscus is trimmed as necessary, and intercondylar fossa formation begins.

The drill rotates at high speed, like a carving knife, and the severely deformed intercondylar fossa of the patient is like a blank. Slowly, a perfect normal intercondylar fossa is carved out by the drill.

Then radiofrequency ablation was performed on the inner wall of the formed intercondylar fossa with a plasma knife to achieve hemostasis and deactivation, so as to prevent the continued growth of osteophytes in the intercondylar fossa and cause restenosis.

"Tibia Locator!"

Before Yang Ping could say anything, the instruments were already in his hands. He and Su Yixuan looked at each other for a moment, then continued the operation.

Put the adjusted tibial locator in, the electric drill and the guide pin pass through the tibial plateau, and drill a tunnel; release the electric drill, hand it over to Su Yixuan, install the second guide pin, and drill the second tunnel.

"Is the tendon treated well? Report the size!" Yang Ping was waiting.

"Professor Yang! 8-strand double-beam reconstruction! Can you not be so fast?" Song Zimo said so, without showing any weakness in his hands. As Yang Ping's assistant, who else can I do!

"The length is 8 cm, the diameter of the tibial end is 7 mm, and the femur end is 8 mm. The two bundles are the same!" Song Zimo can keep up with the rhythm.

"7mm tibial tunnel drill!"

With a rustling sound, the electric drill precisely opened two tibial tunnels.

"8mm femoral tunnel drill!"

Yang Ping withdrew the electric drill, Su Yixuan took it, and immediately replaced it with an 8mm femur drill.

Without intending to stay for a moment, two femoral tunnels were opened, and the prefabricated length of the thick tunnel was 25 mm.

"Measure the length of the femoral tunnel!"

The ruler was handed over, and it was put away in advance.

"Two tendons, the anterolateral bundle has a 25mm thick tunnel at the femoral end and a 25mm thin tunnel; the posteromedial bundle has a 25mm thick tunnel at the femoral end and a 20mm thin tunnel. Prepare the tendons, hurry up!"

Song Zimo moved his hands to the top, held his breath, and adjusted the hanging length of the button steel plate a few seconds after Yang Ping finished speaking.

The most critical steps in this operation are the formation of the intercondylar fossa and the precise double-bundle tendon tunnel. Once the tunnel is located in the wrong place, or the location is inaccurate, the operation will fail, and some may cause mobility impairment.

But Yang Ping opened it in a few minutes, and the next step was even faster. Pull the tendon into the femoral tunnel, wait for the button plate to be pulled out of the femoral cortex, then pull it back and flip the plate.The tendons are then reintroduced into the tibial tunnel and the tibial ends secured with absorbable compression screws, both tendons.

In this way, the two ends of the two tendons are planted in the bone tissue, allowing them to survive in the future and play the role of the original ligament.

The whole operation is equivalent to making a new ligament to replace the broken ligament, simulating the work of the original ligament.

"End?"

It's okay if you don't look at it, every time you look at it, you roll your eyes.

Director Han just studied the CT scan for a while, turned around and sat down, ready to take a good look at Yang Ping's operation, but the operation was over.

Huang Jiahui ran in at this time and saw that everyone was bandaging and was about to lift the sterile sheet.

It's over, it's over!

Jiahui's heart was icy cold.

(End of this chapter)