godfather of surgery

Chapter 307 Too handsome

"Next segment, speak again!" Director Qin is the chief surgeon, so he must show courage at a critical moment.

If there is a mistake, it will not be too far away. It should be one segment short, and if there is a deviation, it will not go up, it should go down.

After removing the lens and the working cannula, Director Qin made another small opening on the left side of the next segment, punctured the circuit, expanded the channel, inserted the working cannula, and then inserted the lens. The plasma knife cleared the field of view and gradually entered the spinal canal.

Nothing, everything is so normal that it makes people panic!

I could still see the ruptured fibrous ring just now, but now I can see a completely normal structure in my field of vision. Director Qin's hope has been shattered like a soap bubble. It is impossible to blindly punch two rows of holes in the back of the patient's waist.

In desperation, Director Qin caught a glimpse of Yang Ping from the corner of his eye. This kid said he was a god, and he didn't know how spinal surgery was going. He had the mentality of trying: "Xiao Yang, look, you still don't have it, what should I do?"

At this time, for the sake of the patient, the price has been forcibly reduced and sold. Although Director Qin is embarrassed, he still bites the bullet and opens the mouth.

Although Director Qin himself understood that keeping him here was just waiting for this moment to speak, but when it came time to speak, he still felt a little uncomfortable.

Face is a wonderful thing, even if you know it is worthless, there is nothing you can do about it, you can only think about taking care of it all the time, for fear of scratching the skin.

Yang Ping was seriously looking at the MRI film: "Prescribe an Omnipaque, intraoperative myelogram!"

One sentence makes me wonder, why didn't I think of this? Since the popularity of MRI, myelography has almost faded out of the brains of orthopedic surgeons. In this day and age, who still does myelography.

However, at this moment, myelography is the best method. If you see such a big thing on the MRI, it will disappear out of thin air. If you do an angiogram, you will understand everything, and then locate it according to the angiography.

"Wipe my sweat." Director Qin moved his head away from the sterile field, and printed it on the tissue of the itinerant nurse.

There is no need for a heavy hammer to play the drums. They are all expert-level. One sentence can point out the idea of ​​​​solving the problem. This kid also has two brushes in spine surgery.

Director Qin felt much more relaxed, and immediately regained his confidence: "Onai Paike, here's a 100ml bottle, it's useless without it."

Onaipaike, iohexol injection, director Qin is still familiar with, an iodine X-ray contrast agent, he often uses it for vertebroplasty when performing percutaneous kyphoplasty, but intramyelogram, I haven't really used this method before, so I can't think of it.

"Is it sterile?" asked a doctor in the audience.

Director Qin covered his head and face: "Usually, the brain is used for multiple purposes. Injections can enter the blood vessels of the human body. Are you saying it is sterile?"

The doctor who asked the question blushed. Indeed, injections can be injected into the blood vessels of the human body. How could it not be sterile? Such an idiot question, I guess I was confused with my head just now.

The itinerant nurse opened a 100ml bottle of Omnipaque, and the instrument nurse used a 50ml large syringe to draw it out. She took two full tubes and put them away for later use.

The patient is lying on his stomach, and now he is a little tilted. Director Qin returns to the first approach, builds a working cannula, inserts the lens, injects Omnipaque into the spinal canal, and waits for a while to allow it to spread evenly.

"Perspective, look at the situation."

The G-arm machine was pushed in, and the transmitter and receiver near the operation area were covered with sterile protective film. Dr. Wen instructed the operator to adjust the position.

"Hurry up, dodge dodge!" Dr. Wen hurried away.

The operator stepped on the foot pedal at the door, and everyone filed in again. The angiographic graphics on the screen were clear, and the intervertebral disc appeared on the right rear side of the lumbar 4/5 gap.

"Today is unlucky. I have had this kind of operation for ten years. I have never encountered such a case. The intervertebral disc moves in the spinal canal. During the examination, it moved to 1/2 of the waist, and during the operation, it moved to 4/5. Right back side." Director Qin couldn't laugh or cry.

If it wasn't for Yang Ping's advice today, I would have really fallen into a fixed mindset. In the end, the operation was abruptly turned into an on-off operation. I wanted to save face, and finally lost all face.

"Doctor Yang, you still have a broad mind. We were almost tricked by this guy." Director Qin is also a soft-tempered person.

Yang Ping reminded him: "This kind of situation is indeed rare. Such a large object can move freely inside, so be careful, lest it run away later."

The nerves that had been relaxed just now were tensed again by Yang Ping's words. Now Director Qin was frightened and became a frightened bird.

The upper body of the patient was not anesthetized and he could move about. It may have been lying down for a long time, but the patient moved a little, and the anesthetist immediately shouted, "Don't move around, tell me if you feel uncomfortable."

"Puncture from the right side of waist 4/5 to open the path. This is not the high iliac crest, so it should be easier to open the path." Director Qin wanted to take a break and asked Dr. Wen to puncture.

After thinking about it, he still did it himself: "Wait, I'll do it." Director Qin took the puncture tool.

X-ray positioning, puncture, several X-rays, the position is correct, and then the hole is opened and reamed, the working channel is established, and the lens is inserted into the spinal canal.

No free intervertebral discs were seen!I just saw myelogram clearly here.

I stepped on dog shit today, Director Qin's hands were a little stiff: "The contrast agent is still inside, let it pass through again!"

Yang Ping was very calm. He had seen and done a lot of this thing, so he naturally didn't panic. Director Qin performed a few thousand spinal endoscopic surgeries at most, which was still routine.I hold 50 points in my hand, I don't engage in prodigal surgery simulations, I just train surgery, no matter how I play now, I won't make myself poor, I just wander around in the system space if I have nothing to do, I do all kinds of strange surgeries, there is nothing to be calm about of it.

Just like fighting a war, every day in the flames of war, it must be different.There are shells exploding everywhere around me, and the bullets have stuck to my hair, and I can still smoke a cigarette calmly.

"Add some contrast agent, X-ray!" There was someone behind him, Director Qin's center of gravity was very steady.

Looking at it through perspective, everyone just wants to laugh. The intervertebral disc has run to the left rear side of the lumbar 4/5 space. Is it necessary to open the hole on the left side of this segment?
Director Qin turned to Yang Ping for help: "This problem! How to solve it?"

"Pull it from the opposite side, and the spinal canal is only that big?" Yang Ping thought it was simple.

Blind fuck?It is absolutely forbidden under the transforaminal microscope.

"If you pull a ponytail and pull it out, you will cause big trouble." Director Qin was very worried.

Can't tell the difference between the touch of the cauda equina and the nucleus pulposus of the intervertebral disc?
Yang Ping was a little puzzled, and suddenly remembered that his own sense of touch could do it, but others certainly couldn't. He had massive surgical training in the system space, and he was proficient in everything, so how could others compare to him.

"Since the range of activity is so large, it means that the oppression is not severe. Why are the symptoms so severe?" The doctors in the audience did not understand.

Dr. Wen had no choice but to popularize the science: "Some people have slept for several years and have not conceived, and some people have conceived after one sleep. What is the reason?"

"Don't move, brother! Anesthesiologist, give some sedatives!"

The patient moved again, Dr. Wen called out.

"How about I come?"

Yang Ping took the initiative to ask Ying to continue, not to mention that if the intervertebral disc gets stuck in that corner, the patient will also need more radiation just to reposition the fluoroscopy.

At this time, Director Qin thought about it. This operation is really bad, and it would be good if someone skilled can help him.

I can't get off the stage even after surgery, so what face do I need?

"How about? Doctor Yang, come here." Director Qin agreed.

"Do you want me to go on stage?" Xiao Su whispered.

"It's a matter of a few minutes, wait for me in the audience."

At this time, Xiao Su saw Yang Ping, absolutely the most handsome man in the world, no matter how difficult the operation was, he was as stable as Mount Tai, and it was a breeze.

Brush your hands, get dressed, and go on stage.

This kind of operation can be done by one person without even an assistant.

Yang Ping came to the stage and adjusted the working channel and lens slightly.

A nerve dissector was stretched in, fiddled gently a few times, and for some unknown reason, that free intervertebral disc appeared in the field of vision.

Then change to nucleus pulposus forceps, steadily, and unexpectedly remove the whole piece at one time, put it in the saline gauze handed by the nurse, after rinsing, wait for the plasma knife to stop the bleeding, and then remove the instrument and working sheath.

Put the sheath into the left access of the lumbar 1/2. The nucleus pulposus forceps are inserted from the back of the ruptured lumbar 1/2 annulus fibrosus. One mouth is left and the other is the right. For the formation of the fibrous annulus, the dural sac and nerve roots are finally centered, and their cephalic, caudal, ventral, dorsal, and contralateral sides are completely decompressed.

Director Qin was a little dazzled. Yang Ping's intervertebral foramen mirror technology is not only good at doing it, but he has pulled himself a few levels.

The instrument is inside the spinal canal, and you can operate it however you want. According to this level, all problems in the spinal canal can be solved under the intervertebral foramen, and with percutaneous pedicle screws, the intervertebral fusion cage can be placed under the microscope. What surgery will be needed on the spine in the future.

"It's over!"

Yang Ping put down the equipment and solved the problem in a few minutes.

Director Qin had to be convinced that a god is a god, and it is a bit expected to become a legend in the hospital. This transforaminal mirror does not have more than ten years of surgical experience. Surgery for him?
While Director Qin was thinking, Yang Ping had already started to take off his clothes and gloves.Xiao Su followed up to help.

So handsome!
Every time on the operating table, Yang Ping's invincible mode is really cool.

"Rinse it again and suture it." Yang Ping urged.

Director Qin looked at the removed intervertebral disc and the nerve roots that had been fully decompressed. The level of this surgery can be used as his own teacher. This is not trauma orthopedics, but spinal surgery. Intervertebral foramenoscopy, a field that he has been in for ten years. .

"Dr. Yang - thank you -"

Director Qin is sincerely grateful, if he was allowed to take the stage earlier, he probably wouldn't have to make such a fuss—face kills people!
This way of handling people is not a novice and tender, it is the kind that is too old to wrinkle.

"I'm back in Corey—"

"Thank you!"

"I'll contact you later, and sit with you when I have time."

Yang Ping got off the operating table and out of the operating room, Xiao Su followed behind.

"Every time I see your invincible mode on the operating table, it's so handsome!" Xiao Su secretly said.

　Isn't it just the second watch? How difficult it is!Some things are like this, just think about it!
　　——It took a lot of effort, working overtime, and preparing quality manuscripts to dare to say this sentence with such confidence.Thank you for your tolerance. From now on, this specification will be used. There will be two updates per day, about [-] words, and it will be posted at ten and eleven o'clock every night.Thank you again, and thank you again for Brother Wolf's Silver League.

　　
　
(End of this chapter)