godfather of surgery

Chapter 349

When Robert left, only a decent letter was carved on the olive stone.

Time is running out, and there is no time to learn this cutting-edge operation technology from Yang Ping, so it will only be later.

However, he gained a lot. Under Yang Ping's personal guidance, he got a glimpse of the surgical method of multiple ligament reconstruction of the shoulder and knee joints.

The day before leaving China, Lao Gao served as the host, invited Robert to dinner, and called all the brothers in the general orthopedics department, but in the end Takahashi paid the bill, and no one had ever done anything to Takahashi, so he was caught by lightning. Be the first to buy.

Song Zimo occasionally managed to completely separate the grape skin into two layers. Takahashi was still struggling with the two layers. He and Xu Zhiliang had no success once. He was much better than Xu Zhi. Although he had a few holes, he could still separate the second layer. Xu Zhiliang divided the layers, and the second layer was broken into several pieces.

Fujiwara Miyuki’s stone carving progress is a bit slow, and it is still difficult to carve a letter. It is hard to carve it out, and it is crooked, but the Japanese girl is working hard, and she is training in the afternoon when she is free. She really wants to ask Dr. Yang to teach her and tell her How to control the equipment freely, transmit the power to the tip of the equipment, but feel embarrassed.

Zhang Lin and Xiao Wu peeled the grape skins and stayed on the first floor. If they want to make two floors, even if they have a few holes or broken into several large pieces, it is unlikely to be possible in the short term.

However, their pull hooks have grown a lot. The two of them hung a one-kilogram iron block for half an hour, and they could not move at all, and the time was still improving.

Now, they have entered into the training of soap bubbles. They use a basin filled with large soap bubbles, and use pullers to gently pull the soap bubbles apart. Try not to break the soap bubbles.

This technique training, in order to master the appropriate strength of the hook, avoid damage to human tissues or organs when pulling the hook. If the strength of the soap bubbles can be done properly, it will definitely not cause compression damage during the actual operation.

Regarding their strict requirements, Yang Ping did not intend to relax one bit. He would supervise and guide them when he had time. Song Zimo, Gao Qiao and Xu Zhiliang were very conscious, but Zhang Lin, Xiao Wu and Fatty Liang were not necessarily so.

Fatty's cigarettes were also confiscated by Yang Ping. During training, he took Xiao Wu out several times just to smoke, wasting a lot of time.

Yang Ping himself also enters the system space for training from time to time. All orthopedic surgeries are open, and Yang Ping has also been trained in all orthopedic surgeries.

But there is no limit to striving for perfection. Although Yang Ping's more than 50 points are consumed from time to time, daily rewards are also credited to the account every day.

In this way, when there is no large expenditure, the points always fluctuate around 50, maintaining a strong purchasing power for the system mall.

Although the system space does not occupy real time or consume physiological energy, the psychological experience is the same as reality.

Psychology also has a limit to fatigue tolerance. Even a strong-willed person like Yang Ping has a limit to the time he can stay in the space.

Even Yang Ping himself didn't know how much time he had been in and out of during this period of time. If he summed up his time in the system space, how much time he had, this figure should be exaggerated.

For the Golden Knife Award, Yang Ping is full of confidence, but he does not dare to take it lightly. In order to get the reward from the space laboratory, he must win the Golden Knife Award.

According to the requirements of the competition system, the Golden Knife Award is divided into regional competitions and national competitions.

The whole country is divided into five major divisions, east, west, south, north, and middle school. Each division conducts regional competitions for three months. The teams with the top three scores enter the national competition. The national competition adopts an elimination system and is eliminated all the way to the final.

There is no limit to the teams sent by each hospital and each specialty. The team's chief surgeon needs to be a deputy chief physician or above, and the attending physician needs to be recommended by two authoritative experts outside the hospital to serve as the chief surgeon.

For the participating surgical cases, each step will be scored from diagnosis, selection of surgical indications, preoperative preparation, surgical operation, and postoperative treatment.

If there are major mistakes in some key steps, direct zero points, such as wrong diagnosis or incorrect selection of surgical indications, no matter how well other steps are done, direct zero points.

The competition has a dedicated website, APP, and public account. Complete case information is uploaded before the operation, and the course record is updated and uploaded daily after the operation.

All surgeries are elective surgeries, which adopt the form of live broadcast. After the live broadcast, they are directly encrypted and archived on the website, and cannot be modified or edited. If fraud is found, the participating hospitals will not be able to sign up for the Golden Knife Award for two consecutive sessions.

Some operations can be performed by the first assistant, and all the operations in the regional competition can be performed by the first assistant. The number of surgeons in the national competition must be more than half, and the final operations must be performed by the chief surgeon.

In Yang Ping's team, Song Zimo is the first assistant, and the others include Zhang Lin Xiaowu, Liang Jing, Xiao Su, and Zhou Can.

Xu Zhiliang came later. He was still in the emergency department when he signed up. Naturally, he did not join the team, but he can participate as an unnamed substitute. If someone other than the chief surgeon or the first assistant cannot be on stage due to special reasons, he can serve as an unnamed substitute.

The purpose of the Golden Knife Award every four years is to encourage young doctors to pursue excellence in technology, so the Golden Knife Award is a stage for young people, and the participating members are required to be under 45 years old.

In this regional competition in South China, the most powerful ones are of course the First Attached, Second Attached, and Provincial People's Hospital of the Southern Metropolis. Hong Kong Mary's Hospital and Prince of Wales Hospital also signed up for the competition. In this way, the competition in South China is extremely fierce.
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Sanbo Hospital, comprehensive orthopedic operating room.

This is a scoliosis orthopedic operation for teenagers, Professor Zhang's patient, the patient rushed over from Australia, Professor Zhang is sitting in the corner of the operating room.

"let's start!"

Director Han's figure was straight, and after a routine preoperative check, he took the scalpel, and the back of the knife drew a skin mark on the patient's back.

The patient is in a prone position, lying on a prone rack for the spine, and along the skin trace, a long longitudinal incision is made with the knife in the middle of the back.

In order to take care of Yang Ping's height, Director Han deliberately stepped on a pedal.

As expected of being the successor designated by the old director of Mo Liu, Director Han's movements were steady and brisk, and the operation rhythm was very strong. After cutting the skin, the electric knife began to be grasped in his hand, precisely stopping the bleeding, going deeper layer by layer.

"Everything has its own rhythm, and surgery is no exception. You have to grasp its rhythm. There are fast rhythms, and slow rhythms. If you lose the rhythm, you will easily fall into chaos." In the gap between replacing surgical instruments , Director Han said to Yang Ping.

In terms of specific surgical techniques, there is not much to teach him. Director Han thinks that he should pass on some of his experience of enlightenment to him.

A 3:3 model of the child's entire spine has been printed with a [-]D printer before the operation. Based on the [-]D printed model, a positioning guide for the pedicle screw is also designed. In this way, the entire operation is very easy.

On several pieces of gauze, there were dots of blood. Director Han had peeled off the spinous process to both sides, close to the bone surface, exposing part of the lamina and other vertebral attachment structures.

Use the guider to open a circuit at the position where the nail is to be inserted. The probe explores the four walls of the bone canal and confirms that there is no problem. After the last guide wire is implanted, the C-arm X-ray machine fluoroscopy is started.

On the curved and deformed spine, the position of the guide pins is very good, each one is in the standard position, the best entry point, the best direction, and the best length.

Scoliosis is a lateral curvature in three-dimensional space, and orthopedic surgery is also three-dimensional orthopedic. 3D printing technology is particularly important at this time. A preoperative surgical simulation can be performed, and data can be mastered in advance whether it is nailing or osteotomy.

Director Han's surgery is really beautiful, full of atmosphere, no matter how big the surgery is, he looks simple and easy.

The instrument in his hand seemed to be full of power, but when it touched the target of the operation, it was so appropriate and good, neither light nor heavy.

The position of the guide pin is satisfactory, and the rest is to ream the hole and screw in the pedicle screws. Because there is a 3D model before the operation, the length and diameter of each screw have been determined. Now there is no need to measure, just place it directly .

Finally, the key step is osteotomy. There is also a template for osteotomy available, and he has also practiced on the model before the operation. Director Han is now carefully starting the osteotomy according to the preoperative plan.

The somatosensory evoked potential monitor monitors the electrophysiological activity of the spinal cord at any time to prevent and correct spinal cord damage caused by excessive stretching and extrusion, which may cause serious consequences.

According to the preoperative plan, Director Han performed osteotomy at several osteotomy sites in one go, and then started the orthopedic surgery.

The correction is carried out bit by bit, and every time he corrects a point, he has to turn his head to look at the monitoring screen, and the somatosensory evoked potential monitoring screen shows normal.

When the orthopedic surgery was satisfactory, Director Han stopped. This is the most dangerous step and requires the most experience.

"Enough is enough. It is especially important at this time. Once the critical point is crossed, it will be irreversible paralysis." Director Han said to Yang Ping opposite.

Finally, two metal rods are implanted, and the beam is added and locked, and the key steps of the operation are completed.

After another fluoroscopy, the correction was very satisfactory. On the somatosensory evoked potential monitor, the electrophysiological activity of the spinal cord was normal, and there was no damage to the spinal cord.

Ordinary surgery, without any grandeur and grandeur, is flat and straightforward. This is the characteristic of Director Han's surgery.

"Smart doctors can turn danger into a breeze. At a higher level, they will not fall into danger at all. Therefore, for the chief surgeon, the best surgery is a straightforward operation."

"The final competition for the Golden Knife Award is all surgical geniuses, and the judges are also extremely demanding. Any small loophole will be deducted points."

"I don't have any worries about you, but we can't take it lightly. As doctors, we are the most taboo to underestimate the enemy, just like in war."

Director Han finished it himself, put in the drainage tube, closed the incision, and sewed the skin until the last stitch.

"I'm old, the stage belongs to you young people."

Director Han took off his gloves and went to the side to chat with Professor Zhang to have a rest. He didn't want to waste time on a few surgeries, so he concentrated on one day to complete the capping surgery with Yang Ping.

"Second Han, don't miss the Golden Knife Award this time." Professor Zhang said to Director Han who had just taken his seat.

Director Han didn't answer, just sat and watched Yang Ping on the stage lift the sterile sheet.

Back then, Director Han and his senior brother Hong Zhigang, representing the Orthopedics Department of the Magic Six, each led a team.

It is a pity that Director Han withdrew from the competition before the final, and the first assistant replaced him to complete the final operation. In this way, Hong Zhigang won the National Golden Knife Award in orthopedics.

Let the Golden Knife Award return to Shanghai after a lapse of 12 years. The previous three champions were hospitals in the capital.

And Han Jiangong's abandonment before the final has always been a mystery in the orthopedic circle.

"Did you hear what I said, don't miss it again this time." Old Zhang was a little angry.

Director Han murmured, "No more."

(End of this chapter)