godfather of surgery

Chapter 361 Comments are also wonderful

Lu Gang was assigned a bed, which was managed by Xu Zhiliang and Zhang Lin.

Song Zimo is going to participate in the competition, and Xu Zhiliang's team is in charge of Corey's daily work.

Each group is equipped with several regular trainees, plus interns, so there is no pressure to operate.

This kind of top matching is only available in comprehensive orthopedics, and other departments are completely ineligible to enjoy it.

Some people raised opinions and asked the dean to make a small report. Dean Xia said: "When you make achievements like general orthopedics, I will assign you a few doctor's beds to write medical records, and I will bring people to you in person. How about it?" ?”

The person who made the report had no choice but to leave in disgrace, and to continue talking would be to make fun of himself.

Gui Peisheng pushed Lu Gang to the ward, stopped the wheelchair, and wanted to carry Lu Gang to bed. Xu Zhiliang had to conduct a detailed medical history inquiry and physical examination.

But Dr. Xu saw that this little brother Peisheng had the same body as a bean sprout, and he was afraid that his hands would slip in the middle of the hug, and he would hurt someone or break his own waist.

"Zhang Lin!" Doctor Xu's tone was slightly angry.

Standing by the side, Zhang Lin stood by and watched, and immediately started to help. To be honest, the usual momentum of spraying others has long since dissipated.

When Dr. Xu asked about the medical history, Zhang Lin kept writing, rustling his notes.

He didn't dare to be lazy, he didn't even dare to miss a word, this Xu stuttered, and later he will randomly check his recorded medical history in front of Gui Peisheng and the interns.

If there is an omission or inaccuracy, he will stammer and criticize seriously on the spot.

This person stuttered, but he had a good brain and a very good memory. He remembered everything clearly.

After Dr. Xu asked about the medical history, Zhang Lin dared to close his notebook.

Dr. Xu stretched out his hand, and Zhang Lin handed over the tape measure. After the physical examination was completed, he stretched out his hand again, and put on the percussion hammer. The movement was slow, and Zhang Lin could see sweat in his stern eyes.

After checking all kinds of shallow reflexes and deep reflexes, Zhang Lin kept up with the rhythm, took back the percussion hammer, and handed over the stethoscope.

Cardiopulmonary and abdominal auscultation must be performed. Spinal deformities can cause extrusion and displacement of thoracoabdominal organs, leading to cardiopulmonary and digestive function problems.

After a complete set of physical examination, Xu Zhiliang stood still, Zhang Lin was a little trembling, and asked questions like this.

Every time at this time, Zhang Lin was most afraid in his heart. Xu Zhiliang's questioning was like playing chess, interlocking and step by step.

"Brother, can you save some face, there are regular trainees here." Zhang Lin's eyes seemed to be begging.

Xu Zhiliang didn't ask any questions, but said, "Everyone, review the chapters on ankylosing spondylitis and scoliosis in "Clinical Orthopedics" and "Orthopedic Surgery."

Lu Gang suffered from severe deformities of the spine, hip joints and knee joints caused by ankylosing spondylitis.

Brother Liang was very generous this time, and Zhang Linsong breathed a sigh of relief.

-

Xu Zhiliang moved quickly, importing the CT 3D reconstruction data into the [-]D printer host, and printed out a model of Lu Gang's entire skeleton, which was already placed on Yang Ping's desk.

Yang Ping repeatedly studied the model and formulated a surgical plan.

The deformity of the spine is too severe, the kyphosis in the sagittal plane, the rotational deformity in the cross section, and the scoliosis in the coronal plane, which are complex three-dimensional deformities.

Surgery needs to correct the deformities on three sides, which is many times more difficult than normal spinal deformity correction.

To straighten the spine, it also straightens the spinal cord in the spinal canal.

Once straightened, some parts of the spinal cord are stretched and some parts are squeezed.

These stretches and crushes can damage the spinal cord, causing death or paralysis. Where is the tolerance threshold for correction?No one knows, only experience.

Although instruments can be used to monitor nerve electrophysiology during the operation, the effect is limited, and the effect on this severe case is even smaller.

The whole operation can be understood simply, breaking Lu Gang's spine into many sections and rebuilding them.

The pelvis is cut into pieces and reassembled, the hip and knee joints are sawed off and artificial joints are fitted.

For such a huge project, in addition to spinal cord injury, there are also risks of bleeding, infection, osteotomy, and nail placement.

For example, the risk of screw placement, due to the existence of deformities and the failure of bony landmarks, the original standard pedicle screw placement technology is useless, and the placement of each pedicle screw is unique.

Lu Gang's skeleton took shape in Yang Ping's mind, and then began to change, rotate, stretch, and compress.

The soft tissue to which the bone is attached stretches, shrinks, and twists.

The blood vessels, nerves and viscera in front also changed and began to shift.

The whole dynamic process was demonstrated in Yang Ping's mind. According to the demonstration, some osteotomy lines began to be drawn one by one.

Just finished studying Lu Gang's surgery and wanted to take a break when his classmate Ou Lichun called.

He has already reported for duty at Attached One, and the attached spinal surgery department took good care of him and arranged him in the medical group of Associate Professor Fan Jiguang, Professor Zou's favorite student.

The director of the medical and educational department took him to the spinal surgery department himself, and Professor Fan was also very kind to him, asking about his health, and asking about the relationship between Ou Lichun and Yang Ping.

In order to thank Yang Ping, Ou Lichun brought some special products from his hometown, and he must come to Sanbo Hospital to give them to Yang Ping.

Yang Ping made an appointment with him to get together, to help classmates if they could, and to make progress together.

Someone knocked on the door, Yang Ping opened the office door, and Gao Qiao stood at the door with a strange expression.

"Is there something wrong?" Yang Ping saw that he was preoccupied.

Takahashi wanted to speak, but seemed very embarrassed.

"Come in?" Yang Ping welcomed Gao Qiao into the office.

Takahashi sat down and said, "Dr. Yang, it's a pity that the University of Tokyo is unwilling to cooperate. I'm worried about technology leaks. I've worked hard to get it."

Takahashi argued hard, but still failed to convince those diehards at the University of Tokyo.

Yang Ping thought it was a big deal and didn't care about it: "Gaoqiao, thank you, it's okay, it's just a small matter, don't be so nervous. If you cooperate, it can save me a few months. If you don't cooperate, it will just take me a few more months."

Yang Ping doesn't have much hope for the University of Tokyo, he has already started his own layout.

Takahashi felt that it was a pity that if he did not cooperate with Yang Ping, he would lose the opportunity to occupy the top of the field.

It is foreseeable that as long as Dr. Yang devotes himself to this field, the advantages of the University of Tokyo and Duke University will soon disappear.

It can also be seen from Yang Ping's expression that he didn't react at all, as if this matter never existed, and the cooperation of the University of Tokyo was dispensable to him.

As Miyuki said, Yang Ping is a man standing on top of a mountain.

In Takahashi's eyes, Yang Ping is like that, if you don't draw your sword, you will be fine, once you draw your sword, you will have no opponent.

"Is this Lu Gang's skeleton model? And the surgical drawings?" Gao Qiao looked at the skeleton model on the table, with a stack of drawings next to it.

Takahashi did not expect that Yang Ping is an all-rounder in orthopedics, not only in trauma orthopedics and sports medicine, but also in spine surgery.

First of all, the deformity of the cervical spine should be corrected to facilitate intraoperative tracheal intubation and position placement for subsequent operations.

Then the thoracolumbar deformity is corrected, followed by pelvic rotation osteotomy, knee osteotomy and hip replacement.

Interspersed with various soft tissue release tightening and balance surgery.

The operation steps are clear and clear, each step is interlocking, each osteotomy is extremely ingenious and precise, all the osteotomies are gathered together, the bone deformity is completely corrected, and a kind of surgical beauty is presented before the eyes.

Sansheng is lucky to be able to learn from this kind of person!

"Dr. Yang, you will create another miracle." Takahashi said with admiration.

"No, just do your own thing." Yang Ping said calmly, leaning on the back of the chair.

-

Song Zimo is preparing a patient for thoracolumbar fracture surgery.

In the southern division, Song Zimo, Su Nanchen, and Lin Hao maintained full marks.

The teams in each competition area, like several torrents, gradually became clear and rushed to the national competition area.

In each competition area, the top few are still those old-fashioned hospitals, the Imperial Capital Jishuitan, the Third Imperial Hospital and 301 are still firmly occupying the forefront with full marks.

Shanghai No. [-] Hospital, Huashan and Changzheng stood out, while other hospitals gradually fell behind.

Huaxi and Xijing are overwhelmingly superior, and other hospitals can only hold a candle to them.

Xiangya and Tongji Dugu are seeking defeat, while their sister hospitals are still able to fight, and other hospitals have no chance of winning.

Except for the Sixth Hospital of Shanghai and the First Attached to Nandu, no one cared about Sanbo Hospital. Even the Sixth Hospital only paid a little attention to it out of curiosity.

Only Su Nanchen in Nandu Fuyi understood that Sanbo is the real championship team, but he can't say more, and it's useless to say more.

Yang Ping glanced at the list, Song Zimo has been standing firm and has nothing to do with himself for the time being.

If you can't be strong, you won't be Song Zimo. Yang Ping is very satisfied with his strong fighting power.

For this Golden Knife Award, Yang Ping really didn't have much interest if it wasn't for obtaining the system to reward the laboratory, for Director Han's fulfillment of his wish, and for the enthusiasm of his friends. With this time, he can do a lot of things.

The next round of surgery is the posterior approach for thoracolumbar fractures. There are relatively few rollovers. Most rollovers are performed on pelvic and acetabular fractures.

As long as Song Zimo is able to stabilize, it is not a big problem to qualify with full marks.

It's just that Song Zimo is trustworthy in terms of surgical skills and psychological quality.

The website of the Golden Knife Award was unprecedentedly lively, and fans from major hospitals spontaneously formed groups.

For example, those who like Magic Six, those who have studied in Magic Six, and graduate students who have graduated from Magic Six, will naturally become fans of Magic Six.

And another group of people became fans of Huashan, and these fans fought wildly in the comment area.

But they are all academics, and even fighting a war is like discussing a case. Academics wage war in an academic way.

No swearing, no vulgar language, no personal attacks, all the fighting passion turned into rigorous comments like a thesis.

Sanbo Hospital has also gained many fans, who are active in the comment area of ​​Sanbo.

Most of this group of people are doctors who have personally participated in the Sanbo Academic Conference.

"The chief swordsman hasn't even appeared yet, are you being cowardly? Let Yisuke fight to the end?"

"A joke! Killing a chicken with a sledgehammer?"

"The great god you are talking about will not be on the stage again. I'm afraid there will be nothing for him in the future. Let's see what kind of surgery is in the national competition? If you give him all the surgeries that Sanbo has done over the years, he won't be able to feed him? It's a good thing to have blood, but you have to With an IQ, who is spared the learning curve?"

"Learning curves are playing hooligans without talking about efficiency. When efficiency is added, the difference in curvature will appear. The same surgery can produce ten times the effect for one person, but only double the effect for another person. The difference in magnification makes the learning curve no longer fair.

The game was great and so was the commentary.

(End of this chapter)