godfather of surgery

Chapter 363 The boy is strong

Due to the difficulty and high risk of surgery, there are not many hospitals in the country that can carry out scoliosis correction.

For this kind of surgery, there are only a few first-line hospitals in the country: Xiehe, 301, Nanjing Drum Tower, and Nandu Fuyi.

The comprehensive strength of Nanjing Drum Tower Hospital is not ranked in the country. Only scoliosis surgery is at the top level in the country, and the number of operations exceeds several other first-line hospitals. This is due to the efforts of Professor Qiu who returned from studying in France.

Professor Qiu studied in France for eight years and learned international advanced spinal orthopedic surgery from French spinal orthopedic master Professor Contrel. Professor Contrel is one of the founders of the world-renowned CD orthopedic technology.

After completing his studies, Professor Qiu gave up the generous treatment in France and returned to China to establish a spinal surgery department in Gulou Hospital, focusing on scoliosis correction, which shortened the gap between China and developed countries.

The scoliosis center attached to Nandu No. 301 is also the first-class in the country. With the efforts of Professor Su, it has formed a four-legged situation with Xiehe, [-], and Drum Tower.

Second-tier hospitals for scoliosis correction include 304, 306, Didu Chaoyang Hospital, and Didu Children’s Hospital.

Sanbo Hospital, which has dozens of surgeries per year, can only be regarded as a third-tier or fourth-tier hospital. However, it is already very good for a new hospital that has been established for ten years to be able to do this.

Many emerging hospitals are deserted, with a loss of personnel and a shortage of disease sources. They are in a precarious situation.

This kind of example can be found everywhere, where billions of dollars are being invested in full swing, and in the end there are a few beautiful houses, a few guiding nurses playing with mobile phones, and a few complaining articles on the Internet.

Like Sanbo Hospital, it is quite arrogant to be able to develop such a scale, especially the orthopedics department, which can be divided into several subspecialty wards for spine, joints, sports medicine and trauma orthopedics.

Lu Gang's surgery was too difficult, and Director Han had no doubts about Yang Ping's words, but after decades of medical career, seeing is believing.

Before undergoing Lu Gang's operation, Lao Han wanted Yang Ping to undergo an ordinary scoliosis correction, so as to evaluate Yang Ping's level of this type of operation.

Genius also needs to be evaluated, not distrust, but a scientific attitude.

Scoliosis correction, the pinnacle of orthopedic surgery, if you make a mistake, you will be paralyzed, so no matter how much you trust, you must go through this procedure.

It happened that there was a patient in the department, a 19-year-old freshman girl, who had been found to have scoliosis for ten years. The current thoracic scoliosis angle: cobb's 52 degrees, lumbar scoliosis angle: cobb's 64 degrees, once brace treatment was ineffective, now Seeking surgical treatment, I was recommended to find Professor Zhang.

She had been admitted to the hospital before Lu Gang, and the preoperative preparations were complete.

Before the operation started, Lao Han and Professor Zhang were already sitting beside him.

Lao Han knew that Yang Ping was very experienced and would not accept the main operation without confidence, so Lao Han only had to watch from the audience.

Spinal orthopedic surgery, during this time, Yang Ping has been in and out of the system space intermittently, and has received devil training.

In the system space, there is no consumption of physiological energy, no need to eat, drink, sleep, or excrete. As long as you can tolerate loneliness and boredom psychologically, you can perform operations continuously.

From unskilled to proficient, even if an average of one operation is three hours, eight operations can be performed a day, eighty operations in ten days, and eight hundred operations in one hundred days.

In the system space, [-] surgeries can be performed in more than three months. In reality, these three months are just a moment.

Staying for three months at a time is the amount of time Yang Ping can endure from the very beginning. With Yang Ping's super endurance, even if you enter [-] units once, enter [-] times, it will be [-] units, [-] times, and [-] units.

As long as the fire is big enough, a stone can be melted for you. This is where the system space devil comes in.

[-] units, in reality, who can do it?

Even in the hospital with the largest number of surgeries, the total volume of surgeries in the entire department cannot reach this number.

Yang Ping's points have already entered into a virtuous circle, just like investing in a virtuous circle, holding huge funds, making continuous profits, and spending more and more.

It turns out that the 50 points rewarded by the main task can be used to purchase a lot of surgical training. With these surgical trainings, in reality, higher and more difficult surgeries can be performed and more point rewards can be obtained.

For Yu Shuilian's several operations, the system has accumulated more than 40 reward points.

According to the characteristics of the system, in the future, only new modules will be rewarded for the main task, and points will only be rewarded for surgery in reality, and the higher the difficulty, the more reward points.

For spinal orthopedic surgery, each training package starts with [-] units. A training package consumes about [-] points, and the points rewarded by Yu Shuilian's surgery can support about [-] units for training.

There are also those shoulder and knee multiple ligament reconstruction operations, each award is tens of thousands of points, and the points of various reward channels are continuously accumulated.

Therefore, although Yang Ping spent a lot of points to buy training during this period, the points did not decrease, but increased, and now the book balance still has more than 80 points.

As long as Yang Ping controls it well and keeps his points to continue to make profits, now it's almost like wind and rain.

"Shall I use thoracoscopy and laparoscopy to loosen the front of the thoracic and lumbar spine?" Yang Ping asked Director Han and Professor Zhang for their opinions.

The operation plan was very thorough, and laparoscopic anterior release was also used. Director Han nodded.

Song Zimo disinfected the shop sheets, and Yang Ping brushed his hands to go on stage.

With the assistance of thoracoscopy and laparoscopy, anterior release was quickly completed.

The operation was a bit fast, not like the first operation, but in Lao Han's eyes, it was definitely Yang Ping's first spinal orthopedic operation.

After the anterior release is completed, the body position is changed to the prone position, the sheet is re-disinfected, and the hands are brushed again to go on stage.

The incision revealed very quickly, and the bleeding was completely stopped. There were only scattered bloodstains on a few pieces of gauze.

Nail placement first, osteotomy second, and orthopedic surgery last.

The operation steps are very clear, big steps lead to small steps, step by step, no invalid movements, no repetitive movements.

This shows that Yang Ping is not a novice, or that his performance in the first operation is not like a novice.

Lao Han and Professor Zhang got up, approached, and stared at the screen.

Opening, opening, probing, and implanting positioning pins, according to this step, complete the left side, then the right side, complete this vertebra, and then another vertebra.

Dozens of guide pins are implanted into the pedicle in this way, and all the guide pins are seen through at once.

On the screen, dozens of guide pins are placed in a mess from different points and directions.

Lao Han and Professor Zhang checked the screen of the G-arm machine one by one, and checked it several times.

The point, direction and depth of each guide wire are almost perfect, and each guide wire passes through the bony center of the pedicle at an optimal angle, and none of them is unsatisfactory, even a little bit of allowable deviation. exist.

It looks messy, but every individual guide wire is the best, and changing a little is the deviation.

X-ray confirmed that there is no problem with the guide pins, and then pulled out the guide pins one by one.

Every time one is pulled out, a pedicle screw is implanted, which is universal and directional, until all the guide pins are replaced with pedicle screws.

Looking again, there is no problem with the screws, and the position of the pedicle screws is very beautiful.

"Osteotomy has started!" Yang Ping reported the progress of the operation at any time, and he also obtained permission.

"Cut!" Director Han agreed.

Osteotomy is a high-risk procedure and the most technical step of the surgery.

Osteotomy is to cut off several parts of the spine to recombine. Osteotomy is not simply cut off, it needs to be cut off to be able to re-fit effectively.

The osteotomy operation may damage the nerves, causing paralysis, and if there is a misalignment during the reassembly process, it may also damage the nerves and cause paralysis.

To reduce nerve damage, neurophysiological monitoring and arousal testing are often used during surgery.

For osteotomy, Yang Ping uses an ultrasonic osteotome. Compared with traditional tools, the ultrasonic osteotome has greatly improved the accuracy and safety of osteotomy.

This kind of tool is hard but not soft. It only cuts hard bone and does not work on soft tissue and nerves.

The rhythm of the operation was very good. At the same time of osteotomy, Yang Ping would turn his head to look at the screen of the neurophysiological monitor during each cut-off operation interval.

The fat man has adjusted its angle to the best, so that he can see the monitoring wave at any time. If the spinal cord or nerve root is damaged or stimulated, the amplitude of the wave will change, and a stimulating wave will appear, reminding the operator that your operation is very dangerous.

Yang Ping has not used the ultrasonic bone knife a few times, but now, it is very obedient in Yang Ping's hands, as if it was born for Yang Ping.

The osteotomy was very fast, and Lao Han and Professor Zhang's heart reached their throats.

Listening to the noise of the ultrasonic bone knife, they dare not speak, for fear of interrupting Yang Ping's rhythm and causing accidents.

"Osteotomy complete!"

Lao Han and Professor Zhang woke up like a dream, and they had already completed it so quickly.

"Start orthopedics!"

This step is the most prone to risks. During spinal correction, sometimes the patient is paralyzed on the spot or a few days after surgery because the spinal cord cannot tolerate the correction.

Once paralyzed, it will be disastrous.

So, doctor, every operation is like walking on eggshells.

In the operating room of the system space, more than 1 surgical procedures have been trained, so that Yang Ping has mastered a large amount of data, and the degree of deformity correction is safe, and the data will not lie.

He wants to sort out the collected data when he is free, and then summarize the rules to obtain a set of predictive models to guide scoliosis correction surgery and to make the surgery precise and standardized.

"Slow down, Xiao Yang—"

Professor Zhang and Director Han reminded at the same time.

Holding the tool, Yang Ping began to perform spinal correction.

This step, Yang Ping was not very fast, he corrected it a bit, looked at the pulsation of the spinal cord on one side, and the monitoring wave on the other side, it was always normal, and there was no change in amplitude due to stimulation.

Little by little, step by step, in a suitable rhythm, the spine changes spatially at the truncated part, and the sequence is reconstructed.

The spine is corrected in three-dimensional space, then titanium alloy rods are implanted, and screw locking is performed step by step, and finally a beam is added, and then locked.

The whole process took an hour, and Zhou Can spread out the gauze with tails thrown into the collection basin one by one. The gauze was dry, and there were a few faint blood stains.

"Perspective!" Director Han directed Gui Peisheng, who was pushing the G-arm machine.

"How about a CT scan?" Yang Ping suggested.

This operating room is a multifunctional operating room with its own CT imaging equipment.

After the CT scan is completed, the [-]D reconstruction image gradually comes out.

Each screw is wrapped in the bone channel of the pedicle, and the spine has completely returned to normal physiological curvature, which means that the osteotomy and correction have been achieved to the extreme.

"Move your toes, yes, up, down, good!"

Professor Zhang instructed the patient to move his toes, and everything was normal.

Lao Han stared at the CT [-]D reconstruction image in a daze. He had nothing to say about this surgery.

This kid was born to perform surgery, the god of surgery, not exaggerating at all.

Once you get started, it is the essence of a thousand years!
Lao Han has gotten used to it, and it's not the first time he has been brushed for cognition, so it doesn't matter if he brushes it more.

If I must explain, talent!Talent can explain everything.

This kind of talent is hard to come by, and I am very fortunate that I have encountered it.

Yang Ping helped carry the patient across the bed, and Professor Zhang walked up to Director Han: "The toes are moving very well!"

The first time you do it, how dare you not leave any room for it, and directly correct it to zero.

Oh, it's still talent!

"Let him be the chief surgeon for Lu Gang's operation?" Director Han felt that there was no doubt.

What else can Professor Zhang say: "Young man, you are strong!"

　Regarding the ranking of scoliosis surgery, Nandu Fuyi is fictitious, and other hospitals are real rankings.However, the prototype hospital attached to the First Southern Metropolis Hospital is second only to Xiehe, 301, and Drum Tower in the amount of scoliosis surgery, and it has the hope of entering the front line.

　　
　
(End of this chapter)