godfather of surgery

Chapter 374 There is no big cow under the video

It was the first time that Lu Gang could lie flat, had the vision of a normal person for the first time, and could stretch his body for the first time.

According to the aseptic rules of the operating room, the hospital bed cannot enter the operating room.

But this orthopedic bed was allowed to enter the operating room after being disinfected, and Lu Gang passed directly from the operating bed to the orthopedic bed.

He was lying on the hospital bed, and his cervical spine was fixed by a cervical collar. Although the upper cervical spine was fixed firmly, for safety reasons, he was still protected by a cervical collar.

The door of the operating room opened, and Lu Gang was pushed out. Everyone was wearing hand sanitizers, gathered around the orthopedic bed, and pushed the orthopedic bed together.

Lu Gang's mother had been waiting outside the door, and came up immediately when the door opened. After more than ten years, she finally saw her son's face clearly.

"The operation was completed and it was very successful. There are still two hurdles to pass after the operation, infection and delayed paralysis." Yang Ping explained to Lu Gang's mother.

This has been said before the operation, and now it is just a repeated reminder.

Lu Gang smiled at his mother: "It's all right, don't worry, when I wake up from sleep, the doctor will tell me to move my toes, and I will know that the operation is successful, when can I eat? Steam five big meat buns for me."

Fatty Liang supported the orthopedic bed: "Eat in six hours, but try to drink porridge these days, and you can sit up after three days. If you don't feel uncomfortable, you can try to get out of bed and walk. Only then can you eat meat buns. You eat while watching TV."

Everyone laughed, and Lu Gang's mother laughed along with her. Tears flowed down her face as she laughed.

"Thank you doctor, thank you doctor!" Mother went back to the ward with Lu Gang, thanking everyone constantly.

The nurses in the ward have already prepared, and the braces for the thoracolumbar spine are also prepared in the ward.

Because of osteoporosis, the reliability of all internal fixation is reduced. When standing up and walking, it is safer to use a brace for a period of time.

The bed is rolled up to bed number one, the emergency room closest to the nurses' station.

Several nurses skillfully connected oxygen tubes and ECG monitoring equipment, and placed his lower limbs in slightly bent hips and knees.

Some nurses began to explain the precautions for accompanying Lu Gang's mother. Dr. Che taught Lu Gang the muscle training of the lower limbs and ankle pump exercise. Early rehabilitation training for joint surgery is very important.

Lu Gang was liberated from the twisted state and became a normal person standing upright and stretching. The cardiovascular system and respiratory system, balancer, central nervous system and visual adjustment system all needed to adapt again.

Dr. Che used scientific rehabilitation knowledge to help him step by step. During the recovery process of Yu Shuilian, Dr. Che accumulated rich experience in rehabilitation of special cases.

There was not much blood loss during the operation, totaling 140 ml, and the prepared autologous blood transfusion machine, suspended red blood cells, and frozen plasma were all useless.

The operation time is short, the operation field exposure time is short, and the probability of infection is reduced.

Considering that the second-generation cephalosporin was used for prophylactic antibiotics, which has a short half-life, Yang Ping told Lu Gang to give Lu Gang an additional antibiotic after surgery.

As long as there is no infection and no delayed spinal cord injury, the operation is truly successful, and no step can be slack.
-
Professor Zhang and Director Han were still in the locker room. They couldn't calm down for a long time, and they hadn't fully recovered from the shock.

The car drove so fast, the streets were full of people, but Yang Ping insisted on racing the car in the gap between people and cars.

The two have practiced medicine for more than 80 years, but they couldn't stand this kind of stimulation.

Schumacher has won numerous awards in Formula One. If he saw a car chase at a speed of 360 kilometers per hour in downtown Berlin, he might not be able to bear it.

"You bastard, I'm soaked through all my clothes."

"It's too fast, it's scary! Especially the cervical spine orthopedics, especially the upper cervical spine, it's the moment of death, dare to go so fast."

"Cervical pedicle screws are planted once in ten seconds. They are like planting beans. It is scary enough. If it is slightly missed, it will damage the vertebral artery in the transverse foramen, and the bleeding will be very fierce."

Several international experts have had such cases. One expert injured the vertebral artery on the operating table and bled [-] milliliters within half an hour. If it weren't for blood transfusion and autologous reinfusion, the patient would not be able to survive.

"Not a single nail is crooked."

"How dare he correct it to the physiological curvature in one step, leaving no room for it."

"He has calculated the relationship between the deformation of the spinal cord and the orthopedic surgery. Looking at the order of his orthopedic surgery and the osteotomy site, he can accurately disperse the deformation of the spinal cord while performing the orthopedic surgery, so that the damage can be minimized. This kid has become a genius, and the operation plan is so meticulous. Kind of place."

"Second Han, I'm really old. My heart is still pounding. Don't tell me about the next operation. I'll just watch the film after it's done."

"I showed Professor Feng's film to him."

"How to say?"

"He said he was [-]% sure."

Professor Zhang almost jumped up from his chair and looked at Director Han.

"Yes, that's right. He said 80.00%. At first I thought I heard it wrong. I confirmed it. It is [-]%, which means [-]% probability of success." Director Han tried his best to speak clearly.

"I'm going to the Magic Sixth. You can arrange someone to help you in the outpatient clinic. It's probably [-]%. Why are you hesitating? If Lao Feng's body doesn't have this tumor, he can live for another five or ten years. What are you waiting for?"

"I'm going with you too?"

"Okay, Second Han, at this time, you should also meet him. It's been more than ten years, and he probably won't refuse to see you."

"Well, maybe."

"Go and get busy, I want to be quiet here." Professor Zhang wanted to take a break.

Director Han refused: "You should go back to Corey and sit down."

Professor Zhang stood up, bent down and patted his knees: "Are you afraid that I will be here alone, and no one will find out if I have a myocardial infarction?"
-
After the live broadcast of the operation, the video was stored on the website, and none of the judges was able to score at the moment, so there was a collective silence.

The comment area was also dead silent, as if the operation video of Sanbo Hospital did not exist.

After a long time, a doctor came up: "Is there anyone? If there is, please answer, the atmosphere is very scary."

The other also held back for too long, afraid to speak, and kept waiting for others to speak, but no one took the lead to speak.

"Did the patient get out of the operating room alive in the end?" the doctor asked. He actually knew the result, but he just wanted to ask, for fear that the video he watched would be different.

"After the postoperative examination, the toes of both feet moved normally. After the anesthesia woke up and extubated, the surgeon had a conversation with the patient, and the patient still moved. This should be able to determine that he is alive?" Another doctor was not sure.

"Is there a big cow with a spine? Can you explain the science? I don't understand. This kind of operation is done in one go, and it takes four hours. Looking at the film, the correction is perfect. What level is it?"

There is no shortage of big names in the comment section of the website, but everyone has a screen name and does not know the real identity of the other party, so that comments can be relaxed and free.

"There is no big cow in the video. I am also a senior spine surgeon. I have some experience in scoliosis correction. If I am wrong, please correct me. The four-hour operation, including several changes of positions during the operation and disinfection of the drape, is practical. The operation took more than three hours, and the movement was too fast, but I watched the video repeatedly, and I got used to it when I slowed down a bit. The whole operation process was smooth, with clear steps, and no steps were missed. The postoperative images showed that the correction was perfect, without leaving any room, and it was in place at one time. , the patient is awake after the operation, the limbs are moving normally, and it is reported that the muscle strength is normal, at least alive, and not paralyzed. In recent years, he often reads papers and journals and goes abroad for meetings. At present, I can’t think of anyone at home and abroad who can achieve this level. Really, maybe I am ignorant. .If you have to question it, you can only doubt whether there is a problem with the video itself."

"I didn't understand the operation process, but I know that the result is very good. There is no repetitive and invalid action in the operation. Is there a video clip?"

"Didn't the previous multiple ligament reconstruction of the knee joint say it was from the New York Hospital for Special Surgery? Now you suspect the video clip?"

"Don't you think it's ridiculously fast? It's too ridiculous, so you have to be suspicious."

"It is recommended that the organizing committee intervene, check the video, and track this case, and don't rush to score."

The comment area gradually recovered and became active.

At the beginning, everyone was dumbfounded. They seemed to understand it, but they didn’t dare to say that they understood it.

"This operation is not only fast and simple, but also contains extremely high technical content. It disperses the deformation of the spinal cord to the maximum extent. The orthopedic design is ingenious. It can actively disperse the deformation stress while correcting the deformity. Compared with the passive acceptance of spinal cord deformation in traditional surgery, it is an obvious concept. Progress, this is also the courage of the chief surgeon to dare to step to the top, the operation is beautiful, joyful, and the speed is too fast, I am already wet after watching it."

"Everyone has finally spoken, I want to take a breath, my hands are still shaking a little, I can't control it."

"I just got up and found a big piece of wet on the chair. I sniffed it secretly, and there was no pee."

"I'm holding nitroglycerin in my hand, and I'm asking my brother in the cardiology department if I want to take one. I feel tightness in my chest and discomfort in the precordial area."

"Call the chest pain center, hurry up! Don't hesitate!"

"I'm watching it in slow motion. I've watched it twice. It's thrilling."

"Has anyone had a dislocated jaw?"

"My director said that he watched it while clutching his chest, and now my palms are full of sweat, really."

"The operation is so fast, will points be deducted?"

"I didn't say that it's not allowed to be fast. They didn't miss a step, and every point was done perfectly. I can finish it in four hours. Do I have to deliberately delay it for more than [-] hours?"

"What should I do? Is Xiehe Song Yun cool?"

"It's probably cold."
-
In the conference room of Imperial Union Medical College Orthopedics, everyone gathered together, and the atmosphere was very dull.

Rigorous Xiehe slowed down Yang Ping's operation video, then decomposed it, and studied it step by step. Even the animation demonstration of the operation has been made to help understand the operation.

It's not arrogance, it's not arrogance, it's not acting outrageously, it's not taking human lives lightly.

It was a well-prepared, flawless, watertight operation.

No matter from the design of macro steps or the handling of details, they are impeccable.

The hidden technical content of this operation has broken through the highest level of existing similar operations.

"The design of several orthopedic parts is not purely for deformity correction, but also considers the dispersion of spinal cord deformation. This is the core technique for the chief surgeon to leave no room. At present, no one can accurately disperse spinal cord deformation except him."

"Cervical spine correction on the skull base has entered the realm of true precision medicine. Look at the cooperation of assistants and surgeons, and pay attention to the decomposition of movements. Their movements are accurate to the millimeter level, and they should be trained countless times."

"The operation is extremely proficient, and the sense of simplicity is very strong. No matter who performs this operation, he must not dare to do it at one time, let alone make a complete correction. The cumulative operation time is estimated to be about [-] hours."

Through the screen, Song Yun felt a huge pressure, which made him breathless, desperate, suffocated, and cold.

Yang Ping played in the second season and only had this operation.

At the beginning of the operation this season, he lost. Song Yun couldn't accept it, his heart was like an ice thorn, and any remedial measures were useless.

Even if he had the same operation as Yang Ping and gave himself enough time to prepare, he would not be able to win it, even if he managed to win it, it would be impossible to be so proficient and easy.

"Build a finite element analysis model for the relationship between spinal orthopedic surgery and spinal cord deformation, Director Hu! After the competition, you will lead the team to Sanbo in Nandu to learn spinal orthopedic from them." Professor Liang, director of the Department of Orthopedics of Union Medical College, said seriously.

"Professor Liang?"

Professor Hu Guolin, deputy director of the Department of Orthopedics, politely stopped him, saying that he is dignified and concordant, how could he be inferior to others? We have always been someone else who came to us for further study, and if we want to go out, we will go to a top foreign hospital.

Song Yun and others also looked at Professor Liang expectantly, hoping that he would take back his words.

Professor Liang's complexion was different: "Professor Hu, please stand up and repeat the academy motto for me."

"Preciseness, refinement, diligence, and dedication." Professor Hu stood up, and everyone followed suit.

"That's right, you keep it in mind, but it's a pity that you didn't understand. I have repeatedly warned everyone to learn from the teacher, from books, from peers, from experience, and from lessons." Professor Liang raised his voice, resounding through the meeting room.

"What is refinement? Such an excellent doctor, such a rare case, you don't want to learn how to study, but take care of your poor vanity, I will ask you a word, next time we see such a patient, you can Is it possible to do this? The operation was completed in four hours, the physiological curvature was corrected, and the bleeding was 140 ml?" Professor Liang sat on the chair and glanced at everyone.

"You don't want to go? It's okay. I'll go. I'll teach you after I've learned well." Professor Liang got up and wanted to leave.

"Professor Liang, let's go, we didn't say no." Professor Hu lowered his head and said awkwardly.

Professor Liang sat down again: "I always say that as doctors, there is no end to learning. We must not rest on our laurels. What we are facing is a complex human body and the only life. Don't try too hard."

"Song Yun, show the spirit of the Xiehe people. Even if we are eliminated, we must continue to perform the operation meticulously. Don't care about everyone's comments. If we keep a learning attitude, there will be no losers in this competition. Everyone Is the winner, there is no competition, how do you know there are others?"

"Elimination is doomed, not to mention you, I can't get back even if I take the stage, you have to be eliminated with the attitude of an excellent surgeon, Centennial Concord should have its own elegant and confident attitude."

Song Yun was deeply moved by Professor Liang's words: "Director, I understand that the operation will start tomorrow, and I will do every remaining operation as I did the first operation. After the competition, I am willing to go to Sanbo to study. "

"Well, it's good for you to understand. You are all excellent surgeons. Tomorrow's operation, I will personally sit in the audience for you. There is no victory or defeat, only every operation must go all out."

Professor Liang got up, and everyone stood at attention, watching him walk out of the meeting room with vigorous steps.

(End of this chapter)