I run a clinic in the United States

Chapter 286 No need to urinate throughout the whole process

Because it is a large project and technically difficult, the operation will take a long time.

At the Iris Clinic, Zhou Qiao is still the surgeon, with Murphy as the first assistant, Stephanie as the second assistant, and Elena and Ava.The anesthesia team of the community hospital did not make an appointment with Nancy this time, but instead asked Caroline.

Although her level is slightly lower, Caroline has also been a senior anesthesiologist for many years, so it shouldn't be a problem.

Nancy had saved up many annual vacations, and this time she had a new white boyfriend, so she and her boyfriend went to Europe for vacation.

Nancy, don't be too flattering now, that little boyfriend is said to be from France, a typical romantic young man.

However, this is someone's private life, and besides being envious, it's not good for anyone to interfere too much.

The one I envy the most is probably Park Soo Joo.

Park Soo-joo and Nancy are about the same age, but Nancy has often changed her boyfriend since her divorce, while Park Soo-joo has been widowed.Mainly because she has a conservative temperament, and also because she doesn’t want Yoona to be unhappy.

And after meeting someone like Zhou Qiao, she didn't like other men either.But it's impossible to talk to Zhou Qiao, so I can only feel sorry for myself.

Apart from being a little lonely, Park Soo-joo feels that life is pretty good now.So I don’t want to mess around anymore.If you encounter someone who is unkind, you will be the one who suffers.

Before entering the operating room, Zhou Qiao's five-member team all fasted like patients and fasted from food and water.

Of course, unlike the patient's request, doctors and nurses do not eat or drink anything just to avoid frequent trips to the toilet during surgery.Therefore, patients cannot drink even a sip of water, but medical staff can drink less and eat less.

In addition, during stressful surgeries and high-intensity work, doctors and nurses will also have a "stress reaction" and the urge to urinate and defecate will be less than usual.Based on Zhou Qiao's experience, you can "hold it in" for seven or eight hours.

If you really can't hold it in, you can leave for a short while if there is a "substitute". There is also a bathroom in the operating room.

Besides, depending on your own situation and ability to hold in your urine, you can also wear diapers.

"I'm waiting for you here, wearing the stars and the moon, coming on the wind... I've traveled all the way up and down, my hair has turned white in the morning and evening..."

After the anesthesia was completed and multiple checks were completed, Zhou Qiao began the artificial total hip replacement with the song "Waiting for Your Return", which touched the soul and was full of healing melody.

The operation is divided into two major parts. Compared with the later spinal osteotomy and correction, the total hip replacement is relatively simple. Since this is not an emergency, Zhou Qiao did the easy one first and then the more difficult one.

Doing simple things first can also help you get into the state as quickly as possible.That kind of state where you are fully immersed in it and are always at the peak of super god.

If it's an emergency to save a life, do the opposite, do the most difficult thing first and save your life later.This is based on specific circumstances.

Artificial total hip replacement can be said to be one of the most successful and reliable surgeries in the field of orthopedics. Every year, countless patients suffering from hip joint pain undergo this surgery and achieve satisfactory results, ushering in a new life.

And with the development of science and technology, the clinical application of polymer materials and high-tech 3D printing technology, the performance of prostheses is getting better and better, and the curative effect is naturally more significant.

Using Moore's posterolateral approach for exposure, press fit...

Zhou Qiao did not use screws because their use is limited to situations where initial stability cannot be achieved with press-fit technology.Zhou Qiao’s perfect surgical skills made it easy to do the surgery, no screws needed.

Clean the acetabulum, use an acetabular file that is about 8mm smaller than the acetabular component, and start filing the acetabulum...

In fact, most of orthopedic surgery is physical work. Compared with neurosurgery, which is a delicate and delicate operation, it requires higher physical strength of the surgeon.

But there is no need to worry about Zhou Qiao. After three transformations using genetic medicine, his various physical attributes have already evolved into a "freak". Although he is not as invincible as a Marvel hero, he is not comparable to ordinary strong men.

Just say that Black Scorpion under Luo Ya, if he were to compete with Zhou Qiao now, Zhou Qiao might be able to completely beat him in pure hand-to-hand combat without the use of firearms.If Zhou Qiao learns more fighting skills, he will be stronger.

Of course, this refers to a contest, not a life-and-death fight. In a real life-and-death fight, Zhou Qiao doesn't have that ferocity.He is a doctor and a gentle man, not a humanoid fighting machine.

If he really wants to fight to the death, he can only use hypnosis, which can control people's minds instantly and kill people invisible.But this skill is too abnormal, and he dare not show it easily. It is only used as a means to save his life at critical moments.

On the vertical horizontal plane, grind and file until the medial wall of the acetabulum is exposed, and then use gradually increasing acetabular files to grind and file along the direction of the acetabulum, with an angle of abduction of 35°-40° and anteversion of 15°-30°.

The acetabular rasp is in close contact with the anterior and posterior walls of the acetabulum as well as the top and outer edge of the acetabulum. The rasp is smoothed until the horseshoe fossa is smoothed, showing a "blush sign".

……

Trial cast reduction, intraoperative testing, prosthesis installation, and incision closure.

Then, on the other hip joint, do the same as before...

There are several surgical difficulties, such as how to judge the position of the acetabular cup from the surgical field of view, how to check and measure the anteversion angle, how to determine the "safe position" for placing the acetabular prosthesis, and what techniques and force should be used in the proximal medullary cavity. In order to ensure that the direction of the file is consistent with the axis of the femoral neck, how to check the length of the lower limbs, compare the distance between the lesser trochanter and the ischium tangent line, etc.

The process was quite complex, with many little tricks involved, and Zhou Qiao was innovative in many aspects. Therefore, the orthopedic surgeons observing in the monitoring room couldn't help but marvel.

"I've long heard that Dr. Zhou is all-powerful. Before, I didn't believe that he could master the unique skills of our orthopedics department. I never imagined that this method, this technique... Wow, I worship him!"

"Yes, he is worthy of being the God of Zhou."

"I suggest you apply to Dean House and let Dr. Zhou come to our orthopedics department to provide guidance." "That will cost money. I don't know if there is any budget for this year. Moreover, other departments must also compete for this opportunity. of."

……

This operation took quite a long time. More than two hours passed before the first major step, the artificial total hip replacement, was completed.

Ava selected many songs, some in English, some in Chinese, some in Little Days and some in Korean.

Suddenly, an adapted version of "Mrs. Luxury Fragrance" cheered up Zhou Qiao. The melody of "Mrs. Luxury Fragrance" was the same at first, but the specific lyrics were completely different.

"There are cliffs on both sides of Loushan Pass, yellow flowers are in full bloom along the Songpan River, thousands of miles of rivers and mountains are covered with sores, and the earth is scorched with blood and tears..."

"Wumeng Mountain is connected to the mountains outside the mountain. The moonlight shines on the Xiangshui Beach. The future is uncertain and paranoid..."

Murphy, Stephanie, and Elena saw Zhou Qiao's expression was strange, and there seemed to be tears in his eyes. They thought the operation was going to fail, but they thought too much.

Zhou Qiao quickly put aside distracting thoughts and entered a super state again. After listening to this song, the operation seemed to go more smoothly.

The second stage of surgery, spinal osteotomy and orthopedic surgery, is the most important part.

Surgery at this stage has great risks, that is, it may damage the nerves!

Compared with surgery without osteotomy, osteotomy involves an additional step, which is to use special tools to crush and remove the bone around the nerve.During the operation, there may be some contact with the nerves. Damage or excessive pulling of the nerves will cause sequelae. The most serious consequence is paralysis.

If the surgery is unsuccessful, it may not be as good as before.

Before the operation, little Njeli could barely walk without seeing the ground, but if the operation failed, she might be completely paralyzed.That situation is even worse.

If you are an orthopedic surgeon, you may find it very difficult and stressful.However, Zhou Qiao couldn't even perform neurosurgery on his brain, so what about the nerves on his spine?

It's time for Dr. Zhou to show off his exquisite skills!
The truly skillful steps made the orthopedic surgeons from the community hospital in the observation room worship again and marvel in all kinds of ways!
Cut off the stiff and deformed spinal bones and rejoin them...

During the docking process, the two bones fit perfectly.

In addition, although Zhou Qiao was confident that he would not damage the nerves, in order to reassure the observers and see the results, Zhou Qiao did not take it lightly and save trouble, and still adopted measures such as nerve monitoring and awakening tests.

Under normal circumstances, the nerve will have a current amplitude on the display screen. If the doctor accidentally touches the nerve during surgery, the amplitude on the display screen will generate a stimulation signal, prompting the doctor to avoid this location.

Zhou Qiao took action, but this abnormal signal was not triggered even once.

The doctors who were observing simply didn't know how to express their admiration.

In addition, every time Zhou Qiao completes a step, he will actively send out an electric signal.

For example, electrical signals are transmitted from the head to the muscles of the spine. If this path is smooth, it means that the nerves are not damaged.

Continuous neurological monitoring is a very practical technology to protect patients during spinal surgery.

Sometimes, the patient will be briefly awakened during the operation to check the nerve conduction. This requires the cooperation of the anesthesiologist, and then the surgeon will adjust the details of the operation according to the patient's condition.

Zhou Qiao used a posterior midline incision. Because little Njili is bent forward at nearly 5 degrees, it is more convenient to use a posterior midline approach, including the upper and lower five vertebrae.

First expose the upper and lower laminae, move to the middle and finally expose the dislocation gap, carefully remove the soft tissue in the dislocation gap...

The dislocated vertebra is displaced forward... exposing its transverse processes on both sides...

In terms of spinal deformity correction, there is an international grading system called the "Schwab Spinal Deformity Correction Grading System", which was proposed by Schwab in 2014. It is a spinal deformity correction grading system based on anatomical surgical approaches, with the purpose of facilitating academic research. Communicate and standardize research results.

This classification system divides 6 types of osteotomy methods, the first level is SPO, the second level is Ponte, the third level is PSO, the fourth level is BDBO, the fifth level is VCR, and the sixth level is VCRS.

The further back you go, the more difficult and risky the surgery becomes.

Zhou Qiao used the most difficult six-level osteotomy, which is VCRS. As you can see from the English abbreviation, six-level VCRS is actually composed of multiple five-level VCRs.

It doesn’t work without Level [-]. This is based on little Njeli’s condition.

A single VCR can correct kyphosis up to 50 degrees, while multiple VCRs can correct kyphosis up to 90 degrees and above. Of course, this depends on the doctor’s skill!
The same surgical procedure is performed by doctors of different levels, and the quality of the surgery is naturally very different.Some are very rough and have many sequelae and complications, but some doctors make them as if they are repairing works of art, flawless and perfect.

Dr. Zhou is the best among the best!

For more than six hours, Zhou Qiao's team has been busy in the operating room without going to the toilet. When I went there, the orthopedic surgeons observing in the monitoring room actually had no need to urinate during the whole process. They stayed here after get off work and studied tirelessly. He was so hungry that he refused to leave even though he was grumbling.

In fact, Dr. Zhou's skills are so good that the opportunity is quite rare.

The director of the orthopedics department of the community hospital also came over to take a look, because it was too abnormal for him to stay away after get off work.As a result, he couldn't help but exclaim: "If our orthopedics department also had a national surgery competition, Dr. Zhou would be the absolute champion without a doubt."

(End of this chapter)