The Godfather of Surgery

The next day, at 8:30, the operation started on time, the first operation in the comprehensive orthopedics department.

Director Han also took the time to sit by and watch, so as to fill in the gaps in the workflow.

The experience of the multi-functional operating room is very wonderful. The high-definition LCD screen is fixed with a cantilever extending from the ceiling, which can move freely at multiple angles.

Several screens, the main surgeon, the assistant, and the computer host connected to the operating room, can transfer the patient's medical records and image data to the screen at any time for the doctor to view temporarily during the operation.

In addition, the screen connected to the host, the control panel is covered with a transparent sterile isolation film. If the chief surgeon is dissatisfied with the control under the stage, he can control the screen himself and call up the desired data.

Using color Doppler ultrasound positioning, sciatic nerve and femoral nerve block anesthesia, Liang Fatzi's business is very superb.

How long will it take? Fatty Liang asked.

This kind of block is a one-time medication, and it cannot be added in the middle. If there is too much anesthesia, the patient will not be able to move the lower limbs after the operation. This requires extremely accurate calculation of the anesthetic dose according to body weight, age, liver and kidney function, and familiarity with the operating speed of the main surgeon.

Half an hour! Yang Ping said.

Enough? Fatty Liang confirmed.

After half an hour, apart from brushing, disinfecting, laying clothes, and dressing after surgery, there is only more than ten minutes of operation during the operation.

Enough! Yang Ping said affirmatively.

Brush your hands! Disinfection and hand disinfection, dressing, single-use arthroscope, connecting various line pipes, expelling blood, inflating tourniquets, Song Zimo's assistant.

The skin and joint capsule were pierced with a sharp knife, and a small incision of 0.5 cm was made on both sides of the knee eye. A puncture sheath was placed on the left side, entered into the knee joint cavity, straightened, and entered into the suprapatellar capsule.

A clear circular field of view is displayed on the cantilever screen, and after a thorough examination of the joint, the popliteal hiatus appears to be normal after the right hand is inserted into the probe.

The probe hook entered, and a cord synovial membrane was gently pulled out.

The basket forceps entered, the synovial strip was bitten off, and the plasma knife performed hemostatic ablation on the stump less than two millimeters.

The whole process takes more than ten minutes to attract and exit the device.

The full thickness of the two small incisions was closed with long-acting local anesthesia, two 0.5 cm incisions were sutured, the cotton pad elastic bandages were compressed and the tourniquet was loosened.

The anesthesia was just right, the bandaging was finished, the patient's right lower extremity could move, and the feeling returned.

For the first operation, the entire team cooperated very well and the rhythm was well mastered. The damage and stimulation to the human body in this operation will not exceed the skin abrasion on the knee caused by the fall.

Nerve block anesthesia is also a local anesthesia, you can eat immediately after the operation, and you can even walk out of the operating room by yourself.

When the patient moves the knee joint, there is no pain or stuck, and the effect can be experienced immediately.

You can leave the hospital tomorrow. Don't let the wound get wet until the stitches are removed. Go to a nearby hospital or our hospital to change the dressing regularly, and remove the stitches after ten days. Song Zimo is in charge of the post-operative mission.

Try it! Go back by yourself? Xiao Wu supported her while Zhang Lin found her shoes.

So fast? I'll try! The patient put on his shoes and tried to step on the ground, but he still didn't dare.

Yang Ping encouraged her: It's okay, take a few steps!

She mustered up the courage to take the first step, she felt very good, very stable, the second step, the third step, she could really walk back and move the knee joint, except for a little restriction brought by the bandage, there was no problem, no pain, Not stuck either.

Director Han got up, Yang Ping's proficiency in arthroscopic surgery was beyond his imagination.

The patient's daughter, who was waiting at the door of the operating room, saw her mother coming out of the operating room, chatting and laughing with the doctor, thinking that the operation would not be done.

What's wrong?

finished!

finished? So fast, the patient moved the knee joint, then deliberately walked a few steps, and turned around to show her daughter, and it was normal.

It's finally resolved this time. As for Yangyang, I'll go pick up Yangyang.

Can I really be discharged tomorrow? The patient's daughter supported her mother and stared at her legs.

After two surgeries, the third time was finally resolved. Fortunately, I was not in a hurry to be discharged from the hospital.

The old lady was full of praise all the way.

Aren't you married? the old lady asked. When she was happy, she wanted to introduce her girlfriend.

I'm getting married soon. Zhang Lin answered for help.

The old lady was a little disappointed.

I have a friend whose knee is swollen so much that he can't walk now. I asked him to come and see you? The old lady was very happy.

The daughter is unhappy, and thinks that her mother is meddling with her own business, and it is thankless to introduce such things as doctors.

The old lady obviously didn't care, she just wanted to help her friend.

The first operation was completed perfectly, and everyone was very happy, marking the official start of the comprehensive orthopaedic department.

Song Zimo began to write the operation records, Zhang Lin wrote the disease course records, there were 30 beds in the comprehensive orthopaedics department, Zhang Lin and Xiao Wu were in charge of 15 beds each, and each of them brought two more trainees, and the team was enough to support 30 beds. hospital bed.

Yang Ping began to study Mr. Ning's condition again. The cross-section of CT has images of nerves, and the three sections of MRI have images of nerves.

To do three-dimensional reconstruction is to use these cross-sectional images to reconstruct a three-dimensional image. To complete this work, it is all done by the software that comes with the CT or MRI machine.

Yang Ping found that his brain's composition ability has improved rapidly, and his memory, especially the memory of details, is very strong, almost to the point of unforgettable, this is the result of the system super training program.

He tried to use the brain to reconstruct a stereoscopic image of the patient.

A pair of images and pictures appear, superimpose, and combine in the mind, and the details of attention and indifference can be preserved as they are.

The three-dimensional spine, tumors, blood vessels, and nerves are gradually formed. This is not the function of the system, but is processed by one's own brain, without relying on the system.

In order to be eye-catching, the nerves are marked in red, and the direction of the red nerves gradually becomes clear.

Constructing this three-dimensional image is not easy and laborious. Some key details need to be strengthened repeatedly in order to be stable and clear. This is supplemented, and the other is missing. This is clear, and the other is blurred. After repeated enhancements, the image is barely formed.

Song Zimo stood not far away, watching Yang Ping staring at the screen, his eyes focused, like a sculpture of a thinker, he didn't want to disturb Yang Ping, he wanted to see what he was doing, so focused and devoted.

Yang Ping took out a piece of paper and began to sketch on it with a pencil, starting with outlines, then lines, and finally three-dimensional processing, and then details.

The perfect application of surrealist painting techniques in medicine, an image appeared on the paper, Song Zimo approached, but Yang Ping didn't notice it, he was too involved.

What is it? He did it himself with CT and MRI images? He did it with his brain? And then put the reconstruction into a picture.

Is this still human? Are you working with a mortal?

Director Han also came in. He saw Song Zimo's strange expression and Yang Ping's sculptural focus. He didn't know what was going on.

Take a closer look at the drawings and see the images on the screen.

Also understand, this is reconstructing with the brain? Draw the reconstructed image with a pencil?

This requires a lot of brain composition ability. It is no wonder that the content of genius thinking is pictures, and the content of ordinary people's thinking is to simulate language sounds.

Neither of them wanted to disturb him, put down the pen, Yang Ping touched his forehead, sweating, it seems that it is still very difficult to construct such an image, and the composition ability needs to be improved in the future.

Oh, Director Han! Yang Ping felt a breath behind him, turned around and saw Director Han and Song Zimo.

Song Zimo, how is the patient after the operation?

It's fine, it's fine!

Director Han, this is the picture I drew based on CT and MRI, you see this is the spine, this is the spinal cord and dural sac, this is the nerve root, this is the intervertebral foramen, the thoracic 2 nerve roots are invaded by the tumor, and It was pushed away by the tumor, and the tumor has a very rich blood supply. Yang Ping said, pointing to the picture he had drawn.

The oncology department has already done embolization treatment for liver cancer, and now there are still relatively few blood vessels. Before the embolization, there were more. Director Han said, Song Zimo pulled a chair for Director Han to sit on, and sat around himself.

Are you still thinking about the nerve root block? Director Han knew what he was thinking.

Yeah, it seems that there is no other way but this? Yang Ping was very distressed.

Is this a reconstructed image you drew? Director Han said.

Sketch! Yang Ping nodded slightly and answered succinctly.

This sketch can already catch up with the real CT or MRI 3D reconstruction, the details are clearer than it, it is right not to train him as a normal person.

Is there any good way? Director Han couldn't help but ask curiously.

Not yet! The answer was confident and precise.

It is not easy to find a method, both theory and practice must be feasible, and it must be safe without causing side damage. This is the reason why medicine is progressing more slowly than other disciplines.

Director Han looked at his mobile phone and received a notice that patients in the Overseas Chinese Building will have a general consultation at 5:00 p.m., in addition to the heads of various departments in this hospital, as well as specialists in orthopedics, oncology and pain from Attached 1 and Attached 2.

The consultation was originally scheduled for 3:00 pm, but Professor Su Qingyun was not available and could not arrive until 5:00 pm, so it could only be arranged at 5:00 pm. The family used a lot of connections to invite Professor Su over.

Professor Su and Meng Heng from the Imperial Capital, Hong Zhigang from the Magic Capital, and Fu Shancheng from the west are all popular candidates for academicians.

In the afternoon, will you join us too? Director Han admired not only his talent, but also his attitude towards medicine.

Yang Ping himself wanted to participate. I heard that Professor Su Qingyun is very strong, rigorous in his studies, and advanced in thinking. Whether it is surgery or academic achievements, he is the top domestically and has a place in the world. He is a spiritual banner of the orthopedic academic community.

Being able to invite him must not be a matter of money, it must be friendship. Maybe Mr. Ning has a deep friendship with Professor Su in a certain relationship.

What a rare opportunity to have the opportunity to discuss the case with him up close! Yang Ping thought.

The voices outside are very familiar, and the aunt who has completed the operation today is talking.

With another aunt, the family members pushed her in a wheelchair and went directly to the doctor's office.

Doctor Yang, this is the friend I was talking about. Look, the knee joint is so swollen that I can't move. How long has it been? The aunt was very enthusiastic.

The patient said: It has been swollen for several years, and it often gets stuck suddenly. You can walk after a little movement. This time, it has been stuck for a month, and I can't move at all.

Have you seen a doctor? Yang Ping asked.

No! The patient touched his left knee.

You guys are busy, I have something else to do. Director Han got up and left, and Yang Ping continued to see a doctor. He inquired about the medical history in detail and did a physical examination.

This is most likely synovial chondromatosis. There are a lot of peanut-like things growing in the joints. Check it to confirm the diagnosis. Do an X-ray and MRI. Xiao Wu, you can arrange it. Yang Ping said after the inspection.

Xiao Wu explained to the patient's family how to apply for a medical treatment card. After completing the medical treatment card, he came up and issued an examination order.

After the patient's family understood it, they pushed the patient to apply for a card.

They have no doubts and trust Yang Ping very much.

This is the power of word of mouth, and nothing is more convincing than word of mouth.