The Godfather of Surgery

There were few patients and the rounds were quick. After the rounds, Zhang Lin and Xiao Wu sent the patients to the operating room.

Meniscus suture and cruciate ligament reconstruction are the landmark surgeries of knee arthroscopy. Although Director Han is very reassured about Yang Ping, let’s take a look at these landmark surgeries to see how powerful Yang Ping’s arthroscopic surgery is.

Huang Jiahui waited in the operating room early, waiting for the instrument cart. She neatly stacked 20 individually sterilized meniscus suture guns on the instrument cart and locked the instrument cart in an out-of-the-way corner.

This corner was the best place for her to ponder and figure out.

It is convenient to observe the progress of the operation and does not hinder the personnel in the operating room.

She used to have enviable long hair, but since she entered the industry, she has decisively cut it short enough that it can be tied.

Today, when she tied her hair up, wrapped it in a net, and put on a sterile cap, her hair didn't show a bit. Training to wear a sterile cap, she practiced countless times in front of the mirror at home until no hair was exposed.

After the anesthesia was ready, Song Zimo hung the patient's X-ray and MRI film on the reading light, instructed Xiao Wu and Zhang Lin to set up their positions, and then went to brush their hands, disinfect the sheets, and make preparations, every detail. All meticulous.

When Yang Ping washed his hands and came in, everything was ready, just waiting for the stage to start.

When Yang Ping was wearing the surgical gown, Director Han came in.

Hello, Director! Everyone greeted.

Professor Han, hello! Jiahui greeted Director Han who came, and bowed.

Hello! Director Han saw that she was holding a laser pointer in her hand and guarding the sterile boxed instruments, and knew that it was an instrument dealer.

Which company? New here?

Director Han had never seen this little girl before.

Professor Han, I'm new here, Ruixing Medical, who makes sports medicine products. Jiahui introduced herself.

Director Han picked up a separately packaged meniscus suture gun and looked at it: Ruixing! Domestic products should be supported more. This suture gun can sometimes get stuck, so be careful!

The connection between the first needle and the second needle is imprecise, and sometimes the force is not well controlled, resulting in an error of 0.5 mm. Before the first needle is released, the second needle is eager to enter the advancing track, forming a jam. After the injection is completed, the trigger cannot be released, but the trigger should still be locked, and then back up until the first injection is confirmed, and then the trigger is released, and the second injection is injected, so that the gun will not be stuck. This design needs improvement.

Yang Ping has studied Ruixing's equipment very deeply. Before Huang Jiahui reminded him, he already knew about this defect, and he already had countermeasures, so he didn't care.

You are right in the research of equipment. Doctors must be proficient in equipment research and cannot rely on the explanations of manufacturers and Taiwan. Director Han appreciates Yang Ping's attitude.

What's the condition of this patient? Director Han asked while watching the film.

Male, fourteen years old, professional football player, with a compound tear of the medial meniscus in his left knee, the tear is located in the posterior horn and body. Yang Ping introduced Luo Xiaohu's condition to Director Han.

Yeah! Looking at the MRI, the meniscus is severely torn, and the suturing technique is difficult. Do it slowly, not in a hurry. Director Han explained to Yang Ping.

Huang Jiahui brought a stool and let Director Han sit.

Complete the preoperative check, expel the blood, and inflate the tourniquet.

Yang Ping began to open with a sharp knife, skillfully opened it on the outside, the puncture cone entered with the sheath, then straightened the knee joint, entered the suprapatellar capsule, pulled out the puncture cone, and inserted the lens.

During the speech, the arthroscopic exploration of the knee joint has been completed, the medial meniscus is torn, and no other obvious abnormalities are found, so the medial meniscus can be sutured.

Director Han moved to the side of the screen and looked at the video image above: The tearing is serious, one piece has been turned up, and it is freshly torn?

The tear has only been two days. This is the patient introduced by Su Nanchen, a player of the provincial youth football team. Yang Ping began to insert the needle inside to guide the opening.

After the opening, the probe is inserted. The probe is the extension of the arthroscopist's finger, and the lesions and damage of the structure can be further understood by fiddling and touching.

Yang Ping closed the water inlet pipe to reduce the agitation of the torn meniscus by the running water, and used a probe to fiddle with the torn meniscus and smooth it. Freshly torn, directly sutured, no freshening of the rip edge is required.

Suture gun!

Xiao Su also did research on the manufacturer's equipment in advance. When Huang Jiahui asked her for the record of aseptic knowledge, she also asked Huang Jiahui for the details of these equipment.

Yang Ping took the suture gun, entered from the medial port, and began to suture the posterior corner of the meniscus. The gun muzzle was facing the planned puncture point, and the trigger was pulled. The joint capsule, the thread riveting remains outside the joint capsule.

He squeezed the trigger tightly and didn't let go, pulled it back gently, and the first needle was released smoothly. At a distance of 0.5 cm from the first needle, the muzzle of the gun was against another planned puncture point of the meniscus, and the trigger was pulled. The second needle entered smoothly, and the gun was withdrawn backwards.

Tighten the suture. The two thread anchors are inserted longitudinally. Now, when you pull it, it becomes a horizontal shape. It is pinned behind the joint capsule and becomes the anchor point of the thread. The knots are prefabricated, irreversible, and can only be tightened, not loosened.

Use the knot pusher to send the knot to the right position, the thread cutter cuts the thread, the first stitch is finished, it is very beautiful, the tightness is suitable, and the position is accurate.

The tear opening is complex and irregular, and the suture gun needs to be entered from different directions. Sometimes it is easy to enter the inner opening, and sometimes it is convenient to enter the outer opening.

Yang Ping had already planned how many stitches to sew and how to distribute them. He first sewed a few stitches at the inner port, then moved the camera to the inner port, entered the suture gun from the outer port, and sewed a few stitches at the outer port.

Each stitch is done quickly and in place, very easy and skilled. There are six stitches in total. After sewing, the horizontal, oblique, radial, petal-shaped, and several cracks are all sutured.

The meniscus was perfectly stitched back to its original shape. Looking at the video after stitching, it seemed that a few stitches had been stitched on a normal meniscus.

Open the water pipe to flush the joint cavity. Then close the water inlet tube, suck the water in the joint cavity, and exit the lens. Yang Ping backed away, and Song Zimo did the finishing touches.

Dry the water on the surface of the knee joint with dry gauze, disinfect the skin with 75% alcohol, and suture two small openings with one stitch on each side. The cotton pad elastic bandage is compressed, the tourniquet is loosened, and the operation is over.

Director Han stared at the screen. In just ten minutes, the operation was over, and the topic of chat was not opened.

The suture is perfect. A ruptured meniscus is restored to its original shape step by step. It is smooth and neat. The wound edges are aligned very neatly, and there are no wrinkles after stitching. There is an artistic visual enjoyment.

This effect is not achieved by a lot of surgical experience. To achieve smoothness and no wrinkles, the tension of each stitch must be well controlled. Instead of independently controlling the tension of each stitch, the coordination of several stitches must be taken into account. , to achieve a balance of tension.

Perfect! Director Han gave him a thumbs up.

Huang Jiahui was on the side just now, and she has been very nervous, thinking in her heart not to get stuck.

After she watched the entire operation, Yang Ping's proficiency with the suture gun was as if he designed the instrument, which was even more perfect than the company's surgical demonstration video.

I just heard Yang Ping's understatement about how to deal with the stuck gun. It turned out that he had already taken a countermeasure. He knew that there was this defect, and he still used his own product, which made him feel a little more grateful.

Mr. Yang, are our equipment still in good hands? Jiahui asked with sincerity, and hurried over to help Yang Ping untangle the back of the surgical gown.

Good, very good!

Thank you, Teacher Yang!

You also prepare the equipment and consumables for the reconstruction of the anterior and posterior cruciate ligaments. Yang Ping instructed her.

This little girl hurriedly asked her brother to ask her out last night, just to tell the flaws of the meniscus suture gun. Whether it was really honest or for other reasons, at least she was very attentive and did not treat those who cared badly.

Okay, I'll deliver it right away, along with the materials. Jiahui was very excited.

In the surgery center, some were actually prepared, but since Yang Ping brought it up, Jiahui would definitely not say that the surgery center had it, and she had to get it.

If you say send it, send it! Don't leave troubles to customers, try to keep troubles on your own side, this is what my brother explained.

Is this domestic equipment okay? Director Han asked.

Yang Ping said: It's very easy! It's not worse than the imported ones.

If there is a need for equipment and consumables, please tell me at any time, and you can do the surgery with peace of mind. Director Han will do a good job in safeguarding at any time.

After the operation, the anesthesia subsided, and Fatty Liang's skills were getting deeper and deeper. Zhang Lin helped the patient with knee braces, and Song Zimo put a pair of crutches on the patient: Don't bear weight on this leg for six weeks, and start to recover in the afternoon. Training, the doctor will explain to you in detail the precautions that follow.”

The explanations in the operating room only focused on the key points, and the patients could not remember too much.

In the video system, Xiao Wu took a few pictures of key nodes, and then got them on his mobile phone and sent them to Yang Ping and Song Zimo. Song Zimo will communicate with the patient's family later.

At the door of the operating room, family members were waiting. When Luo Xiaohu came out with a cane, his parents immediately came to help him.

The operation is so fast, how about just going in for a while?

Father Luo asked worriedly.

Worrying about the long operation time, afraid that something may go wrong? The operation time is too short, and I am also worried. I am afraid that I am doing it sloppily?

Song Zimo showed the picture on his mobile phone: Dr. Yang is too skilled in this kind of surgery, so hurry up, look, this is the meniscus before surgery, this is after surgery, it's sutured, how beautiful!

Dad Luo looked at the pictures carefully and was very satisfied. The messy cracks before stitching and the meniscus after stitching were flat and flawless. He was not a doctor, but he had an intuitive understanding.

Just like the quality of wound sutures, patients can see it even if they don't understand. The stitching is good, neat, the skin is flat, beautiful! Poor stitching, long and short, crooked, uneven skin alignment, ugly!

This level was finally over, and the stone hanging in Father Luo's heart was put down.

Yang Ping sent the picture to Su Nanchen, with a brief description of what he saw during the operation. It was recommended by others, and there should be an echo after the operation.

Thank you for the reward of 1500 starting coins for playing badminton!