The Godfather of Surgery

Concentrate! What are you looking at? Yang Ping scolded.

Director Wu immediately cheered up again. He didn't look at anything, he just wanted to stare at the probe and stop being suddenly beaten by that thing.

The operation was too fast, Director Wu couldn't keep up with the rhythm when he raised his hand, and was scolded from time to time.

He really regretted coming to power and wanted to find a reason to leave, such as an upset stomach.

But if he did, Jiang Baicheng would think he was too playful and wouldn't take his surgery seriously.

He had no choice but to hold back, swallowing the broken front teeth and continuing to help pull the surgical limb.

He wanted to ask if he could rest for a while, Yang Ping focused on the operation, and the boys were all immersed in weaving tendons, and no one paid any attention to him.

Forget it, I can only hope that the operation will be completed soon.

Old Wu, take a rest? It's very hard to pull. Yang Ping looked back at this time, Director Wu's expression was painful.

Director Wu immediately let go of his hand and took the opportunity to ask: It's more difficult, I can't bear it, change someone?

He wanted to help with the tendon, or just sit back and rest, just on stage.

Yang Ping sternly said: Old Wu, this operation is too difficult, and the traction requires an experienced assistant to keep abreast of the main surgical points of the main surgeon, so as to create the best field of vision for the main surgeon. It won't be hard for you, or should we rest for a while and then do it again?

In the operating room, everyone was fascinated by the operation, and several deputy seniors of the Department of Orthopedics also came in one after another. Anyway, no one drove them out. Just pay attention to the concept of sterility.

Yang Ping's voice was louder, and Jiang Baicheng heard it. The people lying on the operating table were most concerned about whether their surgery went well.

Director Wu, thank you for your hard work. Jiang Baicheng shouted under the sheet.

The fat man leaned over: What did you say?

Jiang Baicheng repeated it.

Fatty raised his head and relayed to Director Wu: Director Wu, Mr. Jiang said that you have worked hard for you.

Don't worry, Director Wu is on stage. He personally cooperated with Dr. Yang.

thanks, thanks!

Originally, Director Wu wanted to find a chance to escape and get a spare seat on the stage. In this conversation, Jiang Baicheng was worried that he would not be an assistant and affect the operation.

At this time, it is inappropriate to withdraw halfway!

It's going to be a matter of a few hours, isn't it?

If you don't have a thick skin, can it be a big deal? Director Wu gave up the idea of ​​finding someone to replace him.

Old Wu, I see that your face is not good. If you are really unwell, you can go down to rest, just a few of us, don't worry! Yang Ping said with concern, and the sternness on the stage was completely different.

Director Wu did not retreat, and said, It's okay, let's continue!

As the operation continued, Director Wu moved his arm and continued traction.

Laparoscopic surgery is an epoch-making technique, and complex operations can be completed with a few small holes.

More than 200 years ago, Austrian doctor Botzini, on a whim, made two tubes and inserted them into the bladder from the patient's urethra. structure.

This great man, he did not expect that these two tubes opened an era for future generations, the era of minimally invasive endoscopic surgery.

The doctor who created orthopedic arthroscopy is Professor Kenji Takagi of the University of Tokyo, Japan, that is, Japan is the birthplace of arthroscopy technology.

Professor Kenji Takagi used cystoscopy to explore a patient with tuberculosis of the knee joint. After that, he and his students invented the first real clinical practical arthroscope.

Most of the time, arthroscopy is more convenient than incision surgery. For some places that incision surgery cannot reach and operations that cannot be completed, arthroscopy can easily do it.

The acromion is shaped, no more or less, which means that the acromion is reshaped again, the shoulder joint is moved, and there is no impact at all.

Follow-up repair of Bankart injury and SLAP injury, reconstruction of glenohumeral ligament rupture, treatment of labral tear, joint capsular plication, and lowering of the greater tuberosity of the humerus.

A series of complicated operations, not to mention the dazzling eyes of all the doctors present, even Su Nanchen was dazzled.

He was amazed at Yang Ping's superb skills. Every complex problem in his hands seemed extremely simple. This ability to simplify complexity requires strong theoretical and surgical capabilities to support.

He was also amazed at his sister's ability to match the platform. Usually, in his eyes, this squeamish and favored little sister is now the best equipment nurse he has ever seen.

Seeing that, there has not been a single equipment delivery error, even if the time is a little faster or slower, they have not said a word, not even a single eye contact, but they have achieved the most perfect cooperation.

Su Nanchen was very puzzled, how did they communicate with each other, and how could they cooperate so well? Could it be that they communicated through consciousness?

The difficulty of this operation is that each independent operation needs to maintain synergy with the completed and unfinished operations, and finally become an organic union.

How to make repair or reconstruction achieve the best synergy depends entirely on experience, and the most sophisticated machines cannot help doctors to complete this complex synergy.

The secret of multi-ligament reconstruction of the knee joint is balance, because the biggest feature of the lower extremity joint is stability.

The biggest feature of the shoulder joint is flexibility. It requires a higher level than balance. Balance alone is not enough, but must be coordinated with each other.

The experience requirements of this kind of operation are like that of a skilled chef. The temperature, oil and salt, the proportion of various ingredients, the timing of putting in the pot, and the timing of coming out of the pot are all based on rich and delicate experience. These cannot be determined by measuring cylinders and scales did it.

Surgeons also need to master a wealth of perceptual knowledge, which just depends on the accumulation of experience, and there is no other shortcut.

For the coordination of these structures, first-class professors will also ponder over and over again, hesitant to balance the tension, and it is difficult to grasp the coordination of movement, because it is too difficult.

There are more and more people in the operating room, everyone is very self-conscious, keeps a distance from the operating table, and has professional literacy.

They looked at this operation like watching acrobatics. In their eyes, many things that could not be completed, the main surgeon did it with ease.

Arthroscopic surgery is relatively much better than artificial joint replacement, because continuous saline irrigation keeps the surgical area always in a high degree of cleanliness.

Don't move! Can't even hold on to one operation?

With a snap, I don't know what kind of equipment, it seems to be a probe, it flashed by and hit the fifth metacarpal bone, the first to fourth metacarpal bones have been beaten, and the hand has been shaking involuntarily.

This guy, when he was resting, was gentle and polite. When he started the operation, he did not recognize his six relatives, and his style was extremely simple and rude.

The most difficult joint capsular plication begins. This technique looks simple, but it is very difficult to achieve its purpose.

Don't shake your hands! There are key steps in the operation. A little mistake will affect the effect of the operation.

Yang Ping's voice was a little loud and clear.

This kind of joint capsule relaxation, the shrinking of the plasma knife can no longer achieve the purpose, and can only rely on joint capsule folding.

Yang Ping removed the old scar at the joint capsule breach at the front and lower side, which is where habitual dislocations often come and go.

This breach needs to be repaired, but Yang Ping has no intention of repairing it.

A deputy chief physician who was good at arthroscopy looked at it and couldn't understand it.

When he was studying, when he saw a big man doing this kind of surgery, he would repair the wound, and sometimes he had to take other fascia tissue to mend it.

As for the folding of the joint capsule, it's all rough, and I don't know what the effect will be.

The glenohumeral ligament has been reconstructed, and Yang Ping used PDS thread to suture it in a pinch-folding and wrinkling method. There are several places that need to be folded.

The conventional pinching-folding wrinkling technique in Yang Ping's hands has a magical effect. This kind of folding is simply a work of art. After a few folds, the relaxation of the joint capsule is eliminated, and the original crack is naturally eliminated. Everyone I don't know how he did it.

The rupture of the joint capsule does not need to be repaired, and only needs to be sutured.

The next step, the lowering of the greater tubercle, returns to its original correct position.

This patient had a severe anterior shoulder dislocation and fracture of the greater tuberosity, which eventually healed spontaneously, but the position of the greater tubercle was moved up, causing not only impingement, but also relaxation of the attached muscle.

The periosteal peeler carefully opened a potential cavity on the surface of the greater tubercle to create a working space for arthroscopy, and was fixed with two cannulated screws.

Finally, the double-row repair of the suture bridge of the torn rotator cuff is performed. The steps of the operation are arranged scientifically and skillfully, one by one.

In the end, synergy was achieved, and all the reconstructed and repaired structures formed an organic whole.

The surgery isn't over yet, can you show some professionalism?

After the five metacarpal bones were tapped, the probe hit the radial styloid process and the ulnar styloid process, and the superficial bones of both hands and wrists were tapped over and over.

Every time he was beaten, Director Wu didn't dare to pull his hand. Once he pulled his hand, it would seriously affect the operation, and the people watching would feel a pain in their hearts.

Oops, Director Wu, who is usually arrogant and booming, is embarrassed today!

It’s okay, mother, let’s not talk about eating alone, and I don’t even pay the night shift fee, saying that the doctor is voluntary, has the spirit of selfless dedication, and voluntarily does not receive the night shift fee.

Whoever volunteered, no one signed it, and he didn't know about it. It was a little money earned at the risk of sudden death, and he used it to pave the way for himself.

Inhuman, hit a few more times.

Several young doctors scolded in their hearts, they usually did not dare to vent their anger, but now someone helps them vent their anger, and they don't say it, they all feel happy in their hearts.

Several deputy high-level officers looked at this scene and felt amused. Every time the probe appeared, Director Wu's body trembled involuntarily, and he had a phobia of the probe.

Director Fu was on the side and didn't dare to speak up. The director himself didn't say what he did as a subordinate.

The operation was over, less than an hour before and after, including the halftime break.

It's hard work, Old Wu!

Yang Ping watched him rubbing his hands.

Yang Ping took out the mirror, put away the equipment, and handed it over to the nurse.

One of the probes, Director Wu subconsciously avoided it when he saw it.

What's wrong? Yang Ping fiddled with the probe a few times.

Director Wu tilted his body, afraid that the probe would hit him again, and smiled bitterly: Little—Mr. Yang, this thing hurts a lot!

You said this?

Yang Ping lit up the probe in his hand.

Director Wu nodded with fear in his eyes.

Good equipment, what are you doing with him beating people?

Yang Ping gave the probe to Xiao Su.