The Godfather of Surgery

When Robert left, only a decent letter was carved into the olive pit.

Time is pressing, and it is too late to learn this cutting-edge operation technique with Yang Ping, and there will be a period later.

However, he has gained a lot. Under the guidance of Yang Ping, he has glimpsed the surgical approach of multi-ligament reconstruction in the shoulder and knee joints.

The day before leaving China, Lao Gao was the host, invited Robert to dinner, and called all the brothers in the comprehensive orthopaedics department. Pre-order.

Song Zimo can occasionally separate the grape skins into two layers completely. Gao Qiao is still fighting for the two layers. He and Xu Zhiliang have not succeeded once. He is much better than Xu Zhi. Although he has broken a few holes, he can still separate the second layer. When the layers came, Xu Zhiliang divided them, and the second layer was broken into several pieces.

Fujiwara Miyuki's fruit stone carving progress is a little slow, and it is still difficult to carve a letter. It is difficult to carve it out, it is crooked, but the Japanese girl works very hard, and she is training when she has time in the afternoon. She really wants to ask Dr. Yang to teach her by hand and tell her How to control the equipment freely and transmit the power to the tip of the equipment, but I am embarrassed.

Zhang Lin and Xiao Wu, peeling the grape skins, are still on one layer. If they want to have two layers, even if they break a few holes or break into several large pieces, it is unlikely in the short term.

However, their hooks have grown a lot. The two of them hang a one-kilogram iron block for half an hour, and they can stay still, and the time is still improving.

Now, they enter the training of soap bubbles, use a basin filled with large soap bubbles, and gently pull the soap bubbles away with a pull hook, so that the soap bubbles are not broken as much as possible.

In this kind of manipulation training, in order to master the appropriate strength of the retractor, avoid damage to human tissues or organs when retracting the hook. If the strength of the soap bubble can be achieved properly, the actual operation will definitely not cause pressure injury.

Yang Ping didn't plan to relax the slightest bit about their strict requirements. He would supervise and guide him when he was free. Song Zimo, Gao Qiao and Xu Zhiliang were very conscious, but Zhang Lin, Xiao Wu and Liang Fatzi were not necessarily.

Fatty's cigarettes were also confiscated by Yang Ping. During training, he took Xiao Wu out several times just to smoke and wasted a lot of time.

Yang Ping himself also enters the system space for training from time to time. All orthopedic surgeries have been opened, and Yang Ping has also undergone all orthopedic surgeries.

But there is no limit to the pursuit of excellence. Yang Ping's more than 500,000 points are consumed from time to time, but daily rewards are also recorded every day.

In this way, when there is no large expenditure, the total points fluctuate around 500,000, maintaining a strong purchasing power for the system mall.

Although the system space does not occupy real time or consume physical energy, the psychological experience is the same as reality.

Psychological tolerance to fatigue also has a limit, even if Yang Ping is tough-willed, there is a limit to the time he spends in space.

During this period of time, even Yang Ping didn't know how much time he had in the system space. This data should be exaggerated.

Yang Ping is very confident about the Golden Knife Award, but he does not dare to take it lightly. In order to get the reward of the space laboratory, he must win the Golden Knife Award.

The Golden Knife Award is divided into regional and national competitions according to the requirements of the competition system.

The country is divided into five major divisions, east, west, north, south, middle, and middle. Each division has three-month regional competitions. The teams are ranked according to their scores. The top three teams enter the national competition. The national competition adopts the elimination system, which is eliminated all the way to the final.

There is no limit to the team sent by each specialty of each hospital. The chief surgeon of the team needs to be a deputy chief physician or above, and the chief surgeon needs to be signed and recommended by two authoritative experts outside the hospital.

For the participating surgical cases, each step will be scored from diagnosis, surgical indication selection, preoperative preparation, surgical operation, and postoperative treatment.

There are major mistakes in some key steps, which are directly zero points, such as wrong diagnosis or wrong selection of surgical indications. No matter how well other steps are done, they are directly zero points.

The competition has a dedicated website, APP and public account. Before the operation, upload complete case data, and after the operation, the disease course record should be updated and uploaded daily.

All surgeries are elective surgeries, which are broadcast live. After live broadcast, they will be encrypted and archived on the website, and cannot be modified or edited. If fraud is found, participating hospitals will not be able to register for the Golden Knife Award for two consecutive sessions.

Some operations can be performed by one assistant, and all operations in regional competitions can be performed by one assistant. The number of main surgeons in the national competition must be more than half, and all operations in the final must be performed by the main surgeon.

In Yang Ping's team, Song Zimo was the first assistant, and the others included Zhang Lin Xiaowu, Liang Jing, Xiao Su, and Zhou Can.

Xu Zhiliang came later. He was still in the emergency department when he signed up, so he didn't join the team, but he could participate as an unnamed substitute. People other than the chief knife or first assistant could not take the stage due to special reasons, so he could replace him as an unnamed substitute.

The purpose of the Golden Knife Award, which is held every four years, is to inspire young doctors to pursue excellence in technology. Therefore, the Golden Knife Award is a stage for young people, and the participating members are required to be under the age of 45.

In this regional competition in South China, the most powerful ones are naturally the First Affiliated, Second Affiliated and Provincial People's Hospitals of Southern Metropolis. The Queen Mary Hospital of Hong Kong and the Prince of Wales Hospital also signed up for the competition. In this way, the competition in South China is extremely fierce.

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Sanbo Hospital, comprehensive orthopedic operating room.

This is a juvenile scoliosis surgery. Professor Zhang's patient, the patient came from Australia, and Professor Zhang was sitting in the corner of the operating room.

let's start!

Director Han has a straight body. After a routine pre-operative check, he took the scalpel, and the back of the knife made a skin mark on the patient's back.

The patient is in the prone position, lying on the spine prone frame, along the skin imprint, the knife is in the middle of the back, and a long longitudinal incision is drawn.

In order to take care of Yang Ping's height, Director Han deliberately stepped on a foot.

As expected of the successor appointed by the old director of the Sixth Year of Magic, Director Han's movements were steady and brisk, with a strong sense of rhythm in the operation.

Everything has its own rhythm, and surgery is no exception. You have to grasp its rhythm, fast and fast, slow and slow. If you lose the rhythm, it is easy to fall into chaos. , Director Han said to Yang Ping.

In terms of specific surgical techniques, there was not much to teach him. Director Han felt that he should pass on some of his own experience to him.

A one-to-one model of the child's entire spine has been printed with a 3D printer before the operation. Based on the 3D printed model, a positioning guide for the pedicle screw was also designed, so that the entire operation was very easy.

On several pieces of gauze, there was a little bit of blood. Director Han had peeled off from the spinous process to both sides against the bone surface, exposing part of the vertebral attachment structures such as the lamina.

Use the guide to open the opening at the position where the screw is to be inserted. The probe explores the four walls of the bone canal to confirm that there is no problem. The guide needles are sent one by one into the opened bone canal, through the pedicle and straight into the vertebral body. After the last guide pin was implanted, the C-arm X-ray machine was started.

On the curved and deformed spine, the position of the guide needle is very good, each one is in the standard position, the best entry point, the best direction, and the best length.

Scoliosis is scoliosis in three-dimensional space, and orthopedics is also orthopedic in three-dimensional space. 3D printing technology is particularly important at this time. A surgical simulation can be performed before surgery. Whether it is screw insertion or osteotomy, data can be mastered in advance.

Director Han's operation is really beautiful, and the atmosphere is thick. No matter how big the operation is, he performs it easily and easily.

The equipment in his hands seemed full of power, but when it touched the target of the operation, it was so appropriate and beneficial, neither light nor heavy.

The position of the guide needle is satisfactory, the rest is to ream the hole and screw in the pedicle screw, because there is already a 3D model before the operation, and the length and diameter of each screw have been determined. .

Finally, the key step is the osteotomy. There are also templates for osteotomy, and the model has been practiced before the operation. Director Han is now carefully starting the osteotomy according to the preoperative plan.

The somatosensory evoked potential monitor can monitor the electrophysiological activities of the spinal cord at any time, preventing and correcting the spinal cord, excessive stretching and squeezing of the spinal cord damage the spinal cord, causing serious consequences.

According to the preoperative plan, Director Han cut several osteotomies in one go, and then started orthopedic surgery.

The correction was carried out little by little, and for each correction, he had to turn his head to look at the monitor screen, and the somatosensory evoked potential monitor screen showed normal.

When the orthopedics reached a satisfactory level, Director Han stopped. This is the most dangerous and most experience-requiring step.

Enough is enough. It is particularly important at this time. Once the critical point is crossed, it is irreversible paralysis. Director Han said to Yang Ping opposite.

Finally, two metal rods were implanted, the beams were added, and they were locked, and the key steps of the operation were completed.

The fluoroscopy was performed again, and the correction was very satisfactory. On the somatosensory evoked potential monitor, the electrophysiological activity of the spinal cord was normal, and there was no spinal cord injury.

Ordinary and ordinary surgery, there is nothing magnificent, flat and straight, this is the characteristic of Director Han's surgery.

A brilliant doctor can turn danger into danger, and at a higher level, you won't be in danger at all. Therefore, for the main surgeon, the operation that is flat and straight is the best operation.

The final competition for the Golden Knife Award is all about surgical geniuses, and the judges are also extremely harsh. Any small loophole will be deducted.

I don't have any worries about you, but I can't take it lightly. As doctors, like fighting a war, we are the most taboo to underestimate the enemy.

Director Han personally finished the work, put in the drainage tube, closed the incision, and sutured the skin until the last stitch was finished.

I'm old, and the stage belongs to you young people.

Director Han took off his gloves and went to the side to chat with Professor Zhang to rest. There were still a few operations behind him. He didn't want to waste time.

Second Han, don't miss out on the Golden Sabre Award this time. Professor Zhang said to Director Han who had just sat down.

Director Han didn't answer, just sat and watched Yang Ping on the stage opening the sterile sheet.

At that time, Director Han and his senior brother Hong Zhigang, representing the orthopedics department of Magic Six, led a team each, and both teams reached the finals. In the final championship final, it was actually him and his senior brother who faced off.

It is a pity that Director Han later withdrew from the competition before the final, and a helper replaced him to complete the final operation. In this way, Hong Zhigang won the National Golden Knife Award in Orthopedics.

Let the Golden Knife Award return to the capital after a lapse of twelve years. The previous three champions were the hospital in the capital.

And Han Jiangong's abandonment before the final has always been a mystery in the orthopaedic circle.

Did you hear what I said, don't miss it again this time. Zhang Lao was a little angry.

Director Han murmured, No way.