The Godfather of Surgery

Due to the difficulty of surgery and the high risk of surgery, there are not many hospitals in the country that can carry out scoliosis correction.

For this type of surgery, there are only a few hospitals in the country that can be counted as first-line hospitals: Xiehe, 301, Nanjing Drum Tower, and Nandu Fuyi.

The comprehensive strength of Nanjing Drum Tower Hospital is not ranked in the country. Only scoliosis surgery is at the top level in the country, and the number of operations exceeds that of other first-line hospitals. This is due to the efforts of Professor Qiu who returned from studying in France.

Professor Qiu studied in France for eight years, and followed the French orthopedic master Professor Contrel to learn international advanced spinal orthopedic surgery. Professor Contrel is one of the founders of the world-famous CD orthopedic technology.

After completing his studies, Professor Qiu gave up the generous treatment in France and returned to China to establish a spine surgery department in Drum Tower Hospital, focusing on scoliosis correction, shortening the gap between China and developed countries.

The scoliosis center of the First Affiliated to the Southern Metropolis is also a national first-class center. With the efforts of Professor Su, it has formed a four-legged situation with Xiehe, 301 and Drum Tower.

Second-tier hospitals for scoliosis correction, including 304, 306, Didu Chaoyang Hospital, and Didu Children's Hospital, and the rest of the hospitals can only be ranked third or beyond.

Sanbo Hospital, which has dozens of operations per year, can only be regarded as the third- and fourth-tier hospitals. However, a new hospital that has been established for ten years can do this, which is already very good.

Many emerging hospitals are in a state of precariousness, with staff loss and shortage of patients.

There are such examples all over the place, billions of dollars are invested in full swing, and finally there are a few beautiful houses, a few guide nurses playing with mobile phones, and a few articles full of complaints on the Internet.

For something like Sanbo Hospital, to be able to make such a scale, especially orthopedics, to be able to separate several sub-specialty wards of spine, joints, sports medicine and trauma orthopedics, it is quite arrogant.

Lu Gang's surgery was too difficult, Director Han had no doubts about Yang Ping's words, but after decades of working as a doctor, seeing is believing and he is at ease.

Before performing Lu Gang's surgery, Lao Han wanted Yang Ping to perform an ordinary scoliosis correction in order to evaluate Yang Ping's level of this type of surgery.

Genius also needs evaluation, not distrust, but scientific attitude.

Scoliosis correction, the pinnacle of orthopedic surgery, once a mistake is made, it is paralysis, so no matter how much you trust, you must go through this procedure.

It happened that there was a patient in the department, a 19-year-old freshman girl, who was found to have scoliosis for ten years. The current thoracic scoliosis angle: cobb's 52 degrees, and the lumbar scoliosis angle: cobb's 64 degrees. Now seeking surgical treatment, after being recommended to find Professor Zhang.

She had been admitted to the hospital before Lu Gang, and the preoperative preparations had been perfected.

Before the operation, Lao Han and Professor Zhang were already sitting beside him.

Lao Han knew that Yang Pingping was very experienced and would not accept the main surgery without certainty, so Lao Han only needed to watch from the audience.

During the spinal orthopaedic surgery, during this period, Yang Ping was on and off, constantly entering and leaving the system space, and he had received training from the devil.

In the system space, you don't need to consume physical energy, you don't need to eat or drink, you don't need to sleep, and you don't need to excrete. As long as you can tolerate loneliness and boredom psychologically, you can continue to perform operations.

From inexperienced to skilled, even if one operation takes an average of three hours, eight operations can be performed in one day, eighty in ten days, and eight hundred in one hundred days.

In the system space, 800 surgeries can be performed in more than three months. In reality, these three months are just an instant.

Staying for three months at a time is a time that Yang Ping can endure at the beginning. With Yang Ping's super endurance, even if it is 800 units at a time, if you enter ten times, it is 8,000 units, 20 times, 16,000 units.

As long as the fire is big enough, a stone can melt for you, and this is where the system space devil comes in.

16,000 units, in reality, who can do it?

Even in the hospital with the most surgeries, the entire volume of surgeries in the entire department cannot reach this number.

Yang Ping's points have moved toward a virtuous circle, just like investing in a virtuous circle, holding huge amounts of money, making profits, and spending more and more.

It turned out that the 500,000 points rewarded by the main quest can buy a lot of surgical training. With these surgical trainings, in reality, higher and more difficult operations can be performed, and more points can be rewarded.

Yu Shuilian's several operations, the system accumulated reward points is more than 400,000 points.

According to the characteristics of the system, in the future, the main task will only reward new modules, and the actual operation will only reward points, and the higher the difficulty, the more points will be rewarded.

For spinal orthopedic surgery, each training package starts with 1,000 units. One training package consumes about 60,000 points. The points rewarded by Yu Shuilian’s surgery can support about 7,000 units of training.

There are also shoulder and knee multi-ligament reconstruction surgeries, each time the reward is tens of thousands of points, and the points of each reward channel are continuously accumulated.

Therefore, although Yang Ping spent a lot of points to buy training during this period, the points did not decrease, but increased. Now the balance on the book is more than 800,000 points.

As long as Yang Ping controls it well and keeps his points profitable, now it's going to be the wind and the rain.

"Do I use thoracoscopy and laparoscopy to release the front of the thoracic and lumbar vertebrae first?" Yang Ping asked for the opinions of Director Han and Professor Zhang.

The operation plan was very detailed, and the anterior decompression was done with a laparoscope. Director Han nodded.

Song Zimo disinfected the shop, and Yang Ping took the stage.

With the assistance of thoracoscopy and laparoscopy, anterior release was completed quickly.

The operation speed was a bit fast, not like the first operation, but in Lao Han's eyes, it was definitely Yang Ping's first spinal surgery.

After the release of the front road is completed, the body position is changed to the prone position, the sheets are re-sterilized, and the hands are brushed again to go to the stage.

The incision revealed very quickly, the bleeding was completely stopped, and there were only a few bloodstains on a few pieces of gauze.

Nail first, then osteotomy, and finally orthopedic.

The surgical steps are very clear, big steps are followed by small steps, step by step, no invalid actions, no repetitive actions.

This shows that Yang Ping is not a novice, or that his first operation did not perform like a novice.

Lao Han and Professor Zhang got up, approached, and stared at the screen.

Open, open, probe, and implant the positioning needle. Follow this step to complete the left side, then the right side, complete this vertebra, and then another vertebra.

Dozens of guide pins are implanted into the pedicle in this way, and all guide pins can be seen through at one time.

On the screen, dozens of guide needles are in a mess, inserted from different points and different directions.

Old Han and Professor Zhang checked the screen of the G-arm machine one by one and checked it several times.

The placement point, direction and depth of each guide wire are almost perfect, each guide wire passes through the bony center of the pedicle at the best angle, and no one is dissatisfied, not even a little allowable deviation. exist.

It looks messy, but each individual guide pin is optimal, and a little change is deviation.

Fluoroscopy confirmed that there was no problem with the guide needles, and then the guide needles were pulled out one by one.

Each time one is pulled out, a pedicle screw is implanted, both universal and directional, until all the guide pins are replaced with pedicle screws.

Fluoroscopy again, there is nothing wrong with the screws and the pedicle screw placement is very nice.

"The osteotomy is about to begin!" Yang Ping reported the progress of the operation at any time, and he also obtained permission.

"Intercept!" Director Han agreed.

Osteotomy is a high-risk operation and the most technically-intensive procedure.

Osteotomy is to cut off several parts of the spine to reassemble. Osteotomy is not a simple cut, it needs to be cut off to be able to re-fit effectively.

Osteotomy may damage the nerves, leading to paralysis. During the reassembly process, if there is a dislocation, the nerves will also be damaged, causing paralysis.

In order to reduce nerve damage, nerve electrophysiological monitoring and arousal tests are often used during surgery.

For osteotomy, Yang Ping uses an ultrasonic osteotome. Compared with traditional tools, the ultrasonic osteotome is much more accurate and safer in osteotomy.

This tool eats hard but not soft, it only cuts hard bone and does not work on the nerves of soft tissue.

The rhythm of the operation was very good. At the same time as the osteotomy, Yang Ping would turn his head to look at the screen of the neurophysiological monitor in the interval between each operation.

Fatty has adjusted its angle to the best, so that he can see the monitoring wave at any time. If the spinal cord or nerve root is damaged or stimulated, the amplitude of the wave will change, and a stimulation wave will appear, reminding the operator that your operation is dangerous.

The ultrasonic bone knife, Yang Ping has not used it a few times, but now, it is very obedient in Yang Ping's hands, as if it was born for Yang Ping.

The osteotomy was quick, and Lao Han and Professor Zhang raised their hearts to their throats.

Listening to the noise of the ultrasonic bone knife, they dared not speak, for fear of interrupting Yang Ping's rhythm and causing an accident.

"The osteotomy is complete!"

Old Han and Professor Zhang woke up like a dream, and it was done, so fast.

"Start Orthopedics!"

This step is the most prone to risk. When the spine is corrected, sometimes because the spinal cord cannot tolerate the correction, the patient is paralyzed on the spot, or paralyzed a few days after the operation.

Once paralyzed, it will be catastrophic.

So, doctor, every operation is like walking on thin ice.

In the operating room of the system space, more than 10,000 units of surgical training have allowed Yang Ping to master a large amount of data, what degree of deformity correction is safe, and the data will not deceive people.

When he wants to have time, he will organize the collected data, and then summarize the rules, and come up with a set of predictive models to guide scoliosis correction surgery, and make the surgery more precise and standardized.

"Slow down, Xiao Yang—"

Professor Zhang and Director Han reminded at the same time.

Yang Ping held the tool and began to perform spinal correction.

This step, Yang Ping is not very fast, he corrected it a little, here is the pulse of the spinal cord, there is the monitoring wave, it has always been normal, and there is no change in the amplitude due to stimulation.

Little by little, step by step, in the right rhythm, the spine changes spatially at the truncated site and the sequence is reconstructed.

The spine is corrected in three-dimensional space, then titanium alloy rods are implanted, screw locking is performed step by step, and a beam is finally added, and then locked.

The whole process took an hour. The tailed gauze thrown in the collection basin was spread out one by one by Zhou Can. The gauze was dry and there were a few faint bloodstains.

"Perspective!" Director Han directed Ji Pearson who pushed the G-arm.

"Would you like to have a CT scan?" Yang Ping suggested.

This operating room is a multifunctional operating room with its own CT imaging equipment.

The CT scan is completed, and the 3D reconstructed image gradually comes out.

Each screw is wrapped in the bone channel of the pedicle, and the spine has completely returned to its normal physiological curvature, which means that the osteotomy is the ultimate.

"Move your toes, yes, up, down, great!"

Professor Zhang instructed the patient to move the toes, and everything was normal.

Lao Han was fascinated by the three-dimensional reconstruction of the CT image. There was nothing to say about this operation.

This kid was born to perform surgery, the god of surgery, it is not an exaggeration at all.

Once you get started, it is the essence of a thousand years!

Lao Han is used to it, and it is not the first time that his cognition has been brushed.

If you must explain, talent! Talent explains everything.

This kind of talent is hard to come by, and I am very fortunate to have encountered it.

Yang Ping helped carry the patient across the bed together, and Professor Zhang walked up to Director Han: "The toe movement is very good!"

The first time I did it, how dare I not leave any room and directly correct it to zero degrees.

Alas, still talent!

"Is Lu Gang's surgery the chief surgeon?" Director Han felt that there was no doubt.

What else can Professor Zhang say: "Young man, he is strong!"

Regarding the ranking of scoliosis surgery, Nandu Affiliated No. 1 is fictitious, and other hospitals are real rankings. However, the number of scoliosis operations in the prototype hospital of the First Affiliated Hospital of Southern Metropolis is second only to that of Xiehe, 301 and Gulou, and there is hope to enter the front line.