The Godfather of Surgery

The female student with scoliosis was sent out of the operating room, and the surgery was performed on a patient with a burst fracture of the lumbar 3 vertebrae.

This patient had a burst fracture of the lumbar 3 vertebral body, but the posterior longitudinal ligament was intact, and there was no cortical inversion sign of the fracture fragment on imaging, so he was more suitable for posterior surgery.

Compared with anterior surgery, posterior spine surgery is simpler, less bleeding, and lower risk. It can generally be solved by the posterior approach, and the anterior approach should not be used as much as possible.

Anterior surgery is much more difficult because it needs to enter from the thoracic cavity or abdominal cavity, involving organs and large blood vessels in the thoracic and abdominal cavity.

However, if the posterior approach cannot achieve good results, even if the anterior approach is difficult, the anterior approach should be chosen.

There is no difference between the two surgical methods, they are just for different cases.

You say that a car is better, or a truck is better, a car is better for household use, and a truck is better for pulling goods.

With Yang Ping in charge, Director Han and Professor Zhang did not need to stay in the operating room, they chatted in the dressing room.

In the independent operating room of the comprehensive orthopaedic department, there are no people from other departments. Young people are busy with operations in the operating room, and only Zhang Lao and Lao Han are left in the dressing room.

The two of them are usually busy. Zhang Lao is in charge of the outpatient department of the comprehensive orthopedics department. There are also many things for Lao Han Zhangluo at the Orthopedic Research Institute, so it is rare to get together like this.

"This is the first time he has had scoliosis surgery." Lao Han sighed.

"Those screws are really beautiful, whether it is osteotomy or orthopedics, they have achieved the ultimate." Professor Zhang is also in the aftertaste.

"A rare genius who almost slipped out of my hands." Lao Han recalled seeing Yang Ping for the first time.

"We have to take good care of this seedling and create the best platform for him. In medicine, apart from some empirical things, I'm afraid we have nothing to teach." Professor Zhang told Director Han.

"My main focus now is to build a platform for his team and do their service well." Lao Han reassured Professor Zhang.

"Lao Feng has entered the ICU again?" Professor Zhang paused and changed the subject.

Old Feng, Professor Feng Tiancheng, Director Han and Hong Zhigang's mentor, are several years younger than Professor Zhang Zongshun, but they are also members of the same generation.

In terms of academic seniority, Zhang Zongshun is Feng Tiancheng's senior brother and Director Han's senior.

"I went to see, through the glass, the chordoma of the upper cervical spinal cord grows into the intracranial medulla through the base of the skull. The orthopedic and neurosurgery teams of Magic Six have revised the surgical plan several times, but it still doesn't work. The location of the tumor It's very deep, in the middle of the upper cervical spinal cord and the medulla oblongata, I'm afraid the teacher won't be able to hold it for long." Old Han took a deep breath, his eyes moist.

My teacher was unmarried all his life, pursued medical skills, and cherished his reputation like a life. He regarded his senior brother as his own son, and remembered some fragments of school when he was young, and couldn't help but moisten his eyes.

"Last year, he was still able to walk, and together with me, I applied to the Department of Anatomy of Jiaotong University School of Medicine for body donation. I hope to be a general teacher after death and continue to play a role. It can be regarded as the final contribution to medicine." Professor Zhang is also very touched. .

"There are many things in your generation, such as purity and sublime, we are ashamed." Lao Han admired the spirit of the older generation.

"It can't be said to be sublime. My father closed his eyes on the chair in the outpatient clinic. I also hope that when I come that day, I will sit in the chair of the outpatient clinic. Maybe this is the best attribution. My father's body donation We are materialists, and I don’t believe in the afterlife. After death, the body can still make a few cuts for the students. It’s a good thing to start with. I remember what my father said at the time, I would rather medical students cut a thousand cuts on me. Ten thousand knives, don't make a mistake on the patient." Professor Zhang squinted and leaned back in the chair.

Lao Han was silent for a long time: "I heard from the people from Mo Liu that the teacher himself repeatedly asked for surgery."

"He wants to use himself as an experimental subject to accumulate experience for the magic six. This kind of surgery is currently a surgical forbidden area. There are few successful precedents in the world. The success rate of the surgery is less than 1%. The operation, directly on the operating table, how can you say that the magic six people can do it." Professor Zhang has also been paying attention to Professor Feng's condition.

"Second Han, I don't want to ask you about what happened back then. It's been more than ten years, and you don't plan to tell the truth. With what I know about you, you can't do such a thing. You want Feng Tiancheng to leave. Are you still carrying a misunderstanding?" Professor Zhang turned to look at Lao Han with a burning gaze.

Lao Han deliberately avoided and looked at the cabinet in front: "This is the best ending."

"I'm just reminding you that Lao Feng probably won't have much time before becoming a general teacher, think about it for yourself!" Professor Zhang got up, moved his waist, and staggered into the bathroom.

Director Han rested on the back of his chair by himself.

Song Zimo's surgery has already started. The fifth round of surgery is the posterior surgery for thoracolumbar fractures. The core is the pedicle screw technique.

This is the basic operation of spine surgery, and it is not a problem for Song Zimo.

He would have fared better than surgery for a fractured pelvis and acetabulum.

Yang Ping created a set of pedicle screw placement methods and taught Song Zimo. Using this method, the best point can be easily found, and the screw can be placed in the best direction from this point.

The fifth round of surgery in the Southern Metropolitan Government was completed early in the morning. At this time, they were watching the operations of outstanding players in various competition areas across the country.

Lin Hao's mood was very complicated. He thought that in the fourth round of surgery - a fracture of the pelvis and acetabulum, Sanbo Hospital would be thrown away.

But now entering the fifth round of surgery, there is still no hope in sight. He hopes that Sanbo can qualify, but he absolutely does not want them to qualify with a full score. This does not reflect the gap.

Opening, opening, detecting, and implanting positioning needles, why is he so fast? Whether it is thoracic spine or lumbar spine, there are several positioning techniques for pedicle screws. Which one Song Zimo uses, Lin Hao really did not see come out.

Only Song Zimo showed the position of the opening. The sharp-nosed rongeur was at the entry point, biting off a little bit of cortical bone, and the opening device opened, followed by opening, probing, and implanting the positioning needle, without any pressure.

All the positioning needles are finished, and soon, a perspective image appears on the screen, and the position of each needle is perfect.

"Is this the herringbone method?" Lin Hao asked Su Nanchen.

Su Nanchen shook his head: "It's not like, I don't know what positioning method this is, I haven't seen it before."

Chen Ge, Cao Qian, and Su Fengyu on the side kept staring at Song Zimo, hoping that he would make mistakes so that he could climb to the top three.

It's a pity that he didn't make a mistake at all. This operation, depending on the level of proficiency, is impossible to overturn.

Su Nanchen knew very well that many of Song Zimo's skills came from Yang Ping. He didn't show up, but he just wanted to make the Southern Division competition look better and Fuyi's performance to look better.

If he plays, the surgery is no better than other competitions, there is no water release, one surgery case can be done 100%, deliberately not doing it well, or discounting it, this is a blasphemy against the principles of medicine.

Since water cannot be released, every operation has to go all out, then the entire southern division will be very embarrassing.

There will be an ironic scene at the Golden Knife Awards. Nandu Fuyi, known as the first brother in the southern division, was hanged and beaten by Yang Ping alone.

"It's really well-intentioned!" Su Nanchen said with a smile in his heart. He didn't expect Yang Ping to think of this.

"Brother Hao, it looks like this guy will advance Sanbo to the national division with full marks." Chen Ge said helplessly.

In the blank area next to the screen, comments are launched in the form of a barrage.

"I'm still the chief swordsman, and I've always maintained a full score. No one thinks that the Three Expos are the biggest dark horse in this session?"

"There has never been a dark horse in the past, and this one is the same."

"Yes, there were similar so-called dark horses in the past, rushing into the national competition area, and as a result, they were trampled to death in the first knockout round."

"I emphasize again that the regional competition is a basic surgery. The real guy is in the national competition. Look at the arthroscopic surgery of the six major joints at the beginning of the national competition. What kind of rotator cuff repair and cruciate ligament reconstruction is not enough. This year, shoulder and knee multi-ligament reconstruction has been added. , this is the opening operation. How many hospitals in the country can carry out multi-ligament reconstruction of shoulder and knee? Many hospitals still don’t understand how to do an anterior cross, and do they still need to do multi-ligament reconstruction?”

"Luo Jin! Please, how difficult it is to move your fingers. Luo Jin's surgery is Yang Ping's masterpiece. He has already started normal training. It is said that after a while, he can return to the arena."

"How difficult it is to use your brain, don't listen to their propaganda, who saw it? It's knee multi-ligament reconstruction? It's not what they say, just think about it with your toes, this kind of surgery, Luo Jin's reputation , not to mention going abroad, why don't you also go to Emperor Three Devil Six? Think about it again, it's really a quadruple reconstruction, who is so awesome, a football player who has a quadruple reconstruction returns to the field? Go and search for Robert Jr.'s article, people After taking a name, Retirement Syndrome! Big guys! Anyone involved in sports medicine, don’t say they don’t know Robert Jr., don’t say they don’t know New York Special Surgery Hospital, they can’t do it, but Sanbo can. In the era of everywhere, dare to brag about anything, don’t dream that a folk chess player can defeat Nie Weiping.”

I don't know who actually made a long speech, and it's dazzling, but the comments are well-founded.

"Sanbo is actually not weak. Professor Han Jiangong, who was born in the Sixth Demon, was a man of the year."

"It is said that Zhang Zongshun, a retired professor of Magic Six, and a leading figure in the domestic orthopedics field, is currently in Sanbo?"

"No wonder, Sanbo is so powerful!"

"Is Han Jiangong's story true? Can anyone who knows the inside story say a few words?"

"Everyone, please note that only technology is discussed here, not personal privacy."

The person who started the topic is very interesting, so don't continue, let the topic cool down automatically.

"Everyone, don't place too much importance on Sanbo, the guy in front is right."

Looking at these comments, Su Nanchen just smiled.

When Tesla first proposed alternating current, the whole world had a similar view: how is it possible?

It is not difficult to understand, things beyond cognition will certainly not be believed.