Liu Muqiao started the operation.
Professor He completed his mission. He took two steps back and let Liu Miqiao step in. The assistant on the opposite side also stepped back and let Zhu Yaguang step up to help.
Liu Muqiao adjusted the microscope, and Zhu Yaguang made fine adjustments to the secondary eyepiece. The two began to cooperate, preparing to cut off the entangled nerve fibers.
This step is critical.
The number of transverse cuts cannot be less or more. If you cut too much, the spinal cord will not be anastomotic. If you cut too little, normal nerve fibers will not come out, and the anastomosis cannot be done.
To determine the position accurately, it is not based on theory. There is no such knowledge in theory. Liu Miqiao relied on experience.
Before this action was completed, Liu Muqiao was very cautious. If he cut correctly, the subsequent surgery would be much simpler. If the position of the cut was not accurate, he would have to find the entry point a second time. The general principle is to remove the randomly connected nerves.
Cut it off.
Zhu Yaguang is not yet ready for this aspect, which is one of the reasons why he dare not carry out complex cervical spinal surgery alone.
Today, Liu Muqiao's knife was very accurate, just right, and neat nerve fibers can be seen at the lower end of the cervical spinal cord.
There is also a knife.
The upper spinal cord also needs to be cut, and the cut should be as small as possible.
As for the total number of cuts, one is related to the specific circumstances of the injury, and the other is related to the surgeon's judgment.
Liu Muqiao predicted that this patient would need to remove 0.5 cm.
He slashed for the second time.
Oops!
Under the microscope, the cut is just right, not too much and not too little.
The cut nerve segment is 0.5 cm, and they are all disordered nerves.
This is where Liu Muqiao’s greatness lies.
Zhu Yaguang admired him, and among them, these two swords accounted for a large proportion.
After removing the entangled nerves, the next step is to connect the upper and lower cervical cords.
Start to match.
The anastomosis starts from the middle. Because there are two paths, the front and back, the nerve anastomosis in the middle part is the most critical. During this period, Liu Miqiao and Zhu Yaguang must cooperate with each other.
In the middle part, the field of view is very poor and the operation is difficult, but Liu Maqiao is much faster because of his perfect surgical skills.
Zhu Yaguang is responsible for fixing.
However, having said that, even if Liu Miqiao used perfect surgical skills, it would still take a long time for the anastomosis. The nerve fibers in the middle part themselves only account for one-seventh, and the time taken is nearly half.
After the nerves in the middle were anastomosed, the progress was rapid, and Zhu Yaguang could also anastomose alone.
At this time, the original second assistant and third assistant became the first assistant, one helping Liu Maqiao and the other helping Zhu Yaguang.
It is not difficult to do Issuke now, the main thing is to fix it, which means pulling.
A year ago, this fixation-stretching was still a difficult operation. At that time, only senior neurologists could do it.
Zhu Yaguang started his career from this action.
Later, Liu Miqiao discovered that Zhu Yaguang could be trained to become a chief surgeon, so he deliberately asked Zhu Yaguang to select a few good seedlings to train pulling assistants.
There are many talented people. It didn’t take long for Zhu Yaguang to find two young doctors and let them practice this technology.
About half a year ago, they gradually came into use.
Now, Song Baibai is the only one who can perform the surgery.
After this cooperation, the entire operation progressed much faster.
Liu Miqiao was much faster than Zhu Yaguang. He anastomosed three nerve bundles, while Zhu Yaguang could only anastomose one, and the quality of the anastomosis was also worse than that of Liu Miqiao.
Liu Muqiao chose the most difficult part of the anastomosis, especially the nerves that control the limbs, and basically did it by him.
Nerve distribution, the most important thing is the nerves of the limbs. Fine movements require high-precision anastomosis. The position sense of the sensory nerves is also very important. If the anastomosis does not reach the necessary accuracy, it may lead to incorrect position sense and people will easily fall over.
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The motor and sensory nerves in the trunk do not require this accuracy. For example, when scratching an itch, the accuracy is not necessarily very accurate.
After that, Professor He and the others simply stepped down. Their business was in the field of orthopedics. Orthopedic surgeons are characterized by drastic measures. Delicate surgeries like cervical cord surgery were a kind of torture for them.
To be more precise, Professor He and his colleagues mainly perform bone surgeries. They are of the same origin as carpenters, and nailing is their unique skill.
Although orthopedic surgeons and carpenters are said to have the same origin, this does not mean to belittle them. Even if it is driving nails, this job is actually very technical. Ordinary orthopedic surgeons often encounter situations where nails are loose and have to be redone.
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This will not happen to high-level orthopedic surgeons. The nails they drive are neat, very strong, and simple.
That's the difference.
Maybe you will say why it is difficult to drive nails. This is because you don’t know enough about bones.
Most people think that bones are very hard, and it is difficult to nail them in and pull them out. In fact, your understanding of bones is the pig bones and cow bones that you usually see.
Pork bones and beef bones are indeed very hard and will be very strong when nails are driven into them.
But people are different.
There is no problem with the bones of young adults and they are very strong. However, the elderly, especially those in cities, do not do physical work and have little exposure to the sun. Their bones are seriously loose and are no different from rotten wood.
This is why the femoral neck is fractured when an elderly person falls.
Driving nails into rotten wood is a job that ordinary doctors cannot do.
Professor He is different. In the past 20 years, the nails he hammered have never loosened. This is technology.
Professor He cannot perform cervical spinal cord surgery. He is self-aware, and Liu Miqiao agrees with him. Therefore, cervical spinal cord surgery is divided into two groups. Professor He and others are responsible for the bone part, and Zhu Yaguang and others are responsible for the spinal cord part.
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Liu Muqiao performed the operation very quickly. He worked hard for more than ten hours and basically said nothing.
Zhu Yaguang gradually got used to Liu Miqiao, and he also became taciturn. Once the operation started, he would bury himself in it and keep silent for several hours.
This kind of surgery takes a long time and there is no one to talk to, which makes the anesthesiologist and nurses feel uncomfortable.
The instrument technician is Liu Muqiao's exclusive one. There are two technicians in total who are responsible for Liu Miqiao's surgery. They have been trained to adapt to Liu Miqiao's surgery from the beginning and have developed the habit of not talking casually.
Of course, the more important thing is that they did not dare to speak. They were always attentive during the entire operation.
There is little need for verbal communication between a good instrument technician and the operator. As soon as the operator reaches out his hand, the instrument technician will pat the instrument into his hand.
This is literacy, this is the basic skill of an instrument technician. He will know what instruments the surgeon should use after watching the operation.
Liu Miqiao's two instrument technicians have been working with him for more than a year. They mainly cooperate with him in neurological surgery, pancreatic surgery, liver and gallbladder surgery, and large intestine surgery.
As for cosmetic surgery, Liu Muqiao has not yet trained a good technician. That belongs to a more professional technician. It is difficult for ordinary doctors and nurses to take on this task. It is best to be a plastic surgeon yourself.
This chapter has been completed!