Returning to the operating room, Liu Miqiao watched the film again for a while. The more he watched, the more frightened he became. Finally, he couldn't help but take a breath. An eighteen-year-old young man might really stay in bed for the rest of his life.<
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"Old He, what do you think of this patient?"
Director He said: "There is only so much knowledge in my knowledge base. I don't think he can stand up. One vertebrae is gone, and the nerves can be imagined. This section of the spinal cord is already a ball of mud."
"Old He, what would happen if a person lost one cervical vertebra?"
"One cervical vertebra is missing?" Director He was shocked.
Such a question is unheard of and I dare not even think about it!
Indeed, no one has tried it in the medical field today, even on animals. If it is done directly on humans, will there be any ethical issues?
Liu Muqiao shook his head.
There is no big ethical problem. The patient wants to retain the fifth cervical vertebra. How to connect the lost nerve fibers? The connection is hopeless!
Since the connection is hopeless, isn't the consequence very clear?
Paralysis, almost paralysis at a high level.
Since the consequences are so serious, why not give it a try?
Liu Miqiao once again invited the patient's parents to the office and explained the condition again.
When the patient's parents heard this, one of them fainted, causing Professor He to pinch the middle of his body and then the other side of his body. The other suffered a heart attack and was relieved after taking two nitroglycerin tablets.
"This is a major decision, and it is difficult for you to accept it. In fact, you don't have many choices. Basically, you have to choose one of two. One is to accept the reality of high paraplegia, and the other is to accept one less section.
Cervical vertebrae. As for the consequences of missing one cervical vertebra, we can analyze part of it, but there are still some unknowns. This is what we have to face together."
Without a cervical vertebra, some organs in the neck will have an extra part, such as the trachea, esophagus, blood vessels and muscles. It is really difficult to predict what consequences the extra parts will have.
However, what can be expected is that the patient can recover some of the functions of his lower limbs and may stand up. Gains and losses, it is obvious that even if the worst case scenario occurs, it will not be worse than now.
Liu Miqiao worked patiently for a long time, and the patient's parents finally calmed down.
"Dr. Liu, we have handed over our son to you. You can use whatever method you think is best. We don't understand either, so we just sign."
Pretty smooth.
"Do you really want to give it a try?" Professor He asked.
"I can only give it a try. Otherwise, I will definitely become a paraplegic and live or die. It will be a burden to him and his family."
"But, what should we do about the sequelae in the future?"
"Is the sequelae better than paraplegia?"
"That's true, it can't be worse than now."
"You may have to ask someone to help you with this operation. Zhu Yaguang, you also need to be mentally prepared. This operation will be very time-consuming, because, you know, it is equivalent to half a brain transplant."
When Professor He heard this, his heart skipped a beat.
Yes, the main job of brain transplantation is also to connect the nervous system.
So, today’s surgery will be epoch-making.
Professor He immediately became energetic. It was such a rare opportunity to have the opportunity to participate in such an operation.
Zhu Yaguang is here.
When I heard what was going on, I immediately became energetic.
To open the neck, it is a combination of "Chen's" technique and Kaiti technique.
Professor He is mainly responsible for cervical spine surgery, while Zhu Yaguang focuses on nerves.
The nerves in the neck are very complex. In addition to the spinal cord, there are also autonomic nerves on both sides, as well as several important organ nerves.
These nerves should be isolated or avoided.
It took six or seven hours to clear the surgical field, and then the essence was exposed.
As expected, the essence was rotted into a ball of mud, and it was impossible to sort out who was who.
I could only cut through the mess with a quick knife, and it took another two or three hours to clean out the essence. Only less than one-fifth of the nerves were still barely connected, and the rest were broken into several sections.
Liu Miqiao put a thick layer of silicone sheet between the fourth cervical vertebra and the sixth cervical vertebra and fixed it.
In this way, part of the fifth cervical vertebra is still preserved.
"In the future, we will need to customize some cervical vertebrae of different specifications, including half, one-third, and one-quarter. After the operation, I will contact Liuxu and ask for the manufacturer's design as soon as possible. In the future, I estimate that this will happen
There will be a lot." I don’t know who Liu Miqiao was talking to.
The technician quickly replied, "Okay."
The instrument technician’s surname is Chen, and she is very familiar with Liu Xu. Many things in the operating room are provided by Liu Xu. She is now a major supplier to the hospital.
She has both medicine and equipment.
She is now the exclusive agent for puncture equipment. Wherever she goes, she says that Liu Miqiao used this equipment to perform punctures. This set of advertising slogans is very effective.
Last month, she sold 32 sets of piercing boxes in the Shanghai market, earning another several million in net profit.
She has not forgotten Liu Muqiao. From time to time, she will go to the orphanage to visit Xie Min and visit dozens of orphans.
Thanks to the donations from Liu Xu and others, Xie Min no longer needs to look for donations for the orphanage's funds, and she has also appropriately improved the quality of life of some orphans.
The food provided for three meals a day has become better, and children's education is not just about doing homework, but also requires every orphan to have a specialty.
They all participated in at least one specialty class.
There are more aunts in the orphanage, and two undergraduate graduates are here.
The wages of the aunts have also increased. The lowest one has a monthly salary of 6,000 yuan, and the high one has a monthly salary of more than 9,000 yuan. They also have pension insurance and medical insurance.
"Do you want to take a break? Once I start sewing, I don't want to stop in the middle." Liu Maqiao looked at the clock on the wall and saw that it had been working for ten hours.
"Drink a glass of milk. Make it thicker."
Zhu Yaguang knew how difficult it was going to be. It would probably take another ten hours, or even more.
The nurse agreed.
After boiling the milk, we all drank a large glass.
It feels like going to the battlefield to charge.
Zhu Yaguang serves as the first assistant, and Professor He serves as the second assistant.
Professor He is working hard. He thinks that the position of first assistant cannot always be occupied by Zhu Yaguang.
What does it sound like for a neurosurgery doctor to be the main force in cervical spine surgery for a long time?
The second stage of the operation began, and Liu Miqiao remained motionless again. He and Zhu Yaguang, with four hands, quickly performed the operation under the microscope.
Professor He watched Liu Miqiao and Zhu Yaguang's operations under the eyepiece, and the more he watched, the more frightened he became.
They sewed the nerve fiber bundles together. This skill is really amazing.
Professor He has seen the surgeries performed by the big guys at the First Affiliated Hospital of Shanghai Medical University. How can he be as good as Liu Miqiao? Even Zhu Yaguang is incredible.
He hasn't realized yet that Zhu Yaguang's current level is already at the level of a big boss.
Professor He only now realized that last time, Liu Muqiao told him that it was right for him to buy more pig brains, find a room, and practice the basic skills of neurosurgery.
He has been so busy lately that he has forgotten this suggestion.
Today...tomorrow, it is already tomorrow. After the operation, the first thing to do is to build a training room.
This training requires not only spinal surgery training, but also nervous system training, and even vascular anastomosis practice.
In spinal surgery, Professor He and his colleagues used to always ask microsurgery doctors for help when suturing blood vessels.
It seems that here, following this monster Liu Miqiao, you have to learn more skills.
This chapter has been completed!