When Robert left, he only carved a decent letter on the olive stone.
Time is tight and there is no time to learn this cutting-edge operating technology from Yang Ping, so we will have to wait until later.
However, he gained a lot. Under Yang Ping's personal guidance, he got a glimpse of the surgical method of multi-ligament reconstruction of shoulder and knee joints.
The day before leaving China, Lao Gao made a host, invited Robert to dinner, and called all the brothers from the Department of General Orthopedics. However, in the end, Takahashi paid the bill, and no one had done it to Takahashi.
Be the first to buy.
Song Zimo was occasionally able to completely separate the grape skin into two layers. Gao Qiao was still struggling for the two layers. He and Xu Zhiliang never succeeded. He was much better than Xu Zhiliang. Although he broke a few holes, he could still separate the second layer.
When the layers came up, Xu Zhiliang divided them into pieces, and the second layer broke into several pieces.
Fujiwara Miyuki's fruit stone carving progress is a bit slow. It is still difficult to carve out a letter. It is difficult to carve it out and it is crooked. But the Japanese girl works hard and trains when she is free in the afternoon. She really wants to ask Dr. Yang to teach her and tell her
How to control the instrument freely and transmit the power to the tip of the instrument, but it is embarrassing.
Zhang Lin and Xiao Wu peeled off the skin of the grape, but it was 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 retractors have grown a lot. The two of them can hang a one kilogram iron block for half an hour without moving at all, and the time is still improving.
Now, they enter the soap bubble training. They use a basin filled with large soap bubbles, and use a hook to gently pull the soap bubbles apart, trying not to break the soap bubbles.
This kind of technique training is to master the appropriate strength of the retractor and avoid damaging human tissues or organs when retracting the hook. If the strength is appropriate for soap bubbles, there will definitely be no compression damage during the actual operation.
Yang Ping has no intention of relaxing their strict requirements at all. He will supervise and guide them when he has time. Song Zimo, Gao Qiao and Xu Zhiliang are very conscious, but Zhang Lin, Xiao Wu and Fatty Liang are not necessarily so.
Fatty's cigarettes were also confiscated by Yang Ping. During training, he took Xiao Wu out several times just to smoke, wasting 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 been trained in all orthopedic surgeries.
But there is no end to the pursuit of excellence. Although Yang Ping's more than 500,000 points are consumed from time to time, daily rewards are also credited to his account every day.
In this way, when there is no large expenditure, the points always fluctuate around 500,000, maintaining a strong purchasing power in the system mall.
Although the system space does not occupy real time and does not consume physiological energy, the psychological experience is the same as reality.
There is also a limit to the psychological endurance of fatigue. Even for a strong-willed person like Yang Ping, the time he can stay in space is limited.
In and out during this period, even Yang Ping himself didn't know. If he added up the time he spent in the system space, how much time he had, this data should be very exaggerated.
Yang Ping has full confidence in the Golden Knife Award, but he does not dare to take it lightly. In order to obtain the reward of the space laboratory, he must win the Golden Knife Award.
According to the requirements of the competition system, the Golden Knife Award is divided into regional competition and national competition.
The country is divided into five major competition areas: east, west, south, north, and middle. Each competition area conducts three-month regional competitions. According to the score, the top three teams enter the national competition. The national competition adopts an elimination system and is eliminated all the way until the finals.
There is no limit to the number of teams sent by each specialty in each hospital. The team's chief surgeon needs to be a deputy chief physician or above. The attending physician's role as chief surgeon requires the signature recommendation of two authoritative experts outside the hospital.
For the participating surgical cases, every step from diagnosis, selection of surgical indications, preoperative preparation, surgical operation, and postoperative treatment will be scored.
If there are major mistakes in some key steps, such as incorrect diagnosis or incorrect selection of surgical indications, no matter how well the other steps are done, the score will be zero.
The competition has a dedicated website, APP and public account. Complete case information must be uploaded before surgery, and disease course records must be updated and uploaded daily after surgery.
All surgeries are elective surgeries and are live broadcasted. After the live broadcast, they are encrypted and archived directly 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 years.
Some operations can be performed by one assistant, all surgeries in the regional competition can be performed by one assistant, more than half of the surgeries in the national competition must be performed by the surgeon, and all surgeries in the finals must be performed by the surgeon.
In Yang Ping's team, Song Zimo is the first assistant, and the others include Zhang Lin, Xiaowu, Liang Jing, Xiao Su, and Zhou Can.
Xu Zhiliang is a latecomer. He was still in the emergency department when he signed up, so he naturally did not join the team. However, he can participate as an unnamed substitute. If staff other than the chief surgeon or first assistant cannot come on stage due to special reasons, he can serve 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 participating members are required to be under 45 years old.
In this regional competition in South China, the strongest ones are Nandu Affiliated One and Two, Provincial People's Hospital, Queen Mary Hospital in Hong Kong, and Prince of Wales Hospital. They also signed up to participate. In this way, the competition in South China is extremely fierce.
This is an adolescent scoliosis correction surgery, Professor Zhang’s patient, the patient came from Australia, Professor Zhang is sitting in the corner of the operating room.
"let's start!"
Director Han stood upright. After routine pre-operative checks, he took the scalpel and drew a skin mark on the patient's back with the back of the knife.
The patient is in a prone position, lying on the spinal prone frame, and a long longitudinal incision is made in the middle of the back along the skin imprint.
In order to take care of Yang Ping's height, Director Han specially stepped on a footrest.
As expected of the successor designated by the old director Mo Liu, Director Han's movements were steady and brisk, with a strong surgical rhythm. He cut the skin, and the electric knife started to grasp it in his hand, stopping the bleeding accurately, going deep layer by layer.
"Everything has its own rhythm, and surgery is no exception. You have to catch its rhythm. There are fast rhythms and slow rhythms. If you lose the rhythm, you will easily fall into chaos." During the gap between changing surgical instruments.
, 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.
The child's entire spine has been printed with a 1:1 model using a 3D printer before surgery. Based on the 3D printed model, a positioning guide for the pedicle screws was designed, making the entire surgery very easy.
There were dots of blood on several pieces of gauze. Director Han had peeled it off from the spinous process to both sides, close to the bone surface, exposing part of the lamina and other vertebral attachment structures.
Use the guide to open an opening at the location where the nail is to be inserted. The probe explores the four walls of the bone canal to confirm that there is no problem. The guide pins are sent into the opened bone canal one by one, passing through the pedicle and directly 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 pins is very good. Each pin is in the standard position, the best entry point, the best direction, and the best length.
Scoliosis is a lateral curvature in a three-dimensional space, and orthopedics are also orthopedics in a three-dimensional space. 3D printing technology is particularly important at this time. A surgical simulation can be performed before surgery. Whether it is nail insertion or osteotomy and correction, the data can be mastered in advance.
Director Han's surgery is really beautiful and generous. No matter how big the surgery is, he makes it look simple and easy.
The instrument seemed full of power in his hands, but when it came into contact with the target of operation, it was so appropriate and beneficial, neither light nor heavy.
When the position of the guide pin is satisfactory, all that remains is to ream the hole and screw in the pedicle screws. Since there is already a 3D model before the operation, the length and diameter of each screw have been determined. There is no need to measure now, just insert it directly.
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Finally, the key step is osteotomy. There are also osteotomy templates available, and they have been practiced on the model before the operation. Director Han now carefully starts the osteotomy according to the pre-operative plan.
The somatosensory evoked potential monitor monitors the electrophysiological activity of the spinal cord at any time to prevent and treat excessive pulling and squeezing of the spinal cord during spinal correction, which may cause serious consequences.
Director Han made osteotomy at several osteotomy sites according to the preoperative plan, completed it in one go, and then started the correction.
The correction was carried out bit by bit. Every time he corrected a bit, he would turn his head to look at the monitor screen. The somatosensory evoked potential monitor screen showed normal.
When the correction reaches a satisfactory level, Director Han stops. This is the most dangerous step and the one that requires the most experience.
"It is particularly important to stop when enough is enough. Once it crosses the critical point, it will be irreversible paralysis." Director Han said to Yang Ping opposite.
Finally, two metal rods were implanted, the beams were added, and locked, and the key steps of the surgery were completed.
After another fluoroscopy, the correction was very satisfactory. On the somatosensory evoked potential monitor, the electrophysiological activity of the spinal cord was normal and there was no damage to the spinal cord.
An ordinary surgery, nothing spectacular, just straight forward. This is the characteristic of Dr. Han's surgery.
"A skilled doctor can save the day from danger, and at a higher level, he will not fall into danger at all. Therefore, for the surgeon, a flat and straight operation is the best operation."
"In the final competition for the Golden Knife Award, all are surgical geniuses, and the judges are extremely harsh. Any small flaw will result in a points deduction."
"I don't have any worries about you, but we can't take it lightly. As doctors, just like fighting, we are most afraid of underestimating the enemy."
Director Han personally finished the work, placed the drainage tube, closed the incision, and sutured the skin until the last stitch was completed.
"I am old, and the stage belongs to you young people."
Director Han took off his gloves and went to the side to chat and rest with Professor Zhang. There were several surgeries ahead. He didn't want to waste time, so he concentrated on one day and completed the capping surgery with Yang Ping in one go.
"Han Lao Er, don't miss the Golden Sword Award this time." Professor Zhang said to Director Han who had just sat down.
Director Han didn't answer, he just sat and watched Yang Ping on the stage opening the sterile drape.
Back then, Director Han and his senior brother Hong Zhigang, representing the Department of Orthopedics of Magic Six, each led a team. Both teams reached the finals. In the finals, it was actually he and his senior who faced off in the championship finals.
Unfortunately, Director Han later withdrew from the competition before the finals, and an assistant replaced him to complete the final surgery. In this way, Hong Zhigang won the National Golden Knife Award in Orthopedics.
Let the Golden Sword Award return to the capital after twelve years. The previous three winners were hospitals in the capital.
Han Jiangong's abandonment before the final has always been a mystery in orthopedic circles.
"Did you hear what I said? Don't miss it again this time." Mr. Zhang was a little angry.
