The female student with scoliosis was sent out of the operating room, and the patient who received the surgery was a patient with a burst fracture of the third lumbar vertebrae.
This patient has a burst fracture of the third lumbar vertebra, but the posterior longitudinal ligament is intact, and there is no cortical inversion sign of the fractured fragment on imaging, so he is more suitable for posterior surgery.
Posterior spine surgery is simpler than anterior surgery, with less bleeding and low risk. It can generally be solved through the posterior approach and the anterior approach will be avoided as much as possible.
Anterior surgery is much more difficult because it has to be entered through the chest or abdominal cavity and involves organs, large blood vessels, etc. in the chest and abdomen.
However, if posterior surgery cannot achieve good results, even if anterior surgery is difficult, anterior surgery should be chosen.
There is no advantage or disadvantage between the two surgical methods, they are just suitable for different cases.
You say cars or trucks are better? Cars are definitely better for home use, and trucks are definitely better for hauling 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 Orthopedics Department, no one from other departments came. The young people were busy operating in the operating room, and only Mr. Zhang and Mr. Han were left in the dressing room.
Both of them are usually busy. Mr. Zhang is in charge of the outpatient department of comprehensive orthopedics, and Mr. Han also has a lot to do at the Orthopedic Research Institute, so it is rare to get together like this.
"This is his first time to have scoliosis correction surgery." Lao Han sighed.
"Those screws were really beautifully driven. Whether it was osteotomy or orthopedics, they were done to the extreme." Professor Zhang was also thinking about it.
"A rare genius, he almost slipped away from my hands." Old Han remembered the first time he met Yang Ping.
"We have to take good care of this seedling and create the best platform for it. In medicine, except for 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 provide them with good services." Lao Han reassured Professor Zhang.
"Lao Feng was admitted to the ICU again?" Professor Zhang paused and changed the topic.
Old Feng, Professor Feng Tiancheng, the mentor of Director Han and Hong Zhigang, is several years younger than Professor Zhang Zongshun, but he is still of the same generation.
If we count academic seniority, Zhang Zongshun is Feng Tiancheng’s senior brother and Director Han’s senior uncle.
"I went to see, through glass, a chordoma in the upper cervical spinal cord that grew through the skull base into the intracranial medulla oblongata. Moliu's orthopedics and neurosurgery teams revised the surgical plan several times, but it still didn't work. The location of the tumor
It's very deep, in the center of the upper cervical cord and medulla oblongata. I'm afraid the teacher won't be able to hold on for long." Old Han took a deep breath and his eyes couldn't help but moisten.
My mentor has never been married and pursued medical skills. He cherishes his reputation as much as his own life and regards his senior fellow apprentices as his own sons. I can’t help but get teary-eyed when I think of some episodes of studying when I was young.
"Last year, he was still able to walk, so he applied with me to donate his body to the Anatomy Teaching and Research Office of Jiaotong University School of Medicine. He hoped that after his death he could be an anatomy teacher and continue to play a role. This could be regarded as his final contribution to medicine." Professor Zhang was also very touched.
.
"There are many things about your generation, such as purity and nobility, that we feel inferior to." Lao Han admires the spirit of the older generation.
"It's not noble. My father closed his eyes on the chair in the clinic. I also hope that when I come that day, I will be sitting on the chair in the clinic. Maybe this is the best destination. My father's body is donated.
Give it to the Union Medical College, we are materialists, and I don’t believe in the afterlife. After death, the body can still be scratched a few times by the students. It is a good thing to have a starting point. I remember what my father said at the time, I would rather the medical students scratched me a thousand times.
Even if you have ten thousand cuts, don’t make one wrong cut on the patient.” Professor Zhang squinted his eyes and leaned back on the chair.
Lao Han was silent for a long time: "I heard from people in Mo Liu that the teacher himself repeatedly requested surgery."
"He wants to use himself as an experimental subject to gain experience for Mo Liu. This kind of surgery is currently a restricted area of surgery. There are few successful precedents in the world. The success rate of the surgery is less than one percent. Without surgery, it can still take a while. Once
During the operation, he died directly on the operating table. How do you think the people from Moliu were able to do this?" Professor Zhang has also been paying attention to Professor Feng's condition.
"Han Laoer, I don't want to ask you about what happened back then. It's been more than ten years and you still don't intend to tell the truth. From what I know about you, you can't do such a thing. You want Feng Tiancheng to go."
Was there still a misunderstanding?" Professor Zhang turned to look at Lao Han, his eyes burning brightly.
Old Han deliberately avoided it and looked at the cabinet in front of him: "This is the best ending."
"I'm just reminding you that Lao Feng probably won't have much time left before he becomes a general physical education teacher. Think about it for yourself!" Professor Zhang stood up, stretched his waist, and staggered into the bathroom.
Director Han rested alone on the back of his chair.
Song Zimo's surgery has begun. The fifth round of surgery is posterior surgery for thoracolumbar fractures. The core is pedicle screw technology.
This is a basic operation in spinal surgery, and it is not a problem for Song Zimo.
Compared with pelvic acetabular fracture surgery, his performance will be better.
Yang Ping created an original pedicle screw placement method and taught it to Song Zimo. Using this method, he can easily find the best point, and from this point, insert the screw in the best direction.
Nandu Affiliated completed the fifth round of surgery early in the morning. At this time, they were observing the surgeries of outstanding players from various competition regions across the country.
Lin Hao's mood was very complicated. He originally thought that in the fourth round of surgery - pelvic acetabular fracture, Sanbo Hospital would be left behind.
But now entering the fifth round of surgery, there is still no hope. He hopes that Sanbo can qualify, but he definitely does not want them to qualify with perfect scores, so that the gap will not be reflected.
Opening, opening, detecting, and implanting positioning needles. Why was he so fast? Whether it was thoracic or lumbar spine, there were several positioning techniques for pedicle screws. Which one Song Zimo used, Lin Hao really didn't notice.
Come out.
I only saw Song Zimo revealing the position of the opening. The sharp-nose rongeur was at the nail entry point, biting off a little bit of bone cortex, and then the opener opened, followed by opening, probing, and implanting the positioning needle without any pressure.
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After all the positioning needles were inserted, a perspective image appeared on the screen soon, and the position of each needle was perfect.
"Is this the herringbone method?" Lin Hao asked Su Nanchen.
Su Nanchen shook his head: "No, I don't know what kind of positioning method this is. I haven't seen it before."
Chen Ge, Cao Qian and Su Fengyu on the side have been staring at Song Zimo, hoping that he will make a mistake so that they can climb into the top three.
It's a pity that he didn't make any mistakes at all. Depending on the skill of this operation, it is impossible for it to overturn.
Su Nanchen knew very well that many of Song Zimo's skills came from Yang Ping. He didn't come forward, he just wanted to make the competition in the Southern Division better and make the performance of Fuyi better.
If he plays, the surgery will be no better than other sports, and there will be no leakage. A surgical case can achieve 100%, but deliberately fails to do it well, or discounts it. This is a blasphemy against the principles of medicine.
Since water cannot be released and every operation must go all out, the entire Southern Division will be very embarrassed.
There will be an ironic scene at the Golden Knife Award. Nandu Affiliated One, known as the top brother in the Southern Division, has a strong team that is defeated by Yang Ping alone.
"It's really well-intentioned!" Su Nanchen laughed in his heart, but he didn't expect Yang Ping to think of this.
"Brother Hao, it looks like this guy will push the three games into the national competition with full scores." Chen Ge said helplessly.
In the blank area next to the screen, comments are launched in the form of barrages.
"It's still the first assistant who is the chief surgeon and has always maintained perfect scores. Doesn't anyone think that the Third Expo is the biggest dark horse of this session?"
"There has never been a dark horse in any previous term, and it will be the same this time."
"Yes, there were similar so-called dark horses in the past who rushed into the national competition, only to be trampled to death in the first round of knockouts."
"Once again, the regional competition is about basic surgery. The real thing is in the national competition. Look at the beginning of the national competition, which is arthroscopic surgery on six major joints. Rotator cuff repair and cruciate ligament reconstruction are not enough. This year, multi-ligament reconstruction of the shoulder and knee has been added.
, this is the first operation. How many hospitals across the country can carry out multi-ligament reconstruction of shoulders and knees? Many hospitals still don’t know how to do the anterior cruciate reconstruction, so they still do multi-ligament reconstruction?"
"Luo Jin! Please tell me how difficult it is to move your fingers. Luo Jin's surgery was Yang Ping's masterpiece. He has started training normally. It is said that he can return to the competition after a while."
"How hard is it to use your brain? Don't listen to their propaganda. Who has seen it? It's multi-ligament reconstruction of the knee joint? It doesn't matter what they say. Just think about it with your toes. This kind of surgery has Luo Jin's reputation.
, let alone going abroad, at least go to Di San Mo Liu? Think again, it is really a four-team reconstruction. Who is so awesome? The football players who have been reconstructed by the quadruple league return to the game? Go search Robert Jr.'s article, people
I gave it a name, Retirement Syndrome! Guys! Anyone involved in sports medicine, don’t say you don’t know Robert Jr., don’t say you don’t know New York Hospital for Special Surgery. They can’t do it, but Sanbo can do it. What a miracle doctor.
In this era where everyone dares to brag about anything, don’t dream that folk chess players can defeat Nie Weiping.”
I don’t know who actually made a long comment. It’s dizzying, but the comments are well-founded.
"Sanbo is actually not weak. Professor Han Jiangong, who was born in Moliu, was a man of great influence back then."
"It is said that Zhang Zongshun, the retired professor of Moliu, a leading figure in the domestic orthopedics field, is currently also in Sanbo?"
"No wonder Sanbo is so strong!"
"Is Han Jiangong's story true? Can anyone who knows the inside story say a few words?"
"Please note that we only discuss technology here, not personal privacy."
The person who started the topic is very interesting and will not continue it, allowing the topic to cool down automatically.
"Don't put too much emphasis on Sanbo. The guy above is right."
Su Nanchen looked at these comments and just smiled.
When Tesla first proposed alternating current, the whole world had a similar view: How is this possible?
It is not difficult to understand that if something is beyond cognition, you will definitely not believe it.
