For the first time, Lu Gang could lie down, had a normal vision for the first time, and could stretch his body for the first time.
According to the sterility rules of the operating room, the hospital bed cannot enter the operating room.
But this orthopedic bed was disinfected and allowed to enter the operating room. Lu Gang passed directly from the operating bed to the orthopedic bed.
He was lying on the hospital bed with his cervical spine fixed by a cervical collar. Although the upper cervical spine was firmly fixed, for safety reasons, it was still protected by a cervical collar.
The door to the operating room opened and Lu Gang was pushed out. Everyone was wearing hand-washing clothes and gathered around the orthopedic bed, pushing the orthopedic bed together.
Lu Gang's mother had been waiting outside the door. When she saw the door open, she immediately came up. After more than ten years, she finally saw her son's face clearly.
"The operation was completed and it was very successful. There are still two hurdles to pass after the operation, infection and delayed paralysis." Yang Ping explained to Lu Gang's mother.
This has been mentioned before the operation, and now it is just a repeated reminder.
Lu Gang smiled at his mother: "It's okay, don't worry. When I woke up, the doctor asked me to move my toes. I knew the operation was successful. When can I eat? Steam five big meat buns for me to eat."
/p>
Fatty Liang supported the orthopedic bed: "Eat after six hours, but try to drink porridge these days. You can sit up after three days. If you are not uncomfortable, you can try to get out of bed and walk. Only then can you eat meat buns. Let's
You eat while watching TV."
Everyone started laughing, and Lu Gang’s mother laughed along with her, laughing and laughing, tears streaming down her face.
"Thank you for your hard work, doctor, thank you doctor!" Mother followed Lu Gang back to the ward and kept thanking everyone.
The nurses in the ward have already made preparations, and thoracolumbar braces are also prepared in the ward.
Because of osteoporosis, the reliability of all internal fixations is reduced. When standing up and walking, it is safer to use a brace to protect the patient for a period of time.
The hospital bed is pushed to the position of bed No. 1, the emergency ward closest to the nurse station.
Several nurses skillfully connected oxygen tubes and ECG monitoring equipment, and placed his lower limbs in a slightly bent hip and knee position.
A nurse began to explain the precautions for caring for Lu Gang's mother. Dr. Che taught Lu Gang muscle training and ankle pump exercises for the lower limbs. Early rehabilitation training for joint surgery is very important.
Lu Gang was liberated from the twist state and became an upright and stretched normal person. The cardiovascular system, respiratory system, balancer, central nervous system and visual adjustment system all need to adapt again.
Dr. Che used scientific rehabilitation knowledge to help him step by step. During Yu Shuilian's recovery process, Dr. Che accumulated rich experience in the rehabilitation of special cases.
There was not much blood loss during the operation, totaling 140 ml. The prepared autologous blood transfusion machine, suspended red blood cells, and frozen plasma were not used.
The shorter the operation time, the shorter the exposure time of the surgical field, and the lower the probability of infection.
Considering that the prophylactic antibiotics used were second-generation cephalosporins with a short half-life, Yang Ping asked Lu Gang to give Lu Gang an additional dose of antibiotics after surgery.
As long as there is no infection or delayed spinal cord injury, the operation will be truly successful, and no step can be slacked off.
---
Professor Zhang and Director Han were still in the locker room. They could not calm down for a long time and had not fully recovered from the shock.
The car was driving so fast, and there were people on the street, but Yang Ping managed to race through the gaps between people and cars.
The two of them have been practicing medicine for more than eighty years combined, but they can't stand this stimulation.
Schumacher has won numerous awards in Formula One racing. If he saw a racing car chasing him at a speed of 360 kilometers per hour in downtown Berlin, he might not be able to bear it.
"This bastard, my clothes are soaked all over."
"It's so fast, it's scary! Especially for cervical spine orthopedics, especially the upper cervical spine, that's the moment of death, how dare you do it so fast."
"One cervical pedicle screw is planted in ten seconds, just like planting beans. It's scary. If it misses a little, it will damage the vertebral artery in the transverse process foramen, and the bleeding will be severe."
Several international experts have experienced this kind of case. One expert injured the vertebral artery on the operating table, bleeding 12,000 milliliters within half an hour. If it were not for blood transfusion and autologous reinfusion, the patient would not be able to survive. p>
"Not a nail is crooked."
"How dare he correct the physiological curvature in one step without leaving any room."
"He has calculated the relationship between the deformation of the spinal cord and the orthopedic surgery, and looked at the order of the orthopedic surgery and the location of the osteotomy. During the correction, the deformation of the spinal cord will be accurately dispersed, and the damage may be minimized. This guy has become a sperm, and the surgical plan is so meticulous.
to a certain point."
"Han Laoer, I'm really old, and my heart is still pounding now. Don't notify me next time about the surgery. I'll just take a look at the film after it's done."
"I showed him Professor Feng's film."
"How to say?"
"He said he was 80% sure."
Professor Zhang almost jumped up from his chair and looked at Director Han.
"Yes, that's right, he said 80%. At first I thought I heard it wrong, but I confirmed that it was 80%, which is an 80% chance of success." Director Han tried his best to speak clearly.
"I'm going to Moliu. You can arrange for someone to go to the outpatient clinic. It's 80%. Why are you hesitating? If Lao Feng doesn't have this tumor, he can live for another five or ten years. What are you waiting for?"
"Should I go with you too?"
"Okay, Mr. Han, it's time for you to meet him at this time. It's been more than ten years, so I guess he won't refuse to see you."
"Well, maybe."
"Go and do your work, I want to be quiet here." Professor Zhang wanted to take a rest.
Director Han refused: "You'd better go back to Corey and sit down."
Professor Zhang stood up, bent down and patted his knees: "Are you afraid that if I am here alone, no one will notice my myocardial infarction later?"
---
After the live broadcast of the surgery, the video was stored on the website. None of the judges were able to give a score, and the group was silent.
The comment area is also dead silent, as if the surgical video of Sanbo Hospital does not exist.
After a long time, a doctor popped up and said, "Does anyone have an answer? If so, please reply. This atmosphere is really scary."
The other one also held it in for too long and did not dare to speak. He kept waiting for others to speak, but no one took the lead.
"Did the patient leave the operating room alive in the end?" the doctor asked. He actually knew the result, but just wanted to ask because he was afraid that the video he watched was different.
"After the post-operative examination, the toes of both feet moved normally. After the anesthesia and extubation, the surgeon had a conversation with the patient and the patient was still moving. This should be enough to determine that he is alive, right?" Another doctor was not sure.
"Is there a big cow with a spine? Can you give me some science? I don't understand. This kind of surgery is done in one time and takes four hours. The correction is perfect when you look at the film. What level is it?"
There are many powerful people in the comment area of the website, but everyone uses their online name and does not know the real identity of the other person, so that comments can be made easily and freely.
"There are no experts in this video. I am also a senior spine surgeon and have some experience in scoliosis correction. If I am wrong, please correct me. The four-hour operation included several changes of positions and sterilized drapes during the operation. In fact,
The operation took more than three hours and the movements were too fast. However, I watched the video repeatedly and slowed down a bit to get more comfortable with it. The entire operation process was smooth and well-organized. No steps were missed. The post-operative images showed that the correction was perfect, leaving no room for error and getting it right in one go.
, the patient was awake after the operation, and his limbs moved normally. According to reports, his muscle strength was normal. He was at least alive and not paralyzed. In recent years, he often read papers and journals and went abroad for meetings. At present, I can’t think of anyone at home or abroad who can achieve this level. Really, maybe I am ignorant.
.If you must question it, you can only wonder if there is a problem with the video itself."
"I didn't understand the operation process, but I know that the result was very good. There were no repetitive or invalid movements in the operation. Is there a video clip?"
"Didn't the previous multi-ligament knee reconstructions come from the Hospital for Special Surgery in New York? Now you are suspicious of video editing?"
"Don't you think it's ridiculously fast? It's so ridiculous, you have to be suspicious."
"It is recommended that the host committee intervenes, checks the video, tracks this case, and does not rush to give points yet."
The comment area gradually recovered and became active.
At first, everyone was dumbfounded. They seemed to understand, but did not dare to say that they understood. They were all trembling with fear. They temporarily lost the ability to comment and did not dare to speak easily for fear of making a mistake and being criticized as a fool.
"This surgery is not only fast and simple, but also contains extremely high technical content. It can disperse the deformation of the spinal cord to the maximum extent. The orthopedic design is clever, and it can actively disperse the deformation stress while correcting the deformity. Compared with the traditional surgery that passively accepts the deformation of the spinal cord, the concept is obvious.
Progress, this is also the confidence that the surgeon dares to reach the top in one step. The operation is beautiful and enjoyable, but the speed is so fast that I am already wet after watching it."
"Everyone finally spoke. I want to take a breath. My hands are still shaking a little and I can't control them."
"I just got up and found a large piece of wetness on the chair. I sniffed it secretly and found that there was no urine."
"I feel the nitroglycerin in my hand and am asking my cardiology brother if I want to take one. I have chest tightness and precordial discomfort."
"Call the chest pain center and hurry up! Don't hesitate!"
"I'm watching slow play. I've watched it twice. It's thrilling."
"Has anyone had a dislocated mandibular joint?"
"My director said that he grabbed his chest and read it. My palms are all sweaty now. It's true."
"If the operation is so fast, will there be any points deducted?"
"I didn't say that I wasn't allowed to go too fast. I didn't miss a single step, and every point was done perfectly. I can finish it in four hours, so do I have to delay it to more than twenty hours on purpose?"
"What should I do? Is Xiehe Song Yun cool?"
"It's probably cold."
---
Everyone gathered in the conference room of Imperial Union Orthopedics, and the atmosphere was very dull.
The rigorous Xiehe slow-played Yang Ping's surgery video, then broke it down and studied it step by step. Even the surgery animation demonstration has been made to help understand the surgery.
This is not arrogance, arrogance, misbehavior, or disregard for human life.
This is a meticulously prepared operation that is perfect and watertight.
No matter from the design of macro steps or the handling of details, everything is impeccable.
The hidden technical content of this surgery has exceeded the highest level of existing similar surgeries.
"The design of several orthopedic parts is not just to correct the deformity, but also to consider the dispersion of spinal cord deformation. This is the core technology that the surgeon can spare no room in. At present, no one except him can accurately disperse the spinal cord deformation."
"Cervical vertebra orthopedics above the skull base have entered the realm of true precision medicine. Look at the cooperation between the assistant and the surgeon, and pay attention to the breakdown of movements. Their movements are accurate to the millimeter level, and they should be trained countless times together."
"The surgery is extremely skilled and the sense of coordination is very strong. No matter who does this surgery, they will definitely not dare to do it all at once, let alone completely correct it. The cumulative operation time is estimated to be about 20 hours."
Song Yun felt a huge pressure across the screen, making him breathless, desperate, suffocating, and cold.
Yang Ping only had this surgery in the second season.
At the beginning of this season's surgery, he lost. Song Yun couldn't accept it, and his heart felt like a prick of ice. No remedial measures would help.
Even if the same surgery as Yang Ping's was performed, and given enough preparation time, I still wouldn't be able to perform it. Even if I barely managed it, I wouldn't be able to do it so skillfully and easily.
"Establish a finite element analysis model of the relationship between spinal correction and spinal cord deformation in this operation, Director Hu! After the competition, you will lead the team to Nandu Sanbo to learn spinal correction from them." Professor Liang, director of Peking Union Medical College Orthopedics, said seriously. "Professor Liang?"
Professor Hu Guolin, deputy director of the Department of Orthopedics, politely stopped him, saying, "How can we be inferior to others when we are in Concord? Others come to us for further study. If we want to go out, we will also go to top foreign hospitals.
Song Yun and others also looked at Professor Liang expectantly, hoping that he would take back his words.
Professor Liang's expression was strange: "Professor Hu, please stand up and repeat to me the motto of Xiehe University."
"Rigorousness, refinement, diligence, and dedication." Professor Hu stood up, and everyone followed suit.
"That's right, you keep it in mind, but it's a pity that you don't understand. I have repeatedly warned everyone to learn from teachers, books, peers, experience, and lessons." Professor Liang's voice was raised and resounded throughout the room.
Conference room.
"What does it mean to seek excellence? For such an excellent doctor and such a rare case, you are not trying to learn. Instead, you are considering your own poor vanity. Let me ask you something. Next time we treat such a patient, you can
Is it possible to do this? Complete the operation in four hours, correct it to the physiological curvature, and bleed 140 milliliters?" Professor Liang sat upright in his chair and scanned everyone.
"You don't want to go? It doesn't matter. I'll go. I'll teach you after I learn well." Professor Liang stood up to leave.
"Professor Liang, let's go, we didn't say not to go." Professor Hu lowered his head and said awkwardly.
Professor Liang sat down again: "I always say that as doctors, there is no end to our learning. We must not rest on our laurels. What we are facing is the complex human body, the only life. No effort is too much."
"Song Yun, show the spirit of Concord people. Even if we are eliminated, we must continue to do the surgery meticulously. Don't care about everyone's comments. If we adopt a learning mentality, there will be no losers in this competition. Everyone will
You are the winner. If there is no competition, how do you know there is someone outside?"
"You are destined to be eliminated. Don't talk about you. Even if I come to power, I can't get you back. You have to be eliminated with the attitude of an excellent surgeon. The century-old Concorde should have its own elegant and confident attitude."
Song Yun was deeply moved by Professor Liang's words: "Director, I understand. The operation will start tomorrow. I will do every remaining operation just like I did the first operation. After the competition, I am willing to go to Sanbo to study.
”
"Well, you just understand. You are all excellent surgeons. I will personally supervise you during tomorrow's surgery. There is no victory or defeat. You must go all out for every operation."
Professor Liang stood up and everyone stood at attention, watching him walk out of the conference room door with vigorous steps.
