Doctors who came to participate in the European academic conference arrived one after another, including top experts in spine surgery from various countries, including Milton from the UK, Woodhead from the United States, Fujiwara from Japan, etc.
More than six thousand doctors came from all over the world and gathered in Frankfurt, Germany. In addition to doctors, many pharmaceutical companies and medical device companies also came from all over the world to participate in the exhibition.
Whether in China, Europe or the United States, medical conferences often involve pharmaceutical companies and medical device companies.
The spine surgery experts from various top hospitals in China have also arrived one after another. In addition to Nandu Affiliated One, there are also Xiehe, 301, Jishuitan, Moliu, Huaxi, etc. Many people have come from other hospitals, and many doctors have come up with ideas.
See and learn.
Only 7 Chinese hospitals were able to get a five-minute speech opportunity at the conference, with a total of 9 papers, of which Song Zimo alone had 3 papers.
In fact, when they got the conference agenda, doctors from many countries were very dissatisfied with the arrangement of the conference. Song Zimo from China actually had exclusive speech time for three papers, and each speech was given ten minutes. You must know that most people are
Five minutes. Due to the large number of participants in this kind of meeting, the speech time must be strictly controlled. Many doctors understand the arrangement of August's meeting very well.
The person who least understood was Milton from the UK, because according to the arrangement of the meeting, Milton's speeches were all ranked behind Song Zimo's, which was unacceptable to Milton.
At the previous European Spine Surgery Annual Meeting, August, as the chairman, ranked first in the topic of his speech, followed by Milton. This time, Song Zimo actually ranked first, and August even ranked second. Naturally, Milton was ranked first.
It was postponed to third place, and this year Maninstein was invited to deliver a speech at the opening ceremony.
As the best Marriott hotel in Frankfurt, it is now bustling because of this conference.
As the best medical device company in China, Ruixing Medical also sent a team to participate in this meeting and set up an exhibition hall. Of course, the rigorous August will not forget to give Ruixing Medical special care and gave
Its best exhibition location.
Song Zimo arrived in Frankfurt in the morning, followed by Xu Zhiliang. Song Zimo looked particularly handsome in a Chinese tunic suit with a stand-up collar. Xu Zhiliang's clothes were changed to new ones, and there were no more holes in his pants, but his hairstyle always looked a bit sloppy.
Feel.
August took them to a high-end business room at the Marriott Hotel, which was the standard for the conference team to receive VIP experts. Professor Su's presidential suite was paid for by August himself.
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The work of the Institute of Surgery is proceeding in an orderly manner. Professors Zhang Lin and Lu Xiaowu are now very serious. They work overtime to study the patient's treatment plan and seem to be very sure about it.
The surgeries were scheduled as usual. There were many surgeries and the schedule was relatively compact. The first surgery was for scoliosis correction, while the surgery for spinal tumors was placed at the last one.
Scoliosis correction is the most difficult and risky surgery in orthopedics. Currently, there are not many hospitals that can perform it, and even fewer that can perform it in large quantities. Those hospitals that can perform it but do not perform it in large numbers, the cases are also concentrated in patients with low deformity.
of cases.
Today's scoliosis correction is definitely very difficult to put in other hospitals, but at the Institute of Surgery it can only be said to be average, because many of the scoliosis corrections here are extremely difficult, and many of them are not taken over by other hospitals.
The name of the Institute of Surgery is not given for nothing.
Zhang Lin is currently performing this operation, and the anesthesiologist Fatty Liang is administering the anesthesia. Zhang Lin straightens his back, holds his head high, and is reading the films before the operation in front of the reading light.
"Brother Fifth, are the osteotomy points we designed correct? Do they meet the requirements of Professor Yang's osteotomy style?" Zhang Lin discussed with Xiao Wu.
Xiao Wu nodded: "Yes, that's true."
In order to determine these osteotomy points, Zhang Lin and Xiao Wu drew a lot of surgical drawings yesterday.
"C-arm machine, who is in charge of the C-arm machine? Adjust it quickly. Positioning will be done before and during the operation."
"Anesthesiologist, please move quickly."
''Where's the equipment nurse Zhou Can, why haven't you washed your hands yet?"
As the chief surgeon, Zhang Lin is now giving orders. He also performed some operations in the past. Strictly speaking, that was not the real chief surgeon. Today, he is the real chief surgeon of this type of difficult surgery.
Regarding scoliosis correction, among my classmates, as long as they are engaged in orthopedics, who can perform scoliosis correction? Most of their department directors are not capable of performing scoliosis surgery. Once these operations are performed, then they can do it again.
It would be twice as cool to post something on Moments! Zhang Lin was thinking in his mind.
"What are you urging me to do? This is not done without anesthesia." Zhou Can was very disgusted with Zhang Lin's condescending attitude today.
"Yeah!---I am the chief surgeon today, how dare you disobey the chief surgeon's arrangements?" Zhang Lin raised his voice.
Zhou Can glanced at him, and Lin really thought of himself as a professor. The fat man helped Zhou Can speak: "That's about it. Don't be so high-profile. After surgery, your voice will be doubled."
That's for sure. I'm not the surgeon today. Being the surgeon is the authority.
At this time, Yang Ping came in, scanned the operating room, and sat down in a corner of the operating room. Zhang Lin immediately came over and reported the current preparations for the operation. Yang Ping sat down and said to Zhang Lin: "I'll just sit by and watch. What do you do?"
You, don't worry about me, you are the chief surgeon here today, show your responsibility and appearance as a chief surgeon."
It seems that Professor Yang really asked the two brothers to perform surgery independently, not just talk, so he must perform well.
Therefore, the arrogance of the surgeon who had just been extinguished is now rekindled: "Everyone, move quickly, Guodong, after you get into position, you should quickly lead others to wash hands and disinfect the sheets."
"Fifth brother, let's watch a movie together again?"
So the two of them walked to the reading light and studied the films carefully. Usually before the operation started, the junior doctors were busy cleaning their hands and disinfecting the drapes, and the surgeon took the time to look at the images again.
This chapter is not over yet, please click on the next page to continue reading! Now Zhang Lin is the chief surgeon and a senior doctor. He has to stand calmly and calmly in front of the reading light to read the film.
"How long will the operation take?" Fatty Liang asked, so that he could control the anesthesia time.
Zhang Lin thought for a while, it was really hard to say, so he asked Xiao Wu: "Brother Wu, how long do we have to sit here?"
Xiao Wu didn’t know that the scoliosis corrections performed by the surgeons were usually performed by senior doctors. If they encountered any difficulties, the superior doctors would take action to solve the problem. The operation time at that time could not reflect the true level.
Now that the two of them are doing the surgery independently, it's unclear how long they will be doing it. There is no example to refer to.
"Let's prepare for four hours first, five hours, five hours." Zhang Lin said uncertainly.
Fatty Liang had no choice but to watch while doing it. It was really not possible to add more medicine midway. However, the anesthesia requirements for scoliosis were relatively high. Once the time estimate was inaccurate, if the patient became agitated during the operation, it would seriously affect the operation and easily damage the spinal cord.
Li Guodong was also very active. Zhang Lin Xiaowu was promoted to chief surgeon. He was considered an outstanding young doctor, so he automatically followed suit.
During the process of sterilizing and laying out the sheets, Zhang Lin, as the chief surgeon, would from time to time strictly demand the subordinate doctors to do every detail of the work meticulously. Everything must be done according to high standards. Anyway, the professor's style is absolutely full. If everyone didn't know the basics, they would be able to communicate with each other.
Familiarly, if Zhang Lin was doing surgery in another hospital now, he would definitely have a higher status than the great professor from the imperial capital.
The operation officially began, with Zhang Lin performing the surgery and Xiao Wu assisting.
Zhang Lin stood in the position of the surgeon. His posture was more standard than usual. He had to set an example for the students with every move he made. After all, he was Teacher Zhang.
The surgical incision site had been marked in advance, and Zhang Lin cut the skin according to the marks. Although he did not master the knife flow, he still had to pretend to cut from top to bottom.
After several additional incisions and skin incisions, Zhang Lin began to use the electric knife to incise the subcutaneous tissue and lumbar dorsal fascia. The movements were quite standard. After all, daily basic skills training is not a vegetarian.
After the fascia was incised, the muscles began to be separated, and the electric knife was used to perform subperiosteal separation starting from the spinous process. Zhang Lin moved slowly, and he walked forward steadily step by step.
The muscles were separated from the spinous process to both sides, and the laminae on both sides were exposed. Li Guodong and another young doctor were responsible for pulling the hooks, and they put the hooks into the surgical area.
Zhang Lin said to Li Guodong: You two must pull the hook well. The retractor plays a very important role in the operation. If the hook is not done well, the surgeon will be very passive. If the hook is done well, the surgeon will get twice the result with half the effort.
Don't ignore retractor. Retractor is a profound knowledge and contains a lot of knowledge.
Li Guodong repeatedly said yes.
As a retractor expert, Zhang Lin really couldn't bear to see his assistant placing the retractor in an irregular manner, so he immediately corrected it himself and placed the retractor properly before handing it over to Li Guodong.
He did not forget to guide Li Guodong: "The placement of the retractor is very particular. It cannot interfere with the operation. Try to maximize the exposure. Don't let your hands be so stiff. Use continuous and even force. Pay attention to the progress of the operation at any time. According to the progress of the operation, the retractor should be adjusted."
Make appropriate changes, and remember that the timing of changing the hook is very particular, and it is definitely not done randomly. I will teach you a lesson when I have time."
After the spinous processes, laminae, and articular processes of the entire surgical area were exposed, Zhang Lin began to implant pedicle screws.
Because it was my first real surgery, I didn’t control the pace of the surgery very well. Sometimes it was a bit rash, and sometimes it was a bit procrastinating.
"Don't be anxious, the two of us will do it slowly." Xiao Wu reminded Zhang Lin.
Zhang Lin held his ground: "Well, I'm not in a hurry."
Dr. Jin and Dr. Wen had been watching the surgery. Originally, they thought it was impossible for Zhang Lin and Xiao Wu to perform surgery like scoliosis correction.
In their impression, Xiao Wu and Zhang Lin could only change dressings, write medical records, and pull retractors, which had nothing to do with high-end surgeries such as scoliosis correction.
But seeing that the operation has reached this point, these two people not only did not have stage fright and asked for help, but also moved forward steadily. Although the operation was very slow, at least the steps were clear and the operation was in place.
These two people are technically deficient, but what is strange is that they actually cooperate so well on the operating table. Every step they are good at is handed over to the other. They are equivalent to two surgeons on the operating table.
Not only did the two surgeons not quarrel, but they also cooperated very harmoniously.
The implantation of the pedicle screws has been completed. Through the C-arm machine inspection during the operation, although the position of the screws is not perfect, it is quite satisfactory. The insertion point, direction and depth of the screws have reached the acceptable level.
Not a single screw failed.
After placing the screws, Zhang Lin began to determine the location of the osteotomy, but he seemed not sure enough at this time.
"Fifth brother, please help me to see if the parts of my osteotomy are correct?"
Xiao Wu took a look and found that he was actually not sure yet, but when the two of them put their opinions together and discussed it on the stage, they would feel confident in the end.
Equivalent to fifty points plus fifty points equals one hundred percent certainty.
"Yes, this part is completely correct." Xiao Wu replied firmly.
"Fifth brother, then I will start the osteotomy?"
"Cut it!"
With the approval of his partner, Zhang Lin began to perform osteotomy on the spine. Osteotomy and correction are the key steps of the operation. If he can complete this step independently, it basically means that he has mastered this kind of surgery.
Have I started cutting bones?
Cut off the bones!
Zhang Lin confirmed again, and then began to perform osteotomy on the vertebrae. His movements were slow but steady, because he knew that he was not very skilled, so his chosen strategy was to win steadily.
Every time he took a step, he had to turn his head to look at the screen of the evoked potential monitor.
Every time he looked at the screen, he would ask Xiao Wu: Brother Wu, is there anything wrong with the waveform of the evoked potential?
Xiaowu also turned to look at the screen of the evoked potential monitor and replied: No problem, don't worry.
This chapter is not finished yet, please click on the next page to continue reading the exciting content! These two people are very interesting. It is estimated that if any one of them is asked to perform the operation alone, they will lack confidence, but when the two of them work together, they will be confident.
adequate.
After all, the two of them did almost all their training together. They once drew anatomical diagrams together, dissected cadavers together, performed surgeries together, and practiced basic surgical skills, laparoscopic operations and microscope operations in the training room of the surgical institute.
The long-term cooperation model gave them a kind of interdependence.
For example, Zhang Lin clearly knew that the position of the osteotomy was correct, but he still wanted to ask Xiao Wu to check and make sure. If he did not get Xiao Wu's confirmation, he would not dare to proceed with the next step.
In this way, the two of them were discussing, step by step, slowly, although the speed was not very fast, but it was relatively stable. So far, there has been no accidental blood vessel bleeding, and the blood vessels that must be cut off during the operation have been ligated in advance.
Although their level is not high, they can reach a qualified level.
Yang Ping had already washed his hands and put on the surgical gown. He put his hands in the protective pockets on his chest and stood next to the operating table. He was always watching the operation in the surgical area. If he found anything wrong, he could intervene directly.
In order to be able to clearly see the operation during the operation, Yang Ping turned on the camera on the operating light, and the screen on the wall was live broadcasting the operation.
It seems that the teachings of Song Zimo and Xu Zhiliang are still in place, and these two brothers also study very hard.
After the osteotomy is completed, the next step is orthopedics.
This step is the riskiest step in the entire operation. If you are not careful, you may damage the spinal cord during the correction of the vertebrae, causing the patient to become paralyzed.
It can be said that this was Zhang Lin's first time performing this kind of surgery. He was under great pressure and there was a slight sweat on his forehead.
"Fifth brother, I'm going to start orthopedics now, is that okay?"
"No problem, don't worry!"
With Xiaowu's approval, Zhang Lin continued the orthopedic surgery.
He adjusted his breathing and slowly corrected his spine. His movements were steady and gentle. His eyes were fixed on the screen from time to time, paying attention to the waveforms on the spinal cord evoked potential monitor.
In fact, Zhang Lin and Xiao Wu have practiced this step countless times. They have done a lot of training on experimental pigs.
In order to master the key techniques of scoliosis surgery, Zhang Lin and Xiaowu even paralyzed several experimental pigs.
Slowly, the spine was corrected.
On the screen of the evoked potential monitor, the waveform was always stable, and Zhang Lin breathed a sigh of relief.
"Brother Five! Is this okay? Do you think the waveform is good?"
"rest assured---"
The surgery has basically been 80% successful at this point.
Dr. Jin and Dr. Wen were very surprised. Neither of them could perform this kind of surgery, but Zhang Lin Xiaowu could actually perform this kind of surgery.
It seems that they are no longer the Wu Xia Amon they used to be. The training during this period of time in the surgical institute has allowed them to grow rapidly. Before they knew it, these two handymen had already surpassed Dr. Jin and Dr. Wen.
It's just that the level of Song Zimo and Xu Zhiliang at the Institute of Surgery is too high, so it seems that Zhang Lin and Xiao Wu will always be just handymen.
Dr. Jin and Dr. Wen couldn't help but feel ashamed. They had been standing still, while Zhang Lin and Xiao Wu had made rapid progress. It seemed that the combat power of the gods' handymen was definitely not comparable to that of mortals.
PS: Today is quite busy and I posted it in a hurry. I will revise it tomorrow. Thank you all.
