Chen Nan's words obviously silenced the entire operating room.
In fact, even Luo Qiping couldn't help but stop what he was doing.
Good guy!
This... what is this for?
On the side, Ichiro Gangmatsu also stared at Chen Nan with his eyes wide open and full of disbelief.
Originally, Oka Matsuichiro was a little nervous because of this sensitive "nerve potential monitoring technology".
Now that he heard Chen Nan's words, his expression became even more unbearable.
We are all big bosses in the operating room, so naturally we are not unfamiliar with such scenes.
In Japan, their hospitals call this behavior "unloading the knife."
To put it bluntly, it is because your skills are not good enough that the experts on the side can't stand it and forcefully replace you.
Oka Matsuichiro came from a poor family, as can be seen from his name. Japanese people did not have surnames in the past. Later, the country required registration, and many people chose names very hastily.
The name of Ichiro Gangmatsu is very simple. There is a hill opposite their house and a pine tree next to it, so they chose the surname Gangmatsu, and Ichiro means the eldest in the family.
Oka Matsuichiro is fifty-six years old and is currently ranked among the absolute top in the field of spine surgery in Japan.
The reason why such frequent "beep beep beep" beeps does not mean that Oka Matsuichiro's level is very poor, but because under the neuroelectrophysiological detection technology, the operator needs to be more standardized and the nerve damage must be treated more carefully.
Pay attention to.
But Oka Matsuichiro had never performed similar exercises or surgeries before, so it was difficult for him to adapt.
As a leader in the field of spine surgery in Asia, Ichiro Oka was very confident before he came.
But what about now?
Now I don't know how many people are watching this surgery, but now I am being "removed".
If this spreads out, it will really be embarrassing to the whole world.
If I return to Japan, will I be disgusted to death?
Kosuke Kamiyama had high hopes for Oka Matsuichiro himself this time, and he believed that he would definitely stand out in this operation, or at least dwarf the Chinese surgeon.
It's better now...
A series of mistakes made Kamiyama Kosuke's face tarnished.
He really didn't expect that Luo Qiping's surgery was so good.
You know, Ichiro Oka knows Luo Qiping. Both of them are experts in the field of spinal surgery in Asia and often attend meetings together. But... Luo Qiping didn't seem to be outstanding at all before?
But now...
For a moment, Ichiro Okamatsu stood awkwardly, unable to leave, but...if he didn't let him, he kept making mistakes, which further affected the international influence of their Japanese spine surgery!
what to do?
In fact, it is not that Chinese surgeons are not good, it can even be said to be quite the opposite. Why?
Because the development and origin of Chinese surgery are much later than those in developed countries in the world, and we have been in a context of lack of high-precision instruments for a long time.
Although we have not made any world-wide innovations in terms of surgical innovation,... we are definitely not bad at polishing our technology.
First of all, because our patient base is so large, it gives many doctors a platform to practice.
Therefore, Huaxia Surgery is not bad, what is bad is just...the assistance of modern instruments.
But this time, Luo Qiping and Sun Haigang celebrated their rapid progress with the neuroelectrophysiological testing technology of one unit of Chen Nan!
This is naturally not a one-day event, but a process of accumulation.
But!
At this time, when Oka Matsuichiro hesitated, another Japanese expert on the side couldn't help but said: "Aren't you an anesthesiologist?"
Hearing what the other party said, Gangsong Ichiro became even more confused. He suddenly woke up and looked at Chen Nan.
"Yes, aren't you an anesthesiologist?"
"Can you do this surgery?"
Oka Matsuichiro's words were instantly transmitted through the camera, so that countless people were dumbfounded after seeing this scene.
And many domestic audiences were dumbfounded.
"Director Chen, stop making trouble!"
"Yes, people were already nervous, but now... they are even more panicked!"
"Hahaha...International friends, international friends, communication comes first!"
"Director Chen, don't make trouble... just do your Chinese medicine properly."
"Yes, Director Chen, stop making trouble. You are a Chinese medicine practitioner. You must remember that although you once served as an anesthetist and also served as a neuroelectrophysiological testing technical instructor,... we still have to think carefully about this operation.
Think about it!”
…
At this time, Qi Huan, Teacher Sa and others who were responsible for the explanation were all confused.
At this time, Gu Haiming couldn't help but ask:
"Well, excuse me..."
"Director Qi, Professor Chen, can you still perform surgery? You will have to remove the knife for Ichiro Oka right at the surgery site!"
"Although it is true that Oka Matsuichiro has made continuous mistakes,... he may have never been exposed to such an operation and may be a little nervous."
"But, as far as I know, Director Chen is a Chinese medicine practitioner, right? Isn't he a surgeon?"
Teacher Sa was also a little confused.
He claims to be a genius, but... Chen Nan, who has such a great career, makes him a little confused about how to explain it.
At this time, Qi Huan was stunned for a moment, but still said:
"Director Chen is indeed a Chinese medicine practitioner, but... Chinese medicine does not differentiate between internal and external aspects. Logically speaking, acupuncture, massage, and other surgeries are all surgeries. It is not unreasonable that Director Chen is good at it."
"Moreover, the hospital has specially approved the scope of practice of surgery for Director Chen."
"To be honest, I have never seen Director Chen perform an operation himself."
"But...it is obviously wrong to say that Director Chen does not know how to perform surgery."
"You may not be aware that Director Chen's surgical practice scope is specially approved. When he was training at Dongzhimen Hospital a few years ago, he obtained the special qualification from Dongzhimen Hospital. Then... Professor Chen's improved fire acupuncture combined with superficial percutaneous transcutaneous
Vein surgery, won the best award of the year in surgery in Tokyo, Japan."
"Although Director Chen has never performed a surgical operation since he came to the China-Japan Friendship Hospital, it is undeniable that he may really be able to perform operations!"
Speaking of this, Qi Huan actually didn't have full confidence in his heart.
However, now that so many people across the country are watching the live broadcast, he is now in a difficult position.
And to be honest, he himself didn't know whether Chen Nan could complete such a difficult spinal surgery.
Damn...it's Okamatsu Ichiro!
A genius surgeon known as the left hand of the Japanese spinal surgery god.
Teacher Sa could only remain silent at this time.
After all, the current script has completely exceeded everyone's expectations.
Even Teacher Sa has endorsed today's live broadcast many times, but he still did not expect such a plot.
actually!
It’s not just domestic live broadcasts.
Japan's live broadcast circle is even more excited.
At this time, Kamiyama Kosuke was sitting in the conference room, staring at the big screen, his face looking extremely ugly!
The expert he brought here personally was going to have his scalpel removed in the operating room right now. If word got out, why would he be so shameless?
Where can I put the face of Japanese medicine?
You damn Chen Nan!
You have to have trouble with us, right?
First, let us Kampo medicine be criticized.
Now, even our genius spine surgeon has begun to humiliate me on the spot. Is there anything else that you, Chen Nan, dare not do?
All of a sudden!
Kamiyama Kosuke's face was very ugly. He had a dark face and couldn't help snorting.
Qin Shiming on the side was actually a little confused after seeing this scene.
Damn Chen Nan...can't you really let me have some peace of mind?
This is a good operation, we just need to complete it successfully.
What a great start!
Qin Shiming has received feedback, and acupuncture anesthesia has now attracted the attention of many people.
This king made a big splash, and after surgery, they proved that their neuroelectrophysiological detection technology is also effective.
Today's task was successfully completed.
But now...you suddenly grab a knife on the spot, which is somewhat...somewhat...somewhat disturbing!
As expected.
Everyone in the conference room looked a little strange.
Ge Yerong was so embarrassed that he didn't know what to do.
As for Zhang Yuancheng, his heart was extremely happy at this time.
Originally, Zhang Yuancheng really didn't want to see Chen Nan showing off today, but it was obviously impossible not to come, so he came.
But when he saw Chen Nan disregarding the overall situation and not even caring that this was a global live broadcast, he directly wanted to grab Oka Matsuichiro's knife.
This obviously undermines the friendly medical communication between the two countries.
Looking at Kamiyama Kosuke's angry face, Zhang Yuancheng couldn't help but feel happy.
After all, Chen Nan is obviously in a situation where the two kings are fighting separately.
And in Japan’s live broadcast room.
The experts who hosted and explained were already extremely angry.
"Isn't this Chen Nan a Chinese medicine doctor? How can he unload Mr. Oka Matsuichiro's knife on the spot? What kind of qualifications does he have?!"
"There are less than three people in Asia who can remove the knife from Professor Gang Song. This is simply an insult!"
"Moreover, this patient is from our country, how could he do such a thing casually?"
The experts stood up excitedly and angrily accused Chen Nan.
"I now doubt the capabilities of China-Japan Friendship Hospital. No, this is no longer a question of capability, it is a question of principle!"
"How could they allow a traditional Chinese medicine doctor under anesthesia to perform a high-precision and difficult spinal surgery?"
"Moreover, are you really going to let Chen Nan unload his sword on Professor Oka Matsuichiro?"
"This is a huge problem!"
"I seriously question the other party's ability, as well as his principles and attitude in handling things!"
"Moreover, can a traditional Chinese medicine doctor perform such an operation?"
"It's so funny, it's just a joke!"
"This is such an important operation. I really don't understand what China is doing!"
"He doesn't value our friendship at all!"
…
Accompanied by these words of the commentator.
The audience of professionals and some onlookers were all emotionally aroused.
They began to make various comments towards Chen Nan.
"Let a Chinese medicine doctor perform spinal surgery? It's really hard for me to believe in the order and rules of Huaxia Medical. How is this possible?"
"Yes, this is simply child's play. Professor Oka Matsuichiro is an expert from the International Association of Spine Surgery. His previous operations were just unsuitable, and it does not represent his ability!"
"Support, let's go to China to make trouble?"
"support!"
"+1"
…
More and more people began to respond.
This is no accident!
In Hensley's live broadcast room, Hensley also laughed directly.
"Hahaha……"
“It was a really wonderful live broadcast.”
“Can’t Hua Xia Medicine understand even the most basic division of labor?”
"Chen Nan is just a traditional Chinese medicine doctor, right? A traditional Chinese medicine doctor can perform surgery? Moreover, Gang Matsuichiro is indeed a good expert. Isn't it inappropriate to remove the knife on the spot?"
“It’s really an eye-opener!”
"To be honest, I hope that Ichiro Oka will give this opportunity to Chen Nan. Maybe... we can see some unique live broadcasts!"
Obviously, Hensley was mocking Chen Nan.
And in the operating room!
Oka Matsuichiro's mentality was indeed unstable at this time.
He had made mistakes again and again, and now he was questioned by Chen Nan on the spot. There was something wrong with his mentality.
but……
Suddenly, he had a thought in his mind and thought of something.
yes!
You can totally let him do it yourself.
Thoracic and lumbar fractures, fractures and dislocations are inherently difficult surgeries that are obviously beyond the reach of ordinary people.
He didn't believe at all that this young man could perform such an operation.
After thinking about it, Oka Matsuichiro suddenly took a step back.
Actively motioned for Chen Nan to come over.
This scene!
Everyone around was dumbfounded.
The nurses all looked sideways at each other, and Luo Qiping also widened his eyes and looked at Chen Nan in disbelief, his eyes filled with "Can you really do this?"
It doesn't matter that Sun Haigang helped Luo Qiping.
On the opposite side, Japanese expert Nishida Junzan, who originally assisted Oka Matsuichiro, raised his eyebrows.
He didn't expect that Senior Gang Song would actually give up his position to him.
but……
Do you really think that removing the knife is the end?
If you forcefully remove the knife and then do a bad job, you will be ridiculed by the entire industry.
After Chen Nan was ready, he said to Nishida Junshan on the side: "Get ready to start!"
Then he nodded to Luo Qiping!
The surgery continues.
Currently undergoing fracture surgery at 5-6 levels of lumbar spine.
Chen Nan and Luo Qiping collaborated.
The operation should be centered on the fractured vertebral body. Generally, the upper and lower spinous processes should be exposed. The skin, subcutaneous tissue and supraspinal ligament should be incised, and the spinous processes, lamina and transverse processes should be exposed in sequence with a periosteal stripper.
The full exposure of the transverse process is beneficial to the positioning of the vertebral pedicle.
However, during the exposure process, attention should also be paid to the position of the pedicles of the upper and lower vertebrae, that is, the screw insertion points, to avoid damaging the spinal cord.
This is also what Gangsatsuichiro failed to do well just now.
And here!
Chen Nan actually already has rich experience.
First of all, TCM orthopedics is actually not bad. As early as the Tang and Song Dynasties, spinal surgery was already available.
However, because the concept of sterile environment was not very good, after the Republic of China, it was suppressed.
but!
Many things, the essence of Traditional Chinese Medicine Orthopedics, were lost after that!
A subject cannot be all rubbish.
His essence should be learned.
This is also the reason why Chen Nan agreed to Luo Qiping’s request to restructure the Orthopedics Department of Integrated Traditional Chinese and Western Medicine.
Hua Xia Medicine has accumulated a large amount of clinical experience.
These are the precious wealth of Chinese medicine!
Although it has been buried under sand for more than a hundred years.
However, when his true essence unfolds, he will surely amaze the world again.
The most difficult part of spinal surgery is the selection of the entry point.
Because after a spinal fracture, screws are needed to fix it.
The selection of the entry point of the screw is very difficult.
Top experts from all over the world are now working in this direction.
At this time, finding the positioning point was actually the job of Oka Matsuichiro just now.
But now, after Chen Nan has occupied the second position as the chief surgeon, he is needed to carry out the work.
Luo Qiping said: "Let me choose the entry point!"
While speaking, he glanced at Chen Nan and consulted.
Chen Nan shook his head: "I'll do it!"
Traditional Chinese Medicine Orthopedics actually has rich experience in this area.
The combination of techniques and angles is the essence of traditional Chinese medicine orthopedics.
Traditional Chinese medicine does not have modern instruments, but chooses to combine the central axis and the longitudinal axis on the human spine.
This was the case for Chen Nan at this time. He based on traditional experience and with the assistance of modern instruments.
Soon, the midpoint of the transverse process is taken as the horizontal line, and the dorsal side of the superior articular process is taken as the longitudinal axis.
Then, the entry point is when the two lines intersect 10° to 15° inward.
This location should be close to the best location.
However, this is not yet the best option.
Chen Nan took a deep breath, placed his hands between lumbar vertebrae 5-7, and exerted slight pressure!
Let the vertebral body be close to the inferior articular process of the upper vertebral body.
At this time, he suddenly staggered his hands, and instantly, there was a crisp sound.
Subsequently, the 5th joint of the lumbar vertebrae actually moved outward by about 3mm from the midpoint.
At this time, 10° to 15° inward from the base of the transverse process is the entry point, which is the best choice.
After Chen Nan's operation, Luo Qiping's eyes widened.
Looking at Chen Nan in surprise!
How... did he do this?
Because under normal circumstances, rongeurs are used to remove the transverse process in the lumbar spine, so as to facilitate positioning.
Chen Nan's technique just now, by moving the angle by 3 millimeters and using the gap between the spinous processes on both sides, has created a safe and effective entry point that does not damage the spinal cord!
This operation can simply be called a stroke of genius!
After seeing this scene, Luo Qiping was instinctively shocked.
Not just him!
Nishida Junshan, who was about to laugh at Chen Nan, saw this scene and his eyes widened in disbelief.
This...how is this done?
It was hard for him to believe the scene in front of him...
This is not scientific!
Similarly, Ichiro Okamatsu behind him was even more shocked.
Because the selection of "entry point" is the most difficult part of spine surgery.
Rongeurs are generally required to remove the transverse process to facilitate positioning.
But!
After the transverse process is removed, the spine is actually damaged.
But there is nothing you can do if you don't remove it.
Chen Nan's operation just now was like splitting muscles and bones, which really stunned all the experts around him!
And at the same time!
The audience in the live broadcast room did not realize what happened.
but!
When they saw all the live broadcast rooms, the experts around the world who were giving professional explanations about this surgery all stood up excitedly, and then stared at the screen with wide eyes without saying a word... They were all dumbfounded.
What's going on?
What happened?
Everyone is in disbelief when faced with this problem.
Qi Huan was the most excited. He shouted excitedly: "Fuck!"
"Feel sorry!"
"I'm so excited!"
"People may not know what happened."
"But, what I also said is what happened just now."
"You have absolutely no idea!"
"Director Chen Nan's technique just now can definitely be called a miracle. It is definitely a great and unprecedented progress in the history of spinal surgery!"
“It’s amazing!”
"incredible!"
Gu Haiming quickly explained:
"You may not know that one of the difficulties in spinal surgery is to insert screws at the entry point."
"There has always been no good way to choose positioning."
"The most ideal method at present is to remove the transverse process with a rongeur, which will facilitate positioning."
"However, Director Chen's operation just now obviously avoided secondary damage, and the positioning was extremely accurate!"
"From this angle, you only need to use a 2mm Kirschner wire parallel to the vertebral endplate and 10° to 15° inward to enter the vertebral body 30mm. After intraoperative X-ray positioning, after the position is ideal, replace it with a 5mm thick threaded rod.
This stage of surgery can be completed with just one entry!”
"Because the front wall of the vertebral body is thin, the breakthrough sensation is not obvious, and it is difficult to feel when drilling through the front wall of the vertebral body, which can easily cause secondary damage to the spinal cord."
"And Director Chen Nan, this operation is really amazing!"
"First, it avoids resection of the transverse process, and second, it prevents secondary damage caused by entering the anterior wall of the vertebral body."
"This is great progress!"
"amazing!"
"Now I have to apologize to Director Chen. You are much more powerful than Ichiro Oka!"
…
…
Following the words of Qi Huan and Gu Haiming, the atmosphere in the live broadcast room suddenly reached its peak.
"Holy shit, oh shit! Director Chen...can you really do surgery?"
"Yes... To be honest, I was just going to watch a joke..."
"It's too much upstairs. Even if Director Chen makes a joke, I won't find it funny. After all...the patient...well, you know!"
"But isn't Director Chen a Chinese medicine doctor? Are Chinese medicine doctors so good at surgeries?"
"Director Chen, tell me honestly, what else can't you do?!"
"I am a professional spine surgeon. At that moment, I didn't know what happened... but... it was really amazing. This will definitely change the traditional spinal surgery field and be a miracle!"
"I'm also from the Sixth Academy of the Magic City. I'm... a little worried now that such an awesome technique... won't be learned by Wai Guoren, right?"
"Don't worry upstairs, I'm the director of spine surgery at 301. No matter how worried you are, I don't even understand... How can they learn it? I've slowed it down 21 times. To be honest... If this can't be done well,
The patient is absolutely in danger, no one dares to try this operation, and no one dares to learn it casually!"
"Holy shit, the big boss suddenly appears..."
"..."
…
Everyone in the live broadcast room was extremely excited!
Obviously, Chen Nan's technique brought this operation to a climax.
And all over the world!
At this moment, everyone was dumbfounded.
Hensley couldn't figure out why Chen Nan's "reckless" and "crazy" behavior just now didn't trigger an alarm in the nerve potential monitoring?
This is unscientific!
And, how did he do it?
"Technical department, quickly analyze the picture frame by frame!"
"Immediately!"
Hensley no longer cared about the live broadcast and said quickly to the technical department.
At this time, his mind was filled with Chen Nan's crazy behavior just now.
Simply amazing!
How the hell is this done?
Everyone in the live broadcast room was dumbfounded after hearing Hensley's words.
this……
There seems to be something wrong with the style of painting, right?
Hensley completely forgot about today’s purpose and kept saying:
"God!"
"incredible!"
"How is this possible?"
"No, no, no, this can't be done!"
…
Everyone watching the surgery in the American live broadcast room was a little dumbfounded when they heard what Hensley said.
Did you just say no?
What's going on now?
Not just the United States!
Europe, Britain, Germany, France...
Many countries are watching this live broadcast.
And this time!
Suddenly in the anchor room of the World Spine Surgery Association headquarters in Denmark.
The president of the World Spine Surgery Association said in surprise:
"If Director Chen Nan's operation could be popularized... it would be equivalent to ten years of progress in spine surgery!"
"This is an accuracy that no instrument can achieve."
"It also reduces the secondary injuries caused by spinal surgery to almost a very low coefficient!"
"It's unbelievable, how did he do it?!"
"I have decided now that after today's surgery, I will go to China tomorrow to visit Professor Chen Nan!"
"Chinese medicine has really changed a lot!"
…
This series of chemical reactions stunned many people.
As a result, there are more and more people in the Huaxia live broadcast room!
And this time!
Luo Qiping also couldn't help but ask: "Director Chen, just now...how did you do it just now?"
“The choice of entry point!”
"incredible!"
“It’s amazing!”
On the side, Junzan Nishida and Ichiro Oka, who was making soy sauce, both had their eyes widened.
Chen Nan was stunned for a moment.
Looking at waist seven and eight: "Are you talking about the entry point technique?"
"oh!"
"It's very simple, just take a look."
"You only need to exert force with both hands, and Cun Jin will occur instantly. Using the unique properties of Hua Jin and the joint cavity, the joints can move 3 millimeters laterally..."
"That's it!"
"It's very simple."
"Card!"
Along with the sound of the card.
The misalignment between the second vertebrae was restored instantly, and then... the entry point also appeared instantly.
This scene!
Oka Matsuichiro was completely confused.
this……
Don't we want to lose face?
Chen Nan looked at Luo Qiping: "It's very simple, right?"
Luo Qiping was stunned, what should I say?
Chen Nan explained: "Actually, this is the essence of traditional Chinese medicine orthopedics."
"They lack sophisticated instruments and rely on the natural mechanics and structure of the human body."
"A set of bone-setting techniques formed."
"Actually, it seems very difficult, but once you master it, it's very simple."
“Traditional Chinese medicine orthopedics actually has a lot to offer.”