"How are you, are you ready? We are going to have an operation." Zhou Sheng said this to Lao Fang.
"Yeah, ready." Lao Fang said.
An acquaintance is here on Monday.
He felt much more at ease.
"Turn over. Lie on your stomach," Zhou Sheng said.
Su Quan and a nurse helped.
Let the old side lie face down.
This posture is not perfect enough.
Now the operating table needs to be adjusted.
The lower part of this operating table can be folded.
Su Quan did it.
The lower half of the operating table folds down a little.
Lao Fang was in a half-lying and half-kneeling position.
Everything is ready.
At this time, Liu Zhengqing said to the anesthesiologist beside him: "Let's take anesthesia."
Peld surgery, truly minimally invasive surgery.
Not only is the surgery less invasive.
Even anesthesia is simpler.
Just local anesthesia is enough.
The patient can remain awake throughout the entire operation.
Lao Fang only felt pain in his waist.
The anesthesia injection has been given.
Then another shot.
This shot is not anesthesia.
It is a minimally invasive specialty injection for the spine, Meilan, which is specially designed to stain the nucleus pulposus.
After all, it is a minimally invasive surgery and does not have as wide a field of view as an open surgery.
With this dyeing technology.
The condition of the spinal nucleus pulposus can be more clearly observed through endoscopy.
This situation.
It is somewhat similar to the contrast agent used in enhanced CT to see the blood vessels clearly.
Two injections completed.
Wait a few minutes.
After the anesthesiologist evaluates the effect of anesthesia.
The operation officially begins.
pelt surgery.
To put it simply, a tube as thick as a finger is inserted into the patient's waist.
This tube is called a casing.
As the name suggests, there must be something inside the casing.
This set of things is still a thin tube.
This thin tube is certainly no ordinary tube.
It looks like a metal pipe.
But inside it, there is a different world.
There are three pipes inside this tube.
One is lighting, one is imaging, and the other is operating channel.
All surgical operations must be performed in the operating channel of this tube.
This tube also has its own name, called foraminal scope.
Of course, the first important step in this surgery is to insert the cannula.
The term is called the establishment of working pathways.
Liu Zhengqing is the chief surgeon.
The main process of this step is of course done by him.
But before that.
There are also some odds and ends.
For example, disinfection of surgical sites.
This was originally a matter of Zhou Yisuke.
But since Su Quan is here today.
Zhou Sheng gave up this opportunity to Su Quan as much as possible.
When Su Quan was accumulating a lot of experience.
He doesn't dislike these "hard work" and "tiring work" either.
As the saying goes, a journey of a thousand miles begins with a single step.
Thinking about it in the future, if you want to run freely on this operating table, you have to start from the basics.
Su Quan has completed disinfection.
The next step is based on the discography film.
Do body surface positioning.
Determine where this cannula will be inserted.
This is a technical thing.
First of all, you must have strong film reading skills and rich practical experience.
Su Quan obviously couldn't complete it.
He could only watch the movie on the video reader.
While looking at Liu Zhengqing’s position selection.
This is a great learning opportunity.
Liu Zhengqing certainly doesn't have much of a problem in this regard.
No matter what kind of disc surgery it is.
Read the film and select points.
It's roughly the same.
Liu Zhengqing glanced at the film a few times.
The surgical access point has been selected.
Next, puncture the entry point and lower the positioning needle.
The positioning needle is good.
Liu Zhengqing picked up the scalpel.
Make an 8 mm incision at the needle point on Lao Fang's waist.
Expand soft tissue.
Place the casing…
At this time, Lao Fang was completely awake.
Due to spinal anesthesia.
He didn't feel much pain.
But he could really feel Liu Zhengqing's operation.
You can even feel the resistance encountered when the cannula is inserted.
Well, Liu Zhengqing kept pressing on his waist.
This feeling is quite... sour and refreshing.
Hey~!
Lao Fang thought to himself, why don’t you give me general anesthesia?
As soon as I woke up, the operation was over.
How good it feels.
This is what it feels like to undergo lumbar spine surgery while awake.
It’s a bit scary!
Of course, this is just Lao Fang’s whim.
There are strict requirements for what kind of surgery and what kind of anesthesia to use.
Liu Zhengqing is very skilled in operation.
There is nothing to worry about on Monday.
He has nothing to do at this time.
Looking at Lao Fang, he looked a little nervous.
He chatted with Lao Fang from time to time.
"How's it going? Does your back hurt?"
"It doesn't hurt, just quite uncomfortable."
"Where are the legs?"
"fine."
"Don't be nervous, it will be over in an hour."
"Yeah, yeah! After the operation, I have to thank you, your dad, and Lao Zhou."
The casing is finished.
The next step is to put the second tube and the transforaminal scope into the cannula.
This process is relatively simple.
After completion, the transforaminal scope is connected to the power supply and camera.
Adjust the white balance to make the color of the video imaging more perfect.
At this point, the establishment of the entire working channel is completed.
in the monitor.
You can already see the white nucleus pulposus tissue that looks like cotton wool.
The next operation is to pass through the working channel and remove the nucleus pulposus tissue that is compressing the nerve.
The surgery is here.
Enter the difference between masters and ordinary players.
How much of the nucleus pulposus tissue is removed.
Which ones to remove.
These are all manifestations of experience and technology.
Zhou Sheng, who has a system and has been tempered by dungeons, is obviously much stronger than Liu Zhengqing.
At this moment on Monday, I am preparing to undergo the operation.
Outside the operating room.
Zhou's life is indifferent to the world and very Buddhist.
Like a sheep.
But once I entered the operating table.
It was like he was a different person.
Full of wolfish nature.
Of course, let Liu Zhengqing give way.
I definitely can’t say directly that I do better than you!
It's better to be more tactful.
Zhou Sheng said tactfully: "Dr. Liu, thank you for your hard work. Xiao Su has been busy. I, the first assistant, haven't done anything yet. Let me do it next."
Liu Zhengqing stopped.
He looked at Zhou Sheng.
He is different now than when he first came to the emergency center.
He already had a very deep understanding of Zhou Yisheng.
Especially after that intracranial surgery with Zhou Sheng.
He has determined that Zhou Yisheng's intracranial level is higher than his own.
If it were an intracranial surgery that I could do now.
If Zhou Sheng wants to take over.
He will definitely not object.
But, this is spinal surgery.
Although it is also related to Shenwai.
However, there is still a difference.
Especially since it is a cutting-edge minimally invasive surgery, it requires experience.
He asked: "Have you had spinal surgery before?"
Zhou Sheng said: "I've done it before. I'm familiar with it. I want to do it myself."
Liu Zhengqing thought for a moment and nodded in agreement.
He and Zhou Sheng exchanged positions.
His eyes were fixed on the monitor in front of the operating table.
On the monitor, the pale yellow yellow ligaments, pink nerves, and white intervertebral discs were clearly visible.
If there are any flaws or mistakes in Zhou Sheng's operation.