Chapter 374
It was the first time that Lu Gang could lie flat, the first time he had a normal vision, and the first time he could stretch his body.
According to the aseptic rules of the operating room, the hospital bed cannot enter the operating room.
But this orthopaedic hospital bed was sterilized and allowed to enter the operating room, and Lu Gang passed directly from the operating bed to the orthopedic hospital bed.
He was lying on the hospital bed, and his cervical vertebra was fixed by a cervical collar. Although the upper cervical vertebra was firmly fixed, he still used a cervical collar to protect him for safety.
The door of the operating room opened, and Lu Gang was pushed out. Everyone was wearing hand-washing clothes, surrounded the orthopedic bed, and pushed 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.
"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 said before the operation, and now it is just a repeated reminder.
Lu Gang smiled at his mother: "It's okay, don't worry, I woke up from sleep and the doctor told me to move my toes. I knew that the operation was successful. When can I eat? Steam five big meat buns for me to eat."
Fatty Liang leaned on the orthopaedic bed: "Eat after six hours, but try to drink porridge these days. You can sit up after three days. If you don't feel uncomfortable, you can try to get out of bed and walk. Only then can you eat meat buns and let them sit up. You eat while watching TV."
Everyone laughed, and Lu Gang's mother laughed along with him. Tears flowed out as he laughed.
"Thank you for your hard work, thank you doctor, thank you doctor!" The mother followed Lu Gang back to the ward, thanking everyone constantly.
The nurses in the ward have already made preparations, and the braces for the thoracic and lumbar spine are also prepared in the ward.
Because of osteoporosis, the reliability of all internal fixation is reduced, and it is safer to use a brace to protect for a period of time when standing up and walking.
The hospital bed is pushed to the position of the first bed, the emergency ward closest to the nurse station.
Several nurses skillfully connected the oxygen tube and ECG monitoring equipment, and placed his lower limbs in a slightly flexed hip-knee position.
A nurse began to explain Lu Gang's mother's escort precautions. Dr. Che taught Lu Gang's lower limb muscle training and ankle pump exercises. Early rehabilitation training for joint surgery is very important.
Lu Gang was liberated from the twisted state and became a normal person who is upright and stretched. The cardiovascular system, respiratory system, balancer, central nervous system and visual adjustment system all need to be re-adapted.
Dr. Che used scientific rehabilitation knowledge to help him step by step. During Yu Shuilian's rehabilitation process, Dr. Che accumulated rich experience in special case rehabilitation.
There was not much bleeding during the operation, a total of 140 ml, and the prepared autologous blood transfusion machine, suspended red blood cells, and frozen plasma did not come in handy.
The shorter the operation time, the shorter the exposure time of the surgical field, and the probability of infection is reduced.
Considering that the second-generation cephalosporins were used as preventive antibiotics and had a short half-life, Yang Ping instructed Lu Gang to add an additional antibiotic after the operation.
As long as there is no infection and no delayed spinal cord injury, the operation is truly successful, and no step can be relaxed.
——
Professor Zhang and Director Han were still in the locker room. They couldn't calm down for a long time, and they had not fully recovered from the shock.
The car was driving so fast, and there were people on the street, but Yang Ping just raced between people and cars and cars.
The two have been practicing medicine for more than 80 years, but they can't stand the excitement.
Schumacher has won numerous awards in Formula One racing. If he sees the racing car at a speed of 360 kilometers per hour in the downtown area of Berlin, I am afraid that his heart will not be able to bear it.
"This bastard, I'm soaking through my clothes."
"It's too fast, it's scary! Especially the cervical spine orthopedics, especially the upper cervical spine, that is the moment of death, dare to be so fast."
"Cervical vertebral pedicle screw, plant one every ten seconds, just like planting beans, it's scary enough. If it is a little off, it will damage the vertebral artery in the transverse foramen, and the bleeding will be fierce."
Several international titans have had such cases. A titular bull injured the vertebral artery on the operating table and bleeded 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.
"Not a single nail is crooked."
"How could he dare to correct his physiological curvature in one step, leaving no room for him."
"He has calculated the relationship between the deformation of the spinal cord and the orthopedics, and looked at the order of his orthopedic surgery and the location of the osteotomy. While orthopedic, the deformation of the spinal cord can be accurately dispersed, and the damage may be minimized. This kid is mature, and the surgical plan is meticulous. planting level.”
"Second Han, I'm really old, and my heart is still pounding. Don't notify me next time about this operation. I'll just watch the film after it's done."
"I showed him Professor Feng's film."
"How to say?"
"He said it 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. I've confirmed it. It's 80%, which is an 80% chance of success." Director Han tried his best to speak clearly.
"I'm going to Magic Six. You can arrange for someone to take care of it at the outpatient clinic. Eighty percent of the time, why are you hesitating? If you don't have this tumor, you can live for another five or ten years. What are you waiting for?"
"Am I going with you too?"
"Okay, second Han, at this time, you should see him too. It has been more than ten years, and it is estimated that he will not refuse you."
"Well, maybe."
"Go get busy, I want to be quiet here." Professor Zhang wanted to take a break.
Director Han refused: "You'd better go back to Corey and sit down."
Professor Zhang stood up, bent over and patted his knees: "Are you afraid that I will be here alone, waiting for a myocardial infarction, and no one will find out?"
——
After the live broadcast of the surgery, the video is stored on the website, and none of the judges are currently scoring, and the group is silent.
The comment area was also dead silent, as if the surgery video from Sanbo Hospital did not exist.
After a long time, a doctor came up: "Is there anyone? Answer if you have. The atmosphere is very scary."
The other one also held back for too long, did not dare to speak, and kept waiting for others to speak, but no one took the lead.
"Did the patient finally get out of the operating room alive?" the doctor asked. He actually knew the result, but just wanted to ask, for fear that the video he watched would be different.
"I did an examination after the operation. The toes of both feet moved normally. After the anesthesia was awake and extubation, the chief surgeon had a conversation with the patient, and the patient was still moving. This should be judged alive, right?" Another doctor was not sure.
"Is there a big cow with a spine? Can you explain it to popular science? I don't understand. This kind of surgery is done at one time, it takes four hours, and the orthopedics are perfect. What level of level?"
There are many great people in the comment area of the website, but everyone wears a screen name and does not know the real identity of the other party, so that comments are easy and free.
"There is no big cow under the video. I am also a senior spine surgeon. I also have some experience in scoliosis correction. If I make a mistake, please correct me. The four-hour operation, including several intraoperative position changes and disinfection and laying of sheets, actually The operation took more than three hours, and the movements were too fast, but I watched the video repeatedly, and I was more comfortable with it. The whole operation process was smooth, with clear sections and no steps were missed. The postoperative images showed that the orthopedics were perfect, leaving no room, and it was in place at one time. , After the operation, the patient is awake, the limbs move normally, and it is reported that the muscle strength is normal, at least alive, and not paralyzed. In recent years, I often read papers and journals and go abroad for meetings. At present, I can't think of anyone at home and abroad who can achieve this level. Really, maybe I am ignorant. If you must question it, you can only doubt whether there is a problem with the video itself.”
"I didn't understand the surgical procedure, but I knew the results were good, and there were no repetitive and ineffective movements. Is there a video clip?"
"Didn't the previous multi-ligament reconstruction of the knee joint say that it was done by the New York Special Surgery Hospital? Now I suspect the video clip?"
"Don't you think it's ridiculously fast? It's too ridiculous, so you have to be suspicious."
"It is recommended that the host committee intervene, check the video, track this case, and don't rush to score."
The comment area gradually recovered and became active.
In the beginning, everyone looked stupid, seemed to understand, but dared not say that they understood.
"This operation is not only fast and simple, but also contains extremely high technical content. It maximizes the dispersion of spinal cord deformation. The orthopedic design is ingenious. At the same time, it can actively disperse deformation stress. Compared with traditional surgery, which passively accepts spinal cord deformation, the concept is obvious. Progress, this is also the confidence of the main surgeon who dares to reach the top in one step, the operation is beautiful, pleasant, and the speed is too fast, and I am already wet after watching it."
"Everyone finally spoke, I want to take a breath, my hands are still shaking and I can't control it."
"I just got up and found a large piece of wetness on the chair. I sniffed it secretly, and there was no urination."
"I felt nitroglycerin in my hand, and I was asking my brother in cardiology if I wanted to take one. My chest was tight and I felt uncomfortable in the precordial area."
"Call the chest pain center, hurry up! Don't hesitate!"
"I'm watching slow play, I've watched it twice, it's thrilling."
"Has anyone had a dislocated jaw joint?"
"My director said that he watched it while holding his chest. My palms are all sweaty now, really."
"Will the operation be so fast, will it deduct points?"
"I didn't say that it is not allowed to be fast. There is no one step missing. Every point is perfectly done. I can finish it in four hours. Do I have to deliberately delay it to more than 20 hours?"
"What should I do? Is Xiehe Song Yun cool?"
"It's probably cold."
——
In the conference room of the Imperial Capital Union Orthopedics Department, everyone gathered together, and the atmosphere was very dull.
Rigorous Concord, slow-playing Yang Ping's surgery video, then decomposing it, and studying it step by step, even the animation demonstration of the surgery has been made to help understand the surgery.
It's not arrogance, it's not arrogance, it's not madness, it's not ignoring people's lives.
It was a well-prepared, flawless, and leak-tight operation.
No matter from the design of macro steps or the handling of details, it is impeccable.
The hidden technical content of this operation has broken through the highest level of existing similar operations.
"The design of several orthopedic parts is not purely to correct the deformity, but also to consider the dispersion of spinal cord deformation. This is the core technology of the main surgery that can leave no room. At present, no one can accurately disperse spinal cord deformation except him."
"Skull base upper cervical vertebra orthopedics has entered the realm of precision medicine. Look at the cooperation between the assistant and the main surgeon, and pay attention to the decomposition of the movements. Their movements have been accurate to the millimeter level, and they should be trained countless times."
"The operation is extremely skilled, and the sense of coordination is very strong. No matter who performs this operation, I will definitely not dare to do it once, and I will not dare to correct it completely. The cumulative operation time is estimated to be about 20 hours."
Song Yun felt a huge pressure across the screen, which made him breathless, desperate, suffocated, and cold.
Yang Ping only had this surgery in the second season.
At the beginning of this season's surgery, he lost himself, Song Yun was unacceptable, his heart was like an ice thorn, and any remedy was useless.
Even if he had the same surgery as Yang Ping and given himself enough time to prepare, he would not be able to win it.
"Build a finite element analysis model for the relationship between spinal orthopedics and spinal cord deformation, Director Hu! After the competition, you will lead the team to Sanbo, Nandu, to learn spinal orthopedics from them." Professor Liang, Director of Xiehe Orthopedics, said solemnly.
"Professor Liang?"
Professor Hu Guolin, the deputy director of the Department of Orthopedics, politely stopped him. How could he be subservient to others? It was always someone else who came to us for further studies. If we wanted to go out, we also went to a top foreign hospital.
Song Yun and others also looked at Professor Liang expectantly, hoping that he would take back his words.
Professor Liang's expression was different: "Professor Hu, please stand up and repeat Xiehe's academy motto for me."
"Strictness, refinement, diligence, dedication." Professor Hu stood up, and everyone followed.
"Yes, you keep it in your heart, but unfortunately you didn't understand it. I have repeatedly warned everyone to learn from the teacher, from books, from peers, from experience, and from lessons." Professor Liang's voice was raised, resounding in the meeting room.
"What is refinement? Such an excellent doctor, such a rare case, you don't want to learn how to study, but to take care of your poor vanity, I will ask you one thing, next time we accept such a patient, you can Is it possible to do this? The operation is completed in four hours, corrected to the physiological curvature, and the bleeding is one hundred and forty milliliters?" Professor Liang sat on the chair and glanced at everyone.
"You don't want to go? It doesn't matter, I'll go. I'll teach you after I finish my studies." Professor Liang got up to leave.
"Professor Liang, let's go, we didn't say no." Professor Hu said awkwardly with his head down.
Professor Liang sat down again: "I always say that as doctors, we can learn endlessly, and we must not rest on our laurels. We are dealing with a complex human body, the only life, and no effort should be too much."
"Song Yun, show the spirit of the Concordians, even if we are eliminated, we must continue to do the surgery meticulously, don't care about everyone's comments, if you are in the spirit of learning, there will be no losers in this competition, everyone It's the winner, there's no competition, how do you know there's someone outside?"
"It's doomed to be eliminated, let alone you, I won't be able to pull it back when I come to power. You have to go out with the attitude of an excellent surgeon. Centennial Union should have its own elegant and confident attitude."
Song Yun was deeply moved by Professor Liang's remarks: "Director, I understand, the operation will start tomorrow, and I will do every remaining operation just like the first operation. After the game, I am willing to study at Sanbo. "
"Well, it's good that you understand. You are all excellent surgeons. For tomorrow's operation, I will personally sit down for you in the audience. There is no victory or defeat, only every operation must go all out."
Professor Liang got up, everyone stood at attention, and watched him walk out of the conference room door with vigorous steps.