crazy scalpel

Carefully using tweezers, Shayk threaded the wire through the two holes made in the occipital bone and looped a knot around the outside.He took out two more titanium alloy steel cables and twisted them together into two strands.According to his own finger strength, this could be done easily, but he still used tools to arouse suspicion.

Traditional wire fixation must be combined with foreign objects, such as bone plates.The purpose is to tie the vertebral body and the external object together like preventing the small tree from growing crookedly. The method used is to make holes in the bodies of both sides and fasten them with a method similar to sewing buttons.

But doing so not only has the problem of postoperative recurrence, but also the bone plate may affect blood vessels and nerves.

Shayk's method, on the other hand, does away with bone plates entirely and uses only wires and cables.

He bent the twisted thick cable composed of two strands of steel cable into a U shape, and broke the closed end of the U shape into a small arc like the back of a chair, and then turned it upside down behind the occipital bone.

This looks like a pillow of steel cables supporting the head.

The steel wires passing through the two holes of the occipital bone are tightly tied to the twisted thick cable, and the other parts are also respectively fastened to the steel wires passing through the holes on the lower vertebral body processes.

In this way, the pillow neck fusion is easily completed.

Since the support is provided by twisted thick cables, the atlanto-occipital joint of Zhong Liangquan can not only be fixed, but also can move in a moderate amount, which is much better than not being able to move after the screw is placed.

And the force needed to tilt the head back will not cause the thick cable to break or lose its elasticity.

Thick cables and vertebral bodies require limited space to tie together without squeezing the surrounding tissue.

This method is simply amazing!

But its difficulty is also obvious, that is how to bend the arc of the U-shaped closure according to the width of the occipital bone and the pressure load of the spine.

The width of the occipital bone can also be measured according to the preoperative CT, but how to calculate the tension and load distribution of the spine?

This is an almost impossible task.

Both Zhu Ming and Wang Lei doubted at this time, although the U-shaped pillow with thick cables looks good, is it really so suitable?

This cannot be seen with the naked eye. You have to wait until Zhong Liang fully wakes up to feel the operation to tell whether the operation was successful.

What Zhu Ming and Wang Lei thought was not wrong, the design of mechanics played a key role here, and it is generally impossible to measure the * data at all.That is, the model has to go through many experiments before the results can be obtained, just like the bone cement experiment that Xie Ke did at the beginning.

Of course, Xie Ke did not get the result based on calculations, it was his fingers that helped.

He often feels as if he has a small "brain" in his fingertips, which can do many things that ordinary brains cannot do.

This is how the scalp wallet was inspired.

The same is true for the u-shaped pillow cable this time.The only difference is that last time it was discovered suddenly during the operation, but this time it was prepared before the operation.

After the most difficult occipitocervical fusion is completed, the fusion of c1 and c2, that is, the fusion of the atlas and the axis is relatively simple.

However, Xie Ke's method still surprised others.

The general method is to select the skeleton frame between c1 and c2, and then tie it with steel wires.Such a binding method is somewhat in danger of being out of position.

However, Xie Ke trimmed the bone in full view, and saw that he used the rongeur to bite out the bone into a special shape, a bit like a piece in a three-dimensional jigsaw puzzle.

If you look carefully, you will find that the groove under this bone can just fit on the spinous process of c2.If you look carefully, you will find that its horizontal part can fit between c1 and c2.Whether it is the vertical x-axis, the horizontal y-axis from left to right, or the horizontal z-axis from front to back, after adding this bone block, a stable structure is formed!

Combined with the wire bypassing the spinous processes of c1 and c2, this fixation is completed.

This fixation is quite firm, even Zhu Ming, who is still not at ease with the U-shaped cable sleeper in front, nodded his head in approval.

So far, the operation is basically completed, and only half an hour has passed.

Even if you don't know the effect of the U-shaped cable sleeper, the time alone is enough to make everyone admire.

After the operation, Xie Ke returned to the office to rest.

In the director's office on the same floor, Cai Tianqiao began to play back the operation video.

After seeing Xie Ke's way of freeing his muscles, Cai Tianqiao frowned tightly. He stretched out his fingers and moved them in the air. Can this kind of thing really be done?

When Cai Tianqiao watched Xie Ke operate on Tong Wenjie, he already had some understanding of Xie Ke's exaggerated techniques, but it was limited to using a knife.And this method of freeing and combing the muscles simply broke through the limit of his knowledge and understanding.

This person Xie Ke... Cai Tianqiao rubbed his forehead, slowly closed his eyes, concealing the expression of struggle and hesitation.

When it was opened again, it was already calm and firm like still water.

Three weeks later, the bell beam was fully recovered and the successful application of the U-shaped cable sleeper was confirmed.Because this kind of application cannot be widely used by others, Xie Ke did not publish it publicly.Only Wang Lei pestered him to ask about free muscles and U-shaped arc calculation.For this, Xie Ke can only say two things, one is "practice" and the other is "feeling".

I feel that this thing is so unreliable, so Wang Lei had to work hard on the practice.For a while, he also became a frequent visitor to the dissection room.

In three weeks, in addition to postoperative recovery, Xie Ke also performed low-wave infrared treatment on Zhong Liangquan's neck.

When he was discharged from the hospital, Zhong Liangquan felt good about himself, as if his whole body was full of energy.Although the range of movement of the head and neck was somewhat smaller, he no longer felt headaches and various discomforts.Although he didn't know which of Shayk's treatments worked for him, or a combination of them, he finally achieved the purpose of the operation.

Before leaving, Xie Ke handed him a CD and told him that it was a video of the operation. In case of any problems in the future, this CD can be used as evidence for medical malpractice identification.

Zhong Liangquan smiled and accepted it, but he said, "Xiao Xie, can I still not trust you? The feeling I have now is the best in ten years."

Xie Ke: "Let's keep it as a souvenir."

After sending Zhong Liangquan away, Xie Ke took in a few more patients, most of whom were patients with skull trauma and fractures in the emergency room.It is a piece of cake for him to do these now, and it is not difficult to manage them.

What makes him a little depressed is that the inquiry form he sent out about "muscle inhibitory parasympathetic plexus paralysis" has not received any reply yet.I don't know if those things were not delivered to the patient at all, or the patient didn't trust him at all.

Zhong Liangquan is a good case, but his situation is too complicated, it can be said that he has a whole body of problems.Therefore, although it has been cured, it is not suitable for publicity as a classic case.

Just when Xie Ke was worrying about how to take the initiative, a big shot came from the neurosurgery department of the No. [-] City Hospital.

It is said that he is a big shot, mainly because this person has a lot of ostentation.

Xie Ke happened to finish his house inspection that day and ran into Jin Xiaolu in the corridor.Jin Xiaolu is the kind of girl with a baby face, so even though she is in her twenties, she still looks cute.She leaned against the window and took a telescope to look outside.

Xie Ke suddenly said behind her: "Do you still have this kind of equipment?"

Jin Xiaolu turned her head and saw that it was him, and breathed a sigh of relief: "Oh, Doctor Xie, you scared me to death. I used this to watch the concert at night, but I didn't expect to use it now." She raised her eyebrows. The binoculars in Yang's hands.

Xie Ke: "What are you looking at so excitedly?"

Jin Xiaolu pointed her finger out of the window: "Did you see the nanny car parked there. That big Benz."

Xie Ke stretched his neck to take a look, then looked back: "Oh, I don't know." He only knew Li Shiguang's license plate and logo, but nothing else.

Jin Xiaolu rolled her eyes: "It is estimated that you are the only person who can learn to master this level."

Xie Ke was a little curious: "What is a nanny's car? Is it a car for the nanny? The nanny also needs to take such a good car?"

"..." Jin Xiaolu: "Oh, I really convinced you, it's a small RV."

Shayk: "Oh, well. What's so interesting about that?"

Jin Xiaolu: "Are you really stupid or are you just pretending to be stupid! Didn't you see the two black-clothed bodyguards standing beside the car!" She glanced back, and suddenly called out softly, "Oh, come out, come out!"

Xie Ke also saw that the two bodyguards in black were wearing black pants, standing on one left and one on the right, and next to him was a man in a gray suit, also wearing black pants and a mask.When Jin Xiaolu cried out, someone inside happened to get out of the car.

At first glance, he was still wearing a black super mask and a big mask. The mask was so big that he wanted to cover his whole head. Anyway, he couldn't see anything except his figure.

Xie Ke: "..." Could it be the underworld? !

Tianhai's law and order is so good, and it is in broad daylight, it must not be a gangster, so...

Xie Ke: "Is this going to borrow our hospital space to make a movie?"

Jin Xiaolu looked at him speechlessly: "It's a bit of culture, okay? If you're filming, the film crew must arrive first, okay? Have you ever seen a star who came first and waited for others?"

Xie Ke suddenly realized: "Oh! So it's a star!"

Jin Xiaolu could not wait to tap his wooden fish head: "That car, that license plate, those two iconic bodyguards, who else is there besides Cheng Wenjia? You don't know Cheng Wenjia, right?!" Jin Xiaolu suddenly thought of this possibility, He opened his already round eyes, and looked at Xie Ke in disbelief.

Xie Ke touched his nose and said casually, "Who is he?"

Jin Xiaolu: "..." A national idol!Suddenly do not make how to explain!

Xie Ke glanced out the window again, those people were walking towards the surgery building.

"Since his car, his license plate, and his bodyguards are all so iconic, why does he still wear a black mask and a mask?"

"..." Jin Xiaolu: "You're so cruel."

Xie Ke smiled, "Do you like him? He seems to have entered the surgery building. Guess which floor he is going to go to?"