The Godfather of Surgery

Someone fired the first shot, and the back became more courageous.

Various hospitals, one after another, started operations for pelvic and acetabular fractures. In less than a month, more than a dozen surgeries in this surgical category were all completed.

Due to the incomplete hemostasis of the acetabular fracture surgery and too many ineffective movements and repeated movements during the fracture reduction, Chen Ge was deducted points and dropped from the full-scoring camp in the southern division.

During the operation, there are often ineffective or repeated movements. This is a sign that the surgeon is unskilled or inexperienced, and is helpless in the face of difficulties. These actions will waste a lot of time, disrupt the rhythm of the operation, and make it difficult for the operation to proceed normally.

Ineffective actions are actions that do not benefit the operation. For example, when the operation encounters difficulties, the instruments are constantly replaced. The replacement of these instruments has no clear purpose, just to delay time, to think about countermeasures and adjust emotions.

Or some chief surgeons complained that the assistants did not cooperate properly, which is also a sign of guilty conscience and lack of confidence.

In short, these actions do not substantially help the operation, but are just a waste of time.

Repeated actions, operations that could have been completed once, repeated operations, which are similar to the origin and consequences of invalid actions.

In the regional competition of the Golden Knife, points will be deducted for invalid or repeated actions, but in the national competition, points will not be deducted.

The reason is very simple. The surgeries examined in the regional competition are all basic surgeries. If there is ineffectiveness or repeated actions, it means that the basic surgeries have not reached the level of excellence they should have.

Most of the operations in the national competition are highly difficult operations. Faced with these operations, if you encounter difficulties, take a break for a while, or have ineffective repetitive actions, it is excusable. If you encounter difficulties in difficult operations, as long as you can solve it, it is considered enough. excellent.

In the southern division, only Song Zimo, Su Nanchen, and Lin Hao have full scores. As long as these three teams do not make mistakes, they have the best chance of qualifying.

However, it is also possible that some teams will be deducted points for the operation behind, allowing the laggards to catch up.

This happens in every competition. The team that has been leading has been caught up by the team behind because of mistakes.

Beyond the pelvic and acetabular fractures, the back of the spine fractures are easier to do. The pelvic and acetabular fractures are a hurdle, and many people deduct points here.

The focus of spinal fractures in the regional competition is posterior thoracolumbar spine surgery, posterior spine surgery, and the most important thing is the pedicle screw placement technique, which everyone thinks is easier than pelvic and acetabular fractures.

The next round of the competition for spinal fracture surgery will begin. Song Zimo has already selected the cases, drew the surgical plan, and handed it over to Yang Ping. If there is no problem, he will report and explain at the routine department meeting in the afternoon.

I had just seen half of the surgical drawing when Professor Zhang called. He accepted a special patient in the outpatient clinic, and immediately went to the department and asked Yang Ping to show the classroom and so on.

The special patients mentioned by Professor Zhang are definitely not dignitaries. The special patients in his mouth are serious or rare.

Yang Ping packed up the surgical drawings, pressed an orthopaedic monograph on the desk, and went to the classroom to wait for Professor Zhang.

Go to the classroom, because the classroom has a large professional reading screen. This screen is used for teaching, so it is larger than the office and more convenient for reading.

About ten minutes later, the patient appeared at the door and was pushed in by Xiao Mo in a wheelchair, followed by Professor Zhang, and a woman who was carrying a luggage, probably a family member of the patient.

If Yang Ping hadn't seen such a patient in the system space, he would have dropped his jaw in surprise.

Anyone, any spine surgeon, will be shocked when they see such a patient.

The whole person is curled up in a ball, like a green onion roll or a twist, the whole waist is curled up, the head is twisted from the side of the thigh, and the face is close to his buttocks.

The spine is twisted like a twist, and the whole person is folded more than 180 degrees, which is not enough. At the same time as it is folded, it twists like a twist.

Both hips and knees were stiff and in flexion deformity, and in the wheelchair, the patient shrunk into a complex ball like a twist ball.

This kind of folding deformity can no longer be described by existing medical names. If it is expressed in vivid words, "twist" is not enough, "twist ball folding"--can describe this exaggerated deformity.

There are actually such serious cases in reality. Yang Ping thought that only the devil training in the system space can cause such cases of extreme spinal deformity.

The patient just came in all the way, and a lot of curious people were attracted. Everyone gathered around the door of the classroom, talking in a low voice, and some people took out their mobile phones to take pictures.

Some of them had just finished the operation. Some of them were on crutches and walking aids. They took three steps and two steps. They came here to watch the fun, and a nurse followed behind to disperse everyone.

Director Han came in from the separated crowd, turned around and said to the nurse who was trying to persuade everyone to leave, "Please don't crowd around, Xiao Mo, close the door."

Graduate student Xiao Mo immediately closed the door of Shi's classroom and blocked those curious eyes from the door.

Old Han couldn't help but be surprised. He had encountered a deformed jackknife, and he had never seen this kind of twist ball.

"This is Lu Gang, male, 22 years old, 14 years since he discovered spinal deformity. I don't need to say the severity. He has gone to many hospitals, the imperial capital, the capital, and everywhere in the country. I, I have never seen such a serious problem. The young man just graduated from college and still wants to marry a wife to live. Let's discuss it and see if it can be cured? How exactly?"

In this case, he actually went to college and graduated from college? How did he come here in the past ten years, Yang Ping couldn't help but admire this patient.

"Can I take care of myself in daily life?" Director Han still had to ask, even though he knew that he couldn't take care of himself in this situation.

"This is Lu Gang's mother, and this is Professor Han and Dr. Yang from our department." Professor Zhang introduced and asked everyone to sit down and chat.

Lu Gang's mother, in her fifties, has dark skin, but there is a hint of stubbornness between her eyebrows. This should be "a woman is weak, and a mother is strong."

She said: "He can walk. He can only eat on the ground. I put the rice and put the bowl on the ground. He can eat by himself.

"Xiaogang, go and show the doctor!"

The mother took Lu Gang from the wheelchair. Lu Gang performed walking with his hands and feet on all fours, like a crab. He walked well, but because of the distortion and deformity, the four limbs were unbalanced. slower.

"Walking like a crab, it's not very good-looking; eating can only be eaten on the ground. I used to have cats and dogs at home, and they often grabbed food from me. Later, I didn't have cats or dogs. The chair is specially made, it is very convenient, it is very difficult to go out to the bathroom, but I rarely go out." Lu Gang said mockingly.

His face was close to his buttocks, because the spine was folded and twisted in a spiral, so he was able to face a little sideways. This side face was just convenient for him to eat, but it should be very difficult to eat.

"Okay, take a break, it's been like this since the age of eight?" Director Han gestured for him to stop.

"The body started to bend at the age of eight. It wasn't so serious at the beginning. It changed in a few years, and it became a twisted dumpling."

Over the years, how did this young man come here? Listening to his self-deprecating tone, he seems optimistic.

Lu's mother took out a handkerchief to wipe her tears: "We have been looking for hospital treatment all these years. When we heard that the treatment of this disease is serious, we went there, but it was useless."

"Doctor, please help me, I still want to marry my wife and have a son, and let my mother hold the grandson." Lu Gang said jokingly.

It made everyone laugh, the young man was very cheerful, and he didn't look sad at all.

Lu's mother is a single mother. Lu Gang's father died when he was six years old. For Lu Gang's sake, his mother never remarried. She made money by selling steamed buns on a tricycle, pulling him up and sending him to university.

"Xiao Mo, transfer his movie." Professor Zhang called Xiao Mo.

Xiao Mo has turned on the computer and called up Lu Gang's CT scan and 3D reconstruction.

The whole person is more compact than the fetus curled up in the uterus, especially the spine is completely folded in half over 180 degrees, and then there is a spiral deformity in the three-dimensional space. It is also deformed. Both hips and knees are stiff, and the hips are in a dislocated state. The whole body is normal except for the upper limbs.

It is too difficult to open, straighten, level, and correct this person, and become a person who can stand upright!

In particular, the risk of orthopedic spine surgery is extremely high. Once a problem occurs, it is either death or paralysis.

In the case of surgery, the endotracheal tube is difficult to insert, so anesthesia is an insurmountable obstacle.

"He has traveled all over the country, and he has gone all the way, but he can't. Come and try my luck with me. Can you do it?" Professor Zhang pointed to the CT 3D reconstruction on the screen and asked Director Han.

Experts in other hospitals are not wrong. You can still live in this state without surgery. If the surgery fails, you may lose your life or be paralyzed.

"Doctor, no matter how big the risk is, I'm willing to fight for it!" Lu Gang said decisively.

His mother said sincerely: "I am in my fifties now, and there will be a day when I will leave. When I am gone, who will take care of him, so I want to let him have the operation while he is still young, so that he can be like Living like a normal person, I am satisfied, and I will not worry about it in this life."

Listening to his mother's words, Lu Gang was silent.

Yes, it was too difficult for her mother. She was worried that on the day she left, she would not be able to live alone. If it wasn't for her mother's careful care, she would have been able to live until now.

"This has no precedent in the world. Orthosis of the thoracic and lumbar spine may only be faced with paralysis. Orthosis of the cervical spine is at risk of life. You see, the most dangerous is the deformity of the upper cervical spine, which is the center of breathing and circulation. Once there is a problem, You'll stay on the operating table."

Director Han said solemnly that after a brief conversation, he had already determined the perseverance of the young man, and there was no need for ambiguity.

"As long as there is a silver lining, I want to fight for it, I want to live like a normal person, and I don't hesitate to risk my life."

At the risk of life, I just want to be able to raise my head and straighten my body, the request is as simple as that.

"Have you considered it?"

"We thought about it for a few years."

"Xiao Yang, how is it?" Director Han asked Yang Ping's opinion.

This operation is difficult, but it is not impossible. At most, I go to the system space to perform hundreds of similar operations to strengthen my training. It is really impossible. No matter how high the risk is, I still have the blessing of surgery simulation.

"Go to the hospital!"

Be hospitalized! What a simple sentence, but in Director Han's heart, this is the most domineering word from a doctor he has ever heard.

However, Director Han didn't ask him if he could do it, but just asked his opinion. What Yang Ping means now, he can do it himself, and he can be admitted to the hospital.

Since Director Han brought Yang Ping to the stage for scoliosis correction, Yang Ping has not yet performed such operations as the main surgeon, but there is already a scoliosis patient in Corey, and Director Han is going to let Yang Ping do it.

It is too exaggerated how a doctor who has never done or just learned scoliosis correction surgery could have won such a big operation.

However, has Yang Ping done too few exaggerated things?

The operation of the academic society is not rare in the world, but he took it off by magic.

Miracle, this is a person who constantly creates miracles and has been out of common sense.

All the bullshit he bragged about came true.

"Okay!" Director Han made a decision.

Professor Zhang saw that the two had made a decision, and of course he supported it.

"First ask Dr. Che to give him some breathing, muscle strength and stretching training to prepare for the operation and improve the preoperative examination, because the operation will affect the functions of the spinal cord, heart and lungs, etc. How much correction can be tolerated? Unknown, this needs a good evaluation, it will be a protracted battle, the operation can only be done in stages, and it will not work within half a year."

"If possible, let this case be a case of the Golden Knife Award. It happens that he involves the correction of cervical, thoracic and lumbar vertebrae, as well as pelvic rotation osteotomy and orthopedic surgery. It is very likely that he will also have to do joint replacement of both hips and knees-- "Yang Ping said.

This operation is the golden knife award case, isn't this a problem for yourself?

There is no such thing. Others try to pick classic cases when they meet the requirements.

Yang Ping focused on the CT 3D reconstruction on the screen.

Director Han and Professor Zhang looked at each other. This kid has never done such an operation, and this is unprecedented in the world.

Originally, Zhang Lao wanted to ask Director Han to discuss it together. The two of them did it and asked Yang Ping to come over, but to let him see this rare case and gain insight.

This kid's posture is that he intends to take charge of the knife himself, and he has to do it on the Golden Knife Award.

"Am I hospitalized?" Professor Zhang asked.

"Come on!" Director Han tapped his thighs with his fingers.

The prototype of this case is the case of Professor Tao Huiren of Shenzhen University General Hospital: 3-on Folding Person Li Hua. This case is definitely the Mount Everest of spinal orthopedics, salute to Professor Tao and his team! Professor Tao is the former director of spine surgery of Xijing Hospital. The orthopaedic department of Xijing Hospital has always been ranked among the top in the country. Professor Tao is also a top performer in spine surgery in China. The cases in this book will all have prototypes, which are not made up. Even some cases that look very strange are not made up. Sometimes, for the needs of the plot, some modifications and artistic processing will be done on the prototype cases. The hard core is necessary, and it is the soul of this book to the end. Thank you very much for your support. The book has already exceeded 5,000 orders. Now we have to work hard towards 10,000 orders. The following cases will become more and more exciting. In order to avoid aesthetic fatigue and scenes Repeat, the case is presented and laid, the further back, the more exciting and exciting!