The Godfather of Surgery

Lu Gang was assigned a bed, under the control of Xu Zhiliang and Zhang Lin.

Song Zimo wants to participate in the competition, and Xu Zhiliang's team is responsible for the daily work of Corey.

Each group is equipped with several regular trainees, plus interns, and the operation is stress-free.

This kind of top matching is only available in the comprehensive orthopedics department, and other departments are not eligible to enjoy it at all.

Some people raised opinions and asked the dean to make a small report. Dean Xia said: "When you make achievements like a comprehensive orthopaedic department, you will be assigned a few doctoral beds to write medical records, and I will personally bring people to you, how about you? ?"

The person who made the report had no choice but to leave in a dreadful manner, and to go on and on is to make fun of himself.

Gui Peisheng pushed Lu Gang to the ward, braked the wheelchair, and carried Lu Gang to the bed. Xu Zhiliang had to conduct a detailed medical history inquiry and physical examination.

But Dr. Xu saw that this little brother Ji Pearson was no different from bean sprouts. He was afraid that his hands would slip when he was hugged halfway, and he would hurt someone or break his waist.

"Zhang Lin!" Doctor Xu's tone was slightly angry.

Zhang Lin, who was standing beside him with nothing to watch, immediately started to help, honestly, his usual smack-off momentum had long since dissipated.

When Dr. Xu asked about his medical history, Zhang Lin kept his pen and recorded it rustlingly.

He didn't dare to be lazy, and he didn't dare to miss even half a word. This Xu Jieba will randomly check the medical history recorded by him in front of the regular training students and the intern.

If there are omissions or inaccuracies, they will stutter and criticize seriously on the spot.

This man stammered, but his brain was good, his memory was very good, and he remembered every detail clearly.

After Dr. Xu asked about his medical history, Zhang Lin dared to close the notebook.

Dr. Xu stretched out his hand and Zhang Lin handed over the tape measure. After the physical examination was completed, he stretched out his hand again and offered the percussion hammer. He moved slowly, and Zhang Lin could see sweat through his stern eyes.

After examining various shallow and deep reflexes, Zhang Lin kept up with the rhythm, took back the percussion hammer, and handed over the stethoscope.

Both cardiopulmonary and abdominal auscultation should be done. The deformity of the spine will cause the compression and displacement of the thoracic and abdominal organs, resulting in problems of cardiopulmonary and digestive functions.

After a complete set of physical examinations were completed, Xu Zhiliang stood still, Zhang Lin trembled a little, and he was about to ask questions.

Every time at this time, Zhang Lin was most afraid in his heart. Xu Zhiliang asked questions like playing chess.

"Brother, can you give me some face, there are regular trainees and interns here." Zhang Lin's eyes seemed to be praying.

Xu Zhiliang did not ask any questions, but just said: "Everyone, please review the chapters on ankylosing spondylitis and scoliosis in "Clinical Orthopedics" and "Orthopedic Surgery".

Lu Gang is the severe deformity of the spine, hip and knee joints caused by ankylosing spondylitis.

Brother Liang gave a lot of face this time, Zhang Lin breathed a sigh of relief.

——

Xu Zhiliang moved quickly. He imported the CT 3D reconstruction data into the 3D printer host, and printed out a model of Lu Gang's entire skeleton. The model was already placed on Yang Ping's desk.

Yang Pian repeatedly studied the model and formulated a surgical plan.

The deformity of the spine is too severe, kyphosis in the sagittal plane, rotational deformity in the cross-section, and scoliosis in the coronal plane, which is a complex deformity in three dimensions.

Surgery to correct three-sided deformities is many times more difficult than normal spinal deformity correction.

To straighten the spine, it also straightens the spinal cord in the spinal canal.

Once straightened, some parts of the spinal cord are stretched and others are squeezed.

These stretching and squeezing can damage the spinal cord, causing death or paralysis. What is the critical point of tolerance for correction? No one knows, only experience.

Although instruments for neurophysiological monitoring can now be performed intraoperatively, their effects are limited and even less effective in such severe cases.

The whole operation can be easily understood. Lu Gang's spine was broken into many sections and rebuilt.

The pelvis is cut into pieces and reassembled, the hip and knee joints are sawed off and artificial joints are installed.

In such a huge project, in addition to spinal cord injury, the risk of bleeding, infection, osteotomy, and nail placement must also be considered.

For example, the risk of screw placement, due to the existence of deformity and the failure of bony landmarks, the original standard pedicle screw placement technique is ineffective, and each pedicle screw placement is unique.

Lu Gang's bones took shape in Yang Ping's mind, and then began to change, rotate, stretch, and compress.

The soft tissue to which the bone is attached stretches, shrinks, and twists.

The anterior blood vessels, nerves and internal organs also changed and began to shift.

The entire dynamic process was demonstrated in Yang Ping's mind. According to the demonstration, some osteotomy lines began to be drawn one by one.

Just finished studying Lu Gang's surgery and wanted to take a break, classmate Ou Lichun called.

He has already registered at Attached 1, and Attached 1 Spine Surgery took great care of him and arranged him in the medical team of Associate Prof. Fan Jiguang, Prof. Zou's favorite student.

The director of the medical and educational department took him to the spine surgery department in person. Professor Fan was also very kind to him, and asked Ou Lichun and Yang Ping what was the relationship.

In order to thank Yang Ping, Ou Lichun brought some special products from his hometown, and he must come to Sanbo Hospital to give them to Yang Ping.

Yang Ping made an appointment with him to get together, and among the classmates, help as much as possible, and everyone can make progress together.

Someone knocked on the door, Yang Ping opened the door of the office, and Takahashi stood at the door with a strange expression.

"Is something wrong?" Yang Ping saw his worried look.

Takahashi wanted to speak, but seemed very embarrassed.

"Come in?" Yang Ping welcomed Takahashi into the office.

Takahashi sat down and said, "Dr. Yang, it's a pity that the University of Tokyo is unwilling to cooperate. I'm worried about technology leaks. I've worked hard to get it."

Takahashi argued hard, but still failed to convince the diehards at the University of Tokyo.

Yang Ping didn't care about the big thing: "Taoqiao, thank you, it's okay, it's just a small matter, don't be so nervous. If you cooperate, it can save me a few months. If you don't cooperate, I just spend a few more months."

Yang Ping doesn't have much hope for Tokyo University, he has already started his own layout.

Takahashi felt that it was a pity that if he did not cooperate with Yang Ping, he would lose the opportunity to occupy the top of the field.

It is foreseeable that as long as Dr. Yang invests in this field, the advantages of the University of Tokyo and Duke University will soon disappear.

It can also be seen from Yang Ping's expression that he did not react at all, as if this matter never existed, and the cooperation of the University of Tokyo was dispensable to him.

As Miyuki said, Yang Ping is the man standing on the top of the mountain.

In Takahashi's eyes, Yang Ping is that, if he doesn't draw his sword, he will have no opponent.

"This is Lu Gang's skeleton model? And the surgical drawings?" Gao Qiao looked at the skeleton model on the table, next to a stack of drawings.

Takahashi did not expect that Yang Ping was an all-rounder in orthopaedics, not only in trauma orthopedics and sports medicine, but also in spine surgery.

First of all, it is necessary to correct the deformity of the cervical spine, so as to facilitate intraoperative tracheal intubation and placement of the subsequent operation.

Then thoracolumbar deformity is corrected, followed by pelvic rotation osteotomy, knee osteotomy, and alternative hip and knee replacement.

Interspersed with various soft tissue loosening, tightening and balancing techniques.

The surgical steps are sober and clear, step by step, each osteotomy is extremely clever and precise, all the osteotomies are gathered together, the skeletal deformity is completely corrected, and a kind of surgical beauty is presented in front of us.

Sansheng is fortunate to be able to learn from such a person!

"Dr. Yang, you will create a miracle again." Takahashi said with admiration.

"No, just do your own thing." Yang Ping leaned back in the chair and said calmly.

——

Song Zimo is preparing a patient for thoracolumbar fracture surgery.

In the southern division, Song Zimo, Su Nanchen, and Lin Hao maintained full scores.

The teams in each competition area are like a few torrents, gradually clearing up and heading for the national competition area.

In each competition area, the top few hospitals are still those old-fashioned hospitals, Imperial Capital Jishuitan, Imperial Medical Third Hospital and 301 still firmly occupy the forefront with full marks.

The Sixth Hospital of Modu, Huashan and Long March stood out, and other hospitals began to fall behind.

Huaxi and Xijing beat the pack, and other hospitals can only stand behind.

Xiangya and Tongji Dugu are fighting for defeat. Their sibling hospitals can still fight, and other hospitals have no chance of winning.

No one cared about Sanbo Hospital except for the Sixth Hospital of the Magic City and Fuyi One of the Southern Metropolis.

Only Su Nanchen in the Southern Metropolis Affiliated One understands that Sanbo is the real championship team, but he can't say more, and it's useless to say more.

Yang Ping glanced at the list, Song Zimo has been firm, and he has nothing to do with him for the time being.

If you can't stand strong, then it won't be Song Zimo. Yang Ping is very satisfied with his strong fighting power.

For this Golden Knife Award, if it weren't for the system reward laboratory, for Director Han's wish back then, for the enthusiasm of the little friends, Yang Ping really has no interest. With this time, he can do a lot of things.

The next round of surgery is the posterior approach for thoracolumbar fractures. There are relatively few overturns.

As long as Song Zimo can stabilize, it is not a problem to qualify with full marks.

It is precisely that Song Zimo is trustworthy regardless of his surgical skills or psychological quality.

The website of the Golden Knife Awards is extremely lively, and fans of major hospitals spontaneously form groups.

For example, those who like Mo Liu, who have studied in Mo Liu, and graduate students who have gone out from Mo Liu will naturally become fans of Mo Liu.

Another group of people became fans of Huashan, and these fans fought wildly in the comment area.

But they are all academics. Even fighting is like a case discussion. Academics use academic methods to fight.

No swearing, no foul language, no personal attacks, all the fighting passion is turned into a rigorous commentary like a paper.

Sanbo Hospital has also gained a lot of fans, who are active in Sanbo's comment area.

Most of the people in this group are doctors who have personally participated in the Three Expositions Academic Society.

"The main sword is not playing now, is it cowardly? Let the first assistant fight to the end?"

"Joke! Use a knife to kill chickens?"

"The great god you mentioned won't play again, I'm afraid there will be nothing else to do in the future. Let's see what kind of surgery is in the national competition? You can't feed Sanbo all the surgeries over the years, right? It's good to have blood, but also With IQ, who does the learning curve spare?"

"The learning curve is a hooligan without talking about efficiency. Adding the efficiency factor, the curvature difference will appear. The same operation, this person produces ten times the effect, but the other person only has double the effect, and the difference in magnification makes the learning curve no longer fair.

The game was great, and so were the comments.