The Godfather of Surgery

After Director Gao finished the operation, he felt a little less confused and more understanding.

He knew in his heart that this would be more rewarding than going to any place for further education. There are not many doctors in the country who can reconstruct multiple ligaments in the shoulder and knee joints. He will only be one in the future.

Taking advantage of Yang Ping's free time now, Director Gao decided to ask him more to guide the operation. He was busy in the future, and this big tree could not be climbed even if he wanted to.

Director Gao, I still have a few surgeries going on over there. I'll go back first. Yang Ping greeted Director Gao and prepared to retreat.

Director Gao hurriedly threw the finishing work to his assistant, tore off the disposable surgical gown by himself, and followed up: I will send you off, I have gained a lot today, and I have a little more understanding of the starting and ending points of these ligaments. , the difference between single ligament reconstruction and multi-ligament reconstruction is quite big, and balance adjustment is really a superb technical task.

You have basically mastered the adjustment of static balance now, and you still need to work on dynamic balance. The data I gave you, you can think about it when you have time, don't fix those data, but look at those data in relation to why a ligament starts and ends. Change a little, and the rest must change, the secret lies in it. Yang Ping helped him summarize the current study situation.

Thank you, Teacher Yang! Director Gao was very grateful to Yang Ping for his unreserved manner.

This teacher Yang called out sincerely and involuntarily, Yang Ping was stunned for a moment, and joked: Don't call me like that, call me old, just call me Dr. Yang.

Alright, let's call you Dr. Yang. The capable person is the teacher. If it weren't for you to teach me and rely on myself to catch the mouse, the multi-ligament reconstruction has not yet started. Director Gao is not a compliment. Multi-ligament reconstruction , Many doctors say they can do it, but it's just implanting the tendon, and there is no actual function after the operation, just like an exam, you can finish the test paper, but the score is only 20-30.

There are only about ten doctors in the country who can really pass the multi-ligament reconstruction of the shoulder and knee, and only a few doctors can achieve such a high score as Yang Ping.

I'll go to other operating rooms, you can go back, don't be too polite, it's all my own, if you need anything, call me at any time. Yang Ping felt that Lao Gao was very motivated and was willing to teach him.

Then I'll deliver it here, you can go around by yourself. Director Gao waved his hand.

Yang Ping saw that there were not many people in an operating room of spine surgery, and wanted to go in and have a look.

Recently, he participated in the training of osteopathic surgery in the system space, many of which are related to the spine, such as lumbar disc herniation, cervical spondylosis and so on.

The operation has not yet started, the patient is under anesthesia, his expression is very painful, and his facial muscles are almost twisted.

The patient's X-ray, CT and MRI are hung on the reading light. Director Qin and his subordinate Dr. Wen are watching the films and discussing the main points of the operation.

Dr. Wen is also a celebrity in Sanbo Hospital. He is well-known and nicknamed Taishi. This person is specialized in business, sloppy, often wearing a chicken coop and talking about it when he walks, but his IQ is absolutely high and his hobbies are also high. Wide, he is proficient in all kinds of chess and calligraphy. The hospital held a chess match. He and Song Zimo were killed in the dark. Nitroglycerin.

Yang Ping also leaned in to see that the lumbar 1/2 intervertebral disc was prolapsed. It was a free type. A disc fell into the spinal canal. It was quite large, almost half the size of a thumb.

Dr. Wen turned back, saw Yang Ping, and immediately introduced the condition: This patient is a male, 35 years old, a taxi driver, admitted to the emergency department, with severe pain in the inner left thigh, the pain is unbearable, the patient rolled on the bed, and received intramuscular injection of morphine. , Intravenous mannitol and glucocorticoids, no wool, so he can only be operated on in an emergency.

The so-called lumbar intervertebral disc herniation does not mean that the lumbar intervertebral disc herniation is seen on the film, and it is diagnosed as the disease, and related symptoms, such as low back pain or leg pain, can be diagnosed as lumbar intervertebral disc herniation.

Lumbar disc herniation sometimes hurts quite terribly. Yang Ping has seen a muscular man who was crying and screaming because of the pain of lumbar disc herniation. This is - low back pain is a minor illness, and it hurts really badly!

About 90%-95% of patients with this disease can be treated conservatively, only 5%-10% of patients need surgery, and the proportion of surgery is very small.

Which require surgery? For example, if it causes weakness in defecation and urination; it leads to decreased sensation and muscle strength in the lower limbs; if the pain in the lower back and legs is obvious, and regular conservative treatment is ineffective for half a year, which seriously affects work and life, surgery should be considered.

Minimally invasive spine surgery is developing very well now. Young people with simple lumbar disc herniation can generally do minimally invasive surgery to remove the herniated disc. Only the elderly with spinal instability should consider major surgery, pedicle screws, and intervertebral bone fusion.

I'm going to do a foraminal mirror, remove the free intervertebral disc, and then dig out the remaining intervertebral disc in the lumbar 1/2. Director Qin also saw Yang Ping and stated his surgical plan.

The intervertebral disc is a disc cushion structure between the vertebrae, which usually plays the role of buffering stress. There are 5 lumbar vertebrae. Generally, lumbar intervertebral disc herniation occurs in three segments: lumbar 5/sacral 1, lumbar 4/5, and lumbar 3/4.

Like this patient, the herniation of the intervertebral disc between the lumbar 1/2 is very rare. The spinal canal here still accommodates the spinal cord. Be very careful when doing intervertebral foramenoscopy.

The anesthesia was successful, and the body position was set up. The prone position frame for spinal surgery was used. The patient was in the prone position, lying on the frame. Dr. Wen took someone to brush his hands and prepare for disinfection.

How is it, any suggestions? Director Qin asked Yang Ping's opinion.

Director Qin felt that, like Gao Yuan, asking humbly for advice, he absolutely couldn't do it, but it was still possible to discuss.

Director Qin is an expert, and I am here to study. Yang Ping said modestly.

This kind of operation is not difficult for a spine surgeon. As long as the positioning is accurate, the intervertebral disc can be found after the foraminal mirror is entered, and the nucleus pulposus forceps can be used to take it out. The surgery was a success.

Yang Ping asked Xiao Su to go to the dining hall for dinner at noon. He had no time to watch the operation. He said hello to Director Qin and left the operating room.

After passing through the lobby of the surgical building, Luo Jin's promotional video, after several revisions, was finally finalized and played in a loop in the halls of several buildings in the hospital.

The appeal of art is extraordinary. Luo Jin's sweaty shots, combined with music, are very infectious, interpreting the spirit of love, hard work and perseverance.

After a series of shots, the last shot of Luo Jin shot, and then a few shocking words appeared in the background of the screen: We let you move on - Sanbo Hospital Sports Medicine Center!

It's so wonderful. The purpose of Xuan is to plant a concept in the human brain, and then continue to strengthen it, and finally make you feel a sense of trust in it.

Who directed this promo? I really understood the essence of the propaganda. Yang Ping read it himself, and immediately had a feeling: The Sports Medicine Center of Sanbo Hospital is trustworthy!

Many patients stopped to watch the propaganda video on the big screen. Some young people were familiar with Luo Jin and took out their mobile phones to take pictures and record videos.

Luo Jin fell down several times in front of injuries and illnesses, but stood up again and became more and more brave. He is a horse on the football field. Compared with other players, his background is not rich. He was an orphan and was adopted by a physical education teacher. , and then step by step to today, very difficult.

They did Luo Jin's surgery?

Yes, I heard that I can participate in the competition in June this year.

It's amazing!

I thought he went abroad for surgery.

Our Chinese doctors are no worse than foreign doctors.

Several young people were discussing, one of them had already sent the video recorded just now to a friend, who had ruptured the anterior cruciate ligament of the knee joint and was hesitating about which hospital to go to for surgery.

Dean Xia and his party were walking through the hall in a hurry. He was checking the work of the sports medicine center. When he saw Yang Ping, Dean Xia took the initiative to say hello: Xiao Yang!

President Xia! Hearing his loud voice, Yang Ping realized that he just focused on the promotional video.

Dean Xia glanced at the screen: How about it, is it okay to shoot?

Excellent! Yang Ping praised.

Dean Xia is very proud: The director of Peking University's top students, and the performance of the first-line stars in the country, what can't you do, Xiao Yang, if you have any ideas and difficulties in work, you will bring them up in time. If there is anything in the family that needs the hospital to solve the problem, You can also bring it up, and we will do logistical services for you.”

It's all good. Yang Ping really felt that Director Han and Director Xia treated him well and provided all the conditions that should be provided.

Dean Xia was very busy, chatting with Yang Ping, and hurriedly passed through the hall, and the group got into the elevator.

It came earlier, and there were not many people in the dining hall. Xiao Su had already prepared the food and waited for Yang Ping. The two sat in the corner eating and chatting.

Halfway through the meal, the phone rang. Dr. Wen from the Spine Surgery Department said that it was a patient who had just been on the operating table. After positioning, he went in through the foramenoscope to see that there was no free intervertebral disc, but the intervertebral disc was gone? Heck!

Location error? Wrong segment?

This patient has neither lumbar sacralization nor sacral lumbar sacralization, normal spine sequence, no mutation, and the possibility of misalignment is almost zero. They are all old fritters who have seen strong winds and waves. Not to mention Director Qin, Dr. Wen is also a It's impossible to make such a low-level mistake.

But when they called at this time, it was to ask for help. They said that the intervertebral disc was missing, and it was really gone. Otherwise, they would not have rashly called.

In a hurry to save Taiwan, Yang Ping hung up the phone, took a few bites of the food on the plate, and stuffed it all into his mouth.

Spine surgery, Director Qin's patient is undergoing an operation. The intervertebral foramen mirror has entered the spinal canal, and the prolapsed intervertebral disc has disappeared. I want to see it. Yang Ping put down his chopsticks.

Xiao Su helps to clean up the tableware: Can I go with you?

She was also very interested and wanted to follow Yang Ping to see how the intervertebral disc disappeared.

I really like going to consultation with you for surgery or something, but I'm embarrassed because I'm afraid others will say I'm sticking to you. Xiao Su said blushing.

Let's go and have a look. Yang Ping decided to take her with him.

Wait for me, I'll put the cutlery. Xiao Su held the plate.