godfather of surgery

Chapter 225 The boring meeting

On Saturday, at nine o'clock in the morning, the meeting started on time.

The large conference room of Sanbo Hotel was full of seats, and the front row was also full of guests.

As of 2000 o'clock, the number of participants exceeded 1000. If 2000 people come to this kind of hospital-run academy, it will be considered very successful. Now more than [-] doctors have registered at the conference.

The large conference room of Sanbo Hotel can accommodate up to 1000 people, and it can only be done by temporarily adding stools.

According to the plan, in addition to the main venue, six sub-venues will be opened. The sub-venues will use the big screen to watch the speeches of the guests, and the question-and-answer session with the guests can be completed by using the video call function.

The mobile company cooperated with Sanbo Hospital and used 5G technology to help Sanbo build a video system for the entire venue. They also took this opportunity to promote 5G.

Director Tan introduced the guests attending the meeting after finishing his opening speech.

Then he began to show everyone the status quo of microtrauma orthopedics in Sanbo Hospital, especially the case of five-segment replantation as a signboard for publicity.

For this operation, the video information is complete and the most convincing, and the patient Xiao Guoqiang volunteered to stand on the podium to demonstrate the function of the limbs.

Director Tan's speech will be in English, and all other guests will be able to use English. It is positioned as an international conference, and it will be impossible to speak without using English.

The team led by Tang Fei is responsible for the on-site translation. She attended a Chinese-English bilingual school in elementary and middle school, so her spoken English and listening skills are very good, and she is a doctor. The translation is not worse than professional translation, and the translation of medical terminology would be more accurate.

Translation, in order for the participating doctors to understand, because the English level of most doctors does not have the ability to listen and listen. Say no.

Qiangzi was a little nervous in the backstage of the conference room, and his girlfriend comforted him: "It's okay, relax, follow the doctor's instructions, just show them, as if Director Han and Doctor Yang are in front of you."

Dr. Che, who is in charge of Qiangzi's rehabilitation, once again instructed the movements that need to be demonstrated, and Qiangzi followed carefully.

This five-segment replantation was a sensation at the time, and almost all trauma orthopedic surgeons across the country knew that everyone was amazed at the superb technology of Sanbo Hospital, but at the same time they had no hope for the function of the replanted limb.

Everyone felt that Sanbo Hospital performed this operation purely to gain attention, and maybe after a period of time, the limbs would be amputated due to their lack of function and becoming a burden.

Is there any function, and whether there is an amputation in the end? Everyone wants to know the result, and many doctors rush to this.

Director Tan originally planned to make a video to show the postoperative function, but after Qiangzi knew the situation, he took the initiative to ask to go to the venue to demonstrate in person.

The blood supply of the replanted limb has no problem at all, and the muscles and tendons have healed. The most challenging thing is the repair of the nerve.

According to the electromyography test, the nerve has grown to the wrist at present, which is in line with the average growth progress of one millimeter a day.

Nerve rupture is different from the repair of other tissue ruptures. Other tissues are healed, but nerves are different. Once the nerve is ruptured, the distal segment will be completely useless, and the nerve fibers will disintegrate, leaving an empty shell tube.

Nerve repair The nerve near the end of the fracture grows in from the pipeline left at the far end, and it must grow to the end of the limb in order to have a good function.

The higher the location of the broken nerve, that is, the farther it is from the end, the less likely it is to grow. Those tubes are big tubes with small tubes. There are many nerve fibers and no tubes can be found. Without tubes, it will not grow. It's like a train can't move without tracks.

The nerves of the limbs are divided into motor nerves and sensory nerves. The two functions are different. One is responsible for muscle movement, and the other is responsible for skin sensation. When many nerves grow at the stump, they will drill the wrong tube, and the motor nerve will drill into the sensory nerve. The tube, the tube from the sensory nerve to the motor nerve, if it is drilled wrong, it will have no effect after a long time.

In this way, many factors lead to the recovery of peripheral nerves, especially the recovery of high nerve injuries, which is very ineffective and is a worldwide problem.

Hadron's nerve goes to the wrist, and the muscles in the forearm gain innervation.

The dorsiflexion and flexion of the wrist joint are very good, and the flexion and straightening of the five fingers are also very good, but the palm-to-palm of the thumb and the adduction and abduction of each finger are not good, because these movements are driven by the muscles of the hand. It didn't grow up, and it didn't connect with the muscles of the hand.

Judging by the current growth trend, the last five centimeters should have grown in the past.

Qiangzi demonstrates holding dumbbells to perform elbow and wrist resistance activities, and five-finger ball-holding exercises.

If I wait another two months, it is estimated that I can easily write and use chopsticks. At present, the inner muscles of the hand have not been innervated, and it is difficult to hold a pen and chopsticks without the cooperation of the palm-to-palm movement of the thumb.

It took half a year for five-stage replantation to achieve such an effect, which is already very successful.
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Yoko was very accurate in judging the traffic conditions in City G. At about 08:30, she sent Fujiwara Miyuki and Takahashi Fumiya to Sanbo Hospital on time.

Fujiwara Miyuki and Takahashi Fumiya naturally became the focus of the meeting.

Fujiwara Miyuki is the champion of the Victoria's Secret Show, and she is the only doctor in the world; and Takahashi Fumiya, as a doctor at the Affiliated Hospital of the University of Tokyo, became famous very early, and is often active in various large-scale international conferences. figure.

For example, at the Annual Meeting of Trauma Surgery in North America, he was invited as a guest to sit in the first row. Only his teacher Masao Fujiwara and him could have this status in Asia.

After listening to Director Tan's introduction, Takahashi touched his chin, and the replantation of the five segments of the upper limbs is impossible to have good functions. Takahashi Fumiya has a clear judgment on this.

This is just a gimmick of the meeting, there is really nothing to show, only the amputated limbs that I am good at are replanted, as for the function, we will wait and see.

From the beginning to the end, Takahashi was reluctant to participate in this small meeting, and he was very resistant. Behind the seemingly sincere etiquette every time, there was arrogance and prejudice hidden.

He didn't even take the initiative to talk to the Korean doctor next to him. When someone asked a few questions, he answered bluntly, hoping that the meeting would end soon. He was here to complete the homework for the teacher.

The surgical video of replantation of amputated limbs is shocking, and the speed and rhythm of the operation are unbelievable, but Takahashi believes that the video is suspected of being edited, just watch it.

As a great figure in trauma surgery, he is very clear about the difficulty of this five-segment replantation.

If the nerve can grow smoothly, it needs to cross five fractures, which requires very superb nerve suture technology, which is feasible in theory, but no one can do it in practice.

If you can't do it yourself, who else can?
Takahashi decided that if he had the opportunity, he would personally check the patient's function, but he didn't know if he would be given this opportunity.

I had no interest in the meeting at first, but when I thought about it this way, I suddenly became very interested, just like the audience insisting on exposing the magician's tricks.

The topic of Takahashi's speech today is the application of infrared monitoring equipment in trauma surgery, especially the use of hemoglobin fluorescence imaging technology, combined with the excellent computer algorithm, can make trauma patients become transparent people on the operating table.

This technology is currently unmatched in the world, making it almost impossible to make mistakes in hemostasis on the operating table.

Mr. Fujiwara's next goal is to overcome the repair of peripheral nerve damage. He also uses infrared technology, using a drug that clears nerve fibers, so that motor nerves appear red under infrared rays, and sensory nerves appear blue. Then, these images are combined with the camera system. The integration is performed, and finally the image of the captured nerve fibers on the screen is separated into clear blue and red.

In this way, blue to blue, red to red, nerve anastomosis will not be wrongly matched, and the effect of nerve recovery will be multiplied.

Two factors contribute to poor nerve recovery: first, the loss of nerve fibers caused by the wrong growth of the nerve; and second, the slow growth rate of the nerve leading to target organ degeneration.

At present, the Affiliated Hospital of the University of Tokyo has solved the first factor, and the second problem is in the experimental state. Although it is not mature, it can break through soon. If the two problems are solved, they will overcome a world problem.

The second problem is that the growth rate of the nerve is too slow. The motor nerve innervates the muscle. Sometimes, the nerve grows past by chance, but the muscle degenerates and becomes fibrotic due to no innervation for a long time. The muscle is no longer a muscle and becomes a muscle. Fibrous tissue, even if it waits for innervation, cannot complete the function of contraction.

To break through the second problem, we must either speed up the growth of nerves, or keep the muscles in a normal state for a long time without being fibrotic.

Takahashi is currently researching this topic to increase the growth rate of the nerve and combine with its target organ as soon as possible.

Attending this kind of meeting is very boring, like a college student listening to elementary school students, Takahashi really wants to stretch himself.

He secretly glanced at Fujiwara Miyuki, she was listening to the speech very seriously, Takahashi thought this lady was ridiculous.

The terrible thing is that today or tomorrow, there will be a demonstration of trauma emergency surgery on the same stage.

It's so boring, it's like watching a football game.

The confrontation between the Brazilian team and the Chinese team, a crushing and suspenseful duel, will make people very boring.

"Takahashi-kun, please be serious, the teacher asked you to come to the meeting, not a vacation."

Miyuki reminded Takahashi beside her.

Because he actually dozed off, with his hands folded in front of his chest, and his eyes slightly squinted.

At this time, Director Tan wants to invite the patient Qiangzi to demonstrate the functions of the limbs in person.

The magic started, and Takahashi cheered up.

He unscrewed the cap of the mineral water bottle and took a sip.

Because he was absent-minded, he almost choked on the water.

(End of this chapter)