godfather of surgery

Chapter 360 Twist Ball Folding

Someone fired the first shot, and the courage behind them all grew.

In various hospitals, one after another, operations for pelvic and acetabular fractures began. In less than a month, more than a dozen operations of this type of surgery were all completed.

Chen Ge was deducted points because of incomplete hemostasis in the acetabular fracture surgery, too many invalid movements and repetitive movements during the fracture reduction, and fell from the full-score camp in the southern division.

During surgery, invalid movements or repetitive movements often occur. This is a manifestation of unskilled or inexperienced surgeons who are helpless when encountering difficulties. These movements 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 have no benefit to the operation. For example, when the operation encounters difficulties, the instruments are constantly replaced. These instrument changes have no clear purpose, but are just to delay time, think about countermeasures, and adjust emotions.

Or some surgeons complain about the improper cooperation of the assistants, which is also a sign of guilt and lack of confidence. If the assistants perform poorly, the surgeons can help correct them instead of complaining.

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 at one time, are performed repeatedly, which is similar to the origin and consequences of invalid actions.

In the regional competition of the Golden Knife Award, 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 are invalid or repeated actions, it means that the basic surgeries have not reached the expected excellent level.

Most of the operations in the national competition are difficult operations. In the face of these operations, if you encounter difficulties, take a temporary rest, or have invalid repetitive movements, it is excusable. If you encounter difficulties in difficult operations, it is considered sufficient excellent.

In the Southern Division, only Song Zimo, Su Nanchen, and Lin Hao have full marks. As long as these three teams do not make mistakes, they have the greatest hope of qualifying.

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

This happens in every competition. The team that has always been ahead is caught up by the team behind because of a mistake.

After crossing the pelvic and acetabular fractures, it is easier to do the following spinal fractures. Pelvic and acetabular fractures are a hurdle, and many people deduct points here.

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

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

Just halfway through the surgical drawing, Professor Zhang called. He admitted a special patient in the outpatient clinic, and immediately went to the department to ask Yang Ping to show the classroom and wait.

The special patients mentioned by Professor Zhang are definitely not high-ranking officials and rich people. The special patients he refers to are serious or rare.

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

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

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 carrying a luggage bag, who should be the patient's family members.

If Yang Ping hadn't seen this kind of patient in the system space, his jaw would have dropped in surprise.

Anyone, any spine surgeon, would be shocked to see this patient.

The whole person is curled up, like a scallion roll, or a twist, the whole waist is curled up, the head is turned 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 counted. While folding, it is twisted like a twist.

Both hip joints and knee joints are stiff and in a state of flexion deformity. On the wheelchair, the patient shrinks into a complex ball, like a twist ball.

There is no existing medical name to describe this kind of folding deformity. If you want to express it in vivid words, "twist twist" is not enough, "twist ball folding" can describe this exaggerated deformity.

In reality, there are such serious cases. Yang Ping thought that only the devil training in the system space would cause such cases of extreme spinal deformity.

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

Some of them had just finished the operation, and those who were on crutches and walking aids rushed to this side to watch the excitement, and nurses followed 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 surround yourself, Xiao Mo, and close the door."

Xiao Mo, a graduate student, immediately closed the door of the demonstration classroom to block those curious eyes from the door.

Lao Han couldn't help being surprised, he had never seen one with a deformed jackknife, and this kind of twist ball.

"This is Lu Gang, male, 22 years old. He has been found to have spinal deformity for 14 years. I don't need to say how serious it is. He has gone to many hospitals, the capital of the empire, and everywhere in the country. Everyone said no, come to me. I I have never seen such a serious case. The young man has just graduated from university and wants to marry a wife to live. Let’s discuss it and see if it can be cured? How can it be cured?”

In this situation, he actually went to college and graduated from college?Yang Ping couldn't help admiring this patient for how he came here in the past ten years.

"Can you take care of yourself in daily life?" Although he knew that he couldn't take care of himself in this situation, Director Han still wanted to ask.

"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 is in her 50s, with dark skin, but there is a trace of stubbornness between her brows. This should be "a woman is weak, but a mother is strong".

She said: "He can walk, and he can only eat on the ground. I put the rice in the bowl and put the bowl on the ground. He can eat by himself, and he can take care of himself, but he needs a special commode chair."

"Xiao Gang, go and show the doctor!"

The mother carried Lu Gang out of the wheelchair. Lu Gang performed a walk with his hands and feet, supporting his body on all fours. Like a crab, he walked well, but because of the twisted deformity, the four limbs were unbalanced. slower.

"Walking like a crab, it's not very good-looking; I can only eat on the ground. I used to have cats and dogs at home, and they often competed with me for food. Later, I didn't have cats or dogs, so it was not difficult to eat; defecating, the toilet and toilet at home The chair is specially made, which is very convenient, and it is difficult to go to the bathroom, but I seldom go out." Lu Gang said with self-deprecation.

His face is close to his buttocks, and because the spine is twisted while being folded, he can turn his face sideways, which is just convenient for him to eat, but it should be very difficult for him to eat.

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

"My body started to bend when I was eight years old. It wasn't that serious at the beginning, but after a few years, it became like a twisted ball."

These years, how did this young man come here? Judging from his self-deprecating tone, he seems to be very optimistic.

Mother Lu took out her handkerchief and wiped her tears: "We have been looking for treatment in hospitals all these years. We heard that the disease is cured wherever it is severe, so we went there, but it didn't work."

"Doctor, please help me, I still want to marry a 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 earned money by pushing a tricycle and selling steamed buns. She raised him and sent him to college.

"Xiao Mo, call out his film." Professor Zhang called Xiao Mo.

Xiao Mo has already turned on the computer and brought up Lu Gang's CT scan and [-]D reconstruction.

The whole person is more compact than a fetus curled up in the womb, especially the spine is completely folded over 180 degrees, and then presents a spiral deformity in the three-dimensional space. The cervical, thoracic, lumbar, and sacrococcygeal vertebrae are all severely deformed, and what is even more frightening is that the upper cervical spine is also deformed. , the bilateral hip joints and knee joints are also stiff, and the hip joints are in a state of dislocation, which is a mess. Only the upper limbs of the whole body are still normal.

It is too difficult to open, straighten, straighten, and straighten this person, so that he can stand upright!

In particular, the risk of spinal orthopedics is extremely high. Once something goes wrong, it will either be death or paralysis.

If there is an operation, it is difficult to insert a tracheal tube, so anesthesia is an insurmountable obstacle.

"He has traveled all over the country, and he has gone where he should go, but he can't do it. Come to me to try his luck, can he do it?" Professor Zhang pointed to the CT [-]D reconstruction on the screen and asked Director Han.

There is nothing wrong with the suggestions of experts from other hospitals. Without surgery, you can still live in this state. 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 resolutely said.

His mother said sincerely: "I am over 50 now, and I will leave one day. When I leave, 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 as normal as before." If I live like a human being, I will be satisfied, and there will be no worries in this life."

Hearing what his mother said, Lu Gang remained silent.

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

"There is no precedent for this in the world. Correction of the thoracolumbar spine may only lead to paralysis, while correction of the cervical spine is life-threatening. You see, the most dangerous thing is the deformity of the upper cervical spine, where the center of breathing and circulation is located. Once something goes wrong, You'll stay on the operating table."

Director Han said solemnly that after a simple conversation, he had confirmed the young man's perseverance, and there was no need to be vague.

"As long as there is a glimmer of hope, I want to fight for it. I want to live like a normal person, even risking my life."

Risking his life is just hoping to raise his head and straighten his 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 surgery is difficult, but it's not impossible. At most, I can go to the system space to do hundreds of similar surgeries to strengthen training.

"Go to the hospital!"

Take it to the hospital!Such a simple sentence, but in Director Han's mind, this is the most domineering sentence he has ever heard from a doctor.

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

Since Director Han took Yang Ping to the stage to perform scoliosis correction, Yang Ping has not performed this type of surgery yet, but there is already a patient with scoliosis in the department, and Director Han is going to let Yang Ping do it.

How can a doctor who has never done or just learned scoliosis correction surgery get such a major surgery? It's too exaggerated.

However, did Yang Ping do too few exaggerated things?

The operation at the Academic Society is not rare in the world, but he managed to do it by mistake.

Miracles, this is a person who keeps creating miracles and has deviated from common sense.

Everything he bragged about has come true.

"Okay!" Director Han made a decision.

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

"Let Dr. Che give him some breathing, muscle strength and stretching training to prepare for the operation and improve the pre-operative examination, because the operation will affect the spinal cord, heart and lung functions, and how much correction he can tolerate is a question. Unknown, this needs to be carefully evaluated, this will be a protracted battle, the operation can only be done in stages, not half a year before and after."

"If possible, let this case be the case of the Golden Knife Award. It happens that he involves the correction of the cervical spine, thoracic spine and lumbar spine, and he also needs to undergo pelvic rotation osteotomy and correction, and it is likely to undergo double hip and knee joint replacement—— " Yang Ping said.

This operation is a 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 watching the CT [-]D reconstruction on the screen.

Director Han and Professor Zhang looked at each other. This kid has never had this kind of operation, and it is unprecedented in the world.

Originally, Mr. Zhang meant to discuss it with Director Han. The two of them did it and called Yang Ping to come over. It was just to let him see this rare case and gain insights.

With this kid's posture, he intends to do it himself, and he will also put it on the Golden Knife Award.

"Am I hospitalized?" Professor Zhang asked.

"Take it!" Director Han tapped his thigh with his fingers.

　The prototype of this case is the case of Professor Tao Huiren from Shenzhen University General Hospital: 3-on folding man Li Hua.This case is definitely 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 orthopedics department of Xijing Hospital has always been ranked among the top in the country. Professor Tao is also a top expert in spine surgery in China.The cases in this book all have prototypes, not fabricated ones. Even some seemingly weird cases are not fabricated. Sometimes, for the needs of the plot, some modifications and artistic processing will be made on the prototypes.The hard core is necessary, and it is the soul of this book. Thank you very much for your support. The average subscription of this book has already exceeded [-]. Now we have to work hard towards [-] subscriptions. Repeat, the case is presented into the laying, the further to the back, the more exciting and exciting!

　　
　
(End of this chapter)