Doctor Peerless

Chapter 595 Minimally Invasive Surgery

Please Liu Zhengqing?

Why did Bai Mingming say that.

This has to start with the disease of lumbar disc herniation.

The intervertebral disc is the cartilage between the two lumbar vertebrae.

Because of poor sitting posture, or trauma and other reasons.

As a result, the cartilage breaks away from its original position and protrudes outward, forming a herniated lumbar disc.

Slight lumbar disc herniation will not cause any symptoms.

But if this protrusion oppresses and affects the nerves near the lumbar spine.

That can cause pain, movement disorders, and more.

So it can be seen from the cause.

This disease has both bone and nerve problems.

Therefore, both orthopedics and neurosurgery are involved.

To see this disease, you can go to orthopedics or neurosurgery.

Of course, some patients may also go to the rehabilitation department, pain department, etc.

Some hospitals even have specialized spine departments.

The central hospital does not have a dedicated spine department.

The flow of patients is mainly orthopedics.

Next is neurosurgery.

Why neurosurgery has fewer patients than orthopedics.

This is a problem left over from history.

In the early years, neurosurgery in my country paid more attention to the treatment of intracranial diseases.

Neurosurgery was once called brain surgery in some places.

However, such spinal diseases abroad are diagnosed and treated by neurosurgeons.

Neurosurgeons can use microscopic techniques to fully decompress compressed nerves, with good results and minimally invasive precision. Therefore, in the past ten years, more and more neurosurgeons in China have begun to work on the spine and spinal cord.

Lao Fang's condition.

The intervertebral disc has been severely herniated.

It is definitely useless to pull something.

The best solution right now is surgery.

Orthopedics can also perform surgery.

If there is a doctor who is good at this field outside of Shenwai, he can also perform surgery.

Bai Mingming felt it.

Four groups, no orthopedic experts.

But there is Liu Zhengqing, a supernatural old attending.

It is reasonable to let him come and see the situation first.

And recently.

Liu Zhengqing has been fully integrated into the emergency center.

He usually goes to dinner parties.

Also chat during breaks.

From the chat, Bai Mingming also heard that he was mainly responsible for some minimally invasive operations on the spine outside of the care of the doctors in the center.

He even surpassed He Yiming's experience in this area.

This is not surprising.

An "old guy" like He Yiming is already overwhelmed by the traditional major surgery in his head.

He didn't have much time to study the issue of the spine.

This gave a "young man" like Liu Zhengqing a chance.

Liu Zhengqing's situation.

Zhou Sheng is also clear.

So after Bai Mingming put forward his opinion.

Zhou Sheng immediately agreed.

Except for Liu Zhengqing who has experience in this area.

Zhou Sheng wanted to handle the operation himself.

First, he had promised his father that he would treat Lao Fang himself.

Secondly, this minimally invasive intervertebral disc surgery.

He can do it.

In the advanced dungeon outside the gods.

This kind of spinal surgery is simply a piece of cake.

Like the more difficult removal of tumors in the spinal cord.

Zhou Sheng can also do it perfectly.

It's just the first time to do surgery on this aspect in reality.

It is safer to bring a qualified person to the stage together.

Liu Zhengqing is of course the best candidate.

Zhou Sheng and Bai Mingming's thoughts coincided with each other.

Bai Mingming immediately called Liu Zhengqing over.

Recently, Liu Zhengqing has completely integrated into the four groups.

Bai Mingming called him.

He did not delay.

Soon came to Zhou Sheng's consultation room.

on the way.

Bai Mingming had already told Liu Zhengqing the general situation.

He also emphasized that this patient was sent by Zhou Yisheng's father.

Probably Zhou Sheng's acquaintance.

Liu Zhengqing thought in his heart that Zhou Sheng must be not very good at spinal problems.

He knew he had research on it.

So I want to ask myself to help see a doctor for an acquaintance.

Of course Liu Zhengqing would not shirk.

I have been with Zhou Sheng for a long time.

He knew that Zhou Sheng was easy to get along with.

There is no threat to myself.

Moreover, his position in the hearts of the hospital leaders is very high.

Having a good relationship with him is beneficial and harmless.

Liu Zhengqing arrived at the consulting room.

Say hello to Zhou Sheng.

Then I immediately looked at the CT examination report carefully.

The patient is in his 60s.

Not too young.

Herniated discs are serious.

Surgery is required.

If you do traditional pioneering surgery in orthopedics.

The wound is at least about 10 cm.

The physical burden on the patient is relatively large.

For minimally invasive surgery, the operation time is relatively short, and the wound is at most 2 cm.

It is suitable for patients of this age and condition.

The patient is an acquaintance of Zhou Sheng.

Liu Zhengqing also wanted to show off.

He said directly: "This situation requires surgery. I have also done a lot of minimally invasive lumbar disc surgery in Shenwai. If possible, I can do this surgery."

Zhou Sheng heard what Liu Zhengqing said.

He is naturally happy.

If Liu Zhengqing didn't do it, he would have a headache if he had to transfer the patient to the Department of Neurology or Orthopedics!
The next step is to convince Lao Fang to have an operation.

Lao Fang and Zhou Shouming have known each other for decades, and they are very convinced of Zhou Shouming.

Love the house and Wu.

He also trusted Zhou Sheng very much.

So when Zhou Sheng put forward the operation plan.

Lao Fang did not have much opinion.

He said directly, you can look at it how you want, I believe you.

However, his son did not have much contact with the Zhou family.

Now that I heard that I am going to have surgery, I am a little worried.

He faltered and murmured, expressing his worries on the sidelines.

Mainly two points.

One is worrying that the operation will damage the lumbar nerves and cause paralysis.

The second is to worry about recurrence after surgery.

These two questions were raised very professionally.

It seems that after Lao Fang suffered from a herniated lumbar intervertebral disc, his son also did some homework.

But obviously, he doesn't have a special understanding of minimally invasive surgery.

Traditional surgery is performed under the naked eye, which is very destructive to normal structures.

If the operator is not experienced, it may cause nerve damage.

It is also possible that the decompression is not complete, and it is easy to relapse.

Often there are two operations, three operations.

The minimally invasive surgery outside the nerves is performed under a microscope or endoscope to remove the intervertebral disc, which can remove the intervertebral disc that compresses the nerve as much as possible, while protecting the normal nerve from damage as much as possible.

Because the microscope can enlarge the surgical field of view and perform three-dimensional imaging, it is easier to distinguish the lesion from the normal nerve tissue.

It's like when we walk at night, we are equipped with a flashlight so that we will not be in the dark.

Zhou Sheng and Lao Fang's son explained in simple terms.

This dispelled the old Fang's son's worries.

Next comes preparation for surgery.

Lumbar disc surgery, while necessary, is not an emergency procedure.

There is time to prepare.

Consider that surgery was scheduled two days later.

……

(End of this chapter)