Doctor Peerless

Chapter 596 The Choice of Minimally Invasive
two days.

Coming soon.

Old Fang's surgery.

On schedule.

Follow the previous plan.

This operation was performed by Liu Zhengqing.

Needless to say, Yizhu is naturally Zhou Sheng.

The second aid was given to Su Quan.

It's purely for him to get some experience.

After the qualifying exam, the next thing is to become a regular.

Su Quan just needed to show more performance.

Minimally invasive lumbar disc surgery is compared with intracranial surgery outside of Shenyang.

The risk is much less.

Liu Zhengqing's heart is as steady as an old dog.

Yes, if the risk is high.

He will not take the initiative to act as the main knife.

Morning, before surgery.

Liu Zhengqing, Zhou Sheng, and Su Quan's three-person medical team were discussing the operation plan in detail.

Of course, Zhou Sheng and Liu Zhengqing were the main players.

Su Quan can only study.

Perform minimally invasive surgery.

This is the general direction that has been set for a long time.

However, there are currently two types of minimally invasive surgery for the lumbar spine.

One is MED surgery and the other is PELD surgery.

MED is a bit like open surgery in traditional orthopedics.

Under the endoscope, partial resection of the ligamentum flavum, lamina, and articular process, enlargement of the nerve root canal, loosening of adhesions around the nerve root, and removal of the intervertebral disc can be completed, which is a minimally invasive and endoscopic version of open surgery.

MED is basically the same as open surgery except that the incision is smaller, and it will hurt muscles and bones.

PELD surgery, called in Chinese, percutaneous endoscopic lumbar discectomy.

The simple description is to insert a cannula with a diameter of less than 1cm in the waist, and use the nucleus pulposus forceps to remove the protruding nucleus pulposus.

The trauma of PELD operation is very small, and neither muscular ligament tissue nor bone is removed. It just inserts a tube, which is just a flesh injury.

It can be said that MED is semi-minimally invasive.

And PELD is truly minimally invasive.

But is PELD necessarily better than MED?

This is not necessarily the case.

Those with milder conditions are more suitable for PELD surgery with less trauma.

If it is a lumbar disc problem, if it is really serious enough to spondylolisthesis, spina bifida.

Forget about PELD.

Even the MED is not easy to use.

That can only come from traditional open surgery with better results.

Lao Fang's lumbar spine problem required surgery.

But the situation is not the worst.

Considering.

PELD is more suitable for Laofang's current situation.

However, when Liu Zhengqing was discussing the specific operation plan with Zhou Sheng.

His opinion is to do MED surgery.

Of course, Liu Zhengqing also knew that PELD was more suitable for Lao Fang.

But Liu Zhengqing has his own considerations.

MED surgery has been used for a long time.

Liu Zhengqing's experience in this area is very rich.

So he has no problem at all with this operation.

And PELD surgery.

It is a new technology that has only become popular in recent years.

After all, Liu Zhengqing did not specialize in spinal surgery.

So he is not particularly proficient.

He was a little worried in case the operation did not work well.

I have no way to explain to Zhou Sheng.

This patient is an acquaintance of Zhou Sheng.

"Doctor Zhou, let me go to MED. I am familiar with this minimally invasive surgery. The recurrence rate is low."

MED treatment is indeed more thorough.

But the trauma is greater and the price is more expensive.

If the level of the operator is acceptable, PELD is more suitable for the elderly.

"Group Leader Liu, can you go to PELD?" Zhou Sheng asked.

Liu Zhengqing frowned and said, "Yes, I can, but this surgery is not done much. I'm afraid that after the operation, the pain in the lumbar spine will recur in a short time. The patient is an acquaintance of yours, so it's hard to talk..."

If Liu Zhengqing can do it, then there is no problem.

As for his worries.

That's not a problem.

Zhou Sheng performed these cutting-edge surgeries on God in the copy.

That's a lot of experience.

If Liu Zhengqing didn't handle it well during the operation.

I can take over again, no problem at all.

Thinking of this, Zhou Sheng said with certainty: "Then don't hesitate, go to PELD. The patient is an acquaintance of mine, so there will be no problems. Besides, no one can guarantee that there will be no recurrence after lumbar disc surgery. , It is also one aspect of my own exercise recovery in the later stage.”

Since Zhou Sheng said so.

Liu Zhengqing couldn't say anything.

"Well, that's fine, do PELD. But this operation still needs the support of endoscopic drilling and endoscopic laser system. Let me ask if they have an operating room."

"Well, then trouble you."

Don't look at PELD as a minimally invasive surgery.

The surgery takes one to two hours at most.

But the required surgical conditions are extremely high.

First of all, the sterile conditions of the operation must be extremely high, and the operating room must have at least laminar flow conditions.

Secondly, image support system, endoscope system, under-scope laser system, under-scope grinding and drilling system, etc. must be available.

Each of these devices is bigger than the other.

are often fixed.

So only individual operating rooms have it.

After Liu Zhengqing contacted.

Make sure there is an operating room suitable for PELD in the afternoon.

Therefore, the operation was also scheduled for the afternoon.

in the afternoon.

It's past two o'clock.

Su Quan came to the ward to take Lao Fang to the operation.

Lao Fang's current situation is better than two days ago.

Barely able to walk.

Lao Fang didn't know Su Quan.

He hesitated for a moment and asked, "Where's Dr. Zhou? Isn't he doing this operation?"

Su Quan said: "Don't worry, Dr. Zhou is in the operating room. I'll take you to the operating room now."

"Yes. Thank you."

Lao Fang was supported by his son.

Follow Su Quan to the operating room.

At the door of the operating room.

Lao Fang's son cannot enter.

Su Quan wants to help him.

Lao Fang refused to let him, he was able to walk by himself.

Lao Fang entered the operating room.

Su Quan disappeared.

It was the first time in his life that Lao Fang entered the operating room, and he seemed a little nervous.

He didn't know what he was going to do either.

Look east and west.

There are quite a lot of equipment in this operating room.

But the old man didn't know anything.

Only the shadowless lamp above his head, he knows.

At this time, a nurse came over and asked Lao Fang to lie on the operating table.

Lao Fang lay down obediently.

Then, the nurse began to give Lao Fang a drip.

Lao Fang didn't know what the nurse was hitting.

asked.

But the nurse was very busy preparing for the operation, so she didn't have time to talk to him at all.

Lao Fang lay quietly on the operating table waiting for Zhou Sheng.

After a few minutes.

Zhou Sheng has not come yet.

Su Quan walked into the operating room with Lao Fang's film.

He deftly inserted the film into the film reader.

Lao Fang has not seen Zhou Sheng yet.

Although Zhou Sheng had already told him in the morning.

This is just a minimally invasive procedure.

The wound is only the size of a fingernail.

But the old man was still a little uneasy.

I don't know if it's too tense.

Still, the operating room is really cold.

Lao Fang, who was wearing a surgical gown, felt cool all over.

He kept saying in his heart, Xiao Zhou, when are you coming?
After more than 10 minutes.

Two doctors in one-piece surgical gowns, sterile caps, and large masks walked in.

Lao Fang is not sure either.

It was Zhou Sheng who walked in.

At this time, one of them spoke.

Lao Fang was relieved when he heard it.

This voice belongs to Xiao Zhou!

……

(End of this chapter)