Doctor Peerless

Chapter 597 The Wolf of Surgery
"How are you? Are you ready? We are going to have an operation." Zhou Sheng said this to the old Fang.

"Yeah, ready." Old Fang said.

There is an acquaintance Zhou Sheng.

He feels more at ease.

"Turn over. Prone position," Zhou Sheng said.

Su Quan and a nurse help.

Let the old side lie face down.

This pose is not perfect.

The operating table now needs to be adjusted.

The lower part of the operating table can be folded.

Su Quan made a move.

The lower half of the operating table folds down a bit.

Lao Fang was in a half-prone, half-kneeling position.

Everything is ready.

At this moment, Liu Zhengqing said to the anesthesiologist beside him, "Give me some anesthesia."

PELD surgery, a truly minimally invasive surgery.

Not only the surgical trauma is small.

Even anesthesia is easier.

Only local anesthesia will do.

The patient can remain awake throughout the operation.

Lao Fang only felt a pain in his waist.

The anesthesia needle is already on.

Then another stitch.

This shot is not anesthesia.

It is a special injection for minimally invasive spinal surgery, Meilan, which is specially designed to stain the nucleus pulposus.

After all, it is a minimally invasive surgery, and the surgical field of view is not as large as that of open surgery.

With this dyeing technique.

The spinal nucleus pulposus can be observed more clearly through the endoscope.

this situation.

It is somewhat similar to the contrast agent used in enhanced CT to see blood vessels clearly.

Two stitches are done.

Wait a few minutes.

After the anesthetist evaluates the effect of anesthesia.

The operation officially begins.

PELD surgery.

To put it plainly, it is to insert a finger-thick tube into the patient's waist.

This tube is called a casing.

As the name suggests, casing, casing, there must be something inside.

This set of things is still a thin tube.

This thin tube is certainly not an ordinary tube.

It looks like a metal tube.

But inside it, there is something different.

There are three pipes inside this tube.

One is lighting, one is imaging, and the other is operation channel.

All operations of the surgery must be carried out in the operation channel of this tube.

This tube also has its own name, called the intervertebral foramina.

The first important step in this operation is, of course, insertion of the cannula.

The term is called working path establishment.

Liu Zhengqing is the chief surgeon.

The main process of this step is of course him.

But before that.

There are a few more bits and pieces.

Such as disinfection of surgical sites.

This was originally a matter for Zhou Shengyi.

But since Su Quan is here today.

Zhou Sheng gave up this opportunity to Su Quan as much as possible.

Su Quan was accumulating a lot of experience.

He doesn't dislike these "hard work" and "tiring work".

As the saying goes, a journey of a thousand miles begins with a single step.

In the future, if you want to gallop freely on this operating table, you have to start from the most basic.

Su Quan was disinfected.

The next step is based on the film of intervertebral disc angiography.

Do body surface positioning.

Determine where this cannula will be inserted.

This is a technical thing.

First of all, you have strong film reading ability and rich practical experience.

Su Quan obviously couldn't finish it.

He can only watch the film on the film reader.

While looking at Liu Zhengqing's position choice.

This is a great learning opportunity.

Of course, Liu Zhengqing didn't have much problem with this.

No matter what kind of disc surgery.

Reading points.

In general it is about the same.

Liu Zhengqing glanced at the film.

The surgical entry point has been selected.

Then the access point is punctured, and the positioning needle is lowered.

Locate the needle well.

Liu Zhengqing picked up the scalpel.

An 8 mm incision is made at the pinpoint of Lao Fang's waist.

Expand soft tissue.

Place casing...

At this time, Lao Fang was completely awake.

Because of spinal numbness.

He doesn't feel much pain.

But he could really feel Liu Zhengqing's operation.

Even the resistance encountered when the cannula is inserted can be felt.

Well, Liu Zhengqing kept pressing on his waist.

This feeling is quite... sour.

hey~!

Lao Fang thought to himself, why don't you give me a general anesthesia?
As soon as you wake up, the operation is over.

How good it feels.

This is what it feels like to be awake for lumbar spine surgery.

Kind of scary!
Of course, this is just Lao Fang's whimsy.

There are strict requirements for what kind of surgery and what kind of anesthesia is used.

Liu Zhengqing is very skilled in operating.

Zhou Sheng had nothing to worry about.

He has nothing to do at this time.

Seeing Lao Fang's nervous expression.

He chatted with Lao Fang from time to time.

"How is it? Does your back hurt?"

"It doesn't hurt, it's just uncomfortable."

"Where are the legs?"

"fine."

"Don't worry, it will be over in an hour."

"Yeah! After the operation, I have to thank you, your father, and Lao Zhou."

The casing is finished.

The next step is to put the second tube, the transforaminal lens, into the cannula.

This process is relatively simple.

After completion, the transforaminal mirror is connected to the power supply and the camera.

Adjust the white balance to make the color of the video image more perfect.

At this point, the establishment of the entire working path is completed.

in the monitor.

The white nucleus pulposus tissue can already be seen like cotton wool.

The next operation is to pass through the working channel and remove the nucleus pulposus tissue that is pressing on the nerve.

Surgery is here.

Entered the difference between masters and ordinary players.

How much nucleus pulposus tissue is removed.

Which to remove.

These are the embodiment of experience and technology.

With a system, Zhou Sheng, who has experienced dungeons, is obviously much stronger than Liu Zhengqing.

Zhou Sheng is now ready to take over the operation.

Outside the operating room.

Zhou Sheng is aloof from the world and very Buddhist.

Like a sheep.

But once you enter the operating table.

It's like he's a different person.

Wolf is full.

Of course, let Liu Zhengqing step aside.

Surely you can’t just say, I’m doing better than you!

That should be a little more tactful.

Zhou Sheng said tactfully: "Dr. Liu, you have worked hard. Xiao Su has already been busy. I haven't done anything as a first aid. Let me do it next."

Liu Zhengqing stopped.

He looked at Zhou Sheng.

Now he is different from when he first came to the emergency center.

He already had a deep understanding of Zhou Sheng.

Especially after that intracranial surgery with Zhou Sheng.

He has determined that Zhou Sheng's intracranial level is higher than his own.

If it is an intracranial surgery that I can do by myself.

If Zhou Sheng wants to take over.

He will certainly not object.

But, this is spinal surgery.

Although it is also related to God.

Still, there is a difference.

Especially for cutting-edge minimally invasive surgery, experience is required.

He asked, "Have you had spinal surgery before?"

Zhou Sheng said: "I've done it before. My acquaintance, I want to do it myself."

Liu Zhengqing thought for a while and nodded in agreement.

He and Zhou Sheng switched positions.

His gaze was fixed on the monitor in front of the operating table.

In that monitor, the yellowish ligamentum flavum, pink nerves, and white intervertebral discs are clearly visible.

If there are any flaws or mistakes in Zhou Sheng's operation.

He will correct it immediately.

……

(End of this chapter)