Doctor Peerless

Chapter 598 Teaching Surgery
Transforaminal surgery.

minimally invasive surgery.

Not very dangerous.

Born to do it on Monday.

Liu Zhengqing didn't think there was a big problem.

Since Zhou Sheng said he did.

Then let him try it.

Even if something is really wrong.

Liu Zhengqing thought that he could take over again.

Zhou Sheng took over the transforaminal mirror placed by Liu Zhengqing.

This thing, said before.

The shape is a thin tube.

Actually, that's a bit inaccurate.

To put it more vividly, it is more like a pistol.

It's just that the barrel of this pistol has become very long.

During surgery.

The "barrel" passes through the cannula, deep into the patient's body.

The "butt" part remains outside the body and is operated by doctors.

The "butt" part, specifically, in addition to the grip, also has the entrance of the working passage, etc.

During operation, one hand holds the handle, and the other hand can operate the surgical tool through the working channel for surgical operation.

At this moment, Zhou Sheng holds the handle with his left hand, and operates the nucleus pulposus forceps with his right hand to enter the working channel.

Liu Zhengqing watched Zhou Sheng's actions.

See if he really did this minimally invasive surgery.

If you have any questions.

As the chief surgeon, he can stop Zhou Shengsheng's operations at any time.

Well, the posture of operating the transforaminal mirror is very standard, and the movements are also very skilled.

At first glance, it looks like a veteran with experience in these minimally invasive devices.

At this moment, Liu Zhengqing's confidence in letting Zhou Sheng perform this operation has increased a little.

Zhou Sheng not only operates by himself.

In order for Liu Zhengqing not to have any worries.

While operating, he took the time to explain a little bit.

Let Su Quan, who watched eagerly from the sidelines and had no chance to use a mobile phone, learn something.

"Su Quan, the surgical instruments must be carefully passed through the working pathway. The instruments are not fully displayed in the camera, so don't do redundant operations."

It was the first time for Su Quan to come into contact with this minimally invasive surgery.

He listened carefully and remembered.

The instrument must fully appear in the lens before the operation can be performed.

Write down!

Zhou Sheng's operation is proficient.

I'm not nervous at all, and I can still be Su Quan's teacher.

Liu Zhengqing on the side was relieved.

He no longer looked at the movements of Zhou Sheng's hands.

His eyes fell on the monitor.

Not long after, the pointed head of the nucleus pulposus forceps.

has entered the field of view of the monitor.

The next step is to remove the nucleus pulposus that compresses the nerve.

The nucleus pulposus is part of the intervertebral disc structure.

Transforaminal endoscopic surgery generally removes the redundant nucleus pulposus.

It is not the removal of the entire disc.

Rougher than open surgery.

Endoscopic transforaminal surgery is more like a conservative treatment during surgery.

operation of this part.

As long as it doesn't hurt a nerve.

Just no big deal.

Of course, the premise of the operation is a good understanding of the anatomy of the spine.

Bite and cut nucleus pulposus forceps, 45 degree nucleus pulposus forceps, small straight forceps, spring forceps...

Zhou Sheng replaced many surgical tools.

Patiently peel off and remove excess nucleus pulposus.

Liu Zhengqing was on the monitor.

Watching Zhou Sheng's every move.

Ok.

The operation is very smooth.

The large mass of nucleus pulposus tissue that was compressing the nerve was almost completely removed.

And the spinal nerves are well protected.

This level seems to be the accumulated experience of many minimally invasive surgeries.

No wonder he has the confidence to play!

Zhou Sheng was performing the operation.

At the same time, I chatted with Lao Fang for a few words.

"How is it? Does your back hurt?"

"It hurts a bit sometimes, but it's bearable."

"This is normal, don't worry."

"I said Xiao Zhou, why don't you get general anesthesia? Although it's tolerable, it's always uncomfortable."

"Hehe, this operation does not require general anesthesia, and the operation is relatively close to the spinal nerves. If you stay awake, we can also know the impact of the operation on your spinal nerves. How is it, do you feel your legs?"

"Sentient."

"Well, then there's no problem. If you feel anything unusual in your leg, just tell me."

"Huh? I can still take the initiative to talk to you."

"Hehe, of course you can. Aren't you awake? No one has sealed your mouth."

"I can still talk after surgery... I really don't know."

Indeed, for patients entering the operating room for the first time, it is estimated that they dare not take the initiative to speak.

Or think that talking to the doctor will interfere with the doctor's operation.

But speaking appropriately, there is no problem.

There are also jokes.

If the doctor chats and farts, it proves that the current situation is that the operation is drizzle, and everything is under my control.

If the doctor is reluctant to perform the operation, it proves that the current situation is that the operation seems a bit difficult.

If the doctor goes berserk and swears, it proves that the current situation is that grandma's work should cheer me up, and this operation is going to be a big mess.

Zhou Sheng's current state is super relaxed.

Several large pieces of hard-to-handle nucleus pulposus had already been clamped out of the working channel with nucleus pulposus forceps, and he lay quietly on the surgical tray.

Zhou Sheng said: "Not only can you talk, but if you are tired from lying down, you can also move your neck."

"... so powerful, you can still move your neck." Lao Fang was a little surprised.

Although Zhou Sheng said so, Lao Fang still obediently lay on his stomach.

He dared not move his neck.

End the chat with Lao Fang.

Zhou Sheng said to Su Quan again: "For transforaminal endoscopic surgery, you can chat with the patient appropriately to understand whether the operation will affect the patient's lower limbs."

Recurrence of endoscopic transforaminal surgery is a minor problem.

The big problem is the effect on the nerves.

The most direct of these is the impact on the lower limbs.

With open surgery, the patient's condition is unknown.

Minimally invasive, this aspect is also a strength.

You can know the patient's condition at any time.

So Zhou Sheng is not just chatting.

It is also a kind of coquettish operation in surgery.

The operation time was not long. After 10 minutes, the large nucleus pulposus was removed from Fang's waist.

Then there are some small fragments of the nucleus pulposus.

This does not need to be taken out.

Minimally invasive and a secret weapon.

Zhou Sheng said to the nurse, "Take the radio frequency."

He said to Su Quan again: "For the small nucleus pulposus, just use radio frequency. It saves time and effort, it can be removed cleanly, and it can stop bleeding. You can choose to use it."

Another point of knowledge.

Su Quan quickly focused on the monitor.

Keep it firmly in mind.

Only seen in the monitor.

The nucleus pulposus forceps had been withdrawn, and then a rod-shaped object appeared.

It glows reddish.

You can tell it's a fever at a glance.

As it touches those scattered nuclei.

In the burning, they gradually disappeared.

……

Surgery here.

The main action is basically over.

Zhou Sheng began to skillfully remove the intervertebral foramina mirror, cannula and so on.

In the end, of course, this little thing of closing the wound.

Just leave it to Su Quan to do it.

The trauma is too small.

Su Quan got it done with one shot.

The operation was successfully completed.

This operation, if you use a football game.

Liu Zhengqing played the first half.

And Zhou Sheng played the second half.

Game victory.

……

Thanks for the reward of 100 starting coins for "Fanxian", 1000 starting coins for "Always Upper Left Corner", 1000 starting coins for "June Fragrance", 1100 starting coins for "Winter Snow and Dawn", and "Xiaoyao*One Sword" 200 starting point rewards.

(End of this chapter)