godfather of surgery

Chapter 168 Metamorphosis

Boss Cheng longed for this operation to be possible, but when Yang Ping said it could be done, he was a little hesitant.

Can it be done?
Or are you reluctant to go on stage for the sake of face?

If it's the latter, you'll be miserable.

He turned his eyes to Su Nanchen, hoping that Su Nanchen could help him make a decision.

"Send the patient!" Su Nanchen repeated Yang Ping's words.

With Su Nanchen's affirmation, Boss Cheng felt at ease: "Send the patient!"

The doctor in charge of the bed immediately contacted the operating room, the operation was carried out as planned, and the patient was sent immediately.

Boss Cheng didn't know much about Yang Ping, so it was impossible to fully trust him. Naturally, he had multiple opinions, but Su Nanchen strongly supported him, so Boss Cheng was relieved. Su Nanchen's affirmation was equivalent to a guarantee.

"The equipment has been prepared according to your requirements, and the domestic Ruixing used has been prepared, and the follower is already waiting in the operating room."

Yang Ping replied that the problem was not big at the time. Su Nanchen asked Boss Cheng to make two-handed preparations in advance. After Yang Ping saw the patient, he would perform the operation immediately, and if it was not good, he would cancel the operation. He also explained clearly to the patient, so the pre-operative preparations had been done long ago. OK, you can enter the operating room anytime.

The patient was sent to the operating room. Boss Cheng took the two of them to rest in the office for a while. Yang Ping didn't talk about the patient's surgery anymore, but just sat leisurely.

Boss Cheng originally wanted to ask, "Dr. Yang, how many cases of this type of surgery have you performed?"

He felt that asking this way would send out a message of distrust. Distrust of Yang Ping was distrust of Su Nanchen, so he swallowed the words that reached his throat.

Seeing Boss Cheng's strange expression, Su Nanchen knew what he was worried about.

"The reconstruction of the intercondylar fossa is a bit troublesome?" Su Nanchen threw out the topic.

Yang Ping was very relaxed: "Oh, it's not a big problem, just use a drill to make it into shape."

What I said above, we all know how to shape with a drill, but the problem is how to make a personalized shape and meet so many surgical conditions.

Seeing that Yang Ping wasn't worried at all, and didn't even intend to discuss it, Su Nanchen didn't need to ask any more. The video of the Wulian reconstruction played repeatedly in his mind. This video was the source of Su Nanchen's confidence in Yang Ping.

After resting, Boss Cheng led people into the operating room.

Seeing Yang Ping and his party coming in, Jiahui greeted everyone excitedly: "Hello, Teacher Yang! Hello, Professor Su! Hello, Boss Cheng!"

Yang Ping nodded slightly in response.

Jiahui was sweet in her heart. Dr. Yang is really good. He was invited here for surgery. It seems that both Professor Su and Boss Cheng respect him very much.

The patient had already been anesthetized, and several doctors were busy, arranging positions, putting up the baffle, and scrubbing hands for disinfection. Two doctors from our hospital came to the stage to help, and the rest watched from the audience.

Everyone has seen the world and wants to see how he completes this operation, especially the formation of the intercondylar fossa, which is almost impossible. When they were studying in Korea, if they encountered such a patient, surgery is generally not recommended, and they can only maintain it. status quo.

The operating room is decorated according to the Samsung Medical Center in South Korea. It is very good. The complete set of arthroscopy instruments and instruments are high-end products of Smith & Nephew. The hospital should have invested a lot of money.

The operation is started, the sharp knife is punctured, the sheath is inserted, and the arthroscopic lens is inserted through the sheath, and the arthroscopic inspection is performed every step, without any missing. Strong, smooth and tight connection.

"The intercondylar fossa is formed, and the drill is drilled!" After the inspection, Yang Ping immediately began to form.

He stretched out his hand, but the object didn't come. He was really not used to it. When he turned his head, it took more than ten seconds for the electric drill to reach his hand.

With the rustling sound of the drill, the proliferated bone was ground away, and the severely deformed intercondylar fossa began to be reshaped under the drill. The high-speed rotating spherical drill seemed to be controlled by a CNC machine tool.

And the target seems to have been programmed and prefabricated, and after grinding, an intercondylar notch that meets the surgical conditions is perfectly presented, like an exquisite sculpture.

If you don't know that the doctor is performing the operation, but only intercept a part of the video in your field of view, some people will think that this is a CNC machine tool forming an industrial product.

"Fork reconstruction, tibial positioner, drill guide pin!"

The nurse still couldn't keep up with the pace and was not used to such a fast speed. In order to make the operation more compact, Yang Ping had to inform the nurse in advance to prepare for the next step.

"Next step ready for tibial tunnel drill!"

Once the locator is released, one-time positioning is accurate and without deviation, and the guide needle quickly opens two tunnel paths.

"Dr. Su, what is the length and diameter of the fork allograft tendon?"

Sun Nanchen was tidying up his tendons, so he reported the number immediately.

"Tibial tunnel drill!" Yang Ping left two guide pins, unloaded the electric drill, and handed it to the nurse.

The cooperation is a bit out of touch, and I have to wait. If Xiao Su didn't need to talk about it, every step and every piece of equipment would be delivered at the right time, and the connection was smooth.

After waiting for a while, I got the tibial tunnel drill, and the two tibial tunnels were opened, and the position was not bad at all.

"Femoral locator, prepare the electric drill guide pin!" Yang Ping removed the two guide pins from the tibial tunnel.

The nurse handed over the locator of the femoral end, and before retracting his hand, the locator on Yang Ping's side had already been placed, aligning with the geometric center of the femoral footprint of the ligament.

After waiting for a while, the electric drill was handed over. The guide pin was held against the center of the ligament footprint, without even measuring and estimating.

"Femoral Tunnel Drill!"

The nurse took a few more slow steps, and opened the femoral tunnels, both thin and thick.It's not that Yang Ping is showing off his skills. It's true that he trained in the system space, practiced too proficiently, and got used to this speed.

The nurse couldn't keep up with the speed more and more. She was always slow, one step at a time, one step at a time, very strenuous, and a little flustered.

"Implant the ligament!"

Su Nanchen's hand speed is already very fast, but he still hasn't caught up. The opening of the four tunnels at both ends can be counted in seconds. Who can keep up with this speed.

Yang Ping stood there waiting, Su Nanchen was flying with needles and threads, the baseball glove was stitched, the high-strength braided thread, and the tendons were beautifully woven, and handed over to Yang Ping.

"Pass the thread guide needle!"

The nurse was so nervous that she was completely flustered.

"It's okay! Take your time, you prepare the tools for rear fork reconstruction!" Yang Ping went to the instrument table to get the guide needle by himself.

Boss Cheng immediately ordered another equipment nurse, but one obviously couldn't keep up, and he frowned in his heart without saying anything.

Lead the tendon wire over, pull it, and then pull it back. Before you can see clearly, the tendon is implanted, and the femur end is hung by the button plate.

"Squeeze the screw!"

The other nurse hurried to brush her hands. The nurse on the stage held her breath and couldn't keep up.Boss Cheng couldn't hold back his face, but thinking about it, if it wasn't his own people, the speed was too fast, and he really suspected that he was catching insects in previous surgeries.

The extrusion screw is handed over, screwed in, and the excess allogeneic tendon exposed is cut off.Just as the equipment was retracted here, Yang Ping was already waiting for the guide pin of the rear fork.

Yang Ping wasn't angry, didn't speak, and waited quietly.When another nurse came to the stage, he adjusted the position of the surgical limb by himself, assumed a posture suitable for the next operation, and started the double-bundle reconstruction of the rear fork. The assistant who supported the leg was dazzled. Let alone the hands, the brain can't keep up.

Another nurse came on stage in a surgical gown. One of the two prepared the current equipment, and the other prepared for the next step.

Guide pins, brushes, tibial, femoral, double tunnels, opened again.

The femoral and tibial drills are needed again soon. Finally, the drills are installed. Now there are two matching stations, which are much better than before, but the rhythm is still a bit chaotic.

Su Nanchen concentrated on helping to straighten the tendon of the rear fork, and looked up at the video on the screen from time to time.

The opening of the tunnel was in place again. This time Su Nanchen finally caught up with the rhythm. The tendon had just been handed over, and the tendon was about to be tidied up again, preparing for the reconstruction of the posterolateral and posteromedial structures. That's it.

Boss Cheng was on the sidelines, directing the nurses and doctors to keep up with the rhythm.

The rear fork can be reconstructed in a few clicks, with three structures each in the posterolateral and posteromedial areas. The knife is raised and lowered by hand, a small incision is drawn, the tunnel is opened, and the tendon is implanted!

Take one step, wait for a while, eight structures, double bundles of front and rear forks, and ten tendons are all implanted.

"Patch the joint capsule!"

Nima, the doctor holding the leg was trembling. He passed the needle and thread, and just watched, the needle went in and out, and in a daze, the joint capsule was repaired.

"Alcohol gauze!"

This is to disinfect the skin with 75% alcohol before suturing.

Well, I can finally relax. The muscles in the shoulders of the two nurses are sore due to tension.

The skin is also sutured, dressings?Dressing stickers?Dressing stickers?
Yang Ping asked three times before the nurse came to his senses, the operation was over, and dressings were required to cover the operation site.

After checking the stability and range of motion of the knee joint, the elastic bandage is wrapped, and the knee joint hinge brace is fixed, and the end is over.

Boss Cheng was tired, as if he was physically weak, and kept running behind, and finally reached the finish line.Standing in front of the screen with sweat all over my back, I can't describe the feeling in my heart.

I also have a background in arthroscopy, and now I am still doing surgery. My level is not as good as Su Nanchen, but I am confident that I can be regarded as a master.

Today's operation was performed, and I was afraid that I would make a joke when I went on stage.In less than an hour, a quadruple reconstruction was completed.

Su Nanchen also breathed a sigh of relief, just barely kept up with the rhythm when the speed was full.

The doctors onlookers also looked at the racing car, and their eyes were opened. No wonder Su Nanchen invited him, this guy has such a good surgery.

Yang Ping left the operating table and was about to take off his surgical gown. Jiahui was already standing behind him, and promptly helped untie the straps on his back.

"I'm going to wash my hands!" Yang Ping used to take off his gloves and wash his hands.

Jiahui immediately led the way and took Yang Ping to the sink.

Before Su Nanchen took off his surgical gown, Boss Cheng stood there, unable to react for a while.

Su Nanchen removed the brace and re-checked the stability of the knee joint. After checking several times, it turned forward, backward, varus, valgus, and rotated. It was very stable and not much different from normal. The wobbly knee before the operation The joint is gone forever.

"You brother, you're a bit perverted!" Boss Cheng squeezed out a word.

Su Nanchen put the brace back on, raised his head, and glanced at Boss Cheng. Boss Cheng immediately explained: "I said his surgery is so powerful!"

Boss Cheng couldn't find the right words to describe this operation, so he could only use the vulgar and exaggerated word abnormal.

"It's a bit!" Su Nanchen also felt.

It was the first time to actually watch Yang Ping perform an operation, and it was even more shocking than the video.

(End of this chapter)