godfather of surgery

Chapter 188 Birthday Party
Sisi's X-rays, CT, MRI, and PET-CT are all opened on the large electronic reading screen.

The last operation in a foreign hospital had amputated about [-] centimeters of the mid-femur. In order to gain the function of the lower limbs as soon as possible, a custom-made titanium alloy prosthesis was used to bridge the femur to make up for the [-] centimeters missing. Both ends of the prosthesis were inserted The medullary cavity is fixed with bone cement.

This is a palliative approach, the purpose is only to allow her to obtain a functional lower limb within a limited time, able to walk, and easy to care for.Her osteosarcoma has metastasized to multiple places throughout the body. Other methods, such as fibula transplantation, bone allograft transplantation, or Ilizarov bone extension technique, are not suitable, and the recovery time is too long, so it is not suitable for a patient with advanced tumors.

"Can a total femoral prosthesis be replaced? With 3D printing technology?"

Song Zimo suggested that the 3D printer in the orthopedic laboratory can already be used. This machine is of industrial grade, which is equivalent to a 3D printer bed.

Yang Ping shook his head: "As an organ, the femur is not a simple replacement. There are many muscles attached to it, and there are joint capsules and ligaments attached at both ends. These tendon soft tissues are firmly attached by the tendon-bone healing mechanism. The ligaments and ligaments maintain the static stability of the hip and knee joints, and the muscles not only maintain the dynamic stability of the joints, but also provide the power for movement. To perform total femur replacement, the problem of soft tissue attachment needs to be solved, otherwise the femur can only play a supporting role. There is no motor function, and even the supporting function can only be played a little bit. The human body's soft tissue and bone can heal, but artificial materials cannot heal. If this problem is solved, it is estimated to be a breakthrough in orthopedic technology. We cannot use this method at present. However, we can do a project to study it."

"Amputation?"

Xiao Wu's opinion, since it cannot be replaced, can only be cut off.

This is a feasible solution. The tumor and the femur that invaded are resected. However, after the resection, only two ends of the femur are left. The right lower limb will lose its function due to the loss of the femur, and the custom-made prosthesis has been used. Unable to gain effective control.

"It has already spread all over the body. Amputation is of little significance. Keeping limbs, at least the psychological feeling is much better."

Zhang Lin also expressed his opinion, everyone was very positive, if he made a mistake, Yang Ping would not criticize them.

"What's your opinion? Brother?" Song Zimo watched Yang Ping turn over the film, but he never expressed his opinion.

"The prosthesis bridging the femur was taken out, the tumor and the femur invaded were cut off, and the bone was lengthened using the Ilizarov technique to give her a normal femur." Yang Ping said after a long thought.

Song Zimo thinks this method is too idealistic and unrealistic: "She is in the advanced stage of osteosarcoma. Are you treating it like this to cure it? Impossible."

Song Zimo didn't say the cruel subtext: her survival period may be shorter than this extended duration.A progress of one millimeter per day, even twenty centimeters, would take more than 200 days. Can she persist for so long?

"I know that a cure is impossible, but I want to work hard in the best direction, and go as far as I can." Yang Ping is very determined, he wants to fight, even in a Don Quixote style.

Everyone was silent, and Yang Ping continued to flip through the film by himself: "I know that she should give up medically in this situation, but I want to work hard and work towards the best goal, even if it takes one step forward, that's fine!"

Song Zimo put his hand on his shoulder: "I don't agree with your point of view, but I support you."

"I support it too!" Zhang Lin Xiaowu also cast an encouraging look.

"Using the infrared navigation equipment in the operating room, give her a three-dimensional reconstruction of the infrared scan of the tumor, use indocyanine green for contrast, and then integrate the three-dimensional reconstruction images of CT and MRI to obtain a complete tumor image, which is imported into the surgical navigation system host , when the time comes, we will use infrared navigation to perform surgery." Yang Ping moved his hand away from the mouse.

"These reconstructions are all done by their respective machine software and cannot be combined into one image." Xiao Wu is familiar with medical equipment.

Yang Ping told Xiao Wu: "We design a software for comprehensive reconstruction. Xiao Wu, don't you have expertise in this area? You can find a few students from Nandu University of Technology to cooperate and do it together."

"This project is huge!" Xiao Wu used to help his tutor do these things in school.

"It's not big, so it's not called a project anymore. Going to the moon is also difficult, but it's still possible. Song Zimo, you take them to set up this project. You don't need to apply for other projects, just apply for the Overseas Chinese Fund of the hospital. It's so fast." Yang Ping gave Everyone is confident.

Hearing that Yang Ping had made up his mind, everyone was also very encouraged and eager to try. Brother, this is going to make some big moves, have some scientific research results, write high-quality papers, and everyone will evaluate their titles in the future.

The soul of a team is very important. He must have the right direction and firm determination, just like a flag erected, so that everyone can gather under the flag and move unremittingly towards the goal. Yang Ping has achieved this.
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"Saturday is my birthday. I will hold a birthday party at home in the evening. If you have time, you must come. They are all from our circle. Shao Wei and Lao Zhou will come. By the way, I will introduce some friends to you."

Just after discussing Sisi's condition, Su Nanchen called to invite her instead of sending a WeChat message.As a friend, you must go to participate, but you can't go empty-handed, you have to bring some gifts.

Yang Ping is in a dilemma, he is really not good at giving gifts.He called Song Zimo, Xiao Wu, and Zhang Lin over to discuss the matter together.

Everyone said something, and I said nothing, but none of these old men came up with a good idea, such as sending high-end pens, surgical goggles, or the latest English monograph on orthopedics, all kinds of ideas.

Let's go to Xiao Su, girls should know more, Yang Ping went to Xiao Su again, and discussed with her: "What kind of gift do you think I'm giving, it's impossible to seal a red envelope, it's so tacky."

Xiao Su had a lot of ideas, thought for a while and said: "I have an idea, you are all fans of surgery, let Xiao Wu and the others help you make animation demonstrations for the reconstruction of multiple ligaments in the knee joint and shoulder joint, the key steps The operation and the mysteries of the operation are explained thoroughly. Combining the video of your usual operation, burn it into a set of CDs and give it to him as a gift. Come and help you find someone to do it, and it will definitely satisfy your friend."

"Great! That's a good idea. It seems that it's easy to use your brain for surgery. You really don't know anything about these things in life. Xiao Su has a good idea. This gift is ingenious and very valuable, so it's decided." Yang Ping made a decision at the moment.

Then I approached Song Zimo, Xiaowu Zhanglin and three people, and asked them to help make animations and burn CDs.Song Zimo has done so many operations with himself, and he is well versed in the mysteries of such operations. Xiao Wu will make animations, and Zhang Lin will be in charge of text explanations. This is how it is finalized.

"One meal, the place can be chosen at will! It must be completed before Friday night." Yang Ping made a condition.

"Choose whatever you want? Really." Xiao Wu smirked.

Yang Ping hesitated for a moment: "We are all brothers, if you look up and see you down, be a little gentler."

"It's only a few days, I'm afraid it's too late, isn't it?" Song Zimo shook his head, looking very embarrassed.

"Yes, time is so tight, just make a PPT, animation is too time-consuming."

"Written explanations need to express their ideas, and it is not something that can be thought of in a few days."

Yang Ping looked at these guys, conspired with each other, and shook their heads, looking like "it's hard, it's hard!".

"Okay, you can choose any location, and I don't care about the severity of the attack." Yang Ping understands these things.

"Well, although time is tight, it shouldn't be a big problem for everyone to work overtime." Song Zimo immediately changed his words.

Zhang Lin Xiaowu also echoed: "We are all brothers, let's work overtime and make sure the delivery is before Friday night."

A bunch of foodies!Yang Ping urged: "Call the fat man too."

Zhang Lin was in a hurry: "Why did you call him up? Are you really desperate? He can't help with work, and he pays for a few when he eats? Double the bill for you!"

"If you go all out, ask him to help you choose a place and order food. None of you can compare to his professionalism." Yang Ping explained.

Everyone does not refute, this is the truth, when it comes to food, when it comes to professionalism, Fat Brother really kills everyone in seconds, after all, he used to be the president of the food association.

"Bring your girlfriend here!" Su Nanchen sent a WeChat message.

What should I do with this matter, take Xiao Su there?Wanting to find Xiao Su again, Yang Ping went upstairs, rang the doorbell of the operating room, and Xiao Su came out.

The door of the operation opened, and Yang Ping didn't go in. Standing at the door, he showed Su Nanchen's WeChat: "He asked me to bring my girlfriend along? How can I reply to him? Are you free to go together?" Yang Ping His face was a little red.

Xiao Su chuckled, and then looked very embarrassed: "I'm sorry, I'm going home on Saturday night. It just so happens that I have family members who have birthdays, so I can't accompany you."

"What a coincidence!" Yang Ping was a little disappointed.

"How about? Let me tell my family and accompany you there?" Xiao Su lowered her head and pursed her lips.

"That won't work. I can go alone. It is necessary for you to accompany my family. I don't have to ask you to accompany me. It's okay. I'll just explain to him." Yang Ping said.

"There is no need to explain, the more you explain, the less clear you will be."

The mobile phone is in Xiao Su's hand. Xiao Su holds the mobile phone and flicks her fingers: "Huh! I'll help you reply, tell him directly that you haven't talked about your girlfriend yet, let's see what he means, it won't be to test you, I want to give you Would you like to introduce your girlfriend?"

"No, are you angry?" Yang Ping heard Xiao Su hum.

Xiao Su pouted: "I won't be angry. I'm glad someone is so active in introducing you to your girlfriend. Haha, it means I have good vision. Maybe there is a younger sister in his family who wants to introduce you. You have a predestined relationship with someone surnamed Su."

"Don't think too much, I just mentioned it casually." Yang Ping said.

"If he introduces a girlfriend to you, you won't be tempted, will you?" Xiao Su's long eyelashes flickered.

Yang Ping shook his head: "I want to move my heart, but I can't."

"you--"

"Because my heart is already filled with one person."

Xiao Su turned angry into a smile, stretched out a finger, and lightly touched Yang Ping's forehead: "It's not too bad."

(End of this chapter)