godfather of surgery

Chapter 201 A powerful opponent

The training is carried out in an orderly manner.

However, many things cannot be improved in a short period of time, so do your best and hope not to fall too far.

The Department of General Orthopedics hardly accepts patients now, and several people in the training group conduct training full-time.

Other doctors have different free time due to duty, surgery and other reasons. In addition to regular training every night, the training team also trains colleagues who are free during the day from time to time.

Director Han has always been frowning. In the face of a strong enemy, let him lead the strong troops of the Magic Six to compete with the Affiliated Hospital of the University of Tokyo.

Director Tan is a bit regretful now, it’s all his own fault. Originally, he wanted to use the academic meeting to show the strength of Sanbo Trauma Orthopedics Department, but who knew that Fujiwara joined in, and now Director Han is stumped, and the entire Trauma Orthopedics Department It's hard to get off, it's hard to get off.

If we only compare the doctor's personal skills, Director Tan's unyielding temper will never regret it, no matter whether he wins or loses, he will fight hard.

But now, the competition is the strength of a team, the quality of doctors, team coordination, equipment, systems and processes, medical concepts, etc.

In the afternoon, when no one came to the training, Director Han called Yang Ping and several members of the training team into the office, and Director Tan was also inside.

Director Han turned his computer screen around, facing everyone, and played another video for everyone to watch. This video was Takahashi Fumiya's operation.

"This is a message from a friend of Director Tan from Tokyo. This is their recent surgery video. The video you saw before is already a few years ago. The video of Masao Fujiwara is more than 20 years ago."

Director Han wanted to knock on the table with his fingers, but he didn't. He said, "Let's take a closer look and learn more. This time we have a learning attitude. In the future, five years later, ten years later, 20 years later, Hope to surpass them."

The implication is that this time is impossible!

This is not to increase the prestige of others and destroy one's ambition. This is to seek truth from facts. It is useless to shout slogans at the top of your voice. Scientific things are all real swords and guns.

Fumiya Takahashi, one of Masao Fujiwara's outstanding students.

In the video, he is performing an operation. Whether he is operating alone or with the help of an assistant, his hands are as steady, accurate, light and fast as a magician. In his hand, it was as if stuck, no matter how he played, he would not let it go.

Yang Ping stared at the screen. Director Han adjusted the video to slow-motion. For this operation, Takahashi had only one assistant, and the assistant was almost only responsible for revealing, which was equivalent to Takahashi operating alone.

Stitch!One-handed suture, there are continuous ones that are knotted at the end; there are also intermittent ones that are knotted with each stitch; there are also double-threaded two-handed sutures; different tissues use different sutures, and one operation has performed at least Three superb stitching techniques.

Late last night, Yang Ping and Song Zimo were still discussing the method of suturing. Now, the three suturing methods deduced by Gao Qiao are more advanced than those discussed by Yang Ping and Song Zimo.

Song Zimo looked at Yang Ping, and Yang Ping looked at Song Zimo with big eyes and small eyes. How to play this? After studying for a long time, I only developed one. Others have deduced three, and they are obviously simpler and more effective than the ones created by myself.

What about the suture method of two hands, holding a needle in one hand, dazzling, the inside is bloody and bloody, it is difficult to see how to suture from the trajectory of the hands, and it can still be sutured like this?
Suture is just an item of surgery, and the gap has already been reflected, so let's continue to look back.

Around the operating bed, there are several transmitter-receiver-like things that seem to be capturing information from different angles.

"This is the latest infrared surveillance equipment. It is at least one generation ahead of the latest product in the market. It was designed in cooperation with the University of Tokyo Hospital and Toshiba. It is still in the experimental stage and there is no product on the market." Director Han explained.

A high-definition screen hung in front of Takahashi, just like Yang Ping usually does arthroscopy, with a screen hanging in front of him.On the screen, a three-dimensional digital human figure can be rotated to any angle.

On the image, the direction of the blood vessels is clear, the location of the injury is also clear at a glance, the location of the bleeding, the speed of the bleeding, and how much blood has been leaked are clearly displayed.

Moreover, Takahashi's surgical instruments were also displayed on the screen. Takahashi didn't need to look at the patient at all, just looking at the image, he directly found the blood vessel with the highest priority and successfully stopped the bleeding.

"This infrared monitoring device is simply an artifact for trauma first aid. They have mastered many kinds of infrared contrast agents. You see, this is the blood vessel imaging on the image. It uses a unique contrast agent. This contrast agent can personally Hemoglobin, they inject this contrast agent into the patient, and on the infrared monitoring screen, the direction of the blood is clearly seen, and their image is real-time, dynamic, and functional, not only reflecting the anatomy, but also reflecting the function. Even the flow rate, bleeding volume, and degree of ischemia and hypoxia in the patient's various organs are monitored. They have a calculation model for the time the human body can last. They can perform calculations based on the monitored data, make judgments, and guide doctors to rescue. "

Takahashi is very familiar with the use of these devices, and he has almost achieved the integration of man and machine. He can treat a blood vessel in a few seconds under the monitoring of the device.

In trauma surgery, if the bleeding problem can be dealt with, almost half of the patients can be rescued, and other deaths caused by damage to vital organs such as the lung, heart, and brain account for only the other half.

Judging from the video, the patient had multiple hemorrhages all over his body, among which the subclavian artery was ruptured and the blood vessels retracted. Under surveillance, Takahashi directly inserted the vascular clamp into the wound, clamped the blood vessels, and stopped the bleeding.

In this way, he dealt with a bleeding point in a few seconds, first controlled the bleeding, and then for these blood vessels, the anastomosis that should be anastomotic, the ligation that should be ligated, in a clear and rhythmic manner, a seemingly irreparable trauma, in his hands It's a breeze.

It seems that the opponent is stronger than imagined, with high-quality doctors and advanced equipment, it seems that the gap cannot be filled.

"Don't put too much pressure on everyone and do what we should do. There must be some gaps in this live broadcast. It is impossible to level up in a short period of time. They are world-class. We must correct our mentality and have a learning attitude. Show your strength."

No one here disagrees with Director Han's opinion, and it is helpless to say this.It's like you see a house worth tens of millions, but you only have tens of thousands of dollars in your hand. You can only say: "Work hard and buy it later!"

Apart from that, there is no other way. Could it be that if you shouted: "I can definitely buy it!", the real estate developer would be merciful and sell it to you for 1 yuan after the discount?
Facts are facts. Well-trained doctors, advanced equipment, and advanced concepts cannot be surpassed by just training, but training must be done. Even if there is a gap, the gap is not enough to be dignified.

Takahashi found a large bleeding point in a few seconds, Yang Ping dare not say so fast, after all, there is a certain gap between imaging and reality, imaging is static, and the patient's injury is dynamic.

Yang Ping can use imaging examinations to create an image in his brain to guide himself to undergo surgery, but there are still deviations, and it is impossible to monitor in real time like they do.

Sanbo's infrared navigation is cumbersome to operate, and it is impossible to clearly contrast blood vessels at all, and it is even more impossible to draw a three-dimensional digital human body figure like them, showing where the body is injured, how the situation is, anatomy and function.

Doctors like Takahashi operate under infrared surveillance. This combination of hand, brain and equipment is no different from Yang Ping's arthroscopy, and he can do whatever he wants.

Watching Takahashi looking for the subclavian artery, looking directly at the screen, the large curved forceps were stretched in, clamped the broken end of the blood vessel, pulled it out, and pulled out the other broken end in the same way, and then performed the blood vessel anastomosis, which took only a minute or two.

After controlling the bleeding all over the body, I immediately began to repair the damaged tissues and organs. I felt that the operation was done very well, and the thoracic and abdominal cavities were still performed by laparoscopy.

Although thoracoscopy and laparoscopy are both laparoscopy and arthroscopy, they are quite different. Without the experience of thousands of operations, it is impossible for Takahashi to be so proficient.

Yang Ping has never been in contact with thoracoscopy and laparoscopy, and Director Han knows it well.

In addition to Takahashi Fumiya, there is also Sasaki Jiro, who is said to be more talented than Takahashi.

(End of this chapter)