godfather of surgery

Chapter 253

The iliac bone block was implanted to occupy the position of the 9th thoracic vertebra, restoring the sequence of the spine and correcting the kyphosis.

In the future, the 8th thoracic vertebra, the 10th thoracic vertebra, together with this piece of iliac bone, will heal together and become a fixed whole.

This completes the second and third missions of spinal surgery, orthopedics and stabilization.

Anterior lateral plate fixation was performed, the surgical area was flushed, a drainage tube was placed, the surgical incision was sutured in layers, and the chest cavity was closed.

"The skin you sewed last time, are you going to sew again this time?"

"This is my patient!"

"Do you talk about martial arts?"

"Sew together, and share half with you, shall we?"

"Stop arguing. In the future, whoever is the patient will sew the skin. If two people sew at the same time, it is easy to accidentally injure each other." Yang Ping reprimanded them.

Zhang Lin began to sew the skin triumphantly, holding the needle holder in his hand, using the force of the wrist, turning the wrist slightly, the horn needle enters the skin vertically, and comes out vertically.

"Knot it!" Zhang Lin urged.

Unwilling, Xiao Wu put the needle holder back into the sharps and started to tie the knot.

In Yang Ping's surgery, he doesn't like to sew the skin with a stapler, he likes to sew it up manually.

Song Zimo recalled the operation just now, thinking carefully and fearing, if Yang Ping hadn't taken an extra step to investigate carefully just now.

The patient could only sit in a wheelchair for the rest of his life. Just such a small operation changed a person's fate.

Doctor, you are walking on eggshells, how important is a serious attitude.

Seriousness stems from a high sense of responsibility and awe of one's own profession.

Although, in this condition, after the operation, the neurological function has not recovered, and it is considered normal.

Decompression only creates conditions for the recovery of nerves, and there is no guarantee that it will recover. For example, if there is an embolism of the anterior spinal artery, the nerve function will not be restored and it will become permanent damage.

However, it is very difficult to explore the anterior spinal artery, which requires experience in both spinal surgery and finger replantation. In fact, there are very few such doctors.

Professor Zhang Zongshun appeared in the operating room, and he personally interrogated the patients admitted in his outpatient clinic if their conditions were serious or complicated.

"Professor Zhang!" Everyone greeted respectfully.

Professor Zhang nodded, walked to the reading lamp to watch the film, and asked Yang Ping, "Xiao Yang, how is the operation going?"

"About 9 milliliters of pus was sucked out, and the spinal cord was severely compressed. The oppressive material in the spinal canal was removed, and a thorough decompression was performed. The [-]th thoracic vertebral body was resected, the iliac bone block was implanted, and the anterior plate was fixed." Respectful Yang Ping report on the operation.

Professor Zhang adjusted his glasses: "There is no sign of embolism on the MRI. It should have been embolized after the MRI. Have you checked the anterior spinal artery?"

"Investigated." Yang Ping accompanied Professor Zhang.

Professor Zhang pondered for a moment: "Very well, remember, the greater the ability, the greater the responsibility. Every operation must do its best. For you, it is an operation, and for the patient, it is the whole life—"

"Mr. Zhang, I remember." Yang Ping said respectfully.

"Tuberculosis, once thought to be far away from us, in fact it is not. It has signs of making a comeback."

"The struggle between bacteria and other pathogenic microorganisms and humans has never stopped. Humans research various drugs to eliminate them. They try their best to resist these drugs and avoid human killing. This kind of confrontation is endless. Super bacteria are Born out of this struggle."

Professor Zhang is always able to look at problems from a perspective other than medicine, such as the height of philosophy.

In 1882, German biologist Robert Koch discovered Mycobacterium tuberculosis, and mankind began to embark on a journey to conquer tuberculosis.

Later, inspired by cowpox, during World War I, French bacteriologist Albert Carmet and his assistant Jean Jielan developed the BCG vaccine for the prevention and treatment of tuberculosis. Only then can humans prevent this disease.

In 1943, the Ukrainian-American scientist Waxman developed the anti-tuberculosis drug streptomycin, and tuberculosis could be treated.

You know, before that, tuberculosis was also an incurable disease, and it was regarded as "the number one killer of human beings".

It can be both prevented and cured, and human beings can really conquer the monster of tuberculosis.

The rise of tuberculosis is now largely due to the emergence of drug-resistant tuberculosis.

Superbugs are the most powerful of drug-resistant bacteria.

Many people are contributing to the birth of superbugs.

When you indiscriminately take anti-inflammatory drugs when you have a cold, you are doing your part.

Nowadays, the management of antibiotics is very strict, and a doctor's prescription is required to buy medicines in pharmacies.

In the past, antibiotics could be bought at any pharmacy. As long as you have a cold, you should take a few anti-inflammatory drugs. In fact, colds, the scientific name of acute upper respiratory tract infection, are mostly caused by viral infections and do not need antibiotics.

"There are still patients waiting in my outpatient clinic. I will go down first. This patient's neurological symptoms will recover slowly, and the recovery process will be parabolic. It will first increase and then gradually decrease. Explain it clearly to the patient."

After speaking, Professor Zhang looked at Fang Xiaoyun's monitoring data again, asked the fat man a few words, and left the operating room with his hands behind his back.

Yang Ping is also thinking about this matter. After the compression is relieved, edema will appear in the spinal cord, and the neurological symptoms will aggravate. After the edema subsides, the neurological symptoms will gradually recover.

After the skin was sutured, Zhang Lin used alcohol gauze to disinfect the surgical incision again.

"Fifth brother, is it okay, at this level?" Zhang Lin was very satisfied with his work.

"It's still a bit late, next time I'll sew it for you." Xiao Wu didn't agree.

The dressing was applied to cover the incision, and the operation was successfully completed.

The recovery from anesthesia was quick, and Fatty's estimation of the operation time and control of the amount of anesthesia were very accurate.

"Fang Xiaoyun, wake up, the operation is over."

The fat man yelled at Fang Xiaoyun, the suction device cleared the secretions in the airway, and the endotracheal tube was pulled out smoothly.

"Doctor, will I be paralyzed?" Fang Xiaoyun's first words when he woke up.

Not only her, everyone is afraid, as long as they lie on this bed, there is no one who is not worried, and some people will worry about whether they can wake up when they lie down.

"The operation went well. Let's recover slowly after the operation." Yang Ping comforted Fang Xiaoyun.

"Give her standard anti-tuberculosis treatment after surgery."

"The Department of Infectious Diseases has been consulted with the plan."

Fang Xiaoyun launched the operating room, and her good colleagues have been waiting.

"Doctor, how was the operation?"

"Very smooth!"

"Thank you!"

The colleague was carrying a backpack and walked with the cart: "Don't think about anything, rest at ease and recuperate. I took a few days off to take care of you."

This sister is really nice, she doesn't make many friends, it's because of her true feelings.

"You sisters are not bad, what unit do you work in?" Zhang Lin gossiped and asked Fang Xiaoyun's colleague.

The girl blushed immediately, as if she was embarrassed to say it, hesitated for a while, and then said: "A foot bath center, very formal, not the kind—"

She could have made up an answer at will to avoid other people's guesses, but she didn't.

They wash and massage the feet of customers. They are people living at the bottom. They also have their own dignity, their own life, and their own friendship.

"It's good. Foot bath actually requires a lot of knowledge. You need to be familiar with the acupoints of the feet, right?" Yang Ping helped her resolve the embarrassment.

"Yes, regular foot massage can play a role in health care, especially for sub-healthy people." The girl said confidently.

Fang Xiaoyun did not join the chat because of lack of energy after the operation.

"A few days after the operation, the numbness and weakness of the lower limbs will get worse, and then gradually relieve, so don't worry too much." Yang Ping told Fang Xiaoyun and her colleagues.

I explained it before the operation, and now I emphasize it again, so as not to cause panic.

I had two surgeries today, and they were very good. After the bed, everyone went back to the doctor's office.

"Shall we get together on weekends? It's been a long time since we got together," Song Zimo suggested.

That's right, the brothers haven't sat down to drink something for a long time. Even if you don't drink, drinks are fine.

"You arrange the location." Yang Ping was not familiar with these.

Song Zimo suggested: "Recently there is a bar in the city called Nianfeng. I heard it's quite popular, but I haven't been there. Let's go and have a look."

"If you haven't been there, go try something new, and I've heard of it." Xiao Wu also heard of this bar.

"Just go here. I'll be the host. Everyone has worked hard recently." Yang Ping decided on the spot.

(End of this chapter)