godfather of surgery

Chapter 305 Disappearing Intervertebral Disc
After the operation, Director Gao felt a little less confused and a little more understanding.

He knows in his heart that this is more rewarding than going to any other place for further study. There are not many doctors in the country who can reconstruct the multiple ligaments of the shoulder and knee joints, and he will be counted as one in the future.

Taking advantage of Yang Ping's free time, Director Gao decided to ask him to guide more surgeries. Since he will be busy in the future, he will not even be able to climb this big tree.

"Director Gao, I still have a few operations in progress, I'll go back first." Yang Ping greeted Director Gao and prepared to retreat.

Director Gao hurriedly tossed the finishing work to the assistant, tore the tape by himself, took off the disposable surgical gown, and followed him: "I'll see you off, I've gained a lot today, and I have a little more understanding of the starting and ending points of these ligaments." , There is quite a big difference between single ligament reconstruction and multiple ligament reconstruction, and balance adjustment is really a superb skill.”

"You have basically mastered the static balance adjustment now, and you need to work on the dynamic balance. The data I gave you, you can think about it when you have time. Don't stick to those data, and look at those data in relation. Why does a ligament start and stop? Change a little, and everything else will change, and the mystery lies in it." Yang Ping helped him summarize the current learning situation.

"Thank you, Teacher Yang!" Director Gao was very grateful for Yang Ping's unreserved.

Teacher Yang called out sincerely and involuntarily. Yang Ping was taken aback for a moment, and joked, "Don't call me that, call me old, just call me Doctor Yang."

"Alright, let's call you Dr. Yang. Those who are capable are teachers. If it weren't for you to teach me how to do it, and rely on me to catch mice, I haven't started multi-ligament reconstruction yet." Director Gao is not flattering, multi-ligament reconstruction , Many doctors say it can be done, but it is just to implant the tendon, and there is no actual function after the operation, just like an exam, you can finish the test paper, but the score is only [-] or [-] points.

There are only about ten doctors in the country who can really pass the reconstruction of multiple ligaments of the shoulder and knee, and among those few doctors who can achieve a good score, there is only one Yang Ping who can achieve such a high score as Yang Ping.

"I'll go to other operating rooms. You can go back. Don't be too polite. We are all on our own. If you need anything, please call me." Yang Ping felt that Lao Gao was very motivated and was willing to teach him.

"Then I'll send it here, and you can go around on your own." Director Gao waved his hand.

Yang Ping saw that there were not many people in a spinal surgery operating room, so he wanted to go in and have a look.

Recently, he participated in the orthopedic surgery training in the system space, many of which are related to the spine, such as lumbar disc herniation, cervical spondylosis and so on.

This operation has not yet started, the patient is under anesthesia, his expression is very painful, and his facial muscles are almost distorted.

The patient's X-ray, CT, and MRI were hung on the reading light. Director Qin and his subordinate Dr. Wen were watching the film and discussing the key points of the operation.

Dr. Wen is also a celebrity in Sanbo Hospital. His full name is Wenzhong, nicknamed Taishi. This person is professional in business, unkempt, often wears a chicken nest, and talks about it while walking, but his IQ is absolutely high, and his hobbies are also good. Guang Guang, who is proficient in all kinds of chess and calligraphy. The hospital held a chess match. He and Song Zimo fought in the dark. He had no choice but to meet a genius. Take nitroglycerin.

Yang Ping also went over to see that the lumbar 1/2 intervertebral disc prolapsed, free type, a disc fell into the spinal canal, it was quite big, almost half the size of a thumb, the spinal canal was severely narrowed, and the nerve was squeezed.

Dr. Wen turned around, saw Yang Ping, and immediately introduced his condition: "This patient is a 35-year-old male, a taxi driver. He was admitted to the emergency department. He suffered from severe pain on the inner side of his left thigh. The pain was unbearable. The patient was rolling on the bed. Drops of mannitol and corticosteroids are useless for wool, so he has to be operated on in an emergency."

The so-called lumbar intervertebral disc herniation does not mean that the diagnosis of lumbar disc herniation can only be made if one sees a lumbar disc herniation on an X-ray, but only when there are related symptoms, such as low back pain or leg pain, can a lumbar disc herniation be diagnosed.

Lumbar intervertebral disc herniation, sometimes the pain is terrible, Yang Ping has seen a muscular man, because of the pain of lumbar disc herniation, he cried and cried his mother, this is --- low back pain is a minor disease, the pain is really terrible!

About 90%-95% of patients with this disease can be treated conservatively, only 5%-10% of patients need surgery, and the proportion of surgery is very small.

Which require surgery?For example, if it causes weak defecation and urination; leads to decreased sensation and muscle strength of the lower limbs; obvious low back and leg pain, and regular conservative treatment fails for half a year, seriously affecting work and life, these need to be considered for surgery.

Minimally invasive spinal surgery is developing very well now. Young people with simple lumbar disc herniation can generally do minimally invasive surgery, just remove the protruding intervertebral disc.Major surgery, pedicle screws, and intervertebral bone fusion are only considered for elderly patients with spinal instability.

"I'm going to do intervertebral foramenoscopy, remove the free intervertebral disc, and then dig out the remaining intervertebral disc in the waist 1/2." Director Qin also saw Yang Ping and told his surgical plan.

椎间盘是椎骨之间的圆盘垫结构，平时起到缓冲应力的作用，腰椎有5个，一般腰椎间盘突出发生腰5/骶1、腰4/5、腰3/4这3个节段。

Like this patient, the intervertebral disc herniation occurred between the lumbar 1/2, which is very rare. The spinal canal here still contains the spinal cord, so you must be very careful when performing a transforaminal endoscopy.

The anesthesia was successful, and the body position was adjusted. The prone position rack was specially used for spinal surgery. The patient was in a prone position and lay on the rack. Dr. Wen took someone to brush his hands and prepared to disinfect the sheets.

"How is it? Do you have any suggestions?" Director Qin asked for Yang Ping's opinion.

Director Qin felt that it was absolutely impossible for him to humbly ask for advice like Gao Yuan did, but it was still possible to discuss it.

"Director Qin is an expert, and I am also here to learn." Yang Ping said modestly.

This kind of operation is not difficult for a spinal surgery expert. As long as the positioning is accurate, the intervertebral disc can be found after entering the transforaminal mirror, taken out with nucleus pulposus forceps, and then the residual intervertebral disc in the lumbar 1/2 is properly removed. The operation was a success.

Yang Ping invited Xiao Su to eat in the dining hall at noon, and he didn't have time to watch the operation, so he said hello to Director Qin and left the operating room.

After going through the lobby of the surgery building, Luo Jin's promotional video, after several revisions, was finally finalized and played on a loop in the lobby of several buildings in the hospital.

The appeal of art is extraordinary. Luo Jin's sweaty shots, combined with music, are very appealing, interpreting the spirit of love, hard work and perseverance.

After a series of shots, the last one was the shot of Luo Jin shooting the goal, and then a few shocking words appeared in the background of the screen: We let you go on - Sanbo Hospital Sports Medicine Center!

It’s so wonderful, the purpose of Xuan is to plant a concept in people’s brains, and then keep strengthening it, and finally let you have a sense of trust in it.

Who directed this promo?He really understood the essence of the propaganda. Yang Ping, after reading it by himself, immediately had a feeling: the Sports Medicine Center of Sanbo Hospital is trustworthy!

Many patients stopped to watch the promotional video on the big screen. Some young people who were familiar with Luo Jin took out their mobile phones to take pictures and record videos.

Luo Jin fell down in the face of injury, pain and illness several times, but he stood up again, and the more he fought, the more courageous he was. He is a horse on the football field. Compared with other players, his background is not rich. He is an orphan and was adopted by a physical education teacher. , and then step by step to today, it is very difficult.

"They did Luo Jin's surgery?"

"Yes, I heard that you can participate in the competition in June this year."

"It's amazing!"

"I thought he was going abroad for surgery."

"Our Chinese doctors are no worse than foreign ones."

Several young people were discussing, and one of them had sent the video just recorded to a friend. The anterior cruciate ligament of the friend's knee was torn, and he was hesitating which hospital to go to for surgery.

Dean Xia and his team were rushing through the hall. He was checking the listing of the Sports Medicine Center. When he saw Yang Ping, Dean Xia greeted him: "Xiao Yang!"

"Dean Xia!" Hearing his loud voice, Yang Ping realized that he was focusing on the promotional video just now.

Dean Xia glanced at the screen: "How is it, is the filming okay?"

"It's great!" Yang Ping praised.

Dean Xia is very proud: "The passionate director of the top students of Peking University, the performance of the first-line football stars in the country, there is nothing wrong with it, Xiao Yang, any ideas and difficulties at work, he will be brought up in time, and if there are any problems in the family that need the hospital to solve, It can also be mentioned that we are doing logistics services for you.”

"It's all very good." Yang Ping really felt that Director Han and Dean Xia treated him well, and they provided all the conditions that should be provided.

Dean Xia was very busy, chatted with Yang Ping, then hurried through the lobby, and the group got into the elevator.

He came early, and there were not many people in the dining hall. Xiao Su had already packed the food and waited for Yang Ping. The two sat in the corner and chatted while eating.

Halfway through the meal, the mobile phone rang. Dr. Wen from the spine surgery department said that it was the patient who was on the operating table just now.hell!

Positioning wrong?Got the wrong section?
This patient has neither lumbar sacralization nor sacral lumbarization. The normal spinal sequence has no variation, and the possibility of misalignment is almost zero. They are all old fritters who have seen strong winds and waves. Not to mention Director Qin, Dr. Wen is also a With a good hand, it is impossible to make such a low-level mistake.

But when I called at this time, it was to ask for help. If someone said that the intervertebral disc was missing, it was really missing, otherwise I would not have called rashly.

Rescuing Taiwan was urgent, Yang Ping hung up the phone, took a few mouthfuls of the food on the plate, and stuffed it all into his mouth.

"Spine surgery, Director Qin's patient is undergoing surgery. The intervertebral foramina mirror entered the spinal canal, and the prolapsed intervertebral disc has disappeared. I want to see it." Yang Ping put down his chopsticks.

Xiao Su helped to pack the tableware: "Shall I go with you?"

She was also very interested, and wanted to go with Yang Ping to see how the intervertebral disc disappeared.

"I really like going to consult with you for surgery or something, but I'm too embarrassed for fear that others will say that I'm clinging to you." Xiao Su said blushing.

"Let's go and have a look." Yang Ping decided to take her along.

"Wait for me, I'll put down the tableware." Xiao Su held the plate.

(End of this chapter)