godfather of surgery

Chapter 555 Sesame and Watermelon

Back in the ward, Cui Xubing's wife Guo Liu quietly asked, "How is it?"

Cui Xubing replied with a mysterious smile: "It's done."

Both husband and wife are at ease, otherwise they are afraid that the child's operation will be performed by an intern. If such an important operation is performed by an intern, even if it is successfully completed, the best results will not be achieved.

I don't know where they heard the gossip that if they are uncomfortable, the operation will be done by interns.

In fact, which hospital intern can be the chief surgeon?

Looking at the whole country, I am afraid that there is no hospital that allows interns to operate independently.

Not to mention the main surgeon, in large tertiary hospitals, there are not many opportunities for interns to be serious assistants on stage.

The graded management of surgery in the hospital is very strict. Even a genius like Yang Ping has to go through a process to obtain surgical permissions in order to have high-level surgical permissions.

For example, let a qualified doctor guarantee. Yang Ping used to be like this. Yang Ping was the surgeon. The name of the surgeon was Director Han. Director Han signed and confirmed that Director Han would take full responsibility if there was any problem with the operation.

Another example is now, follow the process of low-level and high-level employment, obtain high-level professional titles through shortcuts, and then authorize according to the highest surgical authority corresponding to the professional title.

The so-called intern performing the surgery is just a fantasy in Cui Xubing's mind.

And those relatives and friends who claim to know the inside story seriously suggest to deepen this illusion in their hearts.
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Cui Shukai's scoliosis, a big C shape, reached 176 degrees.

This kind of severe scoliosis is only six years old and is in the growth and development stage. Once it is not handled well, it will be very troublesome.

Using the innovative spinal external fixator technology, many problems can be easily solved.

Yang Ping was sitting in the office, facing the computer screen. Cui Shukai's [-]D CT reconstruction image of the spine was floating on the computer screen. He was planning some details of the operation.

Traditional surgery can only select a few key osteotomy points, use osteotomy to restructure the spine, and then the vertebrae will heal at the osteotomy site.

Just like a bent and inelastic stick, it is cut into several sections, and the joint is wedge-shaped osteotomy, and the excess part on the convex side is removed, so that after reorganization, the deformity can be partially corrected.

In Yang Ping's new method, each vertebra involved in the deformity is an osteotomy point.

It does not require amputation of excess bone on the convex side, nor does it require complete amputation of the vertebrae for rehealing.

In this method, the concave side of each vertebra is cut, and the bone is not cut, and then the external fixator of the spine is installed, and the osteotomy is distracted into osteogenesis by using Irizalov's principle.

The selection of the vertebral osteotomy site can not only distract the osteogenesis, but also try to avoid damage to the epiphysis.

It is equivalent to this curved stick without interruption and reorganization. It can be imagined that it has plasticity and can be straightened slowly. Under the control of the external fixator, the concave side is slowly extended, and naturally, the spine will gradually straighten. The whole process is Dynamic.

Irizarov's theory is widely used in limb orthopedics, which can achieve very satisfactory results for some limb deformities that traditional surgery is helpless. Now Yang Ping has finally successfully applied this theory to the field of spinal orthopedics.

If relying on the experience of the chief surgeon to find the insertion point and direction of the osteotomy line and pedicle screw, extensive experience is required.

Leave this task to computers and surgical robots, and the critical steps of surgery are rendered foolish.

Through computer simulation and calculation, determine the precise position of the osteotomy line, as well as the insertion point and direction of the pedicle screw, and then pack these data into the surgical robot host.

During the operation, the surgical robot can perform precise positioning according to the real-time perspective image, so as to be safe, fast, precise and minimally invasive.

Huang Jiacai delivered the equipment himself. He used a cart to send two large boxes of equipment to Yang Ping's office for Yang Ping to have a preoperative examination.

Two equipment boxes were opened on Yang Ping's desk.

One set is the percutaneous pedicle screw system. These pedicle screws will be drilled percutaneously into the pedicle of the vertebra and into the vertebral body.

Each screw is partly exposed outside the skin and becomes the connection point of the external fixator.

The other is the box for the external fixation frame of the spine. These external fixation frames are a large frame, and then many small frames are matched.

The large frame and the small frame carry out bone transport together, and the bone transport is distraction osteogenesis.

Turn the control knob of the large frame, and all the osteotomy sites will be transported at the same time, while the micro small frame will only carry one osteotomy site when the knob is turned.

The large and small frames are exquisitely designed and cooperate with each other, so that the correction of the spine occurs on all the vertebrae involved in the deformity.

Cui Shukai will regularly review the X-rays after the operation, and can also adjust according to the re-examination X-rays to control the speed of bone transport in various places, so that the spine can be accurately transported according to the expected route.

Generally, 7-10 days after the operation, the knob is turned to start transporting. According to the transporting speed of 1 mm per day, the bone transporting of 3 cm can be completed in one month.

In this method, the correction is distributed to all responsible vertebrae, so even the largest vertebral body with bone displacement is only 3 cm.

In addition to the rest period during the transfer and the solid period after the transfer, it is estimated that the orthopedic surgery can be completed in about three months.

Straighten a C-shaped spine in three months with the lowest chance of neurological complications because it is a slow correction.

Looking at the exquisite equipment on the desk, Yang Ping himself felt that this was a genius idea.

"Cui Shukai's CT scan data has been sent to Professor He. We are waiting for his data package. Once the data package is ready, it can be put into the surgical robot host, and the robot can use these data for navigation."

Huang Jiacai is also full of confidence in this set of equipment, which is Ruixing's core product and a powerful weapon to compete with giants.

"Professor, in order to open up the market as soon as possible, I plan to completely release the patent of this device and let the whole world use it for free." Huang Jiacai asked tentatively.

Yang Ping was still playing with the equipment: "It's up to you. I don't understand commercial things, and I don't want to participate."

"Understood, then I made this decision. In fact, only free patents can allow large and small manufacturers to participate. As long as everyone participates, our technology and products will be popularized quickly. As long as our products are popularized, why not worry about it?" earn money."

Huang Jiacai helped pass the equipment to Yang Ping and said it over and over again.

Although Yang Ping is not interested in these things, he still has to make it clear that he must explain his reasons for such an important decision.

Yang Ping is his backstage boss, so he must give the boss a clear explanation.

Yang Ping has been assembling the equipment, and doesn't seem to be listening much.

"Professor, did you—hear—what I just said?"

Huang Jiacai asked.

Yang Ping looked up: "I'm listening, you continue to talk, oh, pass me the screw over there."

After speaking, Yang Ping immersed himself in trying to install the external fixator.

"Professor, what I mean is, I want to open the patent to the world for your spinal external fixator, is there any objection?"

Huang Jiacai had no choice but to say it again.

How could Yang Ping have time to talk to him: "Let Professor He send the data packet earlier."

"professor?"

Huang Jiacai didn't get an answer yet, so he didn't give up.

"You say, you say—" Yang Ping annoyed him a little.

"Professor, I will release the patent for the external fixator of the spine to the whole world, free of charge!" Huang Jiacai said it for the third time.

Yang Ping said impatiently: "It's such a big deal? You still ask me? You are the boss, you can decide for yourself. Do something meaningful and bring me that cup of tea."

Huang Jiacai looked at the teacup on the other side of the desk, and immediately picked it up and sent it over.

Boss, what I'm talking about is a business calculated in billions, so it's not as meaningful as your cup of tea?
Huang Jiacai wanted to cry but had no tears, so forget it, try not to bother him with these things in the future, so he stood by the desk and handed things.

For more than an hour, Mr. Huang was so busy that he was sweating profusely, and he was passing things.

Yang Ping tried to install and remove the external fixator for more than an hour.

After finishing the work, Yang Ping sat on a chair and drank tea by himself. Huang Jiacai helped clean up the mess, packed the equipment, and then wiped the desk clean before leaving the office.

This set of equipment will open a new chapter in the treatment of scoliosis. Is it really a sesame in Professor Yang's heart?
This is sesame, what is that watermelon?
Anyway, what was in Yang Ping's mind, Huang Jia didn't dare to think about it, there was no way, Yang Ping's brain was too open.

(End of this chapter)