godfather of surgery

Doctors who came to participate in the European academic conference arrived one after another, including top experts in spinal surgery from various countries, including Milton from the UK, Woodhead from the United States, Fujiwara from Japan, etc.

More than six thousand doctors came from all over the world and gathered in Frankfurt, Germany. In addition to doctors, many pharmaceutical companies and medical device companies also came from all over the world to participate in the exhibition.

Whether in China, Europe or the United States, medical conferences often involve pharmaceutical companies and medical device companies.

The spine surgery experts from various top hospitals in China have also arrived one after another. In addition to Nandu Affiliated One, there are also Xiehe, 301, Jishuitan, Moliu, Huaxi, etc. Many people have come from other hospitals, and many doctors have come up with ideas. See and learn.

Only 7 Chinese hospitals were able to get a five-minute speech opportunity at the conference, with a total of 9 papers, of which Song Zimo alone had 3 papers.

In fact, when they received the conference agenda, doctors from many countries were very dissatisfied with the arrangement of the conference. Song Zimo from China actually had exclusive speech time for three papers, and each speech was given ten minutes. You must know that most people are Five minutes. Due to the large number of participants in this kind of meeting, the speech time must be strictly controlled. Many doctors understood the arrangement of August's meeting very well.

The one who least understood was the British Milton, because according to the arrangement of the meeting, Milton's speeches were ranked behind Song Zimo, which was unacceptable to Milton.

At the previous European Spine Surgery Annual Meeting, August, as the chairman, ranked first in speech topics, followed by Milton. This time, Song Zimo actually ranked first, and August even ranked second. Naturally, Milton was ranked first. It was postponed to third place, and this year Maninstein was invited to deliver a speech at the opening ceremony.

As the best Marriott hotel in Frankfurt, it is now also bustling with this conference.

As the best medical device company in China, Ruixing Medical also sent a team to participate in this meeting and set up an exhibition hall. Of course, the rigorous August will not forget to give Ruixing Medical special care and gave Its best exhibition location.

Song Zimo arrived in Frankfurt in the morning, followed by Xu Zhiliang. Song Zimo looked particularly handsome in a Chinese tunic suit with a stand-up collar. Xu Zhiliang's clothes were changed to new ones, and there were no more holes in his pants, but his hairstyle always looked a bit sloppy. Feel.

August took them to a high-end business room at the Marriott Hotel, which was the standard for the conference team to receive VIP experts. Professor Su's presidential suite was paid for by August himself.
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The work of the Institute of Surgery is proceeding in an orderly manner. Professors Zhang Lin and Lu Xiaowu are now very serious. They work overtime to study the patient's treatment plan and seem to be very sure about it.

The surgeries were arranged as usual. There were many surgeries and the arrangements were relatively compact. The first surgery was to correct scoliosis, while the surgery for spinal tumors was placed at the last one.

Scoliosis correction is the most difficult and risky surgery in orthopedics. Currently, there are not many hospitals that can perform it, and even fewer that can perform it in large quantities. Those hospitals that can perform it but do not perform it in large numbers, the cases are also concentrated in patients with low deformity. cases.

Today's scoliosis correction is definitely very difficult to put in other hospitals, but at the Institute of Surgery it can only be said to be average, because many of the scoliosis corrections here are extremely difficult, and many of them are not taken over by other hospitals. The name of the Institute of Surgery is not given for nothing.

Zhang Lin is performing the operation now, and the anesthesiologist Fatty Liang is administering the anesthesia. Zhang Lin straightens his back, holds his head high, and is reading the films before the operation while facing the reading light.

"Brother Fifth, are the osteotomy points we designed correct? Do they meet the requirements of Professor Yang's osteotomy style?" Zhang Lin and Xiao Wu discussed.

Xiao Wu nodded: "Yes, that's true."

In order to determine these osteotomy points, Zhang Lin and Xiao Wu drew a lot of surgical diagrams yesterday.

"C-arm machine, who is in charge of the C-arm machine? Adjust it quickly. Positioning will be done before and during the operation."

"Anesthesiologist, please move quickly."

''Where's equipment nurse Zhou Can, why haven't you washed your hands yet? "

As the chief surgeon, Zhang Lin is now giving orders. He has performed some surgeries in the past, but strictly speaking, they were not the real chief surgeons. Today, he is the real chief surgeon of such difficult surgeries.

Regarding scoliosis correction, among my classmates, as long as they are engaged in orthopedics, which one can perform scoliosis correction? Most of their department directors are not capable of performing scoliosis surgery. Once these operations are performed, then they can do it again. Post something to Moments, it’s doubly fun! Zhang Lin was thinking in his mind.

"What are you urging me to do? It's still under anesthesia." Zhou Can was very disgusted with Zhang Lin's condescending attitude today.

"Yeah! - I am the chief surgeon today, how dare you disobey the chief surgeon's arrangements?" Zhang Lin raised his voice.

Zhou Can glanced at him, and Lin really thought of himself as a professor. The fat man helped Zhou Can speak: "That's about it. Don't be so high-profile. After surgery, your voice will be doubled."

That's for sure. I'm not the surgeon today. Being the surgeon is the authority.

At this time, Yang Ping came in, scanned the operating room, and sat down in a corner of the operating room. Zhang Lin immediately came over and bowed to report the current preparations for the operation. Yang Ping sat and said to Zhang Lin, "I'll just sit by and watch. What do you guys do?" Don't worry about me, you are the chief surgeon here today, show your responsibility and appearance as a chief surgeon."

It seems that Professor Yang really let the two brothers perform the surgery independently, not just talk, so he must perform well.

Therefore, the arrogance of the chief surgeon who had just been extinguished is now rekindled: "Everyone, move quickly, Guodong. After getting into position, you should quickly lead others to wash hands and disinfect the sheets."

"Fifth brother, let's watch a movie together again?"

So the two of them walked to the reading lamp and studied the film carefully. Usually before the operation started, the junior doctors were busy cleaning their hands and disinfecting the sheets, and the surgeon took the time to look at the images again.

Now that Zhang Lin is the chief surgeon and a senior doctor, he has to look calm and calm while standing in front of the reading light to read the films.

"How long will the operation take?" Fatty Liang asked, so that he could control the anesthesia time.

Zhang Lin thought for a while, it was really hard to say, so he asked Xiao Wu: "Brother Wu, how long do we have to sit here?"

Xiaowu didn't know that the scoliosis corrections performed by the surgeons were usually performed by the superior doctors. If they encountered any difficulties, the superior doctors would take action to solve them. The operation time at that time could not reflect the true level.

Now that the two of them are operating independently, it's unclear how long they will be doing it. There is no example to refer to.

"Let's prepare for four hours first, five hours, five hours." Zhang Lin said uncertainly.

Fatty Liang had no choice but to watch while doing it. If it was really not possible to add more medicine midway, the anesthesia requirements for scoliosis were relatively high. Once the time estimate was inaccurate, if the patient was agitated during the operation, it would seriously affect the operation and easily damage the spinal cord.

Li Guodong was also very active. Zhang Lin Xiaowu was promoted to chief surgeon. He was regarded as an outstanding young doctor, so he automatically followed suit.

During the process of sterilizing and laying out the sheets, Zhang Lin, as the chief surgeon, would from time to time strictly demand the subordinate doctors to do every detail of the work meticulously. Everything must be done according to high standards. Anyway, the professor's style is absolutely full. If everyone didn't know the basics, they would be able to communicate with each other. Familiar, if Zhang Lin was doing surgery in another hospital now, he would definitely have a higher profile than the great professor from the imperial capital.

The operation officially began, with Zhang Lin performing the surgery and Xiao Wu assisting.

Zhang Lin stood in the position of the surgeon. His posture was more standard than usual. He had to set an example for the students with every move he made. After all, he was Teacher Zhang.

The surgical incision site had been marked in advance, and Zhang Lin cut the skin according to the marks. Although he did not master the knife flow, he still had to show off and cut from top to bottom.

After several additional incisions and skin incisions, Zhang Lin began to use the electric knife to incise the subcutaneous tissue and lumbar fascia. The movements were quite standard. After all, daily basic skills training is not a vegetarian.

After the fascia was incised, the muscles began to be separated, and an electric knife was used to perform subperiosteal separation starting from the spinous process. Zhang Lin moved slowly, and he walked forward steadily step by step.

The muscles were separated from the spinous process to both sides, and the lamina on both sides was exposed. Li Guodong and another young doctor were responsible for pulling the hooks, and they put the hooks into the surgical area.

Zhang Lin said to Li Guodong: You two have to pull the hook well. The retractor plays a very important role in the operation. If the retractor is not done well, the surgeon will be very passive. If the retractor is done well, the surgeon will get twice the result with half the effort.

Don't ignore the retractor. Retractor is a profound knowledge and contains a lot of knowledge.

Li Guodong repeatedly said yes.

As a retractor expert, Zhang Lin really couldn't stand the assistant's improper placement of the retractor. He immediately corrected it with his own hands, placed the retractor properly, and handed it over to Li Guodong. He did not forget to guide Li Guodong: "The placement of the retractor is very particular. It cannot interfere with the operation. Try to maximize the exposure. Your hands should not be so stiff, and the force must be consistent and even. Pay attention to the progress of the operation at any time. According to the progress of the operation, the retractor should be Make appropriate changes, and remember that the timing of changing the hook is very particular, and it is definitely not done randomly. I will teach you a lesson when I have time."

After the spinous processes, laminae, and articular processes of the entire surgical area were exposed, Zhang Lin began to implant pedicle screws.

Because it was my first real surgery, I didn’t control the pace of the surgery very well. Sometimes it was a bit aggressive, and sometimes it was a bit procrastinating.

"Don't be anxious, the two of us will do it slowly." Xiao Wu reminded Zhang Lin.

Zhang Lin held his ground: "Well, I'm not in a hurry."

Dr. Jin and Dr. Wen had been watching the surgery. Originally, they thought it was impossible for Zhang Lin and Xiao Wu to perform surgery like scoliosis correction.

In their impression, Xiao Wu and Zhang Lin could only change dressings, write medical records, and pull retractors, which had nothing to do with high-end surgeries such as scoliosis correction.

But seeing that the operation has reached this point, the two people not only did not have stage fright and asked for help, but also moved forward steadily. Although the operation was very slow, at least the steps were clear and the operation was in place.

The two of them are technically deficient, but what's strange is that they actually cooperate so well on the operating table. Every step they are good at is handed over to the other. They are equivalent to two surgeons on the operating table. Not only did the two surgeons not quarrel, but they also cooperated very harmoniously.

The implantation of pedicle screws has been completed. Through the C-arm machine inspection during the operation, although the position of the screws is not perfect, it is satisfactory. The insertion point, direction and depth of the screws have reached the acceptable level. Not a single screw failed.

After placing the screws, Zhang Lin began to determine the location of the osteotomy, but he seemed to be unsure at this time.

"Fifth brother, please help me to see if the parts of my osteotomy are correct?"

Xiao Wu took a look and found that he was actually not sure yet, but when the two of them put their opinions together and discussed it on the stage, they would feel confident in the end.

It is equivalent to fifty percent plus fifty percent equal to one hundred percent certainty.

"Yes, this part is completely correct." Xiao Wu replied firmly.

"Fifth brother, then I will start cutting the bones?"

"Cut it!"

With the approval of his partner, Zhang Lin began to perform osteotomy on the spine. Osteotomy and correction are key steps in the operation. If you can complete this step independently, it basically means that you have mastered this surgery.

I started cutting bones?

Cut off the bones!

Zhang Lin confirmed again, and then began to perform osteotomy on the vertebrae. His movements were slow but steady, because he knew that he was not very skilled, so his chosen strategy was to win steadily.

Every time he took a step, he had to turn his head to look at the screen of the evoked potential monitor.

Every time he looked at the screen, he would ask Xiao Wu: Brother Wu, is there anything wrong with the waveform of the evoked potential?

Xiaowu also turned to look at the screen of the evoked potential monitor and replied: No problem, don't worry.

These two people are very interesting. It is estimated that if any one of them is asked to perform the operation alone, they will lack confidence, but when the two of them work together, they will have enough confidence.

After all, the two of them did almost all their training together. They once drew anatomical diagrams together, dissected cadavers together, performed surgeries together, and practiced basic surgical skills, laparoscopic operations, and microscope operations together in the training room of the surgical institute. The long-term cooperation model gave them a kind of interdependence.

For example, Zhang Lin now clearly knows that the position of the osteotomy is correct, but he still wants to ask Xiao Wu to help him take a look and make a confirmation. If he does not get Xiao Wu's confirmation, he is a little afraid to continue with the next step.

In this way, the two of them were discussing, step by step, slowly, although the speed was not very fast, but it was relatively stable. So far, there has been no accidental blood vessel bleeding, and the blood vessels that must be cut off during the operation have been ligated in advance.

Although their level is not high, they can reach a qualified level.

Yang Ping had already washed his hands and put on the surgical gown. He put his hands in the protective pockets on his chest and stood beside the operating table. He was always watching the operation in the surgical area. If he found anything wrong, he could intervene directly.

In order to be able to clearly see the operation during the operation, Yang Ping turned on the camera on the operating light, and the screen on the wall was live broadcasting the operation.

It seems that the teachings of Song Zimo and Xu Zhiliang are still in place, and these two brothers also study very hard.

After the osteotomy is completed, orthopedics is next.

This step is the riskiest step in the entire operation. If you are not careful, you may damage the spinal cord during the correction of the vertebrae, causing the patient to become paralyzed.

It can be said that this was the first time for Zhang Lin to undergo such an operation. He was under great pressure and there was a slight sweat on his forehead.

"Fifth brother, I'm going to start orthopedics now, is that okay?"

"No problem, don't worry!"

With Xiaowu's approval, Zhang Lin continued the orthopedic surgery.

He adjusted his breathing and slowly corrected his spine. His movements were steady and gentle. His eyes were fixed on the screen from time to time, paying attention to the waveforms on the spinal cord evoked potential monitor.

In fact, Zhang Lin and Xiao Wu have practiced this step countless times. They have done a lot of training on experimental pigs.

In order to master the key techniques of scoliosis surgery, Zhang Lin and Xiaowu even paralyzed several experimental pigs.

Slowly, the spine was corrected.

On the screen of the evoked potential monitor, the waveform had been very stable, and Zhang Lin breathed a sigh of relief.

"Fifth brother! Is this okay? Do you think the waveform is good?"

"rest assured---"

The surgery has basically been 80% successful at this point.

Dr. Jin and Dr. Wen were very surprised. Neither of them could perform this kind of surgery, but Zhang Lin Xiaowu could actually perform this kind of surgery.

It seems that they are no longer the Wu Xia Amon they used to be. The training during this period of time in the surgical institute has allowed them to grow rapidly. Before they knew it, these two handymen had already surpassed Dr. Jin and Dr. Wen.

It's just that at the Institute of Surgery, Song Zimo and Xu Zhiliang's skills were too high, so it seemed like Zhang Lin and Xiao Wu would always be just handymen.

Dr. Jin and Dr. Wen couldn't help but feel ashamed. They had been standing still, while Zhang Lin and Xiao Wu had made rapid progress. It seemed that the combat power of the gods' handymen was definitely not comparable to that of mortals.

PS: I'm quite busy today and I posted in a hurry. I'll revise it tomorrow. Thank you all.