My medical path

Chapter 121 Can You Still Come Like This?
The meeting continues.

According to the meeting agenda, after Professor Jiang He from the Spine Surgery Department of Yunping People's Hospital finished his lecture, it was Professor Sha's turn.

Professor Sha stepped onto the podium, and the staff had called out the PPT of Professor Sha's report, which was consistent with the agenda of the meeting that all participants had. The topic of Professor Sha's report was:
"Discussion on minimally invasive treatment of lumbar disc herniation under the guidance of ultrasound"

As soon as this title came out, there was a lot of discussion below.

The treatment of lumbar disc herniation has been done for many years, and the continuation is all classic operations.

Or traditional incision, or minimally invasive incision, the latter has tunnel technology, transforaminal mirror technology, etc.

But I have never heard of ultrasonography-guided minimally invasive surgery.

Because of the limitations of ultrasound, what is scanned is not a plan view, let alone a three-dimensional view, but a cross-sectional view.

Not to mention that very few clinical surgeons have mastered ultrasound technology, even if there are, it is almost impossible to convert the cross-sectional views into three-dimensional images in their minds.

Therefore, using ultrasound-guided technology for minimally invasive treatment of lumbar disc herniation, some people may have thought about it, but it is too difficult.

Now I suddenly saw that Professor Sha actually shared this topic, which means that Professor Sha must have done this before and succeeded, otherwise he would not show it.

Professor Sha hadn't started his lecture yet, but the title alone had already attracted enough attention.

Several experts in the spine field from the province and Professor Jiang He from Yunping City were also taken aback when they saw this title.

They also didn't know what medicine was sold in Professor Sha's gourd, but their curiosity had been successfully aroused.

"Thank you to Professor Li Qingdong, Professor Cai Dongyang, and Professor Gao Hai. Professor Jiang He took time out of his busy schedule to come to Wujiang City to guide the work. Thank you for your support!"

Professor Sha was polite before starting the lecture, and continued:
"I will not give a lecture today, but share a case for everyone to communicate and discuss..."

"This is an operation I performed at Jiangcheng County People's Hospital. The patient is a friend of mine..."

"Look, everyone, this is his preoperative film."

When Professor Sha was talking, the MRI film of Yao Jun before the operation was displayed on the screen.

"This patient belongs to acute herniation of lumbar intervertebral disc. I believe everyone has no doubts about this..."

"Once this patient is diagnosed, emergency surgery is very necessary. Everyone must know this..."

All the participants sitting below nodded their heads. Anyone with some experience in orthopedics knows this.

"The usual way for this kind of disease must be traditional incision or tunnel or transforaminal surgery. I used to do this too..."

Professor Sha said this, looked around at the peers attending the meeting, and continued:

"It was also a very accidental opportunity that brought me into contact with B-ultrasound, and I knew that B-ultrasound can also be used for orthopedic surgery..."

At this time, Professor Sha was thinking of the patient with pelvic fracture that he had done with Chen Bo. It was also the first time that Chen Bo demonstrated the ultrasound-guided technology.

"I won't go into details, let me show you a video of the surgery..."

After Professor Sha finished speaking, he clicked on the video recorded by Zhang Yu.

Professor Sha's curiosity was aroused by the professors and colleagues who were listening to the class below. At this time, they heard that there was a video, and they were full of expectations.

The video is not long, only ten minutes.

When the video was played, the originally noisy venue suddenly became silent, and all the participants stretched their necks to watch the video of the operation.

When I saw in the video that the surgeon's left hand was holding an ultrasound probe, sweeping it back and forth, and began to make incisions on the skin, the discussion in the venue resurfaced:

"What can I see like this? Apart from seeing the patient's waist, I can only see the B-ultrasound scan image on the screen..."

"I don't understand it... the surgeon dares to perform spinal surgery based on such a B-ultrasound image?"

"The incision he made is a bit like the incision of a transforaminal mirror, and it is also very minimally invasive..."

As the video continued to go down, when the operator bit the lamina with the lamina forceps, the discussion filled the venue even more:

"My God! Am I right? Is this okay?"

"Look at his hand holding the laminar forceps in and out of the operation port. Is this trying to bite the laminar plate? ... And seeing what the nurse bit out after taking the laminar forceps, it's really a bone..."

"Even if it is the intervertebral foraminal mirror technology, if it is clearly displayed on the computer screen, it can't be done so quickly and calmly, right?"

"The operator's hand feeling is so good... I can do it just by looking at the screen... Even if I cut it open, I don't have the speed..."

"What the hell is that last stroke? The surgeon seems to have handed over the pliers to the assistant? Just for taking the nucleus pulposus, is the surgeon so relieved to hand it over to the assistant?"

"I didn't expect the nucleus pulposus to be taken out like this... If it wasn't for this video, I wouldn't believe it if I was killed..."

"I noticed that there is no fluoroscopy throughout the operation! It can be done with a B-ultrasound machine. Does that mean that you don't need to take X-rays or wait for the fluoroscopy machine in the future? He is NND, so awesome... ..."

"This technique must be mastered...it's so versatile! It can even be applied to operations such as the lumbar spine, so what about other operations?"

"Is the B-ultrasound so important? I heard it was used to guide punctures before, but I didn't expect it to be used for spinal surgery, yyds...but I really don't understand..."

...............

At the end of the video, there is a short section of the patient walking on the first day after the operation (of course, the face is covered with a mosaic). After watching the video, everyone's curiosity turned into shock.

Because everyone could clearly see the situation in the video, the patient's walking was not affected at all on the first day after surgery!
In the treatment plan of intervertebral disc herniation surgery, at present, the transforaminal lens can do this, right?

And this method is even better than transforaminal mirror, only one incision is made, while transforaminal mirror requires at least two incisions...

The more than ten minutes of video was played quickly, and the meeting place returned to calm at this time, because now everyone in the meeting is waiting for Professor Sha to clarify their doubts.

Even Professors Li Qingdong, Cai Dongyang and Gao Hai who came down from the province, and Professor Jiang He from Yunping City also had doubts and expectations on their faces.

They are all experts in this field for decades, and it can be said that they are familiar with related technologies in this field.

But they have no impression of any counterparts at home and abroad who have used ultrasound-guided methods to perform lumbar spine surgery...

If they hadn't seen the video, they certainly wouldn't have believed it was possible.

Now you can see the effect after the operation. This method is not only feasible, but also very good!
"Lao Sha, don't fool everyone! Quickly explain to everyone... I believe that everyone who attended the meeting today is very interested in your technology!"

It was Professor Li Qingdong who spoke, and Professor Sha was one year older than him, so he usually called Professor Sha "Old Sha".

Seeing that Professor Li Qingdong had spoken, Professor Sha nodded, and then faced the participants, he made an unexpected move...

(End of this chapter)