My medical path
Chapter 58 Please start your show
Chapter 58 Please start your show
"Later, you should take an ultrasound first, and then we will consider where to enter."
Professor Sha said to Chen Bo while putting on his clothes.
"No problem, Mr. Sha, I will hit wherever you point!"
Chen Bo laughed happily.
Before the operation, it was known from the MRI that the lesion was in the lumbar 4/5 intervertebral disc, so after the surgical drape was laid, Chen Bo took the ultrasound probe and directly scanned the corresponding part.
Zhang Yu, who was on the sidelines, had just announced the operation notice on the Lilac Garden Forum-ultrasound-guided removal of the nucleus pulposus of the intervertebral disc!
At this time, watching Chen Bo started, he also quietly turned on the video recording on his mobile phone,
While scanning Chen Bo, he introduced the structure on the screen to Professor Sha. This is a muscle, this is a spinous process, this is a lamina, and this is a small joint...
As for the annulus fibrosus and prolapsed nucleus pulposus, because they are blocked by the lamina, they cannot be scanned by ultrasound, so Chen Bo did not tell Professor Sha the positions of the annulus fibrosus and nucleus pulposus scanned by the smart system.
Even so, being able to accurately locate the corresponding segment is already very remarkable in Professor Sha's eyes, which means that they don't need to move the bulky X-ray machine to take pictures, and they can operate under the continuous monitoring of ultrasound. Pretty obvious.
Moreover, the MRI done before the operation has located the position of the prolapsed nucleus pulposus, which is located behind the 5th lumbar vertebral body. The nucleus pulposus is also removed, and the operation is over.
After locating the segment, the next step is the issue of incision exposure, which is already easy for Professor Sha.
Just when he was about to cut with a knife, Chen Bo raised his own question:
"Ms. Sha, I will help you with an ultrasound scan. Do you think it is possible to do a small incision and directly perform nucleus pulposus removal?
This question stopped Professor Sha immediately.
"To be honest, it's more difficult, because the nerves and blood vessels in this part are blocked by bones. If you operate blindly, it will easily cause bleeding and nerve damage, and the loss outweighs the gain."
Professor Sha thought for a moment and replied.
"I think with your technology, as long as I use ultrasound scanning to help you see the structure clearly, wouldn't it be easy to open the lamina and remove the nucleus pulposus? You, don't hide it, this key technology will let us Had an eye addiction!"
At the critical moment, Chen Bo offered his rainbow fart, and secretly expressed his meaning to Professor Sha clearly.
In other words, Chen Bo decided that the operation could be completed under the guidance of ultrasound. Please note here that it is not just positioning, but completion!
Professor Sha saw Chen Bo's firm and confident eyes when he was joking, and he couldn't help reevaluating the feasibility of Chen Bo's proposal.
Indeed, if the ultrasound scan can be prepared to sort out the structure for yourself, you can indeed open the lamina and expose the fibrous annulus underneath...
Although the risk of bleeding and nerve damage is still higher than cutting... but if it can be done...
Professor Sha thought of a possible successful outcome, so he couldn't help thinking about the details... Then he thought of a way.
"Chen Bo, you operate the ultrasound, it's better for you to be the chief surgeon. I'll show you. It's safer, but you have to remember that if there is anything you are not sure about, you must stop immediately, and we will proceed as usual. Do!"
Professor Sha put away his joking expression at this time, and said to Chen Bo seriously.
Chen Bo was moved when he heard Professor Sha's words. Professor Sha can say that and let himself do it, which requires a lot of risk.
For a well-established professor, this kind of operation is not allowed to make mistakes. Once something goes wrong, it will affect his reputation in the slightest, and in severe cases, his career may come to an end.
For himself, a little doctor who had just met twice, was willing to take such a risk, Chen Bo was not only sincerely grateful, but also deeply admired his courage.
Zhang Yu and others who were onlookers were quite surprised. Generally speaking, when a professor comes down to consult with an operation, it would be good if he can give you a first shot, but it is impossible for you to be the chief surgeon.
Now Professor Sha is handing over to Chen Bolai to be the surgeon. Logically, Zhang Yu and the others should be shocked, but they are just surprised, not shocked.
This was mainly due to Chen Bo's previous master-level surgical performances, which made several people present feel accustomed to it, so they also felt that it was natural for them to see Chen Bo take the knife from Professor Sha's hand.
"Mr. Sha, with your lighthouse here, we will have a goal and a direction, and with you at the helm, this ship will be steady!"
Chen Bo gave Professor Sha a "please rest assured" look and a rainbow fart by the way.
Professor Sha saw that Chen Bo was still talking and laughing happily at this time, and he was a little bit worried. He looked at Chen Bo and gave him an encouraging look.
Chen Bo didn't talk anymore, turned on the system to scan, and at the same time operated the ultrasound probe with his left hand to locate the location, and then used a sharp knife to make an incision about one centimeter on the back in the eyes of everyone puzzled.
This?
Is this intended to enter and operate through such a small opening?
Professor Sha wasn't calm anymore.
Although the wound used as the operation last time was also very small, the nerve and blood vessels can be scanned directly.
And this patient's nerve and blood vessels are covered by bones, and the parts are deeper. Once the venous plexus in the spinal canal bleeds, it will be very difficult to stop the bleeding...
Professor Sha stared fixedly at the ultrasound monitor, and he decided that once there was bleeding, he had to immediately make a large incision to stop the bleeding.
"Laminers come!"
After making the incision, Chen Bo stretched out his hand, and a pair of pliers landed firmly on his hand.
"Good fit!"
When Professor Sha saw that Chen Bo stretched out his hand for pliers, Lu Shiqing handed Chen Bo the tool he needed, thinking to himself.
At the same time, he also has a question:
"How does this little nurse know that the laminar forceps are needed for this step?"
"If she didn't know, then she wouldn't have grasped the pliers she needed in advance. As soon as Chen Bo reached out to ask for it, he would immediately give it to him."
"Could it be that they usually work together like this? That means it is normal for Chen Bo to perform such an operation?"
Professor Sha couldn't figure it out, so he had to continue reading patiently.
I saw Chen Bo operating the ultrasound with his left hand and holding the laminar forceps with his right hand. Under the ultrasound scan, he smoothly avoided the muscles and sent the laminar forceps to the predetermined position.
Next, Chen Bo needs to bite off part of the upper and lower lamina to expose the underlying intervertebral disc and prolapsed nucleus pulposus.
This step is the most critical step. Even if a large incision is made, if you are not careful or there is adhesion in the local tissue, this step will often cause blood flow.
At this time, Professor Sha was staring at the ultrasound screen without blinking his eyes, and he wanted to ensure that there were no major mistakes in the whole operation.
Zhang Yu knew that the operation was coming to a critical moment, so the mobile phone in his hand was facing the operation area motionlessly.
After Chen Bo sent the laminar forceps to the predetermined position, his hands didn't stop, and he started to bite open the laminae one by one.
Because the laminar forceps are small, there are not many bones that can be bitten each time, so the upper and lower laminae must be bitten open, and this action must be repeated at least dozens of times.
What makes Professor Sha unbelievable is that Chen Bo can follow the original passage every time the pliers go in!
This is already not easy. Every time I go in, I can continue to bite the bone at the same position... There is almost no pause in the middle...
What makes Professor Sha even more incredible is that from the beginning to the end, the ultrasound probe operated by Chen Bo's left hand can follow the pliers of his right hand to accurately capture the surgical site...
Let Professor Sha, who was still a little worried, see the operation site for real!
"It can be foreseen that it is only a matter of time before the lamina is bitten open."
Professor Sha thought to himself.
Facts also proved Professor Sha's point of view, but this time was much shorter than Professor Sha imagined. It only took Chen Bo to bite the upper and lower lamina apart - 2 minutes!
Professor Sha couldn't help feeling emotional when he saw this, even if he made a large incision and operated it himself, it would probably take 5 minutes to bite open the upper and lower lamina...
After finishing the lamina, Chen Bo continued to operate the ultrasound with his left hand under the scanning and monitoring of the intelligent system, and scanned out the covered nerve vessels, fibrous annulus, and protruded nucleus pulposus for Professor Sha to see.
Now Professor Sha, who was still a little worried, was finally relieved!Looking at Chen Bo, his eyes were full of appreciation.
After this step, even Ma Shangqu knew that the next step was to take out the prolapsed nucleus pulposus and the remaining nucleus pulposus, and the operation was over.
But what Chen Bo said next made everyone roll their eyes.
"Mr. Sha, you leave the easiest step to me. Fortunately, I did not disgrace my life. The next step is to operate on the neurovascular system, which is too difficult. I really don't know what to do. You must personally check this step!"
Chen Bo solemnly asked Professor Sha for help.
As soon as Chen Bo said this, Professor Sha, who was still immersed in Chen Bo's wonderful operation just now, came back to his senses, happily took the pliers from Chen Bo's hand, and gave Chen Bo a secret compliment in his heart:
"This son has a tiger in his heart, and he smells roses carefully. He is really a wonderful person!"
Professor Sha said cheerfully:
"It's very rare for you to be able to complete this step. Next, it's really difficult to do the operation next to the neurovascular!"
The next second after speaking, Professor Sha took out the clamped nucleus pulposus...
"That's okay too?"
The onlookers were stunned!
"Why am I so powerful!"
Professor Sha was in a good mood thinking of this catchphrase.
And the people onlookers were still understanding what Professor Sha said was "more difficult", and in the next second they saw Professor Sha take out the nucleus pulposus.
Everyone gave Professor Sha a thumbs up behind their backs, which meant a lot...
The prolapsed nucleus pulposus and the remaining nucleus pulposus have been taken out, and Chen Bo performed an ultrasound examination again. Professor Sha finally confirmed that they had been removed completely, and the operation was over.
The next one-centimeter wound was treated with one injection, and there was very little bleeding throughout the operation, so there was no need to put a drainage tube.
Professor Sha didn't dare to believe it until the operation was completed, and he completed such a minimally invasive lumbar spine operation without knowing it.
"Yao Jun's operation is completed, and after the anesthesia is over, he will be able to go to the ground, right?"
Professor Sha thought to himself.
Zhang Yu, who was on the sidelines, waited for Chen Bo to sew the stitch, and excitedly secretly uploaded the video to the Lilac Garden forum...
"Thank you so much, Mr. Sha, for showing us another perfect operation, and now only that line can express my feelings," Chen Bo said passionately:
"I want to fly to the sky, shoulder to shoulder with the master..."
Puchi!
Hearing Chen Bo's words, Lu Shiqing and Wang Ruoyun present were amused.
Chen Bo is too shameless, this kind of flattery is acceptable!
Hearing Chen Bo's words, Zhang Yu suddenly felt a little discouraged. Chen Bo's shameless ability has already surpassed the dust, and he can't catch up even if he flatters him...
The happiest one is Professor Sha.
"Chen Bo can keep the most critical steps for himself, which shows that this son knows how to advance and retreat, does not care about fame and fame, and has a good character..."
"And Chen Bo is very sincere, and good at discovering the good points of others," Professor Sha secretly praised:
"He has discovered all his well-hidden advantages one by one. For such a careful person, you can't bear to stop him!"
If Zhang Yu knew what Professor Sha was thinking at this moment, he might have the opportunity to sum up the first truth in life, which is——
Talented people are shameless!
"Xiao Chen is very nice..."
After listening to Chen Bo's words, Professor Sha put his arms on Chen Bo's shoulder happily, and said as he walked out:
"The last time we saw the dog on the hospital door wall raised its feet to pee, you still felt that its posture was elegant, and you couldn't think of any words to describe it. After thinking about it, I think this word is good——
Make the most of your strengths and avoid your weaknesses! "
"Tall, it's really tall! Teacher Sha's description is really amazing, I admire, admire!"
Chen Bo repeatedly praised.
The two looked at each other and smiled, and they understood...
Everyone who was one step behind in the operating room staggered when they heard what Chen Bo and Professor Sha said!
(End of this chapter)
"Later, you should take an ultrasound first, and then we will consider where to enter."
Professor Sha said to Chen Bo while putting on his clothes.
"No problem, Mr. Sha, I will hit wherever you point!"
Chen Bo laughed happily.
Before the operation, it was known from the MRI that the lesion was in the lumbar 4/5 intervertebral disc, so after the surgical drape was laid, Chen Bo took the ultrasound probe and directly scanned the corresponding part.
Zhang Yu, who was on the sidelines, had just announced the operation notice on the Lilac Garden Forum-ultrasound-guided removal of the nucleus pulposus of the intervertebral disc!
At this time, watching Chen Bo started, he also quietly turned on the video recording on his mobile phone,
While scanning Chen Bo, he introduced the structure on the screen to Professor Sha. This is a muscle, this is a spinous process, this is a lamina, and this is a small joint...
As for the annulus fibrosus and prolapsed nucleus pulposus, because they are blocked by the lamina, they cannot be scanned by ultrasound, so Chen Bo did not tell Professor Sha the positions of the annulus fibrosus and nucleus pulposus scanned by the smart system.
Even so, being able to accurately locate the corresponding segment is already very remarkable in Professor Sha's eyes, which means that they don't need to move the bulky X-ray machine to take pictures, and they can operate under the continuous monitoring of ultrasound. Pretty obvious.
Moreover, the MRI done before the operation has located the position of the prolapsed nucleus pulposus, which is located behind the 5th lumbar vertebral body. The nucleus pulposus is also removed, and the operation is over.
After locating the segment, the next step is the issue of incision exposure, which is already easy for Professor Sha.
Just when he was about to cut with a knife, Chen Bo raised his own question:
"Ms. Sha, I will help you with an ultrasound scan. Do you think it is possible to do a small incision and directly perform nucleus pulposus removal?
This question stopped Professor Sha immediately.
"To be honest, it's more difficult, because the nerves and blood vessels in this part are blocked by bones. If you operate blindly, it will easily cause bleeding and nerve damage, and the loss outweighs the gain."
Professor Sha thought for a moment and replied.
"I think with your technology, as long as I use ultrasound scanning to help you see the structure clearly, wouldn't it be easy to open the lamina and remove the nucleus pulposus? You, don't hide it, this key technology will let us Had an eye addiction!"
At the critical moment, Chen Bo offered his rainbow fart, and secretly expressed his meaning to Professor Sha clearly.
In other words, Chen Bo decided that the operation could be completed under the guidance of ultrasound. Please note here that it is not just positioning, but completion!
Professor Sha saw Chen Bo's firm and confident eyes when he was joking, and he couldn't help reevaluating the feasibility of Chen Bo's proposal.
Indeed, if the ultrasound scan can be prepared to sort out the structure for yourself, you can indeed open the lamina and expose the fibrous annulus underneath...
Although the risk of bleeding and nerve damage is still higher than cutting... but if it can be done...
Professor Sha thought of a possible successful outcome, so he couldn't help thinking about the details... Then he thought of a way.
"Chen Bo, you operate the ultrasound, it's better for you to be the chief surgeon. I'll show you. It's safer, but you have to remember that if there is anything you are not sure about, you must stop immediately, and we will proceed as usual. Do!"
Professor Sha put away his joking expression at this time, and said to Chen Bo seriously.
Chen Bo was moved when he heard Professor Sha's words. Professor Sha can say that and let himself do it, which requires a lot of risk.
For a well-established professor, this kind of operation is not allowed to make mistakes. Once something goes wrong, it will affect his reputation in the slightest, and in severe cases, his career may come to an end.
For himself, a little doctor who had just met twice, was willing to take such a risk, Chen Bo was not only sincerely grateful, but also deeply admired his courage.
Zhang Yu and others who were onlookers were quite surprised. Generally speaking, when a professor comes down to consult with an operation, it would be good if he can give you a first shot, but it is impossible for you to be the chief surgeon.
Now Professor Sha is handing over to Chen Bolai to be the surgeon. Logically, Zhang Yu and the others should be shocked, but they are just surprised, not shocked.
This was mainly due to Chen Bo's previous master-level surgical performances, which made several people present feel accustomed to it, so they also felt that it was natural for them to see Chen Bo take the knife from Professor Sha's hand.
"Mr. Sha, with your lighthouse here, we will have a goal and a direction, and with you at the helm, this ship will be steady!"
Chen Bo gave Professor Sha a "please rest assured" look and a rainbow fart by the way.
Professor Sha saw that Chen Bo was still talking and laughing happily at this time, and he was a little bit worried. He looked at Chen Bo and gave him an encouraging look.
Chen Bo didn't talk anymore, turned on the system to scan, and at the same time operated the ultrasound probe with his left hand to locate the location, and then used a sharp knife to make an incision about one centimeter on the back in the eyes of everyone puzzled.
This?
Is this intended to enter and operate through such a small opening?
Professor Sha wasn't calm anymore.
Although the wound used as the operation last time was also very small, the nerve and blood vessels can be scanned directly.
And this patient's nerve and blood vessels are covered by bones, and the parts are deeper. Once the venous plexus in the spinal canal bleeds, it will be very difficult to stop the bleeding...
Professor Sha stared fixedly at the ultrasound monitor, and he decided that once there was bleeding, he had to immediately make a large incision to stop the bleeding.
"Laminers come!"
After making the incision, Chen Bo stretched out his hand, and a pair of pliers landed firmly on his hand.
"Good fit!"
When Professor Sha saw that Chen Bo stretched out his hand for pliers, Lu Shiqing handed Chen Bo the tool he needed, thinking to himself.
At the same time, he also has a question:
"How does this little nurse know that the laminar forceps are needed for this step?"
"If she didn't know, then she wouldn't have grasped the pliers she needed in advance. As soon as Chen Bo reached out to ask for it, he would immediately give it to him."
"Could it be that they usually work together like this? That means it is normal for Chen Bo to perform such an operation?"
Professor Sha couldn't figure it out, so he had to continue reading patiently.
I saw Chen Bo operating the ultrasound with his left hand and holding the laminar forceps with his right hand. Under the ultrasound scan, he smoothly avoided the muscles and sent the laminar forceps to the predetermined position.
Next, Chen Bo needs to bite off part of the upper and lower lamina to expose the underlying intervertebral disc and prolapsed nucleus pulposus.
This step is the most critical step. Even if a large incision is made, if you are not careful or there is adhesion in the local tissue, this step will often cause blood flow.
At this time, Professor Sha was staring at the ultrasound screen without blinking his eyes, and he wanted to ensure that there were no major mistakes in the whole operation.
Zhang Yu knew that the operation was coming to a critical moment, so the mobile phone in his hand was facing the operation area motionlessly.
After Chen Bo sent the laminar forceps to the predetermined position, his hands didn't stop, and he started to bite open the laminae one by one.
Because the laminar forceps are small, there are not many bones that can be bitten each time, so the upper and lower laminae must be bitten open, and this action must be repeated at least dozens of times.
What makes Professor Sha unbelievable is that Chen Bo can follow the original passage every time the pliers go in!
This is already not easy. Every time I go in, I can continue to bite the bone at the same position... There is almost no pause in the middle...
What makes Professor Sha even more incredible is that from the beginning to the end, the ultrasound probe operated by Chen Bo's left hand can follow the pliers of his right hand to accurately capture the surgical site...
Let Professor Sha, who was still a little worried, see the operation site for real!
"It can be foreseen that it is only a matter of time before the lamina is bitten open."
Professor Sha thought to himself.
Facts also proved Professor Sha's point of view, but this time was much shorter than Professor Sha imagined. It only took Chen Bo to bite the upper and lower lamina apart - 2 minutes!
Professor Sha couldn't help feeling emotional when he saw this, even if he made a large incision and operated it himself, it would probably take 5 minutes to bite open the upper and lower lamina...
After finishing the lamina, Chen Bo continued to operate the ultrasound with his left hand under the scanning and monitoring of the intelligent system, and scanned out the covered nerve vessels, fibrous annulus, and protruded nucleus pulposus for Professor Sha to see.
Now Professor Sha, who was still a little worried, was finally relieved!Looking at Chen Bo, his eyes were full of appreciation.
After this step, even Ma Shangqu knew that the next step was to take out the prolapsed nucleus pulposus and the remaining nucleus pulposus, and the operation was over.
But what Chen Bo said next made everyone roll their eyes.
"Mr. Sha, you leave the easiest step to me. Fortunately, I did not disgrace my life. The next step is to operate on the neurovascular system, which is too difficult. I really don't know what to do. You must personally check this step!"
Chen Bo solemnly asked Professor Sha for help.
As soon as Chen Bo said this, Professor Sha, who was still immersed in Chen Bo's wonderful operation just now, came back to his senses, happily took the pliers from Chen Bo's hand, and gave Chen Bo a secret compliment in his heart:
"This son has a tiger in his heart, and he smells roses carefully. He is really a wonderful person!"
Professor Sha said cheerfully:
"It's very rare for you to be able to complete this step. Next, it's really difficult to do the operation next to the neurovascular!"
The next second after speaking, Professor Sha took out the clamped nucleus pulposus...
"That's okay too?"
The onlookers were stunned!
"Why am I so powerful!"
Professor Sha was in a good mood thinking of this catchphrase.
And the people onlookers were still understanding what Professor Sha said was "more difficult", and in the next second they saw Professor Sha take out the nucleus pulposus.
Everyone gave Professor Sha a thumbs up behind their backs, which meant a lot...
The prolapsed nucleus pulposus and the remaining nucleus pulposus have been taken out, and Chen Bo performed an ultrasound examination again. Professor Sha finally confirmed that they had been removed completely, and the operation was over.
The next one-centimeter wound was treated with one injection, and there was very little bleeding throughout the operation, so there was no need to put a drainage tube.
Professor Sha didn't dare to believe it until the operation was completed, and he completed such a minimally invasive lumbar spine operation without knowing it.
"Yao Jun's operation is completed, and after the anesthesia is over, he will be able to go to the ground, right?"
Professor Sha thought to himself.
Zhang Yu, who was on the sidelines, waited for Chen Bo to sew the stitch, and excitedly secretly uploaded the video to the Lilac Garden forum...
"Thank you so much, Mr. Sha, for showing us another perfect operation, and now only that line can express my feelings," Chen Bo said passionately:
"I want to fly to the sky, shoulder to shoulder with the master..."
Puchi!
Hearing Chen Bo's words, Lu Shiqing and Wang Ruoyun present were amused.
Chen Bo is too shameless, this kind of flattery is acceptable!
Hearing Chen Bo's words, Zhang Yu suddenly felt a little discouraged. Chen Bo's shameless ability has already surpassed the dust, and he can't catch up even if he flatters him...
The happiest one is Professor Sha.
"Chen Bo can keep the most critical steps for himself, which shows that this son knows how to advance and retreat, does not care about fame and fame, and has a good character..."
"And Chen Bo is very sincere, and good at discovering the good points of others," Professor Sha secretly praised:
"He has discovered all his well-hidden advantages one by one. For such a careful person, you can't bear to stop him!"
If Zhang Yu knew what Professor Sha was thinking at this moment, he might have the opportunity to sum up the first truth in life, which is——
Talented people are shameless!
"Xiao Chen is very nice..."
After listening to Chen Bo's words, Professor Sha put his arms on Chen Bo's shoulder happily, and said as he walked out:
"The last time we saw the dog on the hospital door wall raised its feet to pee, you still felt that its posture was elegant, and you couldn't think of any words to describe it. After thinking about it, I think this word is good——
Make the most of your strengths and avoid your weaknesses! "
"Tall, it's really tall! Teacher Sha's description is really amazing, I admire, admire!"
Chen Bo repeatedly praised.
The two looked at each other and smiled, and they understood...
Everyone who was one step behind in the operating room staggered when they heard what Chen Bo and Professor Sha said!
(End of this chapter)
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