Chapter 168 Abnormal
Boss Cheng was eager to have this surgery done, but when Yang Ping actually said it could be done, he was a little hesitant.
Can it really be done?
Or do you reluctantly go on stage just to save face?
If it's the latter, I'll be in trouble.
He cast his eyes on Su Nanchen, hoping that Su Nanchen would help him make a decision.
"Send the patient!" Su Nanchen repeated Yang Ping's words.
After receiving Su Nanchen's affirmation, Boss Cheng felt at ease: "Send the patient!"
The bed doctor immediately contacted the operating room, the operation went as planned, and the patient was sent immediately.
Boss Cheng didn't know much about Yang Ping, so he couldn't completely trust him. Naturally, he had multiple opinions, but Su Nanchen strongly supported him, so Boss Cheng felt relieved. Su Nanchen's affirmation was equivalent to a guarantee.
"The instruments are all prepared according to your requirements, and the domestic Ruixing used are all ready, and the attendant is already waiting in the operating room."
Yang Ping replied that the problem was not serious at that time. Su Nanchen asked Boss Cheng to make preparations in advance. When Yang Ping saw the patient, he would perform the operation immediately, otherwise he would cancel the operation. He also explained it clearly to the patient, so the pre-operative preparations were done in advance. OK, you can go into the operating room at any time.
The patient was sent to the operating room. Boss Cheng took the two of them to rest in the office for a while. Yang Ping did not talk about the patient's surgery anymore, but just sat leisurely.
Boss Cheng originally wanted to ask: "Dr. Yang, how many surgeries of this type have been performed?"
I felt that asking like this sent out a message of distrust. Distrust of Yang Ping was also distrust of Su Nanchen, so I swallowed the words that reached my throat.
Su Nanchen saw Boss Cheng's strange expression and knew what he was worried about.
"Is it a bit troublesome to reconstruct the intercondylar fossa?" Su Nanchen asked the subject.
Yang Ping was very relaxed: "Oh, it's not a big problem, just use a drill to shape it."
Having said this, everyone knows that drilling is used for shaping. The problem is how to make personalized shaping and meet so many surgical conditions.
Seeing that Yang Ping wasn't worried at all and didn't even intend to discuss it, Su Nanchen didn't need to ask any more questions. The video of the Wulian reconstruction was played repeatedly in his mind. This video was the source of Su Nanchen's confidence in Yang Ping.
After almost resting, Boss Cheng led people into the operating room.
Jiahui saw Yang Ping and his entourage coming in and greeted everyone excitedly: "Hello, Teacher Yang! Hello, Professor Su! Hello, Boss Cheng!"
Yang Ping nodded slightly in response.
Jiahui felt sweet in her heart. Dr. Yang was so amazing that he was invited here to perform surgeries. It seemed that both Professor Su and Boss Cheng respected him very much.
The patient has been anesthetized, and several doctors are busy positioning themselves, putting up baffles, brushing hands, disinfecting and draping sheets. Two doctors from our hospital came on stage to help, and the rest were observing from the audience.
Everyone has seen the world and wants to see how he can complete this operation, especially the formation of the intercondylar fossa, which is almost impossible. When they were studying in Korea, if they encountered this kind of patient, surgery was generally not recommended and could only be maintained. status quo.
The operating room is decorated according to the Samsung Medical Center in South Korea. It is very good. The complete set of arthroscopic instruments and instruments are high-end products from Smith & Nephew. This hospital must have invested a lot of money.
The operation starts, punctures with a sharp knife, inserts the sheath, and then inserts the arthroscopic lens through the sheath, and performs arthroscopic inspection. Every step is done in one step without missing a single step. Every time the field of vision reaches a certain point, it stops and then moves again. It is very rhythmic. Strong, silky and tight connection.
"Formation of the intercondylar fossa, grinding and drilling!" After the inspection, Yang Ping immediately began to form.
He stretched out his hand, but nothing came. He was really not used to it. He turned his head and it took more than ten seconds for the electric drill to reach his hand.
With the rustling sound of the drill, the proliferated bone was rubbed away, and the severely deformed intercondylar fossa began to be reshaped under the drill. The high-speed rotating spherical drill bit was like being controlled by a CNC machine tool.
The target seems to have been programmed and pre-made. With polishing, an intercondylar fossa that meets the surgical conditions is perfectly presented, like an exquisite sculpture.
If you don't know that a doctor is performing an operation and just cut out a part of the video in your field of view, some people will think that this is a CNC machine tool forming an industrial product.
"Fork reconstruction, tibial positioner, drill guide!"
The nurse still couldn't keep up with the pace and was uncomfortable with such a fast pace. In order to make the operation more compact, Yang Ping had to inform the nurse in advance to prepare for the next step.
"Prepare the tibial tunnel drill next!"
As soon as the positioner is placed, the positioning is accurate and without deviation, and the guide needle quickly opens two tunnel paths.
"Dr. Su, what is the length and diameter of the fork allograft tendon?"
Sun Nanchen was sorting out his tendons and immediately reported the number.
"Tibial tunnel drill bit!" Yang Ping left two guide pins, removed the electric drill, and handed it to the nurse.
The cooperation is a bit disjointed, and I have to wait. If it were Xiaosu, I wouldn't have to say it at all. Every step and equipment would be delivered at the right time and the connection would be smooth.
After waiting for a while, I got the tibial tunnel drill. The two tibial tunnels were opened and the positions were exactly the same.
"Femoral positioner, prepare electric drill guide pins!" Yang Ping removed the two guide pins from the tibial tunnel.
The nurse handed over the locator for the femoral end. Before she could retract her hand, Yang Ping's locator had already been placed and aligned with the geometric center of the ligament's femoral footprint.
After waiting for a while, the electric drill was handed over. The guide pin was pressed against the center of the ligament footprint. Without even measuring and estimating, the tip of the needle was in place at once. The guide pin passed through and the position it came out was also ideal.
"Femoral Tunnel Drill!"
The nurse took a few more slow steps to open the femoral tunnel, both thin and thick. It's not that Yang Ping is showing off his skills. It's true that he has been training in the system space and has practiced so skillfully that he is used to this speed. The nurse couldn't keep up with the speed more and more. She was always slow, step by step, step by step. It was very difficult and she was a little confused.
"Implant the ligament!"
Su Nanchen's hand speed was already very fast, but he still couldn't catch up. The opening of the four tunnels at both ends actually took seconds. Who could keep up with this speed?
Yang Ping stood there and waited. Su Nanchen's needles and threads were flying, baseball glove sutures, high-strength knitting threads, tendons were beautifully braided, and handed over to Yang Ping's hands.
"Guide needle across the thread!"
The nurse was so nervous and completely panicked.
"It's okay! Take your time, prepare the tools for rear fork reconstruction!" Yang Ping went to the instrument table to get the guide pin.
Boss Cheng immediately ordered another equipment nurse to come in. The other one was obviously unable to keep up. He frowned inwardly even though he didn't say anything.
Lead the tendon thread, pull it, and pull it back again. Before you can see clearly, the tendon is implanted, and the femoral end is hung by the button steel plate.
"Squeeze the screw!"
Another nurse quickly went to clean her hands, but the nurse on the stage held her breath and couldn't keep up. Boss Cheng couldn't help but think about it, it's too fast for someone who's not his, and he really doubted that he was catching bugs during previous surgeries.
Pass the squeeze screw over, screw it in, and cut off the excess allograft tendon. The equipment here has just been retracted, and Yang Ping is already waiting for the guide pin of the rear fork.
Yang Ping wasn't angry, didn't speak, and waited quietly. When another nurse came on stage, he personally adjusted the position of the surgical limbs, put them into a posture suitable for the next operation, and started the double-bundle reconstruction of the posterior fork. The assistant holding the legs was dazzled. The instruments and lenses were sometimes switched, and sometimes the approach was changed. Not to mention my hands, my brain can't keep up.
Another nurse came to the stage wearing a surgical gown. One of them prepared the current instruments, and the other prepared the next step.
The guide pin was brushed, and the tibial, femoral, and double tunnels were opened again.
The femoral and tibial drill bits will be needed soon. Finally, the drill bits are ready. Now there are two matching stations. It is much better than before, but the rhythm is still a bit messy.
Su Nanchen concentrated on helping to straighten the tendons of the rear forks, and occasionally looked up at the video on the screen.
Tunneling was once again in place. This time Su Nanchen finally caught up with the rhythm. Just as the tendon was passed over, it was time to sort out the tendon again and prepare for the reconstruction of the posterolateral and posteromedial structures. He didn't even dare to breathe. Needless to say, he had to joke about the surgery a few times. That’s it.
Boss Cheng was on the side, instructing the nurses and doctors to keep up with the pace.
The rear fork reconstruction can be completed in just a few clicks. There are three structures each on the posterolateral and posteromedial sides. The knife is raised and lowered, small incisions are made, tunnels are made, and tendons are implanted!
Take one step, wait a moment, eight structures, double bundles of front and rear forks, and ten tendons are all implanted.
"Repair the joint capsule!"
Damn, the doctor holding the leg was shaking. He handed over the needle and thread, and just watched as the needle went in and out. In a trance, the joint capsule was repaired.
"Alcohol gauze!"
This is the skin disinfection with 75% alcohol before suturing the skin.
Well, I can finally relax. The muscles in both shoulders of the two nurses are sore due to tension.
The skin is also sutured and a dressing is applied? Dressing patch? Dressing patch?
Yang Ping asked three times before the nurse realized that the operation was over and required a dressing to cover the surgical site.
After checking the stability and range of motion of the knee joint, wrap it with an elastic bandage and fix it with a hinge brace of the knee joint, and you're done.
Boss Cheng was tired, as if his physical strength was not enough, so he kept running behind him, and finally reached the finish line. Standing in front of the screen, with sweat all over my back, I can't describe the feeling in my heart.
I also have a background in arthroscopy, and I am still doing surgery now. My level is not as good as Su Nanchen's, but I am confident that I can be considered a master.
I had this surgery today because I was afraid that I would make a joke if I went on stage. In less than an hour, a quadruple reconstruction was completed.
Su Nanchen also breathed a sigh of relief. He had just turned the speed up and could barely keep up with the rhythm.
The doctors who were watching looked like they were watching racing cars and their eyes were opened. No wonder Su Nanchen invited him here. This guy's surgery is so good.
Yang Ping left the operating table and was about to take off the surgical gown. Jiahui was already standing behind him and promptly helped to untie the straps on his back.
"I'm going to wash my hands!" Yang Ping used to take off his gloves and wash his hands.
Jiahui immediately led the way and took Yang Ping to the sink.
Su Nanchen hadn't taken off his surgical gown yet, and Boss Cheng stood there, unable to react for a moment.
Su Nanchen removed the brace and re-checked the stability of the knee joint. He checked it several times, forward, backward, varus, valgus, and rotation. It was very stable. It was not much different from normal. The knee was shaky before the operation. Gone are the joints.
"You brother, you are a bit perverted!" Boss Cheng squeezed out a sentence.
Su Nanchen put the brace back on, raised his head, and glanced at Boss Cheng. Boss Cheng immediately explained: "I said his surgery was so powerful that it was a bit abnormal!"
Boss Cheng couldn't find the right words to describe this surgery, so he could only use the vulgar and exaggerated word pervert.
"It's a bit!" Su Nanchen also thought.
It was the first time I actually watched Yang Ping perform surgery, which was more shocking than the video.
(End of chapter)