Chapter 364 The dying mentor
The female student with scoliosis was sent out of the operating room, and the patient who received the surgery was a patient with a burst fracture of the third lumbar vertebrae.
This patient had a burst fracture of the third lumbar vertebra, but the posterior longitudinal ligament was intact, and there was no cortical inversion sign of the fractured fragment on imaging, so he was more suitable for posterior surgery.
Posterior spine surgery is simpler, less bleeding, and less risky than anterior surgery. It can generally be solved through the posterior approach and the anterior approach will be avoided as much as possible.
Anterior surgery is much more difficult because it has to be entered through the chest or abdominal cavity and involves organs and large blood vessels in the chest and abdomen.
However, if posterior surgery cannot achieve good results, even if anterior surgery is difficult, anterior surgery should be chosen.
There is no superiority or inferiority between the two surgical methods, they are just suitable for different cases.
You say cars or trucks are better? Cars are definitely better for home use, and trucks are definitely better for hauling goods.
With Yang Ping in charge, Director Han and Professor Zhang didn't have to stay in the operating room. They chatted in the locker room.
In the independent operating room of the Department of Comprehensive Orthopedics, no one from other departments came. The young people were busy operating in the operating room, and only Mr. Zhang and Mr. Han were left in the dressing room.
Both of them are usually busy. Mr. Zhang is responsible for the outpatient department of comprehensive orthopedics, and there are also many things for Mr. Han to deal with at the Orthopedic Research Institute, so it is rare to get together like this.
"This is his first time to have scoliosis correction surgery." Lao Han sighed.
"Those screws were really beautifully driven. Whether it was osteotomy or orthopedics, they were done to the extreme." Professor Zhang was also thinking about it.
"A rare genius, he almost slipped away from me." Old Han remembered the first time he met Yang Ping.
"We have to take good care of this seedling and create the best platform for it. In medicine, except for some empirical things, I'm afraid we have nothing to teach." Professor Zhang told Director Han.
"My main focus now is to build a platform for his team and provide them with good services." Lao Han reassured Professor Zhang.
"Lao Feng was admitted to the ICU again?" Professor Zhang paused and changed the topic.
Old Feng, Professor Feng Tiancheng, the mentor of Director Han and Hong Zhigang, is several years younger than Professor Zhang Zongshun, but he is still of the same generation.
In terms of academic seniority, Zhang Zongshun is Feng Tiancheng's senior brother and Director Han's senior uncle.
"I went to see a chordoma in the upper cervical spinal cord through glass. It grew through the skull base into the intracranial medulla oblongata. Moliu's orthopedics and neurosurgery teams revised the surgical plan several times, but it still didn't work. The location of the tumor It's very deep, in the middle of the upper cervical cord and medulla oblongata. I'm afraid the teacher won't be able to hold on for long." Old Han took a deep breath and his eyes couldn't help but moisten.
My mentor was unmarried and pursued medical skills. He cherished his reputation as much as his own life and regarded his senior brother and himself as his own sons. Thinking of some episodes of his studies when he was young, he couldn't help but get wet in his eyes.
"Last year, he was still able to walk, so he and I applied to the Anatomy Teaching and Research Office of Jiaotong University School of Medicine for body donation. I hope he can be an anatomy teacher after death and continue to play a role. This can be regarded as his final contribution to medicine." Professor Zhang was also very touched. .
"There are many things about your generation, such as purity and nobility, that we feel inferior to." Lao Han admires the spirit of the older generation.
"It's not noble. My father closed his eyes on the chair in the outpatient clinic. I also hope that when I come that day, I will be sitting on the chair in the outpatient clinic. Maybe this is the best destination. My father's body is donated. Give it to the Union Medical College. We are materialists. I don’t believe in the afterlife. After death, the body can still be scratched a few times by the students. It is a good starting point. I remember what my father said at that time, I would rather the medical students scratched me a thousand times. Ten thousand cuts, don't make one wrong cut on the patient." Professor Zhang squinted his eyes and leaned back in his chair.
Lao Han was silent for a long time: "I heard from people in Mo Liu that the teacher himself repeatedly requested surgery."
"He wants to use himself as an experimental subject to gain experience for Mo Liu. This kind of surgery is currently a restricted area of surgery. There are few successful precedents in the world. The success rate of the surgery is less than one percent. Without surgery, it will still take a while. Once He died directly on the operating table during the operation, how could the Mo Liu people do it?" Professor Zhang has also been paying attention to Professor Feng's condition.
"Han Laoer, I don't want to ask you about what happened back then. It's been more than ten years and you don't intend to tell the truth. From what I know about you, you can't do such a thing. You want Feng Tiancheng to go." Was there still a misunderstanding?" Professor Zhang turned to look at Lao Han, his eyes burning brightly.
Old Han deliberately avoided it and looked at the cabinet in front of him: "This is the best ending."
"I'm just reminding you that Lao Feng may not have much time left before he becomes a general physical education teacher. Think about it for yourself!" Professor Zhang stood up, stretched his waist, and staggered into the bathroom.
Director Han rested alone on the back of his chair.
Song Zimo's surgery has begun, the fifth round of surgery, posterior surgery for thoracolumbar fractures, the core of which is pedicle screw technology.
This is a basic operation in spinal surgery, and it is not a problem for Song Zimo.
He will do better than if he had surgery for a pelvic acetabular fracture.
Yang Ping created a unique method for inserting pedicle screws and taught it to Song Zimo. Using this method, he can easily find the best point, and from this point, insert the screw in the best direction.
Nandu Affiliated completed the fifth round of surgery early in the morning. At this time, they were observing the surgeries of outstanding players from various competition regions across the country. Lin Hao's mood was very complicated. He originally thought that the fourth round of surgery - pelvic acetabular fracture would leave Sanbo Hospital behind.
But now entering the fifth round of surgery, there is still no hope. He hopes that Sanbo can qualify, but he definitely does not want them to qualify with perfect scores, so that the gap will not be reflected.
Why was he so fast in opening, opening, detecting, and implanting positioning needles? Whether it was the thoracic or lumbar spine, there were several positioning techniques for pedicle screws. Lin Hao really didn't notice which one Song Zimo used. come out.
I only saw Song Zimo revealing the position of the opening. The sharp-nose rongeur was at the nail insertion point, biting off a little bit of bone cortex, and then the opening was opened. Then the path was opened, detected, and the positioning needle was implanted without any pressure.
After all the positioning needles were inserted, a perspective image appeared on the screen soon, and the position of each needle was perfect.
"Is this the herringbone method?" Lin Hao asked Su Nanchen.
Su Nanchen shook his head: "It doesn't look like it. I don't know what positioning method this is. I haven't seen it before."
Chen Ge, Cao Qian, and Su Fengyu on the side kept staring at Song Zimo, hoping that he would make a mistake so that they could climb into the top three.
It's a pity that he didn't make a mistake at all. Depending on the skill of this operation, it is impossible for it to overturn.
Su Nanchen knew very well that many of Song Zimo's skills came from Yang Ping. He didn't show up, he just wanted to make the competition in the Southern Division better and make Fuyi's performance better.
If he plays, the operation will be no different from other sports. There will be no leakage. A surgical case can achieve 100%, but deliberately fails to do it well or discounts it. This is a blasphemy against the principles of medicine.
Since nothing can be done and every operation must go all out, the entire Southern Division will be very embarrassed.
There will be an ironic scene at the Golden Knife Award. Nandu Affiliated One, known as the top brother in the Southern Division, has a strong team that is defeated by Yang Ping alone.
"It's really well-intentioned!" Su Nanchen laughed in his heart, but he didn't expect Yang Ping to think of this.
"Brother Hao, it looks like this guy will push Sanbo into the national competition with full marks." Chen Ge said helplessly.
In the blank area next to the screen, comments are launched in the form of barrages.
"It's still the first assistant who is the chief surgeon, and he has always maintained perfect scores. Doesn't anyone think that the Third Expo is the biggest dark horse of this session?"
"There has never been a dark horse in any previous session, and it is the same this time."
"Yes, there were similar so-called dark horses in the past who rushed into the national competition, only to be trampled to death in the first round of eliminations."
"Once again, the regional competition is about basic surgery. The real thing is in the national competition. Look at the beginning of the national competition, which is arthroscopic surgery on six major joints. Rotator cuff repair and cruciate ligament reconstruction are not enough. This year, multi-ligament reconstruction of the shoulder and knee has been added. , this is the first operation. How many hospitals across the country can perform multi-ligament reconstruction of the shoulder and knee? Many hospitals still don’t know how to perform multi-ligament reconstruction of the anterior cruciate?”
"Luo Jin! Please tell me how difficult it is to move your fingers. Luo Jin's surgery was Yang Ping's masterpiece. He has started training normally. It is said that he can return to the competition after a while."
"How hard is it to use your brain? Don't listen to their propaganda. Who has seen it? Is it multi-ligament reconstruction of the knee joint? It doesn't matter what they say. Just think about it with your toes. This kind of surgery has Luo Jin's reputation. , let’s not talk about going abroad, why not go to the Di San Mo Liu? Think about it again, who is so awesome, the football players of the Quad League reconstruction returned to the game? Got a name, Retirement Syndrome! Everyone involved in sports medicine, don’t say you don’t know Robert Jr., don’t say you don’t know New York Hospital for Special Surgery. They can’t do it, but Sanbo can do it. What a miracle doctor. In this era where everyone dares to brag about anything, don’t dream that folk chess players can defeat Nie Weiping.”
I don’t know who actually made a long comment. It was dizzying, but the comments were well-founded.
"Sanbo is actually not weak. Professor Han Jiangong, who was born in Moliu, was a man of great influence back then."
"It is said that Zhang Zongshun, the retired professor of Moliu, a leading figure in the domestic orthopedics field, is currently also in Sanbo?"
"No wonder Sanbo is so strong!"
"Is Han Jiangong's story true? Can anyone who knows the inside story say a few words?"
"Please note that we only discuss technology here, do not discuss personal privacy."
The person who started the topic is very knowledgeable and will not continue it, allowing the topic to cool down automatically.
"Don't put too much emphasis on Sanbo. The guy in front of you is right."
Su Nanchen looked at these comments and just smiled.
When Tesla first proposed alternating current, the whole world had a similar view: How is this possible?
It is not difficult to understand that if something is beyond cognition, you will definitely not believe it.
(End of chapter)