Qiao Yejian, as a director-level doctor and a veteran driver of neurosurgery, listened to Ruan Bin's thoughts, and suddenly thought of the advantages of Ruan Bin's 'fusion surgery'!

And this kind of surgery is also suitable for stroke hemiplegia, if Ruan Bin's fusion surgery is successful, then it will be a huge blessing for countless hemiplegic patients!

At present, there are 17.2 million stroke patients in China, and 75% of them have symptoms such as paralysis and spasmodic paralysis after stroke. In medicine, paralysis refers to the loss of mobility of the hands and feet in a state of low or even zero muscle tone. Spastic paralysis refers to the fact that although the patient can move his limbs, his muscles are stiff, lack flexibility, and he cannot perform fine motor skills, and his limbs lose social functions such as movement and life. Paralysis and spastic paralysis are collectively referred to as hemiplegia in medical terms.

Apparently this fusion surgery looks like a good fit for this kind of patient!

However, now it is just Ruan Bin's blueprint, whether the operation can be done successfully and has a good effect, he Qiao Yejian does not dare to guarantee!

So, it's all about the data!

"Well, you're right, now we can talk to the family, and if they are willing to have surgery, they can try to do it!" Ruan Bin began.

Soon, Liu Dagen and other family members agreed to have surgery!

The medical department also agreed that the operation could be done.

"Ruan Bin, when are you going to have surgery?" asked the leader of the medical office to Ruan Bin.

"Three days later. ”

"I remember that three days later, you will do a live broadcast of the surgery of the 7 nerve cross displacement bypass surgery on the healthy side of the neck, otherwise, your fusion surgery is also a treatment for hemiplegic patients. Why don't you just broadcast this surgery, of course, if you're sure!"

Due to Ruan Bin's improvement and innovation of the 7 nerve cross transfer bypass surgery on the healthy side of the neck, in addition to creating an international training class, many hospitals have recently hoped that the First Affiliated Hospital of Modu can open a live broadcast of the operation for them to watch and learn, after all, many small and medium-sized hospitals cannot come here for further study.

This is also invited by the above organization and the surgical forum!

"Well, that's okay!" Ruan Bin nodded.

Three days later.

On the homepage of the surgery forum, there is an extra headline surgery live broadcast promotional screen.

[The First Affiliated Hospital of Modu, the pioneer of 7 nerve cross displacement bypass surgery on the healthy side of the neck, Dr. Ruan's surgery live window entrance]

...

Many people knew in advance that Ruan Bin was going to broadcast live today, after all, there was publicity on the surgical forum before.

Therefore, many doctors who have free time have clicked in to watch.

"Hey, the title is wrong!"

It reads [Fusion Surgery Live Broadcast]!

"Fusion surgery, what is fusion surgery? What the hell, didn't you say that it was the 7 nerve cross transfer bypass surgery on the healthy side of the neck that was going to be broadcast live?

"yes, what the hell!"

Suddenly, many barrages began to complain.

At this time, in the live broadcast room, the operation has not yet begun.

The screen is showing the specific situation of Liu Jian's condition.

Pictures of Liu Jian's specific condition and various examination results were also posted below the live broadcast window.

"What? A young man with cerebral palsy who has been paralyzed for 20 years, a stunted development of the right upper and lower limbs, dysfunction, pronation of the forearm, severe hand dysfunction and gradual loss of fine motor ability. ”

"It can relieve limb spasms, and it can also perform nerve transplantation and hand deformity correction!

"Hey, Dr. Ruan has started to explain!"

Oh, what he means is that through functional selective partial spinal nerve dissection (FSPR) and muscle strength and tone adjustment, the patient's right lower limb muscle tone will be reduced to normal, the foot varus deformity will be completely corrected, and the heel can be flattened. Finally, after further rehabilitation, the balance of the body is improved, the muscle strength of the lower limbs is improved, and the walking posture is close to normal.

"It seems that the thinking is very sharp, and it is an eye-opener for me!"

"I just don't know if I can do it!"

"I feel like I'm a bit of a dream. This Dr. Ruan is innovating a new method of hemiplegia this time?"

"Well, not every innovation can be successful, this patient's condition is too serious and complex, and multiple diseases together cannot be solved at the same time. Such patients generally have to give up treatment. ”

"I'm afraid that this time it's a live broadcast of Dr. Ruan's discredited surgery!"

"Aren't you too confident in yourself? It's better not to broadcast this kind of surgery live! Try it internally before announcing it!"

"I'm still too young. ”

Many people were amazed by Ruan Bin's surgical ideas and methods, but many people were not optimistic.

After all, the patient's condition is too complicated and tricky!

Many veteran neurosurgery drivers can see that these situations cannot be solved at the same time!

At this moment, in the operating room, Ruan Bin began the operation.

The sequence of surgery is to perform functional selective partial dissection of the posterior root of the spinal nerve, followed by 7 nerve transfer on the unaffected side of the neck!

The hand is raised and lowered, and the median incision is made from the lumbar 2~sacral 1, the muscles are separated, the lumbar 2~5 vertebral plates are exposed, the dura mater is exposed and the longitudinal incision is made, and its edge is lifted by mosquito forceps or wire to prevent cerebrospinal fluid overflow.

Find out the lumbar 2~sacral 1 nerve at the exit of the intervertebral foramen, retrograde upward to find the confluence of the anterior and posterior two, that is, out of the dural foramen!

I saw Ruan Bin take the prone head and neck flexion position, make a posterior median longitudinal incision, expose and remove the vertebral plates on the affected side of the neck 4~7, cut the dura of the half of the vertebral plates, expose the posterior root bundles of each nerve in the neck 4~thoracic 1, and select the low threshold to cut off the posterior root tracts of each segment proportionally.

Seeing Ruan Bin's skillful movements, Qiao Yejian next to him was amazed: "It's simply a surgical replication machine!"

At this time, under the operating microscope or magnifying glass, Ruan Bin uses microsurgical instruments to bluntly separate the small bundles of the posterior roots.

Nerve bundles are stimulated one by one with an electrical stimulator (electromyography or pulsed electrical stimulator) to induce muscle spasm.

The threshold of each fascicle to induce muscle spasm was measured by electromyography monitoring or limb movement method, and labeled and recorded one by one, and the posterior root fascicle with a low threshold was selected and cut off proportionally.

These fascicles are accompanied by a small area of continuous clonus in addition to a low threshold. The posterior root tract with a low threshold is proportionally cut to block the R-circuit of the spinal reflex to reduce muscle tone and relieve muscle spasm.

Finally, the bleeding was completely stopped, the dural incision was tightly sutured, and then the dura was observed to be bulging without cerebrospinal fluid leakage, the surgical incision was closed by layer, and a rubber drainage strip was placed in the insection to prevent epidural hematoma.

This was followed by 7 nerve transfer surgery on the unaffected side of the neck......

The whole operation took about 5 hours to complete!

Although it is not that he is fast, it is estimated that it will take 8 hours!