Chapter 489: Fusion Surgery! (Subscription Requested)
From the anatomical analysis of nerve function, the gradual and complex labor of human beings makes the nerve center innervating the upper limbs more and more developed, and the division of labor of nerve cells is becoming more and more fine. In the anatomy of the neurological function of the brain, the area innervating the function of the upper limbs is wider than that of the lower limbs, and the greater the chance of injury.
Therefore, the reason why it is more difficult to recover from paralysis in both hands than in both feet is because of the unique physiological functions of human beings, the later and more complex the evolutionary time, and the more difficult it is to recover once it is lost. As a result, the paralyzed side of the hand has the slowest recovery of fine motor skills, and a similar condition can be seen in impaired speech function.
At this time, Ruan Bin had an innovative unaffected cervical seven nerve cross transfer bypass surgery, and he began to recall tens of thousands of cases of 'paralysis' stored in his mind.
In order to find a treatment for similar cases!
Seeing Ruan Bin pondering, Qiao Yejian actually didn't have much hope. In fact, this patient has been seen in several other hospitals in the capital and the magic capital, and the doctors in those hospitals are powerless.
The reason why he asked the other party to come over again today was mainly because he felt that Ruan Bin had outstanding ability, maybe he had the opportunity to come up with a way to treat it? But now that he saw the other party's brows furrowed, he felt that there was probably no good way!
The main reason is that the patient's condition is complicated, not a single hemiplegia, but also several other serious pathologies.
"Found it!" Ruan Bin was overjoyed, but his face was impassive.
There are several similar cases in my mind, and the general idea of treatment is like this.
Using the "fusion technique" and multidisciplinary sequential surgery, the "unilateral laminetomy of the high cervical spine and the functional selective posterior root dissection of the spinal nerve in the field of functional neurosurgery" and the "cervical 7 nerve translocation and grafting" in the field of hand surgery have been successfully interdisciplinary grafting.
>On the one hand, the rehabilitation of the patient's hand function has been basically realized, and on the other hand, it has also broken the technical bottleneck of the unstable and easy recurrence of the treatment effect of "paralyzed hand" for a long time. It is reported that this technology is also suitable for patients with hemiplegia after stroke.
Performed an innovative "fusion technique" surgery to correct his "paralyzed hand". The team prioritized the removal of limb spasticity, followed by nerve grafting and hand deformity correction, and finally rehabilitation training.
This method can solve the limb spasticity at the same time, and can also perform nerve grafting and hand deformity correction at the same time!
In this way, Liu Jian's three thorny problems are perfectly solved!
The greatest innovative significance of this fusion surgery is that it subverts the outdated treatment concept, and reintegrates and uses the original disparate techniques such as spasm, nerve displacement, deformity correction and rehabilitation training according to the patient's individual condition, so that the three technologies can exert the greatest effect on one hand at the same time.
At the same time, the integration of central nervous system surgery and peripheral nerve surgery not only resolves the technical defects of functional neurosurgery, but also breaks through the limitations of limb spasm recurrence and surgical failure.
"But I need to do this unilateral laminotomy of the high cervical vertebra now, and the functional selective posterior root dissection of the spinal nerve is kryptonite!" Ruan Bin said secretly in his heart.
As for the cervical 7 nerve transfer and grafting, it belongs to the family of cervical 7 nerve surgery, and now Ruan Bin has upgraded the cervical 7 nerve surgery to an innovative level, which is equivalent to several other neck 7 surgeries.
So he can do this surgery now.
It's just that this posterior root partial dissection of the spinal nerve will not!
[Unilateral laminetomy of the high cervical spine functional selective posterior root partial dissection of the spinal cord nerve] should be an upgraded version of [selective partial partial dissection of the posterior root of the spinal cord]!
Ruan Bin only needs to upgrade this [Selective Spinal Nerve Posterior Root Partial Dissection] to the innovative level, and he should be able to get this surgery!
It can be said that [unilateral laminotomy of the high cervical spine functional selective posterior root partial dissection of the spinal nerve] can be regarded as a modified operation.
"System!"
"Recharge 100,000 to enter!"
[System points]: 144,500
[???] - not getting started......
Ruan Bin was stunned, he hadn't seen this operation yet, so he hadn't entered it into the system yet!
No way, this operation is more outdoor, he hasn't seen too many of these kinds of operations before, so he didn't enter it.
"I went to the toilet and smoked a cigarette. Ruan Bin said to Qiao Yejian.
"Go together, go together. ”
“......”
Entering the toilet, Ruan Bin took out his mobile phone and began to find the video of the operation in the internal database of the hospital, and began to watch it.
Five minutes passed.
"Ruan Bin, how long have you been?"
"L~"
“......”
Ten minutes later.
"Level up!"
"Ding-dong...... Deduct 6000 points, selective partial dissection of the posterior root of the spinal nerve - Beginner+!"
"Ding-dong...... Deduct 9000 points, selective posterior root partial dissection of spinal nerves - proficient level +!"
......
"Ding-dong...... Deduct 21,000 points, selective partial dissection of the posterior root of the spinal cord nerve - innovative grade!"
Rumble......
A large stream of memories poured into Ruan Bin's mind, and he had long been accustomed to it, so there was not much discomfort at all.
"Steady!"
In the consultation room, Qiao Yejian couldn't help but ask, "How is it, do you have a clue?"
He actually wanted to say that if there was no way, he would have to give up, after all, this kind of case is indeed very special!
Needless to say, it's difficult!
"I've got a clue! I've figured out a fusion surgery!" said Ruan Bin, who said his thoughts.
Ten minutes later.
"This method has a great effect on the treatment of stroke hemiplegia?" Qiao Yejian was stunned when he heard this, Ruan Bin's new idea really surprised him!
"Well, there is. ”
"The fusion of these two key techniques of yours is indeed very novel and eye-opening! One of them is a functional selective posterior root partial dissection of the spinal nerve in the neck, which identifies through electrical stimulation and electrophysiological detection, cuts off the low threshold of electrical stimulation, strong muscle contraction and diffuse Ia fibers, reduces the excitability of the γ circuit of the stretch reflex of the spinal cord, thereby reducing the excessive muscle tone of the limb, selectively preserving the motor fibers of the limb, and does not affect the strength of the limb. ”
"Second, the 7 nerve transfer surgery on the healthy side of the neck can use the superior center of the healthy limb nerve to replace the upper center of the limb nerve on the affected side, reconstruct the innervation structure, improve the function of the paralyzed limb, and do not affect the function of the donor area, and use this operation to repair the limb dysfunction caused by the injury of the central nervous system and rebuild the function lost after paralysis. Your fusion surgery is truly amazing!" Qiao Yejian exclaimed.