Chapter 473: Watch It Once! (Ask for Subscription)
An hour later, Ruan Bin met Professor Xu Wendong.
The other party looks about 50 years old, and his hair is not gray, so he doesn't look very old.
After the two sides introduced, Xu Wendong looked at Ruan Bin in surprise and said, "Doctor Ruan, I have read all your papers!
Ruan Bin was a little surprised after hearing this, is his name so loud?
This Dana knows himself, too!
In fact, Ruan Bin has indeed been famous in the magic capital for more than a year!
So it's not surprising to get to know each other.
Since Xu Wendong had come here for a consultation the day before yesterday, he learned about the child's situation in the past two days again, and directly said that the operation could be started.
In the operating room.
Elites from neurosurgery, anesthesiology, and nursing departments are all gathered.
The content of this operation is very high, and Director Wang of the anesthesiology department personally went out.
Anesthesia is performed under general anesthesia.
The patient is supine with the affected limb abducted, the head turned to the affected side, and a thin pillow on the dorsal shoulder blade.
I saw that Xu Wendong first made an incision for the infraclavicular brachial plexus on the healthy side of the neck and an incision for the ulnar nerve.
When the incision is opened, the free cervical transverse arteries and veins are exposed, and the brachial plexus root is exposed.
Xu Wendong is worthy of his specialty, the scalpel in his hand is like an elf, peeling off the cocoon, a few strokes, in the exposed lateral ulnar nerve from the wrist plane to cut the ulnar nerve, ulnar artery, ulnar vein.
It's a kind of sword technique that simplifies the Great Dao!
Then he was seen scalpel free proximally, cut the ulnar vein at the elbow and ligated, and continued to free the ulnar nerve in the axillary to the superior accessory ulnar artery into the distal side of the main trunk of the ulnar nerve.
In fact, the nerves of 2-year-old children are very small, and now they are operated on with a microscope.
But under this kind of operation, this Dana is still smooth, and the knife is as fast as numbness!
You know, these nerves are tinkering smaller than a hair!
If you make the wrong cut, the consequences will be unimaginable, and it will even affect other functions of the body. If you cut the wrong nerve, if there is a problem with your right hand, you can't say if there is a problem with the lower body!
Therefore, the current surgery is like dancing on the tip of a knife, and the slightest carelessness is a catastrophe.
At this time, Xu Wendong began to anastomosis the distal ulnar nerve on the affected side, together with the distal ulnar artery and vein, through the subcutaneous tunnel of the chest, with the proximal end of the 7 cervical nerve roots, the ulnar artery and the transverse carotid artery, and the ulnar vein anastomosed with the transverse jugular vein or the branch of the external jugular vein.
This step is the most critical fit for surgery!
Everyone knows that if the nerves are not well matched, it is a waste of all the previous efforts.
At present, the nerves of 2-year-old children are much smaller than those of hair, and the difficulty of anastomosis can be imagined.
But the miraculous thing is that Xu Wendong is like a robot accurate to the nanometer level, and under his operation, the nerves smaller than a hair are being matched by him little by little......
Ruan Bin next to him had to admire it, but he didn't hang it!
This precise operation has reached the pinnacle.
Moreover, the anastomosis method of nerve cross-displacement is vividly displayed.
To be honest, the patient's condition was almost inoperable, but Xu Wendong opened up this new anastomosis method, and the miraculous seven nerves of Jiang Jian's side of the neck were displaced to the affected side through a special pathway in the neck!
If it is a traditional cervical seven nerve root transfer, it cannot be done!
This method of cross displacement can complete the transfer of the neck 7 nerve, shorten the nerve pathway, avoid the need for nerve transplantation in some patients, and achieve the purpose of direct nerve transplantation anastomosis!
As time passed, Professor Xu Wendong used sutures thinner than a human hair under the microscope to match the seven nerve roots of the neck on the affected side after cutting. It lasted about 3 hours, and the operation was finally over!
Among them, the intraoperative bleeding was only 25ml, and the operation was very successful!
Postoperatively.
After sending Professor Xu away, Qiao Yejian smiled and asked Ruan Bin, "Doctor Ruan, how is it, how is this operation?"
"It's wonderful!" Ruan Bin admired.
To be honest, it was indeed terrifying to be able to create this kind of technique! And he heard that this Professor Xu was about to be elected as an academician!
"It's really exciting, and I learned a lot from watching this surgery. Doctor Ruan, don't you claim that you can see it once, how about it, you have seen this operation once, or have you seen it up close, will you?" Qiao Yejian quipped.
He was pretended to be compared by Ruan Bin before, and he would say anything and watch it once.
There is also this rumor in the precincts.
However, Ruan Bin himself said that it was a simple operation that would be easy at a glance, but a difficult operation could not.
So he just made a joke!
"Although the difficulty of this surgery is very high, I watched it once today, in fact, I think it is just like that, if I am asked to have a similar surgery next time, I think I should have no problem. Ruan Bin touched his nose, since you are making fun of me, I will seriously pretend to be forced!
"That's it......" Qiao Yejian glared at him after hearing this, and his face was stunned. When the old man went to further study, he had to study for three months before he could perform surgery. Can you just read it once?
"Are you sure you will?"
"I'm not kidding, you know. ”
“......”
"Why, don't believe me, give me a patient, and I'll prove it to you. ”
"Roll ......"
............
Next, Ruan Bin still paid attention to the postoperative situation of this 2-year-old patient. Under the careful care of the ward's medical team, the child recovered smoothly and was able to go to the ground on the second day after surgery, and the muscle tone of the left upper limb decreased significantly, and the degree of spasticity was greatly improved. On the fourth day after surgery, the child's mother was pleasantly surprised to tell Qiao Yejian that the child's left arm, which was originally flexion and contracture, could be actively straightened, and the originally stiff wrist and fingers could be slowly opened.
Hearing this news, Ruan Bin admired this Xu Wendong very much, this technique will save I don't know how many children with cerebral palsy of this type!
Get off work, go home.
When I first got home and was about to cook, I didn't expect Zhou Zhiyu to call over.
"Doctor Ruan, do you still have a strong Chinese medicine? I have 6 acquaintances here who want to buy it and give it a try!" Zhou Yuyu asked.
"Not yet, I guess it will be a while, when there is, I'll call you!" Ruan Bin thought for a while.
At present, the medicine on hand is sold out again!
No way, it's so popular!
And the lottery is not won every time.
The cost of the lottery is not low.
"So?" Zhou was a little disappointed after hearing this.
The two chatted a few more words.
"I heard that you have recently become an Internet celebrity doctor, congratulations. Zhou Yu said with a grin.
"Haha, thanks to you. Either I'll quit and mess with you. Ruan Bin teased.
"Don't! You're all on the Bugatti Veil~"
She saw Ruan Bin from Ruan Bin's circle of friends that Ruan Bin had exposed this car......