Maybe it's because you lost it, so you dare to fight bravely!

In the end, after half a day of thinking and half a day of mental struggle, Liao Jie still agreed to Ruan Bin to operate on him!

Then Ruan Bin and Qiao Yejian reported to the medical department and asked the above to approve the operation.

To be honest, now Ruan Bin is going to engage in an improved new surgical method, which is a headache for the medical department!

After all, there are huge risks!

However, in the end, Vice President Lin tried his best to let Ruan Bin try it.

Of course, if something goes wrong, he Ruan Bin will definitely have to resist.

This is a military order!

Ruan Bin naturally agreed!

The next day, Ruan Bin pretended to do the surgery plan drill over and over again, and then planned to start the operation tomorrow.

After all, it's the first time he's here, and he can't be too demonic, and now he's enough demonic.

The next day, nine a.m.

In the operating room.

Ruan Bin was in charge, and Qiao Yejian was his assistant.

Qiao Yejian watched as the anesthesiologist began to give the patient general anesthesia. He looked at Ruan Bin again: "You're not nervous?"

He saw that the other party didn't even shake his hands, and he would definitely not have trembled in the past, but he must have been very nervous when he encountered a new challenge like this, the challenge of improving the surgical method.

"I'm an old driver~"

“......”

After the patient was anesthetized, electrophysiological monitoring was performed, and Ruan Bin made a transverse incision on the right clavicle, about 5cm long, and cut the skin, subcutaneous tissue, and platysma muscle layer by layer.

The flap is then separated up or down along the deep platysma muscle, exposing the external cervical triangle, separating the extrabrachial plexus adipose tissue along the outer edge of the sternocleidomastoid muscle and between the external jugular vein, separating the scapulohyoid muscle, and ligating or retracting the transverse cervical artery.

The brachial plexus is exposed between the anterior and middle scalene muscles, and the left superior middle and inferior trunk of the left brachial plexus and the phrenic nerve are separated. Protects the phrenic nerve on the surface of the anterior scalene muscle, cuts the anterior scalene muscle, and exposes the C7 nerve root of the brachial plexus!

All the dissection work is done in one go, and it is not accurate!

Nerves are exposed in one step.

At this time, Qiao Yejian was very skeptical, was this the first time this girl had this surgery?

At this time, Ruan Bin dissociates the anterior and posterior femurs of the C7 nerve root from the distal stem branches to increase the length and then cut it off. Suture the incision.

Obviously, it takes more than an hour for others to complete this, but this kid can do it in half an hour!

This made Qiao Yejian realize Ruan Bin's terrifying subtlety manipulation again!

After all, these neurovascular sutures are super difficult!

After all, it's finer than a hair.

"The stitching is done, and it's time for the bottom half. Ruan Bin breathed a sigh of relief.

This time the surgery is divided into two parts, and it will take two incisions!

Then the patient was turned over and placed in the prone position, and the posterior median incision of the neck was taken, and the posterior median incision was made with the 6th and 7th spinous processes of the neck as the center, which was about 10cm long.

The skin, subcutaneous tissue, and ligament are still quickly incised, and a periosteal dissection is performed along both sides of the spinous process of the cervical vertebrae with a periosteal dissection.

The laminar retractor assists in fully exposing the 8 spinous processes and lamina of the exposed neck.

The bone knife incised the upper and lower articular processes of the right neck 6 and 7, exposed and separated the intervertebral foramen segment of the right cervical 7 nerve, and pulled out the severed distal end from the open intervertebral foramen. On the left side of the cervical 5-thoracic 1st vertebral plate, the spinous process was split, the lamina was opened, the ligamentum flavum was exposed, part of the ligamentum flavum was removed, the dura was exposed, the dura was cut longitudinally, the posterior root of the 6-thoracic 1 nerve was exposed, the 6th part of the posterior nerve root of the neck was selectively severed under electrophysiological monitoring, and the posterior root of the 8th and 1st thoracic nerves was operated as before, and the dura was sutured.

Immediately after that, the posterior root of the 6th part of the nerve in the neck is severed.

Drill and drill holes near the laminae of the 6th and 7th spinous processes of the neck to form a hole of about 1 cm, penetrate the distal end of the right neck 7 nerve from the orifice, cut the left upper and lower articular processes, expose and separate the left neck 7 nerve, cut off the left neck 7 nerve in the middle of the intervertebral foramen segment, and have no tension with the left neck 7 nerve disconnect.

Looking at Ruan Bin's dazzling operation. Qiao Yejian couldn't help but ask: "This is the modified operation you said that combines the displacement of the 7 nerves in the unaffected side of the neck with the selective posterior rhizotomy of the affected side of the cervical nerve?"

"Yes, how's that?" Ruan Bin smiled.

"When I first said it, I still didn't have a clear idea, but now that I look at your surgical process, I find that this modified operation feels very awesome!" Qiao Yejian sighed. The posterior route of the vertebral body will complete the transfer of the 7 cervical nerve, so as to shorten the nerve pathway, avoid the need for nerve transplantation in some patients, and achieve the purpose of direct nerve transplantation anastomosis. This method opens up a new surgical approach for the recovery of hemiplegia after stroke!

At this time, after Ruan Bin saw that there was no active bleeding, the fixation piece fixed the cervical 5-thoracic 1 vertebral plate. Layer by layer, suture the neck muscles, skin. The neck collar is fixed, and the left upper limb is moderately restrained.

The surgery is complete!

"It's time to send the patient to the ICU!"

"Succeeded?" Qiao Yejian was a little excited, although it was not his own surgery, but this new, new and modified surgery made him see the gospel of hemiplegia after stroke!

"It's just that there is no problem with the operation, and we have to see if the patient's left hand has any sensation after the operation. Ruan Bin said.

"Yes, yes, yes, or whether it will work after surgery is the key. Qiao Yejian also calmed down.

He wanted to ask Ruan Bin's opinion just now, so he directly put the operation video on the surgery forum.

But think about it still can't be too rushed, let's see the postoperative situation first.

If the left arm is still unconscious after surgery, it is not a failure of the operation.

Soon, the day after the operation, Liao Jie woke up, removed the tracheal intubation, and checked the normal movement of the right upper limb.

And his left arm actually had a slight pain sensation!

As soon as this news came out, the entire neurosurgery doctors were shocked!

The operation seems to have an effect, and to boast that it should be a success!

In this case, as long as you continue to take medicine and do rehabilitation training in the future, maybe you can really restore the situation of ordinary people, even if you can't, it will definitely not affect your self-care!

"Ruan Bin, can you put your surgery video on the surgery forum, right?" Qiao Yejian found Ruan Bin.

"Yes!"

"Hehe, next time we still have patients with cerebral palsy here, I hope you will do more at that time. ”

"No problem. ”

Soon, Ruan Bin's surgery video was posted on the surgery forum.

In just half a day, it caused an uproar!

After all, Ruan Bin is already an Internet celebrity doctor at this time, and his fame is not small.

In addition, the eye-catching title - the first application of the 7 nerve displacement of the anterior vertebral path to the healthy side of the neck in the treatment of central upper limb spasmodic paralysis!

When they finished reading it, they all dropped their jaws in shock!

"This new way of thinking is just shocking to the world!"