In Ruan Bin's thinking, since the left side of the neck can be treated with spasmodic hemiplegia by crossing the seven nerves of the healthy side of the neck. Although at present, Liao Jie belongs to central upper limb spasmodic paralysis.

The biggest difference is that the nerve is not the same!

If this problem can be solved, I believe it can be achieved!

Moreover, he felt that although he was a world-class performer, he could not improve the appropriate surgical technique. What if it's innovative?

When it comes to the innovation level, it is almost the same way, and there are definitely innovative techniques in it!

Maybe the innovative techniques in it may be able to solve Liao Jie's current problem!

So he decided to give it a try first!

If it really doesn't work, then the SPR surgery can also be kryptonite to the innovation level, and all the other cerebral palsy surgeries can be kryptonite to the innovation level, he can't find a way if he doesn't believe it!

[System Points]: 25500

[Seven nerve cross transfer of the unaffected side of the neck]: ——Not started+

"Top up 100,000 points!"

"Level up!"

"Ding-dong...... After deducting 6000 points, the seven nerves cross transfer of the healthy side of the neck - beginner+!"

"Ding-dong...... Deduct 9000 points, healthy side neck seven nerve cross transfer - proficiency level +!"

"Ding-dong...... Deduct 12,000 points, healthy side neck seven nerve cross transfer - director level +!"

"Ding-dong...... After deducting 15,000 points, the seven nerves cross transfer of the healthy side of the neck - expert level +!"

"Ding-dong...... Deduct 18,000 points, healthy side cervical seven nerve cross transfer - world-class +!"

"Ding-dong...... Deduct 21,000 points, healthy side neck seven nerve cross transfer - innovative level +!"

In one breath, he reached the innovative level, and countless surgical experiences, surgical cases, and skills in Ruan Bin's mind emerged in his mind.

At the same time, there are several improved versions of the technique and the new technique in my mind.

There are even several modified procedures for central upper limb spasmodic paralysis!

"Regarding the treatment of central upper limb spasmodic paralysis, it happened to be the right one this time!" Ruan Bin was secretly happy in his heart.

His wave of analysis, this wave of speculation is a guess right!

Sure enough, it's related!

"Tell me what you think!" At this moment, Qiao Yejian was interested.

"At present, Liao Jie's situation is that the damaged nerve needs to be repaired, the lesion nerve is removed, and even the nerve pathway can be shortened to achieve the purpose of surgery! My idea is to complete the cervical 7 nerve transfer through the posterior vertebral pathway, and to shorten the nerve pathway, this method can not only avoid the need for nerve transplantation for patients, but also achieve the purpose of direct nerve transplantation anastomosis!"

"You also know that the main effect of the C7 nerve transfer surgery on the unaffected side is to improve the extension and grasping function of the extensor muscle on the affected side, and at the same time, because the posterior root of the 7 cervical nerve is severed, it will partially improve the flexor spasm state. ”

"I now have existing ideas for the treatment of central limb spasmodic paralysis. Among them, selective posterior rhizometomy (SPR) is the main surgical method at present. Because there are many posterior root segments of the cervical nerve that can be severed, the improvement effect on spasticity is greater than that of cervical 7 nerve transfer. Its disadvantage over cervical 7 nerve transfer is the active improvement of motor function due to the absence of motor nerve transfer. ”

"Therefore, for spastic hemiplegia caused by stroke, combining the transfer of 7 nerves on the unaffected side and selective posterior cervical rhizometomy on the affected side may achieve better clinical results than performing one of the operations alone. Ruan Bin spoke eloquently.

"That's your idea...... It looks a little interesting!" Qiao Yejian muttered to himself as if he didn't understand after hearing this.

After a few minutes, his eyes lit up, he slapped his thigh and said, "If this modified technique is useful, then this method is a blessing for patients with hemiplegia caused by stroke!"

As a neurosurgeon for more than 20 years, he knows very well that surgical improvement should not only respect objective facts, but also have the courage to innovate. Doctors need to put themselves in the patient's shoes!

Obviously, Ruan Bin is not talking nonsense, but following the original objective facts!

"But this modified operation is just one side of your story, if you rush to surgery, the risk is very high! The most important thing is what if it fails?" Qiao Yejian was worried again.

"Then it depends on whether the patient dares to take this step bravely, and whether we dare to take this step bravely!" Ruan Bin said.

Just like Barnard, the father of heart transplantation decades ago, if it weren't for the fact that patients trusted him, if he didn't care about the strange eyes of the outside world, and he gambled his career on it, there would be no heart transplant today!

Moreover, Ruan Bin improved the techniques and cases from his mind, he knew that as long as Liao Jie trusted him, he was very sure that he could cure him!

Because there are dozens of related modified surgery cases in my mind, and this modified surgery was the first case to be born. One of the professors discovered for the first time that the 7 nerves of the unaffected side of the neck can provide a strong source of power nerves without obvious damage to the function of the unaffected side, and pioneered the anterior subcutaneous approach to the unaffected side of the neck 7 nerve translocation, which has become a classic operation for the displacement of the nerve root on the unaffected side.

For the first time, the professor applied the 7 nerve transfer of the anterior vertebral path to the healthy side of the neck in the treatment of central upper limb spasmodic paralysis, and achieved amazing results. The professor's team further completed the treatment of central upper limb spasmodic paralysis with 7 nerve translocation on the healthy side of the vertebral body, so as to shorten the nerve pathway, avoid the need for nerve grafting in some patients, and achieve the purpose of direct nerve graft anastomosis.

In this case, the 7 nerves of the healthy side of the vertebral body were combined with SPR on the affected side to treat central upper limb spasm paralysis. It not only achieves the main effect of C7 nerve transfer surgery on the healthy side to improve the extension and grasping function of the extensor muscle on the affected side, but also increases the effect of improving limb spasm.

In addition, the effective rehabilitation after the displacement of the 7 cervical nerves can also be used to restore the function, and sometimes the spasticity of the limbs will affect the implementation of rehabilitation treatment, such as manual and electrical stimulation. SPR surgery in combination with the affected cervical nerve will undoubtedly improve spasticity and promote rehabilitation.

So with dozens of successful cases in his mind, he is very confident in his heart!

It's not like he's coming here!

"Let's talk to Liao Jie first. ”

Soon, the two entered the ward.

"Doctor Ruan, I, am I really saved?" Seeing Ruan Bin, Liao Jie's mood suddenly became a lot better.

"I've carefully studied your situation and am very sure. But your situation is more complicated, and you need to use a modified operation that I haven't tried yet, so it's very risky, you think about it......" Ruan Bin said and told him about the stakes.