Chapter 596: Minimally Invasive Options
Two days.
It's here in the blink of an eye.
Lao Fang's surgery.
As scheduled.
As previously planned.
This operation, Liu Zhengqing was in charge.
Needless to say, it's naturally Monday.
The second assistant was given to Su Quan.
It's purely for him to brush up on some experience.
After the qualification exam, the next thing is to become a regular.
Su Quan is the time when he needs to show more.
Minimally invasive lumbar disc surgery is compared to those intracranial surgeries outside the neuromyriad.
The risk is much less.
Liu Zhengqing's heart is as stable as an old dog.
yes, if it's risky.
He won't take the initiative to take the lead.
Morning, before surgery.
The medical team of Liu Zhengqing, Zhou Zhou, and Su Quan had a final and detailed discussion on the operation plan.
Of course, it is mainly led by Zhou Zhou and Liu Zhengqing.
Su Quan only has the share of learning.
Minimally invasive surgery is performed.
This is the general direction that has been set a long time ago.
However, there are currently two types of minimally invasive surgery for the lumbar spine.
One is MED surgery and the other is PELD surgery.
MED is a bit similar to open surgery in traditional orthopedics.
Endoscopic operations such as partial resection of ligamentum flavum, lamina and articular process, nerve root canal enlargement, release of adhesions around nerve roots, and intervertebral disc removal can be completed endoscopically, which is minimally invasive and endoscopic open surgery.
Except for the small wound and open surgery, MED is basically the same, and it will hurt the muscles and bones.
PELD surgery, called in Chinese, percutaneous endoscopic lumbar discectomy.
The simple description is to insert a cannula with a diameter of less than 1 cm in the waist and remove the protruding nucleus pulposus with nucleus pulposus forceps.
PELD surgery is very invasive, and it does not remove muscle and ligament tissue, nor does it remove bones, but inserts a tube into it, which is just a flesh injury.
It can be said that MED is semi-minimally invasive.
And PELD is truly minimally invasive.
However, PELD is not necessarily better than MED.
Not necessarily.
If the condition is mild, it is more suitable for PELD surgery with less trauma.
If this lumbar intervertebral disc problem is really serious to lumbar spondylolisthesis, spina bifida.
Not to mention PELD.
Even MED is not easy to make.
That can only come to the traditional open surgery, the effect is better.
Lao Fang's lumbar spine problem requires surgery.
But it's not the worst.
All things considered.
PELD is more suitable for the current situation of the old side.
However, Liu Zhengqing was discussing the specific surgical plan with Zhou Yisheng.
His opinion was to do MED surgery.
Of course, Liu Zhengqing also knows that PELD is more suitable for the old side.
But Liu Zhengqing has his own considerations.
MED surgery has been used for a long time.
Liu Zhengqing has a lot of experience in this area.
So he didn't have any problems with this surgery.
And PELD surgery.
It is a new technology that has only become popular in recent years.
Liu Zhengqing did not specialize in spine surgery after all.
So he's not particularly skilled.
He was a little worried in case the surgery didn't work out well.
I have no way to explain to Zhou Yisheng.
The patient was a lifelong acquaintance of Zhou.
"Dr. Zhou, I'll just go to MED, I'm familiar with this minimally invasive surgery. The recurrence rate is low. ”
MED treatment is indeed more thorough.
But the trauma is bigger, and the price is more expensive.
If the caster's level is good, PELD is more suitable for the old party.
"Team Leader Liu, can you go to PELD? "Monday said.
Liu Zhengqing frowned and said, "If you can do it, you can do it, but you can't do much of this surgery, I'm afraid that after doing it, it won't be long before the lumbar spine pain will recur." The patient is an acquaintance of yours, and it is difficult to talk when the time comes......"
If Liu Zhengqing can do it, then there is no problem.
As for his worries.
That's not a problem.
Monday is in the copy of these cutting-edge surgeries on the outside of the gods.
That's a lot of experience.
If Liu Zhengqing does not handle it well during the operation.
I can take it over again, and there is no problem at all.
Thinking of this, Zhou Zhou said affirmatively: "Then don't hesitate, let's go to PELD." The patient is an acquaintance of mine, so there will be no problem. Besides, no one can guarantee that there will be no recurrence after lumbar disc surgery, and the recovery of one's own exercise in the later stage is also one thing. ”
Since, Monday said so.
Liu Zhengqing couldn't say anything.
"Well, okay then, do PELD. But this operation also needs the support of a microscopic grinding drill and a microscopic laser system, so I'll ask them if they have an operating room. ”
"Well, that's bothering you. ”
Don't look at PELD as a minimally invasive procedure.
The surgery takes up to one to two hours.
However, the surgical conditions required are extremely high.
First of all, the aseptic conditions of the operation should be extremely high, and the operating room should have at least laminar flow conditions.
Secondly, image support system, endoscope system, microscopic laser system, microscopic grinding and drilling system and so on must be available.
These devices, one bigger than the other.
They tend to be fixed.
Therefore, it is only available in individual operating rooms.
After Liu Zhengqing contacted.
Make sure there is an appropriate operating room for PELD in the afternoon.
Therefore, the operation was also scheduled for the afternoon.
Afternoon.
It's past two o'clock.
Su Quan came to the ward to lead the old man to surgery.
The situation of the old side is better now than it was two days ago.
Barely able to walk on his own.
Lao Fang didn't know Su Quan.
He hesitated for a moment and asked, "What about Dr. Zhou? Didn't he do this surgery?"
Su Quan said: "Don't worry, Doctor Zhou is in the operating room." I'll take you to the operating room now. ”
"En. Thank you. ”
The old man was supported by his son.
Follow Su Quan to the operating room.
Arrived at the door of the operating room.
The son of the old man could not enter.
Su Quan wanted to help him.
The old man didn't let him, he could walk by himself.
Lao Fang entered the operating room.
Su Quan is gone.
In this life, Lao Fang, who entered the operating room for the first time, seemed a little nervous.
He didn't know what he was going to do.
Look east and west.
There is quite a lot of equipment in this operating room.
But the old party didn't know anything.
Only the shadowless lamp overhead, he knew.
At this time, a nurse came over and asked Lao Fang to lie on the operating table.
The old man obediently lay down.
Then, the nurse began to give Lao Fang an intravenous drip.
Lao Fang didn't know what the nurse was calling.
Asked.
But the nurse was so busy preparing for the operation that she didn't have time to talk to him.
Lao Fang lay quietly on the operating table and waited for Zhou Yi.
A few minutes later.
Monday has not yet come.
Su Quan walked into the operating room with Lao Fang's film.
He quickly inserted the film into the reader.
The old party has not yet seen Zhou Yisheng.
Although Monday Monday morning had already been told to him.
It's just a minimally invasive procedure.
The wound was the size of a fingernail.
But Lao Fang was still a little nervous.
I don't know if it's too nervous.
Or is it really a little cold in this operating room.
The old man in the surgical gown felt cold all over.
He kept saying in his heart, Xiao Zhou, when are you coming!
More than 10 minutes later.
Two doctors, dressed in one-piece surgical gowns, sterile caps, and a large mask on their faces, walked in.
The old side is also not sure.
What walked in was not Monday.
At this point, one of them spoke.
The old man was relieved when he heard it.
This voice is Xiao Zhou's!
……