"How's it going, are you ready? We're going to have surgery. "Zhou Zhou said this to Lao Fang.

"Uh-huh, ready. "Old Fang Dao.

There are acquaintances on Monday.

He was much more at ease.

"Turn over. Prone position," said Zhou Zhou.

Su Quan and a nurse helped.

Let the old side lie downward.

This pose is not perfect enough.

Now it's time to adjust the operating table.

The lower half of this operating table can be folded.

Su Quan operated.

The lower half of the operating table is folded down a bit.

The old man was in a half-lying and half-kneeling position.

Everything is ready.

At this time, Liu Zhengqing said to the anesthesiologist next to him: "Let's take anesthetic." ”

PELD surgery, a truly minimally invasive surgery.

Not only is the surgery less invasive.

Even the anesthesia is much simpler.

As long as the local anesthesia is sufficient.

The patient can remain awake throughout the operation.

Lao Fang only felt a pain in his waist.

The anesthetic needle has been applied.

Then another stitch was taken.

This injection is not anesthetic.

It is a minimally invasive injection of the spine, Meilan, which is specially stained for the nucleus pulposus.

After all, it is a minimally invasive surgery, and the surgical field is not as large as that of open surgery.

With this dyeing technique.

The condition of the nucleus pulposus of the spine can be seen more clearly through the endoscope.

This is the case.

It is similar to the contrast agent used in contrast-enhanced CT to see blood vessels.

Two shots are done.

Wait a few minutes.

After the anesthesiologist evaluates the effect of anesthesia.

The operation officially began.

PELD surgery.

In layman's terms, it is to insert a finger-thick tube into the patient's waist.

This tube is called a casing.

As the name suggests, casing, casing, there must be something inside.

This set of things is still a thin tube.

This thin tube, of course, is not an ordinary tube.

It looks like a metal tube.

But inside it, there's a cave.

There are three pipes inside this tube.

One is the light, the other is the imaging, and the other is the operation channel.

All the operations of the operation must be carried out in the operation channel of this tube.

This tube also has its own name, called foraminoscope.

The first important step in this surgery is, of course, the cannula intubation.

The term is called the establishment of a work pathway.

Liu Zhengqing is the main knife.

The main process of this step is, of course, to be done by him.

Until then, though.

There are also some bits and pieces.

For example, the disinfection of the surgical site.

This was supposed to be a thing that was done on Monday.

But today, since Su Quan is here.

Zhou Zhou gave up this opportunity to Su Quan as much as possible.

Su Quan is accumulating a lot of experience at a time.

He does not dislike these "hard work" and "tiring work".

As the saying goes, a journey of a thousand miles begins with a single step.

If you want to gallop on this operating table in the future, you have to start from the basics.

Su Quan finished disinfection.

The next step is to take a film of the discography.

Do body surface positioning.

Determine where the set of tubes is inserted.

It's a tech job.

First of all, you have a strong ability to read movies and have a lot of practical experience.

Su Quan obviously couldn't do it.

He could only watch the film on the reader at the same time.

While looking at Liu Zhengqing's location selection.

It's a great learning opportunity.

Of course, Liu Zhengqing doesn't have much of a problem in this regard.

No matter what kind of disc surgery it is.

Reading and selecting points.

It's pretty much the same.

Liu Zhengqing glanced at the film a few times.

The surgical approach has been chosen.

This is followed by puncture at the approach point and the positioning needle is lowered.

The positioning pin is good.

Liu Zhengqing picked up the scalpel.

An 8 mm incision is made at the needle point of the waist of the old square.

Dilation of soft tissues.

Place the casing ......

At this time, Lao Fang was completely awake.

Due to the beating of spinal anesthesia.

He didn't feel much pain.

But he could really feel Liu Zhengqing's operation.

You can even feel the resistance you encounter when inserting the cannula.

Well, and Liu Zhengqing kept pressing on his waist.

This feeling, quite ...... Sour.

Ay~!

The old man thought to himself, why don't you give me a general anesthesia?

As soon as I woke up, the operation was over.

How good it feels.

This is the feeling of doing lumbar spine surgery awakely.

It's kind of scary!

Of course, this is just the whims of the old side.

There are strict requirements for what kind of surgery and what anesthesia method to use.

Liu Zhengqing is very proficient.

Monday is nothing to worry about either.

He didn't have anything to do at this time.

looked at Lao Fang's somewhat nervous demeanor.

He chatted with Lao Fang from time to time.

"How's it going?"

"It doesn't hurt, it's just very uncomfortable. ”

"Where's the legs?"

"It's fine. ”

"Don't be nervous, it'll be done in an hour. ”

"Uh-huh, after the operation, I have to thank you and your father, as well as Lao Zhou. ”

The casing is finished.

The next step is to put the second tube, the foramen intervertebral scope, into the cannula.

The process is simpler.

After completion, the foramidal endoscope is connected to the power supply and the camera.

Adjust the white balance to make the color of the video image more perfect.

At this point, the establishment of the entire work path is completed.

in the monitor.

The white nucleus pulposus tissue can already be seen like cotton wool.

The next surgery is to pass the tube through the working channel and remove the nucleus pulposus tissue that is compressing the nerve.

The surgery went so far.

Entered the difference between a master and an average player.

How much nucleus pulposus tissue is removed.

Which ones to remove.

These are the embodiment of experience and technology.

There is a system, and Zhou Shengsheng, who has experienced the tempering of the copy, is obviously much stronger than Liu Zhengqing.

Monday is at this moment, ready to take over the operation.

Outside the operating room.

Zhou Yi is indisputable with the world, very Buddhist.

Like a sheep.

But as soon as I got into the operating table.

It was like a different person.

Full of wolf nature.

Of course, let Liu Zhengqing give way.

I definitely can't just say that I'm doing better than you!

That's to be tactful.

Zhou Zhou said tactfully: "Doctor Liu, you have worked hard, Xiao Su has been busy, and I haven't done anything as a helper, so let me do it next." ”

Liu Zhengqing stopped.

He looked at Monday.

Now he is not the same as when he first came to the emergency center.

He already has a deep understanding of Zhou Yi.

Especially after that intracranial surgery with Monday.

He had already determined that Zhou Sheng's intracranial level was higher than his own.

If it is an intracranial surgery that can be done by yourself.

If Monday is going to take over.

He wouldn't have objected.

But, this is a spine surgery.

Although it also has something to do with the outside of the gods.

However, there is a difference.

In particular, it is a cutting-edge minimally invasive surgery, and it is necessary to be experienced.

He said, "Have you had spine surgery before?"

Monday said, "I've done it before." Acquaintances, I want to come by myself. ”

Liu Zhengqing thought for a moment and nodded in agreement.

He and Monday swapped places.

His eyes were fixed on the monitor in front of the operating table.

In that monitor, yellowish ligamentum flavum, pink nerves, and white intervertebral discs were clearly visible.

If there is any flaw or error in the operation of Monday.

He will correct it immediately.

……