Chapter 595: Minimally Invasive Surgery [Ninth Update, Asking for Votes]

Liu Zhengqing, please?

Why did Bai Mingming say this.

This has to start with the condition of lumbar disc herniation.

The intervertebral disc is the cartilaginous part between the two lumbar vertebrae.

Because of poor sitting posture, or trauma.

When the cartilage detaches from its original position and protrudes outward, a herniated lumbar disc is formed.

Mild lumbar disc herniation will not cause any symptoms.

However, if this protrusion compresses the nerves near the lumbar spine, it affects the nerves.

This can cause pain, movement disorders, and more.

So it can be seen from the etiology.

This disease has bone problems as well as nerve problems.

Therefore, orthopedics and neurosurgery are involved.

To see this disease, you can go to orthopedics or you can go to neurosurgery.

Of course, some patients may also go to the rehabilitation department, pain department, and so on.

There are some hospitals that even have a specialized spine department.

The central hospital does not have a dedicated spine department.

The flow of patients is mainly orthopedic.

This is followed by neurosurgery.

Why neurosurgery has fewer patients than orthopedics.

At this time, the problem left over from history.

In the early years, neurosurgery in China paid more attention to the treatment of intracranial diseases.

At one time, some local neurosurgery was called brain surgery.

However, in foreign countries, such spinal diseases are diagnosed and treated by neurosurgeons.

Neurosurgeons can use microscopic technology to fully decompress the compressed nerve, with good effect, minimally invasive and accurate, so in the past ten years, more and more neurosurgeons in China have begun to work on the spine and spinal cord.

Lao Fang's condition.

The disc has caused severe herniation.

What to tow, it is certainly of little use.

The best thing to do now is surgery.

Orthopedics can also do surgery.

If there is a doctor who is good at this area, he can also perform surgery.

Bai Mingming thinks.

Four groups, no orthopedic experts.

But there is an old ruler Liu Zhengqing outside the gods.

Let him take a look at the situation first, and it makes sense.

And in recent times.

Liu Zhengqing has been fully integrated into the emergency center.

He usually goes to dinner.

We also chat during breaks.

From the chat, Bai Mingming also heard that in addition to the doctors in the center, some minimally invasive spine surgeries are mainly responsible for him.

In this regard, he even surpasses He Yiming's.

This is not surprising either.

An "old guy" like He Yiming has been overwhelmed by the traditional major surgery in his head.

He didn't have much effort to study the spine aspect.

This gives Liu Zhengqing a "little young" opportunity.

Liu Zhengqing's situation.

Monday is also clear.

So after Bai Mingming put forward his opinion.

Monday immediately agreed.

In addition to Liu Zhengqing's experience in this area.

On Monday, I wanted to handle the surgery myself.

First, I have promised my father that I will personally treat Lao Fang.

Second, this is minimally invasive disc surgery.

He can do it.

In the advanced Extraterrestrial Dungeon.

This kind of spine surgery is simply a piece of cake.

It is more difficult to remove tumors in the spinal cord.

Monday is also perfect for what can be done.

It's just the first time I've done surgery on this in real life.

It is safer to bring a qualified person to the stage together.

Liu Zhengqing is certainly the best candidate.

Zhou Zhou and Bai Mingming's thoughts coincided.

Bai Mingming immediately called Liu Zhengqing over.

Liu Zhengqing has been completely integrated into the four groups recently.

Bai Mingming called him.

He didn't delay.

Soon came to Monday's consultation room.

On the way here.

Bai Mingming had already told Liu Zhengqing the general situation.

He also emphasized that this patient was sent by his father on Monday.

It is estimated that it is an acquaintance of Zhou Yisheng.

Liu Zhengqing thought in his heart that Zhou Zhou was not particularly good at spinal problems.

He knew he had research in this area.

So I wanted to ask myself to help treat an acquaintance.

Of course, Liu Zhengqing will not shirk.

I've been with Zhou Yi for a long time.

He knew that Zhou Zhou was still a relatively easy person to get along with.

There is no threat to yourself.

And his position in the minds of the leaders of the hospital is very high.

Having a good relationship with him is beneficial and harmless.

Liu Zhengqing arrived at the consultation room.

Say hello to Monday.

Then I immediately took a closer look at the CT scan report.

The patient was in his sixties.

Not too young.

A herniated disc is severe.

Surgery is required.

If you do traditional pioneering surgery in orthopedics.

The wound is at least about 10 cm.

The burden on the patient's body is relatively large.

In the case of minimally invasive surgery, the operation time is relatively short, and the maximum wound is 2 cm.

It is suitable for patients of this age and condition.

The patient is an acquaintance of Zhou Sheng.

Liu Zhengqing also wanted to show it.

He said directly: "This situation requires surgery. I have also had a lot of minimally invasive lumbar disc surgeries in Shenwai. If I can, I can do this surgery. ”

I heard Liu Zhengqing say this on Monday.

Naturally, he was pleased.

If Liu Zhengqing doesn't do it, he will have to transfer the patient to the Department of Neurosurgery or Orthopedics, and he will have a headache!

Next, it is necessary to convince the old party to have surgery.

Lao Fang and Zhou Shouming have known each other for decades and are very convinced of Zhou Shouming.

Love me, love my dog.

I also have a lot of trust in Monday.

So when the surgery plan was proposed on Monday.

The old side is not too much of an opinion.

He said directly, how you should look at it, just look at it, I believe you.

However, his son did not have much contact with the people of the Zhou family.

At the moment, I heard that I was going to have surgery, and I was a little worried.

He stumbled and voiced his worries.

There are two main points.

First, I am worried that surgery will hurt the nerves in my waist and cause paralysis.

The second is the fear of recurrence after surgery.

These two questions are quite professional.

It seems that after Lao Fang got a herniated lumbar disc, his son also did some homework.

Obviously, though, he doesn't know much about minimally invasive surgery.

Traditional surgery is performed with the naked eye, which is very destructive to normal structures.

If the practitioner is not experienced, there is a risk of nerve damage.

It may also be incomplete in decompression and prone to recurrence.

Often, there are two surgeries, three surgeries.

Minimally invasive surgery is performed under a microscope or endoscope to remove the intervertebral disc that compresses the nerve as much as possible, while protecting the normal nerve from damage as much as possible.

Because the microscope can magnify the surgical field of view and image in three dimensions, it is easier to distinguish the lesion from normal nerve tissue.

It's like walking at night, when we have a flashlight, so that it doesn't get dark.

Zhou Zhou and Lao Fang's son had an in-depth explanation.

This dispelled the concerns of Lao Fang's son.

The next step is to prepare for the surgery.

Lumbar disc surgery, although necessary, is not an emergency surgery.

There is time to prepare.

Consider that the surgery was scheduled two days later.

……