Intervertebral foraminoscopic surgery.

Minimally invasive surgery.

The danger is not great.

Monday to do it.

Liu Zhengqing didn't think there was much of a problem.

Since Monday said he did.

Then let him try.

Even if there really is a problem.

Liu Zhengqing thinks that he can also take over again.

Zhou Zhou took over the intervertebral foraminoscope placed by Liu Zhengqing.

This thing, I said it before.

The shape is a thin tube.

Actually, it's a bit inaccurate.

To put it more figuratively, it's more like a pistol.

It's just that the barrel of this pistol has become very long.

At the time of surgery.

The "barrel" passes through the casing and penetrates deep into the patient's body.

The "butt" part, on the other hand, remains outside the body and is operated by a doctor.

This "butt" part, specifically, in addition to the grip, also has the entrance to the working path, etc.

When operating, one hand can hold the handle, and the other hand can operate the surgical tools to perform surgical operations through the working path.

At this moment, Zhou Zhou holds the handle with his left hand and operates the nucleus pulposus forceps with his right hand to enter the working pathway.

Liu Zhengqing paid attention to Monday's operation.

Let's see if he actually had this minimally invasive surgery.

If there is any problem.

As the chief surgeon, he can stop Zhou Sheng's operation at any time.

Well, the posture of operating the foraminoscope is very standard, and the movements are also very skillful.

At first glance, it is a veteran who has experience with these minimally invasive devices.

At this moment, Liu Zhengqing's confidence in letting Zhou Zhou do this operation has increased a little.

Monday is not only operated by itself.

In order to let Liu Zhengqing not have anything to worry about.

While he was operating, he took the time to explain a little.

Let the eyes be watched from the sidelines, Su Quan, who didn't know how to get on the phone, also learned something.

"Su Quan, surgical instruments must be careful through the working path, the instruments do not completely appear in the lens, and do not do unnecessary operations. ”

Su Quan is the first time to come into contact with this minimally invasive surgery.

He listened attentively and remembered.

The instrument must be fully present in the camera before the operation can be performed surgically.

Note!

Monday's operation is skillful.

I'm not nervous at all, and I can still be Su Quan's teacher.

Liu Zhengqing on the side was already relieved.

He no longer looked at the movements of Zhou Yi's hands.

His gaze fell on the monitor.

Not long after, the nucleus pulposus forceps the pointed head.

has entered the field of view of the monitor.

The next step is to remove the nucleus pulposus, which is compressing the nerve.

The nucleus pulposus is part of the structure of the intervertebral disc.

Intervertebral foraminoscopy surgery is usually done to remove excess nucleus pulposus.

It is not about removing the entire disc.

Compared to the roughness of open surgery.

Intervertebral foraminoscopy is more like a conservative treatment in surgery.

This part of the operation.

As long as it doesn't hurt the nerves.

It's not much of a problem.

Of course, the premise of surgery is to have a good understanding of the anatomical science of the spine.

Bite and incision nucleus pulposus forceps, 45-degree nucleus pulposus forceps, small straight forceps, spring forceps......

On Monday, many surgical tools were replaced.

Patiently peel off and remove excess nucleus pulposus.

Liu Zhengqing in the monitor.

Watching Monday's every move.

Well.

It's very smooth.

Large chunks of nucleus pulposus tissue that are compressing nerves are almost completely removed.

And the spinal nerves are well protected.

This level seems to be the experience accumulated from many minimally invasive surgeries.

No wonder he has the confidence to play!

Monday is operated on one side of the operation.

While chatting with Lao Fang, he also chatted a few words.

"How's it going?"

"Sometimes it hurts, but it's bearable. ”

"It's normal, don't worry. ”

"I said Xiao Zhou, why don't you get a general anesthesia, although it can be tolerated, but it's always uncomfortable. ”

"Hehe, this operation does not require general anesthesia, and the operation is relatively close to the spinal nerves, if you stay awake, we can also know the impact of the surgery on your spinal nerves. How's it going, do you have a feeling in your legs?"

"Sentient. ”

"Well, that's no problem. If you feel abnormal in your legs, just tell me. ”

"I can talk to you on my own initiative. ”

"Hehe, of course you can. Aren't you awake? And no one keeps your mouth shut. ”

"You can still talk after surgery...... I really don't know. ”

Indeed, for patients who enter the operating room for the first time, it is estimated that they do not dare to take the initiative to speak.

Or think that talking to the doctor will interfere with the doctor's operation.

But speaking appropriately, there is no problem.

There is also a joke to say.

If the doctor chats and farts, it proves that the current situation is, this surgery, drizzle, everything is under my control.

If the doctor does the surgery with a stuffy head, it proves that the current situation is that the operation seems to be a bit difficult.

If the doctor scolds people violently, it proves that the current situation is that grandma's is cheering up Lao Tzu, and this operation is going to be a big basket.

Monday's current state is super relaxed.

Several large pieces of the difficult nucleus pulposus have already made him use nucleus pulposus forceps to cut out the working passage and lie quietly in the surgical tray.

Zhou Zhou said: "Not only can you talk, but if you are tired, you can also move your neck." ”

“…… It's so powerful, the neck can still move. Lao Fang was a little surprised.

Although Zhou Sheng said so, Lao Fang still honestly lay on his stomach.

He didn't dare move his neck.

End the chat with the old party.

Zhou Sheng said to Su Quan: "In intervertebral foraminoscopy surgery, you can properly chat with the patient to understand whether the operation has any impact on the patient's lower limbs." ”

Recurrence of foraminoscopy surgery is a minor problem.

The big problem is the effect on the nerves.

One of the most direct is the lower limb impact.

With open surgery, the patient's condition is unknown.

Minimally invasive, this aspect is also a strength.

You can keep track of your patient's condition at any time.

So Monday isn't a blind chat.

It is also a kind of operation in surgery.

The operation did not take long, and after twenty minutes, a large piece of the nucleus pulposus was removed from Lao Fang's waist.

Then there are some small fragments of the nucleus pulposus.

This does not need to be taken out.

Minimally invasive also has a secret weapon.

Monday said to the nurse, "Take the RF." ”

He said to Su Quan again: "For a small nucleus pulposus, just go on the radio frequency." Time-saving, labor-saving, clean removal, and hemostasis. You can choose to use it. ”

It's a knowledge point again.

Su Quan hurriedly stared at the monitor intently.

While making a firm note in your mind.

Seen in the monitor.

The nucleus pulposus forceps have been withdrawn, and a rod-shaped object with the tip of the tip appears.

It glows reddish.

At first glance, you can tell that it is a fever.

As it comes into contact with those scattered nucleus pulposus.

In the scorching, they fade away.

……

Surgery here.

The main action is basically over.

On Monday, he began to skillfully remove the intervertebral foraminoscope, cannula, and so on.

Finally, of course, this little thing to close the wound.

Just leave this to Su Quan.

The trauma was too small.

Su Quan did it with one stitch.

The surgery was successfully completed.

This operation, if you use a football game to say.

Liu Zhengqing played a first half.

And Monday was a second half.

Race wins.

……

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