"Next section, re-speak!" Director Qin is the main knife, and he naturally has to show courage at a critical moment.

If you want to be wrong, you won't be wrong, you should be one segment off, if you have an error, you won't go up, you should go down.

Removing the lens and the working cannula, Director Qin made another small opening on the left side of the next segment, punctured the open circuit, dilated the channel, placed the working cannula, and then inserted the lens, and the plasma knife cleaned the field of view and gradually entered the spinal canal.

Nothing, everything is so normal that it makes people panic!

I could still see the ruptured fibrous ring just now, but now it is completely normal in my field of vision, and Director Qin's hope bursts like a soap bubble, and it is impossible to blindly make two rows of holes in the back of the patient's waist.

In a hurry, Director Qin's afterglow caught a glimpse of Yang Ping, this kid was all godly, he didn't know how the spine surgery was, and he had the mentality of trying: "Xiao Yang, you see, or not, what should I do?" ”

At this time, for the sake of the patient, the face has been forcibly reduced and sold, although Director Qin is embarrassed, he still speaks hard.

Although Director Qin himself understood that keeping him here was just waiting for this moment to speak, but when it came time to speak, it was still a little uncomfortable.

Face is a wonderful thing, even if you know that it is not worth anything, there is no way but to take care of it all the time, for fear of scratching some traces.

Yang Ping was watching the magnetic resonance film seriously: "Open an Onaipake, intraoperative neuraxography!" ”

One sentence is sudden, why didn't I think of this, since the popularization of magnetic resonance, the examination of neuraxography has almost faded out of the brain of orthopedic surgeons, in this era, who still does neuraxography.

However, at this moment, neuraxography is the best method, and if you see such a big thing on the MRI, will it still disappear out of thin air?

"Wipe my sweat." Director Qin moved his head away from the sterile area, and the paper towel of the itinerant nurse was printed.

The drum does not need a heavy hammer, it is all expert-level, and the idea of solving the problem is pointed out in one sentence, and this kid also has two brushes in spine surgery.

Director Qin was much more relaxed, and immediately regained his confidence: "Ou Nai Pike, come to the bottle of 100ml, it's useless if you don't have it." ”

Ou Nai Paike, iohexol injection, Director Qin is still familiar with, an iodine X-ray contrast agent, when he does percutaneous kyphoplasty, he often uses it for vertebrogram, but neuraxography, I really haven't used this method, so I can't think of it.

"Is it sterile?" The doctor in the audience asked.

Director Qin split his head and covered his face: "Usually the brain is used for many purposes, injections, can enter the blood vessels of the human body, do you say sterile?" ”

The doctor who asked the question blushed, indeed, injections can be injected into human blood vessels, how can it not be sterile, such an idiotic question, it is estimated that he also made a paste with his head just now.

The itinerant nurse opened a 100ml bottle of Onipac, and the instrument nurse used a 50ml large syringe to draw it, drew two full tubes, and put it away for later use.

The patient was lying on his stomach, and now he was also a little tilted, Director Qin returned to the first approach, set up a working cannula, inserted the lens, injected Onipac into the spinal canal, and waited for a while to let it spread evenly.

"Perspective, see the situation."

The G-arm machine was pushed in, and the transmitter and receiver close to the operating area were covered with sterile protective film, and Dr. Wen instructed the operator to adjust the position.

"Hurry up, dodge!" Dr. Wen drove people away.

The operator stepped on the pedal at the door, and everyone went in again, and the contrast pattern on the screen was clear, and the intervertebral disc appeared on the right posterior side of the gap of 45 lumbar space.

"I'm unlucky today, I've had this kind of surgery for ten years, I haven't encountered this, the intervertebral disc moves in the spinal canal, and when I do the examination, it moves to the position of lumbar 12, and when I do the operation, I run to the right back side of 45." Director Qin couldn't laugh or cry.

If it weren't for Yang Ping's dialing today, he really fell into a mindset, and in the end, the operation was forced to be a switch operation, to save face, and in the end, all face was gone.

"Doctor Yang, it's still you who are open-minded, we almost got caught up in this cargo." Director Qin is also a man of temperament.

Yang Ping reminded him: "This situation is indeed rare, such a large thing can move at will inside, be careful, afraid that it will run away after waiting." ”

The nerves that had just been relaxed were tensed again by Yang Ping's words, and Director Qin was now frightened and became a frightened bird.

The patient's upper body is not anesthetized and can move, maybe lying on his stomach for a long time, the patient moves slightly, and the anesthesiologist immediately shouts: "Don't move, tell me if there is any discomfort." ”

"Piercing the road from the right side of waist 45, this is not a high iliac crest, it should be easier to open the way." Director Qin wants to take a break and let Dr. Wen be pierced.

After thinking about it, he still did it himself: "Wait, I'll do it again." Director Qin took the puncture tool.

Perspective positioning, puncture, several perspectives, no error in position, then open reaming, working channel establishment, lens into the spinal canal.

Didn't see the free disc again! I just saw it here on a neuraxogram.

stepped on the shit today, and Director Qin's hand was a little stiff: "The contrast agent is still in it, see it again!" ”

Yang Ping is very calm, this thing, I have seen and done a lot, so I naturally don't panic in my heart, Director Qin has thousands of spinal endoscopic surgeries at most, which is still routine. With 500,000 points in hand, I don't do a surgical simulation of a loser, I just train surgery, and I won't make myself poor no matter how I play now, I just wander around the system space when I have nothing to do, and I do all kinds of strange surgeries, how can I not be calm.

It's like fighting a war, every day in the flames of war, it's definitely different. There were shells exploding everywhere, bullets sticking to his hair, and he could calmly smoke a cigarette.

"Add some contrast, fluoroscopy!" There are people behind him, and Director Qin's center of gravity is very stable.

Looking at it from perspective, everyone just wants to laugh, the intervertebral disc runs to the left posterior side of the lumbar 45 gap, do you want to go to the left side of this segment to open the hole?

Director Qin turned his head to Yang Ping for help: "This problem! How to solve it? ”

"Pull it over from the opposite side, and the spinal canal is so big?" Yang Ping thought it was simple.

Blind exercises? It is absolutely forbidden to endoscopy.

"If you pull the ponytail and pull it out, you'll be in big trouble." Director Qin was worried.

Can't tell the difference between the cauda equina and the nucleus pulposus of the intervertebral disc?

Yang Ping didn't understand a little in his heart, and suddenly remembered that his touch can be done, but others definitely can't, he has a massive amount of surgical training in the system space, and he is familiar with everything, how can others compare with him.

"Since the activity is so large, it means that the pressure is not heavy, why are the symptoms so severe?" The doctors in the audience didn't understand.

Dr. Wen had no choice but to popularize science: "Some people have slept for a few years and have not been pregnant, and some people have been pregnant after sleeping once, what do you say?" ”

"Don't move, big brother! Anesthesiologist, give some sedatives! ”

The patient moved again, and Dr. Wen exclaimed.

"Shall I come?"

Yang Ping took the initiative to ask Ying, and then get it down, not to mention that in case the intervertebral disc was stuck in that corner, just by repositioning the fluoroscopy, the patient would also eat more rays.

At this time, Director Qin thought about it, this operation is really back, and it is good to have a master to relieve him.

I can't get off the stage after surgery, so what face do I need.

"Or? Dr. Yang, you come. Director Qin agreed.

"Do you want me to go on stage?" Xiao Su whispered.

"Wait for me in a few minutes."

At this time, Xiao Su looked at Yang Ping, the absolute most handsome man in the world, no matter how difficult the operation, he was as stable as Mount Tai, and it was easy.

Brush your hands and get dressed, go on stage.

This kind of surgery can be done by one person, not even an assistant.

Yang Ping came to the stage and adjusted the working channel and lens slightly.

A handful of nerve peel ions reached in, gently flicked a few times, and for some reason, the free intervertebral disc appeared in the field of vision.

Then replace it with nucleus pulposus forceps, steadily, actually take out the whole piece at a time, put it in the saline gauze handed by the nurse, rinse it, wait for the knife to stop the bleeding, and then remove the instrument and the working sheath.

The sheath canal is placed on the left side of the lumbar 12 pathway, the nucleus pulposus forceps are extended from the back of the ruptured lumbar 12 fibrous annulus, the left mouth, the right mouth, the mouth is not empty, a part of the intervertebral disc is removed, and then the fibrous annulus is formed, and finally the dural sac and nerve root are the center, and their cephalad, caudal, ventral, dorsal and contralateral sides are completely decompressed.

Director Qin was a little dazzled, Yang Ping's intervertebral foraminoscopy technique, not to mention how to do it, it was simply pulling himself a few levels.

The instrument is in the spinal canal, how to operate it, according to this level, all the problems in the spinal canal can be solved under the intervertebral foraminoscope, and then with the percutaneous pedicle nail, the intervertebral fusion device is placed under the microscope, and the spine will be operated in the future.

"It's over!"

Yang Ping put down the instrument and solved the problem in a few minutes.

Director Qin has to take it, a god is a god, and it is still a bit expected to be able to become a legend in the hospital, this intervertebral foraminoscope does not have more than ten years of surgical experience, I'm afraid I can't practice it, Xiao Young, where is there so many surgeries for him to practice?

Director Qin was thinking about it, and Yang Ping had already begun to take off his clothes and gloves. Xiao Su followed to assist.

It's so handsome!

Every time he is on the operating table, the invincible mode that Yang Ping shows is really handsome.

"Rinse it again, and the stitches will do." Yang Ping advised.

Director Qin looked at the intervertebral disc that was taken out, the nerve root that had been fully decompressed, the level of this operation, he could be his own teacher, this is not trauma orthopedics, it is spine surgery, intervertebral foraminoscopy, and he has been operating in the field for ten years.

"Dr. Yang--- have worked hard---"

Director Qin is sincerely grateful, let him come to power earlier, it is estimated that he doesn't have to toss so much--- face and kill people!

This treatment method of people is what kind of novice and tender person, it is simply old and wrinkled.

"I'm back in Cory---"

"Thank you!"

"I'll contact you when I get back, and we'll sit together when we're free."

Yang Ping got off the operating table and walked out of the operating room, followed by Xiao Su.

"Every time I look at the invincible mode on your operating table, it's so handsome!" Xiao Su said secretly.