Chapter 0349: The Past
When Robert left, he carved only a decent letter into the olive pit.
Time is pressing, and it is too late to learn this cutting-edge operation technology from Yang Ping, so it can only be a later period.
However, he gained a lot, and under the guidance of Yang Ping, he got a glimpse of the surgical approach for multi-ligament reconstruction of the shoulder and knee joints.
The day before leaving China, Lao Gao was the east, invited Robert to dinner, and called all the brothers in the comprehensive orthopedics, but in the end, no one had done Takahashi's bill, and he paid the bill with lightning speed.
Song Zimo was occasionally able to completely separate the grape skin into two layers, Takahashi was still struggling for the two layers, he and Xu Zhiliang did not succeed once, he was much better than Xu Zhi, although he broke a few holes, he could still divide the second layer, Xu Zhiliang divided it, and the second layer was broken into several pieces.
Fujiwara Miyuki's core carving progress is a bit slow, and it is still difficult to carve out a letter, and it is difficult to carve it out, crooked, but the Japanese girl is very hard, and she is training in the afternoon, and she wants to ask Dr. Yang to teach her how to control the instrument freely and transmit the power to the tip of the instrument, but she is embarrassed.
Zhang Lin and Xiao Wu, peeling the grape skin, still stay in one layer, if you want two layers, even if you break a few holes, or break into several large pieces, it is unlikely in the short term.
However, their hooks have grown a lot, and the two of them hang a kilogram of iron, and they can hold on for half an hour, and they can not move, and the time is still improving.
Now, they get into the training of soap bubbles, using a basin filled with large soap bubbles, and gently pulling the soap bubbles apart with a retractor, and the soap bubbles try not to break.
This kind of manual training, in order to master the appropriate strength of the hook, to avoid damaging human tissues or organs when pulling the hook, if the soap bubble can be done with appropriate strength, the real operation, will definitely not cause compression damage.
Yang Ping didn't plan to relax the slightest bit about their strict requirements, he would supervise and guide him when he was free, Song Zimo, Gao Qiao and Xu Zhiliang were very conscious, but Zhang Lin, Xiao Wu and Liang Fatzi were not necessarily.
The fat man's cigarettes were also confiscated by Yang Ping, and during the training, he took Xiao Wu out a few times, just to smoke and waste a lot of time.
Yang Ping himself also enters the system space from time to time for training, orthopedic surgery has been fully opened, and Yang Ping has also undergone training in all orthopedic surgery.
But there is no end to excellence, Yang Ping's more than 500,000 points, although there are consumption from time to time, but there are also daily rewards in the account every day.
In this way, when there is no large expenditure, the points always fluctuate around 500,000, maintaining a strong purchasing power for the system mall.
Although the system space does not occupy real time and does not consume physiological energy, the psychological experience is the same as reality.
There is also a limit to the psychological tolerance for fatigue, and even a strong-willed person like Yang Ping has a limit to how long he can stay in space.
In and out of this time, even Yang Ping himself doesn't know, if you accumulate your time in the system space, how much time there is, this data should be very exaggerated.
Yang Ping is full of confidence in the Golden Knife Award, but he does not dare to take it lightly, in order to obtain the reward of the space laboratory, he must win the championship of the Golden Knife Award.
According to the requirements of the competition system, the Golden Knife Award is divided into regional competitions and national competitions.
The country is divided into five major regions, east, west, north, south and middle, each of which conducts a three-month regional competition, sorted according to the score, and the top three teams enter the national competition, and the national competition adopts the elimination system, all the way to the finals.
There is no limit to the team sent by each specialty in each hospital, the chief surgeon of the team needs to be the deputy chief physician or above, and the attending physician needs to be signed and recommended by two authoritative experts outside the hospital to serve as the chief surgeon.
For the surgical cases participating in the competition, each step from diagnosis, selection of surgical indications, preoperative preparation, surgical operation, and postoperative treatment will be scored.
There are some key steps that make major mistakes and give you a direct zero score, such as a diagnostic error or an error in the selection of surgical indications, no matter how well the other steps are done.
The competition has a special website, APP and public account, upload complete case information before surgery, and update and upload disease course records daily after surgery.
All surgeries are elective surgeries, in the form of live broadcast, encrypted and archived directly on the website after the live broadcast, and cannot be modified or edited.
Some surgeries can be performed by one assistant, all surgeries in the regional competition can be done by one assistant, more than half of the surgeries must be performed in the national competition, and all surgeries must be performed by the chief surgeon in the finals.
Yang Ping's team, Song Zimo is a helper, and the others include Zhang Lin Xiaowu, Liang Jing, Xiao Su, and Zhou Can.
Xu Zhiliang was later, he was still in the emergency department when he signed up, so naturally he did not join the team, but he could participate as an anonymous substitute, and those other than the chief surgeon or a helper could not come to the stage for special reasons, and he could be replaced as a nameless substitute.
The purpose of the quadrennial Golden Knife Award is to motivate young doctors to pursue excellence in technology, so the Golden Knife Award is a stage for young people, and members are required to be under the age of 45.
In this regional competition in South China, the strongest strength is naturally the First Affiliated to the Southern Metropolis, the Second Affiliated Hospital, and the Provincial People's Hospital, and the Queen Mary Hospital of Hong Kong and the Prince of Wales Hospital also signed up for the competition.
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Sanbo Hospital, Comprehensive Orthopaedic Operating Room.
This is an adolescent scoliosis orthopedic surgery, Professor Zhang's patient, the patient came from Australia, Professor Zhang sat in the corner of the operating room.
"Let's get started!"
Director Han was straight, and after a routine preoperative check, he took the scalpel, and the back of the knife made a skin mark on the patient's back.
The patient is in a prone position, lying on a spinal prone frame, following a skin imprint with the knife in the middle of the back, pulling out a long longitudinal incision.
In order to take care of Yang Ping's height, Director Han deliberately stepped on a pedal.
is worthy of being the successor designated by the old director of the sixth year, Director Han's movements are steady and brisk, the rhythm of the operation is extremely strong, the skin is cut, and the electric knife begins to grasp it in his hand, accurately stopping the bleeding, and going deep layer by layer.
"Everything has its own beat, and surgery is no exception, you have to catch its beat, fast beat, slow beat, lose the beat, it's easy to fall into chaos." In the gap between replacing surgical instruments, Director Han said to Yang Ping.
In terms of specific surgical techniques, there is not much to teach him, and Director Han feels that he should pass on some of his own mental experience.
The child's entire spine has been printed with a 3D printer before the operation, and according to the 3D printing model, the positioning guide of the pedicle nail is also designed, so that the whole operation is very easy to do.
On a few pieces of gauze, there were dots of blood, and Director Han had peeled off from the spinous process to both sides, sticking to the bone surface, exposing part of the vertebral plate and other vertebral attachment structures.
Using the guide, the opening of the path at the position of the nail is opened, the probe explores the four walls of the bone tract, confirms that there is no problem, the guide needle is sent into the open bone tract one by one, passes through the pedicle straight into the vertebral body, and when the last guide needle is implanted, the C-arm X-ray machine fluoroscopy begins.
On the curved and deformed spine, the position of the guide needle is very good, each one is in the standard position, the best entry point, the best direction, the best length.
Scoliosis is a sideflex in three-dimensional space, and orthopedic is also an orthopedic in three-dimensional space, 3D printing technology is particularly important at this time, and a surgical simulation can be carried out before surgery, whether it is nail insertion or osteotomy and orthopedics, you can grasp the data in advance.
Director Han's surgery is really beautiful, the atmosphere is thick, and no matter how big the operation is, he makes it simple and easy.
The instrument was in his hand, and it seemed to be full of power, but when it touched the target of the operation, it was so appropriate, neither light nor heavy.
The position of the guide needle is satisfied, and the rest is to ream, screw in the pedicle screw, because there is already a 3D model before the operation, the length and diameter of each screw have been determined, now there is no need to measure, just insert directly.
Finally, the key step is the osteotomy, there is also an osteotomy template available, and the preoperative rehearsal on the model has also been rehearsed, and Director Han is now carefully starting the osteotomy according to the preoperative plan.
The somatosensory evoked potential monitor monitors the electrophysiological activities of the spinal cord at any time to prevent and treat excessive stretching and squeezing of the spinal cord during correction of the spine, causing serious consequences.
According to the preoperative plan, Director Han intomided several osteotomy sites in one go, and then began orthopedics.
The orthopedic was carried out little by little, and with each correction, he had to turn his head to look at the monitoring screen, which showed normal condition.
When the orthopedic was satisfied, Director Han stopped, which was the most dangerous and experience-intensive step.
"It is especially important at this time to stop in moderation, once the tipping point is crossed, it is irreparable paralysis." Director Han said to Yang Ping opposite.
Finally, two metal rods are implanted, and the beams are added, locked, and the key steps of the operation are completed.
On fluoroscopy again, the correction was very satisfactory, and the electrophysiological activity of the spinal cord was normal on the somatosensory evoked potential monitor, and there was no damage to the spinal cord.
Ordinary and ordinary surgery, there is nothing magnificent, flat and straight, this is the characteristic of Director Han's surgery.
"A wise doctor can turn danger into a disaster, and a higher realm is that he will not fall into danger at all, so for the chief surgeon, the operation of flat and direct push is the best operation."
"The final competition for the Golden Knife Award is all surgical geniuses, and the judges are extremely harsh, and any small loophole will be deducted."
"I don't have any worries about you, but we can't take it lightly, we are doctors, just like fighting, the most taboo is to underestimate the enemy."
Director Han personally finishes the work, puts the drainage tube, closes the incision, and sews the skin until the last stitch is completed.
"I'm old, and the stage belongs to you young people."
Director Han took off his gloves and went to the side to chat and rest with Professor Zhang, there were still a few surgeries behind, he didn't want to waste time, so he concentrated on one day and took Yang Ping to complete the capping operation at one time.
"Han Lao Er, don't miss the Golden Knife Award this time." Professor Zhang said to Director Han, who had just sat down.
Director Han didn't answer, just sat and watched Yang Ping on the stage opening the sterile sheet.
Back then, Director Han and his senior brother Hong Zhigang, representing the orthopedics of the Magic Six, each led a team, and both teams reached the finals, and in the final championship final, it was actually him and his senior brother who faced off.
It's a pity that Director Han withdrew from the competition before the finals, and Yizhu replaced him to complete the final surgery, so Hong Zhigang won the National Golden Knife Award in orthopedics.
After a lapse of twelve years, the Golden Knife Award returned to the magic capital, and the previous three champions were the hospitals in the imperial capital.
And Han Jiangong's abandonment before the final has always been a mystery in the orthopedic circle.
"Didn't you hear what I said, don't miss it again this time." Zhang Lao was a little angry.
Director Han muttered, "No. ”