Due to the difficulty of surgery and the high risk of surgery, there are not many hospitals in the country that can perform scoliosis orthopedics.

There are only a few first-line hospitals in the country that can be counted as first-line hospitals in this kind of surgery: Xiehe, 301, Nanjing Drum Tower, and Nandu Annex.

Nanjing Drum Tower Hospital's comprehensive strength is not ranked in the country, only scoliosis surgery is at the top level in the country, and the number of surgeries exceeds that of several other first-tier hospitals, which is due to the efforts of Professor Qiu, who returned from studying in France.

Professor Qiu studied in France for eight years, studying international advanced spine orthopedic surgery under the French spine orthopedic master Professor NR, one of the world-renowned founders of orthopedic technology.

After completing his studies, Professor Qiu gave up the generous treatment in France and returned to China to establish a spine surgery department in the Drum Tower Hospital, focusing on scoliosis orthopedics, which shortened the gap between China and developed countries.

The scoliosis center attached to Nandu is also the first-class in the country, and with the efforts of Professor Su, it has formed a four-legged situation with Xiehe, 301 and Drum Tower.

The second-tier hospitals for scoliosis orthopedics, including 304, 306, Imperial Chaoyang Hospital, and Imperial Children's Hospital, and the rest of the hospitals can only be relegated to the third or third tier.

Sanbo Hospital, which has an annual surgeon volume of dozens of units, can only be regarded as the third or fourth line, but it is very good that a new hospital that has been established for ten years can do this.

Many new hospitals are in turmoil, with staff loss and disease shortages.

There are examples of this kind everywhere, with billions of dollars invested in full swing, and in the end, there are a few beautiful houses, a few nurses playing with mobile phones, and a few articles full of complaints on the Internet.

Like Sanbo Hospital, it is quite bullish to be able to make this scale, especially orthopedics, and be able to divide several subspecialty wards of spine, joint, sports medicine and trauma orthopedics.

Lu Gang's operation was too difficult, and Director Han had no doubts about Yang Ping's words, but after decades of career as a doctor, seeing is believing and being sure.

Before Lu Gang's surgery, Lao Han wanted Yang Ping to have an ordinary scoliosis orthopedic so that he could evaluate Yang Ping's level of surgery.

Genius also needs to be evaluated, not in distrust, but in a scientific attitude.

Scoliosis orthopedics, the pinnacle of orthopedic surgery, once you make a mistake, you are paralyzed, so no matter how much you trust, you must also go through this procedure.

It just so happened that there was a patient in the department, a 19-year-old freshman girl, who had been scoliosis for ten years, and the current thoracic scoliosis angle: bb&039;s52 degrees, lumbar scoliosis angle: bb&039;s64 degrees, had been brace treatment and was ineffective, and now sought surgical treatment, and was recommended to find Professor Zhang.

She had been admitted to the hospital before Lu Gang, and her preoperative preparations had been perfected.

Before the operation began, Lao Han and Professor Zhang were already sitting next to them.

Lao Han knew that Yang Wenwen was highly experienced and would not accept the main surgery without certainty, so Lao Han only needed to watch from the audience.

Spine orthopedic surgery, Yang Ping intermittently, constantly in and out of the system space, has been trained by the devil.

In the system space, no physiological energy is consumed, no need to eat, drink, sleep, no excretion, as long as you can tolerate loneliness and boredom psychologically, you can keep doing surgery.

From unskilled to proficient, even if an average of three hours for one operation, eight units can be done in one day, and eight hundred units in ten days and 100 days.

In the system space, 800 surgeries can be performed in more than three months, and these three months are just a moment for reality.

Staying for three months at a time, this is the time that Yang Ping can endure at the beginning, with Yang Ping's super endurance, even if it is 800 units at a time, enter ten times, it is 8,000 units, 20 times, 16,000 units.

As long as the fire is big enough, a single stone can melt you, and this is where the system space devil comes in.

16,000 units, put it in reality, who can do it?

Even the hospital with the largest number of surgeries cannot reach this number for the entire department.

Yang Ping's points have moved towards a virtuous circle, just like investment entering a virtuous circle, holding a huge amount of money, constantly making profits, and spending more and more.

The original 500,000 points awarded for the main quest can be used to purchase a lot of surgical training, and with these surgical trainings, higher and more difficult surgeries can be done in reality, and more points can be rewarded.

Yu Shuilian's several surgeries, the system accumulated more than 400,000 reward points.

According to the characteristics of the system, in the future, the main quest will only reward new modules, and the real surgery will only reward points, and the higher the difficulty, the more points will be awarded.

For spinal orthopedic surgery, each training package starts with 1,000 units, and a training package consumes about 60,000 points, and the points rewarded by Yu Shuilian surgery can support about 7,000 units.

There are also those shoulder and knee multi-ligament reconstruction surgeries, each reward is tens of thousands of points, and the points of various reward channels continue to accumulate.

Therefore, although Yang Ping spent a lot of points to buy training during this time, the points did not decrease, but increased, and now there are more than 800,000 points in the book balance.

As long as Yang Ping controls it well and keeps his points profitable, now it is simply windy and rainy.

"Shall I first release the thoracic and lumbar spine with a thoracoscopy and laparoscope?" Yang Ping asked Director Han and Professor Zhang for their opinions.

The surgical plan was very thorough, and the laparoscope was used to do anterior release, Director Han nodded.

Song Zimo disinfected the order, and Yang Ping brushed his hands on the stage.

With the aid of thoracoscopy and laparoscopy, anterior release is quickly completed.

The speed of the operation is a bit fast, not like the first operation, but in Lao Han's eyes, it is definitely Yang Ping's first spinal orthopedic surgery.

The anterior road is released, the body position is changed to a prone position, the sheet is disinfected again, and the hands are brushed again.

The incision revealed very quickly, the bleeding was completely stopped, and there were only sporadic traces of blood on a few pieces of gauze.

Nail placement first, then osteotomy, and finally orthopedics.

The surgical steps are very clear, the big steps are followed by small steps, step by step, there are no ineffective movements, no repetitive movements.

This shows that Yang Ping is not a novice, or that he did not perform like a novice in his first surgery.

Lao Han and Professor Zhang got up, approached, and stared at the screen.

Opening, opening, probing, implanting the positioning needle, follow this step, complete the left side, then the right side, complete this vertebrae, and then another vertebrae.

Dozens of guide needles are implanted into the pedicle in this way, and all the guide needles are seen through at once.

On the screen, dozens of guide pins are placed in a mess from different points and different directions.

Lao Han and Professor Zhang looked at the screen of the pen machine, checked one by one, and checked it several times.

The point, direction and depth at which each guide pin is inserted is almost perfect, and each guide pin passes through the bony center of the pedicle at an optimal angle, and not a single one is dissatisfied, and even the slightest permissible deviation is not present.

It seems that the seven independent guide pins are all optimal, and changing a little more is biased.

Fluoroscopy confirms that there is no problem with the guide pins, and then pulls out the guide pins one by one.

For each pedicle removed, a pedicle screw is implanted, either gimbal, or directional, until all the guide pins are replaced with pedicle screws.

Looking through again, there is no doubt about the screws, and the pedicle nails are all very beautifully placed.

"It's time to start the osteotomy!" Yang Ping reported the progress of the operation at any time, and he was also licensed.

"Intercept!" Director Han agreed.

Osteotomy is a high-risk procedure and the most technically intensive surgical step.

Osteotomy is the amputation of several parts of the spine to reassemble it, and osteotomy is not a simple amputation, it needs to be amputated to be able to re-fit effectively.

Osteotomy can damage nerves, leading to paralysis, and in the process of recombination, if there is a misalignment, it can also damage the nerves, causing paralysis.

To reduce nerve damage, neurophysiological monitoring and arousal testing are often used intraoperatively.

Osteotomy, Yang Ping uses ultrasonic bone knife, compared with traditional tools, ultrasonic bone knife is much improved in the accuracy and safety of osteotomy.

This tool eats hard and not soft, it only cuts hard bone and does not work on the nerves of soft tissues.

The rhythm of the operation is very good, and at the same time as the osteotomy, Yang Ping will turn his head to look at the screen of the neuroelectrophysiology monitor between each amputation.

The fat man has adjusted its angle to the best so that he can see the monitoring wave at any time, and if the spinal cord or nerve root is damaged or irritated, the amplitude of the wave will change, and the stimulation wave will appear, alerting the surgeon that your operation is dangerous.

The ultrasonic bone knife, Yang Ping has not used it a few times, but now, it is very obedient in Yang Ping's hands, as if it was born for Yang Ping.

The osteotomy was very fast, and Lao Han and Professor Zhang's heart was raised to the throat and eyes.

Listening to the noise of the ultrasonic bone knife, they didn't dare to speak, for fear of interrupting Yang Ping's rhythm and causing an accident.

"Osteotomy complete!"

Lao Han and Professor Zhang woke up like a dream, and it was done, so fast.

"Start orthopedics!"

This step is the most risk-prone to spinal correction, sometimes because the spinal cord cannot tolerate the correction, the patient is paralyzed on the spot, or a few days after surgery.

Once paralyzed, it will be catastrophic.

So, doctor, every operation is walking on thin ice.

In the operating room of the system space, more than 10,000 surgical trainings have allowed Yang Ping to grasp a large amount of data, what deformity correction to what extent is safe, and the data will not deceive people.

When he has free time, he will sort out the collected data, and then summarize the rules to come up with a set of predictive models to guide scoliosis orthopedic surgery and make the surgery precise and standardized.

"Slow down, Young"

Professor Zhang and Director Han reminded at the same time.

Yang Ping held the tools and began to perform spinal orthopedics.

This step, Yang Ping is not very fast, he corrects a little, here to see the pulse of the spinal cord, there is to see the monitoring wave, it has been normal, there is no change in the amplitude of the wave due to stimulation.

Little by little, step by step, in a suitable rhythm, the spine changes spatially at the truncated site and the sequence is reconstructed.

The spine is corrected in three dimensions, then a titanium rod is implanted, a step-by-step screw lock is performed, and finally a crosshead is added, and then locked.

The whole journey lasted for an hour, and there was a tail gauze thrown into the collection basin, and Zhou Can spread it out one by one, the gauze was dry, and there were a few faint blood stains.

"Perspective!" Director Han commands the trainees who push the arm.

"Why don't you do a scan?" Yang Ping suggested.

This operating room is a multi-functional operating room with its own imaging equipment.

The scan is complete, and the 3D reconstruction image gradually comes out.

Each screw is encased in the bony channels of the pedicle, and the spine has completely returned to normal physiological curvature, which means that the osteotomy has been done to the extreme.

"Move your toes, yes, up, down, that's good!"

Professor Zhang instructed the patient to move his toes, and everything was normal.

Lao Han looked at the three-dimensional reconstruction image and was fascinated, this operation, there is nothing to say.

This kid was born to do surgery, the god of surgery, not an exaggeration at all.

As soon as you get started, you will be the essence of a thousand years!

Lao Han is used to it, and it is not the first time that his cognition has been brushed, so it doesn't hurt to brush it again.

If you have to explain, talent! Talent explains everything.

This kind of talent is hard to find, and I am glad that I have met it.

Yang Ping helped carry the patient over the bed together, and Professor Zhang walked up to Director Han's side: "The toe movement is very good!" ”

The first time you do it, how dare you leave no room and directly correct it to zero degrees.

Alas, it's still talent!

"Lu Gang's surgery made him the main one, right?" Director Han felt that there was no longer any doubt.

What else can Professor Zhang say: "Young man, it's strong!" ”

The first is the latest.