Song Yun of Xiehe, except for Wen Rentao, he didn't think anyone would be his opponent.

Even if he faced off against Wen Rentao, Song Yun was very confident.

Some hospitals are stronger than Concord in certain specialties, but in terms of comprehensive strength, Concord is a well-deserved overlord, and its fine tradition has made generation after generation of Concord people tireless and strive for excellence.

Now, Song Yun is facing Yang Ping, and Yang Ping, who has never played in previous events, uses this kind of Everest-level case when he appears, to be honest, this kind of case is in Xiehe, even his director does not dare to take over.

Medicine is not a place to compete, and there is no shame in not daring to take over, but it is responsible for the patient.

The more astute the doctor, the more he knows where the boundaries of medicine are.

But what is Yang Ping's reason to be so arrogant, to accept this kind of case, and to put it on the game.

From the analysis of the operation video of Sanbo Hospital, Song Yun had to admit that the strength of Yizhu in a single round of basic surgery has been at the same level as himself, and the new method of knee multi-ligament reconstruction pioneered by Yang Ping, the chief surgeon, is simply a genius, so it was once misunderstood that it came from the New York Special Surgery Hospital in the United States.

If it weren't for the inspection team to announce the truth, Song Yun would not believe that it was Sanbo Yang Ping's initiative, the first of this surgical method, in addition to talent, also requires a large number of cases, and the latter Sanbo does not have it anyway.

Yang Ping's mystery made Song Yun extremely stressed, could he really complete this operation?

If it can't be done, why do it? People who can create new techniques must not be treated simply.

As for the rhetoric shouted on the Internet, what crazy, what inflated, what carried away.

How is it possible, Song Yun didn't believe these remarks at all, and from the quality shown by Yizhu's operation, it can be inferred that the chief surgeon must be a calm and experienced person, and the surgical quality is very good.

It's just that Song Yun doesn't understand why Yang Ping won such a difficult operation, it is simply an impossible operation.

Why?

Not only Song Yun has such doubts, but orthopedic surgeons across the country are also wondering, the judges are also wondering, and several spine bosses are also wondering.

By the time the second season started, Yang Ping was fully prepared, his condition could change at any time, and the experience accumulated in simulated surgery would be used as quickly as possible.

Yang Ping didn't intend to wait for anyone, and he didn't deliberately want to be the first to open the stage, in short, for the sake of the patient and the safety of the operation, he wanted to open the stage as soon as possible.

Before the operation, Yang Ping once again had a preoperative conversation with Lu Gang and his mother.

The risk of surgery is very high, there is the possibility of death, paralysis, infection, etc., and doctors can only do their best to reduce the risk, but it cannot be completely avoided.

"No matter how big the risk is, he has to take a little risk, now he suffers a little, it's okay to take a little risk, after I get old, who will take care of him, he went from elementary school to college, you don't know how hard it is, he works hard, I also work hard, I have to use a wheelchair to push him to school every day, pick him up, and the university can only rent a house next to the school, pick up and drop off every day, and even take back lunch and dinner at home." Lu Gang's mother wiped away tears as she spoke.

Lu Gang was just silent, even if it was an ordinary thing, it was very difficult for him to do.

For example, eating, which is a common thing for ordinary people, is extremely difficult for Lu Gang.

Without a mother, let alone going to college, even survival is a problem.

For more than ten years, his mother took him everywhere to seek medical treatment, and he spent a lot of money on the road alone, but no hospital dared to do the operation, and now Dr. Yang is willing to do the operation, even if he takes the risk.

Until Yang Ping asked again: Are there any other questions?

Lu Gang's mother and son really couldn't think of other questions, the explanation had been explained repeatedly, it was clear, and Lu Gang and his mother both solemnly signed.

Informed consent for surgery, blood transfusion, anesthesia for anesthesia, and power of attorney.

In this kind of complex and high-risk surgery, unplanned things may occur during the operation, and once such things happen, the patient is anesthetized, incapacitated, and needs a person to act on behalf of the legal right, and Lu Gang uses the power of attorney to entrust this right to his mother.

The operation was unpredictable, and Yang Ping was confident that the amount of bleeding could be controlled within 200 ml, but he still prepared autologous and allogeneic blood transfusions, and the more fully prepared, the better, even if it was not needed.

Director Han and Professor Zhang sat on the side, and the flat cart pushed Lu Gang into the operating room.

After passing the bed, Xiao Wu Zhang Lin practiced many times, and they were familiar with the road, and they took the trainees together to pass Lu Gang to the operating table.

The fat man began to be intubated, although he practiced for a long time on Lu Gang's model, and practiced for a long time with rabbits, he was still not completely sure.

The fat man slowly inserted the fiberscope, and the mouth, throat, and trachea were slowly revealed from the first perspective, and then he stayed on the glottis cleft.

The laryngoscope was gently inserted, the tracheal tube was inserted, the fat man's hand was very steady, the catheter crossed the glottis, the fat man held the catheter with one hand, and held the stethoscope with the other hand to auscultate both lungs, and then made an OK gesture.

It went well, the intubation was successful, everyone applauded, and the first hurdle was passed.

Zhang Lin Xiaowu stuffed various asana pads into the gaps around Lu Gang's body, posing in a strange position.

Yang Ping plans to do hip and knee joint release and joint replacement first, so that the hip can move freely and facilitate the next position.

It is very difficult to perform a bilateral hip and knee replacement in this curled position.

Performing bilateral hip and knee replacements at the same time, even in a normal position, can be challenging.

This extreme position is very difficult to complete the operation.

Even Professor Zhang and Director Han had to wonder how he could quickly complete the replacement of these four joints.

How to operate, Yang Ping is skilled enough to form muscle memory, he has performed nearly 100 surgeries on Lu Gang in the system, and has also performed many research-style pathological dissections.

Song Zimo disinfected the sheets, and the action was very fast.

For the last check before the operation, Yang Ping took a minimally invasive hip replacement incision, and the deep hip joint was exposed in a few minutes, and several acetabular pull hooks were put away and let Zhang Lin Xiaowu hold it.

Where to put the hook and what it was inside, Zhang Lin Xiaowu didn't know at all, but they just needed to hold the hook steady. They are fully competent for this work, and according to Yang Ping's requirements, they hold on to the hook steadily.

The femoral neck osteotomy is in place at one time, and the deformed femoral head is easily removed by the head taker.

Just now, Director Han was worried that it would be difficult to remove the amputated femoral head, and the femoral head had been taken over by Xiao Su and placed in a metal basin.

The diameter of the femoral head is usually measured with a caliper to guide the selection of the model of the artificial joint prosthesis. Now because the femoral head has been deformed, it is completely instructive.

Where is Lu Gang's acetabulum?

The pelvic acetabular area on the CT 3D reconstruction has no real meaning of the acetabulum, and the shallow indentation is meaningless.

For more than a decade, his hip joint has been dislocated, and the femoral head has been floating in the soft tissues, without the acetabular fossa that houses it.

Usually, when joint surgeons deal with acetabulum, they look for angles in order to correct the direction and depth of the acetabulum.

Now Yang Ping wants to make an acetabulum for Lu Gang again, the position, direction and depth of this acetabulum must meet the anatomical requirements, Lu Gang's position is extremely non-standardized, and this position is to find an angle, requiring the doctor to have a strong spatial imagination.

"Xiao Yang—" Professor Zhang just wanted to give him some advice.

The acetabular file had already reached in, rustling, and through the goggles, the blood mist rose.

The high-speed electric drill with the acetabular file has not yet finished its work, and Yang Ping directly reported the model parameters of the acetabular prosthesis.

Huang Jiahui immediately opened the bag and opened the prosthesis on the instrument table.

The steps of the competition require a mold trial, otherwise Yang Ping does not need to test the mold at all, and he has done a hundred surgeries, which is still a waste of time.

Yang Ping completed the process of mold trial and directly asked Xiao Su to open the prosthesis.

Due to the lack of activity, Lu Gang had osteoporosis, and the biotype prosthesis was not suitable, so he used a bone cement prosthesis.

The bone cement is opened, and the mixture begins under the stirring of the special dissolving solution, and the fragrant smell wafts throughout the operating room.

The acetabular is flushed, the gauze is stained dry, and the acetabular implant is accurately implanted into the artificially excavated acetabular fossa with the bone cement of the dough stage, and compressed.

Immediately afterwards, the femoral end is expanded, the medullary cavity is flushed, and the mold trial is also a walking process, the bone cement gun will drive the bone cement into the femoral medullary cavity, and then the real femoral end prosthesis is implanted into the medullary cavity and compressed.

A little excess bone cement has been completely removed, the artificial prostheses of the joint head and joint socket have been installed, and the rest is to completely stop the bleeding, there is no blood at all, and there is no need to drain it.

Responsible for close-up magnification under the lens, observed for a few minutes, no obvious bleeding.

Because of the minimally invasive approach, various important structures, such as the piriformis muscle, have not been damaged, and the bleeding on the bone surface has long been stopped by the compression of the joint prosthesis and bone cement.

Rinse, suture layer by layer, and one hip is replaced.

Young man, your surgery is the same as playing a game, Professor Zhang's eyes don't dare to blink, this kung fu is still not human.

Originally, I wanted to communicate with Yang Ping for a few words, but the hip joint on the other side started again, the movement was too fast, and the brain couldn't keep up with Yang Ping's rhythm, Professor Zhang and Director Han ran with Yang Ping in their hearts.

After the bilateral hip joint is replaced, there is no pause, and then the knee joint is replaced.

Song Zimo felt struggling as an assistant for the first time, but he could barely keep up with the rhythm, Zhang Lin Xiaowu didn't see how the operation was done clearly throughout the whole process, and every time Yang Ping put the hook away, they just held it mechanically.

But fortunately, after so long of training, the two brothers have been training for so long, and their hook skills are first-class, and the two of them are properly pulled, and the silk lines do not move.

Knee replacement tests the technique of osteotomy and soft tissue balance, Yang Ping's movements are too fast, whether it is the members involved in the operation, or Professor Zhang and Director Han who observed the operation, everyone does not even dare to relax a little, how can they still speak, and if they hesitate a little, they will be thrown off by the rhythm.

Exposing and cleaning the synovium of the knee joint, the release of ligaments and joint capsule, and the osteotomy of the tibial end and femoral end are the requirements of the surgical steps.

The positioner is installed, the tibial osteotomy template is assembled, and the osteotomy is completed in a few clicks, and then the osteotomy of the femur is also completed in a few steps. Osteotomy, tibial prosthesis and femoral prosthesis were completed and implanted successively, and the bone end was firmly fixed by bone cement.

The smell of fragrant bone cement is getting stronger, and the bilateral knee arthroplasty is completed, sutured, and the incision is covered with a dressing.

Repositioning the body to sterilize the sheet, and perform osteotomy and orthopedics of the cervical spine, which is the most dangerous step, especially for the treatment of skull base deformity of the upper cervical spine.

"Xiao Yang, don't be in a hurry, slow down, you can installment if you can't do it." Director Han simply pinched his heart in his hands.

Professor Zhang is also worried, an eighty-year-old man, watching the young man do this surgery, this is considered a good heart, otherwise he will be scared to myocardial ischemia.

"Slow down, slow down—" Professor Zhang choked as he spoke.

However, Yang Ping was completely immersed in the operation, and he had to walk at his own pace, like an athlete who was running, and he couldn't be pulled by others and suddenly stopped.

The sooner the surgery is done, the lower the risk.

The incision is revealed, nailed first, and then osteotomy.

If it weren't for the 3D model before the operation, Yang Ping led everyone to train repeatedly, and no one could keep up with his rhythm.

The side block screws of the atlas vertebrae, the pedicle screws of other cervical vertebrae, this is the pedicle screws of the cervical vertebrae, if you don't damage the vertebral artery, the arterial blood will soar to the ceiling.

There are vertebral arteries around the cervical spine, and the pedicles are small, not as thick as the thoracolumbar spine.

Now Yang Ping is like digging the soil and planting beans, planting screws one by one, completely ignoring the risks.

My master, can you slow down, Director Han stood and looked at the screen, his body was a little uneasy, his legs were uncomfortable, he kept shouting in his heart, and he swallowed saliva again and again.

Professor Zhang simply moved the stool in front of the screen, standing and watching it was too physically exhausting, and watching the operation was also a laborious thing.

It's really too fast, it's like being on the street, full of people, you stage fast and furious, who sees not the heart beating.

Several cameras, with different focal lengths and different directions, capture the operation clearly.

Another osteotomy, ultrasonic waterjet osteotomy, like playing.

Oh my God, young man, slow down, slow down, slow down, one in his eighties, one in his fifties, I've never seen such an operation, you're a tightrope somersault.

I can't help you, the main knife is now walking according to the rhythm of my heart!

The osteotomy is completed, and now the cervical vertebrae must be reassembled, this step is the highest risk of the whole operation, a slight accident, damage to the upper cervical spinal cord, the patient directly died on the operating table.

"Song Zimo, take off the surgical gown, adjust the skull fixator, Zhang Lin Xiaowu, pay attention to the automatic hook position, and the anesthesiologist pays attention to the patient's vital signs."

At this step, Yang Ping slowed down the pace.

Before the operation, they used the model to rehearse each step, especially this step, Yang Ping decomposed Song Zimo's movements into more than a dozen steps, how to adjust, how much to adjust, very accurate.

Song Zimo took off his surgical gown and gloves and put on new gloves. Everyone is doing their job and concentrated.

"Are you ready?"

"Ready!"

"1, 2, 3, start adjusting."

Yang Ping didn't need to see how Song Zimo adjusted, he just needed to look at the movement of each segment of the cervical spine, Song Zimo adjusted the cranial fixator, Yang Ping began to orthopedize the cervical spine, and the two cooperated tacitly.

The amputated cervical vertebrae began to be spatially displaced in the three axes, and the cervical spinal cord in the spinal canal also began to be affected, but Yang Ping had planned this spatial displacement trajectory to the best and had the least impact on the cervical spinal cord.

Precise displacement on the predetermined trajectory, no one dared to relax, Lu Gang's life was in the hands of Yang Ping and Song Zimo, a small mistake, Lu Gang would never get off the operating table.

"Stop!"

The orthopedic of the cervical spine was completed, the physiological curvature was formed, the upper rod and internal fixation were firmly locked, and the cervical spine orthopedic was successfully completed.

Lao Han's back was already wet, and he breathed it out in his chest for a long time.

Professor Zhang rubbed his eyes, and a large piece of sweat was wet on the stool.

I also sweated when I watched the operation, which the two did not expect.

The orthopedic surgery of the cervical spine was completed, and after a short slow pace, the fast-paced surgery began.

It is necessary to adjust the body position and re-disinfect the sheet.

Thoracolumbar orthopedics, the twist will be loosened, reshaped, and the physiological curvature of the spine will be restored anteriorly and anteriorly.

At this time, it will not only affect the spinal cord, but also affect the organs of the chest and abdominal cavity, although it is much better than the orthopedic of the cervical spine, but the risk is still very high.

Professor Zhang wanted to take a break, his mental and physical strength was too much, and Director Han couldn't support it, so he moved a stool and sat next to Professor Zhang.

The two just looked at each other and didn't speak.

revealed, pedicle nails are like beans, Song Zimo followed Yang Ping's rhythm, although he was pulled by Yang Ping, but it was already very good, if he changed people, it is estimated that he can't keep up at all, and he can't pull it.

Dozens of screws were implanted at the pedicle, and it was an osteotomy, this time Professor Zhang and Director Han felt much more comfortable, and they were not so worried, after all, the most dangerous hurdle had been crossed.

This time I still need Song Zimo's assistance, every time Yang Ping corrects a place, Song Zimo tightens the internal fixation instrument, and relies on the internal fixation instrument to fix the truncated spine in a new position, step by step, there is no superfluous step, and the thoracolumbar spine is recombined.

When the last screw is locked.

"Perspective!"

"Wait a minute, just do a 3D CT scan reconstruction?" Director Han reminded.

This was the first time Yang Ping heard Director Han speak from the beginning of the operation, and suddenly remembered that Director Han and Professor Zhang were next to him.

"Okay!"

The surgical procedure requires that fluoroscopy of the C-arm machine or G-arm machine must be performed in the operating room after surgery; CT scans can be done in the operating room if conditions permit, and those who do not can return to the ward after surgery and then go to the radiology department for later.

On the screen of the spinal cord electrogeneous monitoring, the amplitude of the wave has been stable and there are no abnormal changes.

After fluoroscopy, it is followed by CT 3D reconstruction.

Pretty!

Others generally pursue moderate orthopedics, but this surgery has achieved the restoration of normal S physiological curvature, and the effect of the operation has been achieved to the limit.

Each screw is in the best position and is of the right length.

"Wake Experiment!"

Liang Fatzi's anesthetic dosage was very exquisite, Yang Ping told him four hours, that is, four hours, three hours of surgery, and several disinfection and laying for an hour halfway.

Slowly, Lu Gang woke up, and before the operation, he repeatedly trained Lu Gang in this regard.

"Move your toes, yes, up, down, very good!"

The surgery was successful, quite a success!