Chapter 0387 - Stable after surgery

Yang Ping's back was covered with cold sweat, and even he didn't know when he was sweating so much.

High concentration is a great drain on both mental and physical strength.

Four cardiac arrests with a thread in the balance can drain all the confidence of the doctor.

However, he remained rock solid and worked his way through the operation step by step.

Director Han hugged Yang Ping tightly, this young man who usually doesn't speak much, can always turn the tide at critical times, and Mount Tai collapsed in front of him without changing his color.

"Quick, go change your clothes, don't catch a cold." Director Han finally spoke.

"It's okay, it's almost dry." Yang Ping smiled.

Professor Feng was pushed out of the operating room, intubated with an endotracheal tube, and connected to the emergency transport ventilator.

On the portable ECG monitor following the flat car, the heart rate was 80 minutes, the blood pressure was 13285mmHg, and the blood oxygen saturation was 100%.

Wen Rentao and Zeng Ran pushed the cart, Dr. Wu pinched the breathing balloon, the itinerant nurse held the guardrail, Professor Ma followed, and everyone sent Professor Feng back to the ICU ward.

Professor Zhang, Director Han, Hong Zhigang, and Dean Chen immediately surrounded him.

Looking at the smooth parameters on the monitor, all the hanging hearts were put down.

"The operation was successful!" The news spread immediately.

People from the other operating rooms came out one after another, watching Professor Feng's flat car roll out of the operating room.

If there is no accident, two hours after returning to the ICU, Professor Feng can pull out the endotracheal tube and resume spontaneous breathing.

The door of the operating room opened, and Professor Feng came out of the flat car and pushed it to the special elevator for surgery.

The waiting area for families was already packed, all of them were doctors who were in the classroom, including Johannathan, Griffin and Woodhead.

There was no noise, no interference with the advancement of the flat car, the elevator door opened, and Professor Feng was pushed into the elevator.

When they were sent to the ICU, the doctors and nurses were already ready, almost waiting in line.

After passing the bed, connecting the ventilator and monitor, and drawing blood dynamically monitoring various indicators.

Professor Zhang, Han Jiangong, Hong Zhigang and Yang Ping were accompanied by the bedside, and the others were invited out.

The tumor from the upper cervical medulla to the medulla oblongata is completely resected, the nerve nuclei and conduction tracts are perfectly protected, and the interference caused by the weak thermal injury of the laser head is also transient.

Next, it is necessary to be vigilant for edema of the medulla oblongata and spinal cord, but Yang Ping took great care of the tissues during the operation, and even if there was postoperative edema, it was very mild.

The application of methylprednisolone and mannitol 20% is sufficient to deal with this possible slight edema.

Two hours later, Professor Fung's endotracheal tube was removed, he was weaned off the ventilator and resumed spontaneous breathing.

Heart rate, breathing, blood pressure, and oxygen saturation are normal and stable.

Early postoperative extubation and weaning can be used to truly monitor the respiratory status.

Sometimes, if the respiratory center is damaged, the patient cannot be weaned and can only rely on mechanical ventilation by a ventilator.

Now Professor Feng's breathing and heartbeat are stable, and his limbs feel and move normally, indicating that the operation did not damage the respiratory and heartbeat centers, nor did it damage the spinal cord.

Everything shows that the operation was very successful, not only did the tumor be removed, but there were no sequelae.

When the old man woke up, he knew that the operation was successful, and he couldn't believe it.

After all, after general anesthesia, he looked tired and didn't want to talk much, just a few words to answer and want to rest.

"You all go to dinner, I'll just keep watch here, and there are such ICU doctors." Professor Zhang asked Director Han, Hong Zhigang and Yang Ping to eat.

"You go to dinner too, we're guarding." The director of the ICU told Professor Zhang.

People are in the ICU, there is nothing to worry about, and the meal always has to be eaten.

Professor Zhang saw that no one went to eat, so he had to forcibly order: "Let's all go to dinner, after eating, Jian Gong and Zhigang come over, and Xiao Yang goes back to the hotel to rest." ”

Director Deng of the hospital office booked a private room in a hotel near the hospital, and President Chen led a team to accompany him, thanking Sanbo Hospital for its help in the name of the hospital.

During the dinner, President Chen was indispensable for the official thank-you speech.

Hong Zhigang accompanied Han Jiangong, Hong Zhigang was very embarrassed and guilty, he was obsessed with ghosts back then, and used improper means to slander his junior brother for his own selfish interests.

And the junior brother knew that he slandered him, so he planned to do what he could, pushed the boat down the river, and gave himself the opportunity to succeed the section director.

In the past ten years, only he has been kept in the dark, and he is still complacent about his little tricks.

The more Hong Zhigang thought about it, the more sad he became, and the teacher came forward to take full responsibility, made a sincere apology with the patient, and negotiated compensation, so that the situation did not deteriorate further.

Although it was not a subjective liability accident, Hong Zhigang's careless mistake caused serious disability to the patient, and later he visited the patient many times, explained the situation to the patient, gave financial compensation many times, and also sponsored the patient's son to go to college, and after graduation, he helped arrange for a state-owned enterprise in Modu to work, and the patient not only forgave him, but also thanked him very much.

For more than ten years, whether it is for this patient or Senior Brother Han, Hong Zhigang has been tormented by conscience.

Hong Zhigang didn't expect that his respected mentor turned out to be his biological father.

The experience of the past few days is really like a dream for Hong Zhigang.

"I'm sorry, junior brother!" Hong Zhigang raised his glass and replaced the wine with tea.

Han Jiangong hugged his back: "Don't mention the past again, okay, I accept your apology, and this article will be turned over in the future." ”

The senior brother is at fault, but it is not heinous, and he is truly repentant afterwards, the orthopedics department of the Sixth Hospital of the Demon City, in the hands of Hong Zhigang over the years, can be regarded as carrying forward, he selected and trained a group of young people, and learned from the world's most advanced hospitals for talent training and department management, forming a set of standardized training management systems.

Yang Ping was surrounded by Wen Rentao, Zeng Ran, and Mu Jun, who remembered Fumiya Takahashi, an international master of trauma surgery, and asked, "I heard that Professor Takahashi came to China?" ”

He wanted to ask if it was in Sanbo Hospital, Yang Ping said: "He has been coming to our hospital for several months, how, do you know?"

"He was our teacher, and when we were studying in Japan, we were trained by him, and he was very strict." Mu Jun hurriedly explained.

Takahashi was indeed in China, and in Sanbo, Wen Rentao and Mu Jun's speculation was verified.

Yang Ping thought that they knew about Takahashi's further study and wanted to inquire about Takahashi's current situation, so he took a sip of tea and said: "Takahashi's original three-month study period has now been extended to half a year, he is very good, and he studies very hard." ”

Everyone looked at each other, Takahashi went to Sanbo for further study?

Everyone thought that they were going to train them, but Takahashi actually studied at Sanbo, which was an embarrassing topic that was inadvertently raised.

"The spinal orthopedic surgery you won the Golden Knife Award is too good, and there are a lot of problems that I haven't figured out yet." Zeng Ran immediately changed the topic to resolve the embarrassment.

Referring to the Golden Knife Award, Director Peng of the Medical Department said: "We discussed that we would upload the video of Feng Lao's surgery to the Golden Knife Award website, but according to the rules of the Golden Knife Award, the case must be from the participating hospital. ”

Director Peng has been dealing with this matter, and Mr. Feng explained before the operation, using himself as a teaching case, such as a failed operation, and conducting autopsy research afterwards.

Now that the operation has been successful, Director Peng and Dean Chen have been considering that they should follow Mr. Feng's original intention and disclose the video of the operation to their peers.

This surgery is an excellent teaching case for both spine surgeons and neurosurgeons.

And the best way to make it public is to put it on the Golden Knife Award website, which is currently the most powerful way to disseminate it.

It would be better if it could become Yang Ping's participating case, and even if it couldn't, it would be beneficial for everyone to open up a separate area on the Golden Knife Award website to show this operation.

"The purpose of the competition is to motivate young doctors to give it their all and excel, and this operation is a manifestation of that spirit, and I think the committee will consider that." Professor Zhang also highly recommends this surgery as a competition.

Dean Chen knew that Yang Ping had been staying here for several days, and he would have to stay for a few days after the operation, which would definitely delay his preparation for the Golden Knife Award season, and if he could take Feng Lao's surgery as a case, he would kill two birds with one stone, not only adhering to Feng Lao's intentions, but also making up for Yang Ping's delayed time, so he said: "In the name of the Sixth Magic Hospital, we contacted several authoritative professors of orthopedics and requested the main committee, hoping to be approved." ”

Such cases that challenge the forbidden area and show the wisdom and courage of doctors should be paid tribute and learned by doctors across the country.

The third season of the competition happens to be the surgery for spinal and pelvic tumors, in which the upper cervical spine tumor is the focus of the showdown.

In Feng Lao's case, Yang Ping also began to think about how to simplify, standardize, and popularize this difficult operation.

Although it is difficult for other doctors to reach their own level, it can at least advance the tumor surgery of the upper cervical spinal cord and brainstem.

Among them, Yang Ping's anatomical and pathophysiological experience is the most valuable, and without a thorough anatomical study of the brainstem, there would not have been such a high success rate.

Without in-depth research on the pathophysiology of the brainstem, I would not have been so calm in the face of several cardiac arrests.

Yang Ping decided to write a paper to study the anatomy and pathophysiology of the upper cervical spinal cord and brainstem, and based on these foundations, it involves more scientific and safe surgical approaches and surgical methods, so that everyone can master their own surgical methods.

After eating about the same food and drinking about the same tea, Professor Zhang proposed that the party be dismissed.

Professor Zhang arranged for everyone to go to the ICU to see Professor Feng again.

Hong Zhigang and Han Jiangong stayed in the ICU to keep vigil, and the two took turns to be on duty.

Wen Rentao sent Yang Ping back to the hotel, he couldn't hold it anymore, and he went back to the hotel to rest.

In the past few days, Professor Zhang has been tossed by the old man to have a sore back and be exhausted, and he will not rest again, afraid that he will have to stay up in the ICU.