After twists and turns, Lu Jiangbei's surgery finally began.

The anterior and posterior side surgeries were performed in a sitting position, which even Auguste had never seen before, and he was eager to see how the surgery was done.

Although Robert is a sports medicine major, orthopedics and even surgery, many things are connected, so he is also interested in this operation and wants to know how to complete the front and back roads at the same time.

Ivan is purely for the fun, his interest has always been in plastic surgery, his purpose this time is bone reshaping technology, and now the goal is to add another -—— skin cultivation technology.

After the shift is handed over in the morning, the operation begins.

Lu Jiangbei will first lie on his back on the operating table, in which he will be placed with an external fixator to temporarily immobilize his head and cervical spine.

Routine hand sanitizing sheets.

The stent for surgical fixation was opened and placed on the operating table, and Yang Ping was to be placed in this stent, and with the protection of the stent, his head, cervical spine and body were firmly fixed on the operating table.

After it is properly fixed, the electric operating table is adjusted to a beach chair style, and the patient sits on the operating table with the buttocks as the fulcrum, and the backrest leans slightly back against the back, and then the shoulder and above areas are all vacated, so as to facilitate the operation.

Although the fixed bracket also interferes with the operation, it is an empty frame structure after all, and there is a lot of room for manipulation.

The sitting position is set up, and the mouth is kept open with the help of an opener.

Disinfect the sheets again.

The surgical light shone into the mouth, illuminating the posterior pharyngeal wall, Yang Ping looked inside, and then asked the itinerant nurse to extinguish the surgical light.

He intended to use an endoscope to assist in the operation, and the endoscopic system of the otolaryngology department was borrowed for this operation.

August's eyes widened: the endoscope-assisted transoral approach, Shenma used this method to operate, and the professor always did what ordinary people couldn't, calling him a half-human and half-god guy, which is not an exaggeration at all.

Surgery that is very difficult to perform under the idea of open surgery is much easier with the assistance of endoscopy.

On the high-definition screen, the image seen by the lens is transmitted to the screen in real time, and then Yang Ping looks at the screen operation.

Cut the posterior pharyngeal wall, expose the anterior side of the upper cervical vertebrae, and then separate little by little, all the way up, you can clearly see the base of the skull, between the base of the skull and the atlas vertebrae, and between the atlas and the pivotal vertebra all the ligament structures are broken, and the cauda equina-like tear shows that this is some kind of stretching or torsional violence that tears all the ligaments.

Then all the force came to an abrupt end after the ligament rupture, that is, the violence stopped until the ligament rupture, and there was no further spread and extension.

What a good luck this is, so that as long as the violence is not resolved a little bit, and it continues, the atlanto-occipital joint and the atlantoaxial joint will inevitably be damaged under the twisting or stretching force, which is why most of these patients die on the spot.

And this boy, after the violence tore the toughness, it did not extend until now, just like a car that ran out of control and rushed to the cliff, relying on the friction of the ground, and actually stopped on the edge of the cliff.

The image of the endoscopic camera was very clear, and August was surprised at the child's luck, while Robert was searching his stomach and finally found a sentence: "This is the smoke from the ancestral grave." ”

Everyone turned their heads and looked at Robert, who spoke amazingly, and Shi Bei was impressed by the fact that this kid's Chinese level had reached this point.

Before the exclamation was over, Robert said again: "It's not enough to smoke green, I guess I have to breathe fire." ”

With the help of the endoscope, Yang Ping has completely shown that the upper cervical vertebra and the first half of the occipital part, the atlas vertebra has indeed been shattered, and it cannot be fixed at all, and he bites off the anterior arch of the atlas vertebra little by little.

After the treatment of the anterior bone fragments and soft tissues, in order to be safe, the bone of the entire atlas vertebra was temporarily abandoned, and the bone cyst of the atlas vertebra was located on the left side of the atlas vertebrae.

This is the tumor-free technique of surgical oncology, which aims to prevent tumor cells from contaminating the surrounding tissues during surgery, causing tumor cells to scatter like seeds.

A small piece of soft gauze is stuffed in, then spread out, around the target area of the operation, and then stretched into the long-handled tip thin rongeur, the forceps open the opening, bite off the bone one by one, and bring out the bitten bone each time, steadily, without scattering a little debris.

The operation is stable and brisk, and after the broken bone is removed, another large piece of bone tissue is removed.

"Another person, open a new instrument table, open this piece of bone tissue, the cyst is inside, the bone tissue is sent for postoperative paraffin sections, the cyst fluid and the scraped material of the cyst wall can be frozen sections, we wait for the frozen pathological results, and decide whether to use the atlantese as waste." The pliers in Yang Ping's hand did not loosen.

The itinerant nurse has opened a sterile instrument table, and Yang Ping put the bone rongeur and bone pieces on the sterile table together and changed the gloves by himself.

Zhang Lin and Xiao Wu in the audience began to wash their hands and go on stage, and began to dispose of bone fragments according to Yang Ping's request.

Soft tissues are suitable for frozen sections, and frozen sections can generally produce results in half an hour, so intraoperative pathologies are frozen sections, while paraffin sections take a few days, so they are not suitable for intraoperative but suitable for postoperative pathology.

Benign and malignant surgical methods are completely different, and surgeons often need to decide the direction of the next surgical plan based on the results of pathological examination.

The surgeon can wait half an hour on the operating table, but not days.

"Find Wen Ru to see the frozen slice! Call him. Yang Ping commanded.

Wen Ruzheng, a doctor of pathology, is well-known in Sanbo Hospital, once made a bet with Yang Ping to admit defeat, and ran naked around the hospital in underwear, because of this naked running, Dr. Wen of the pathology department became famous, and no one knew about it.

Frozen sections are a great test of the doctor's level, and in order to reduce the possibility of errors, Yang Ping picked Dr. Wen himself.

Dr. Wen's business level is not to be said, he likes the tip of the horns, and after losing to Yang Ping last time, he has worked harder, and it is said that he has been engaged in scientific research recently.

In the audience, Robert completely regarded himself as a member of the comprehensive surgical department, and as soon as Yang Ping's words fell, Robert took out his mobile phone and called Dr. Wen.

August looked at this social, he was like an old employee of Sanbo Hospital, and he actually had a pathologist's phone number.

"Professor, Dr. Wen said that he can also freeze bone tissue, even if you send it over, you will get the results within half an hour." Robert finished the call and called back.

"Can bone tissue be frozen sectioned?" Xu Zhiliang felt that Wen Ruzheng was bragging.

Song Zimo said: "He has been mysterious recently, and I heard that he always asks for bone blocks in the operating room to do scientific research, isn't it to study bone tissue and make frozen sections? ”

"Yes, I heard that he greeted everywhere and collected specimens of bone tumors during the operation, and none of them were left behind." Li Guodong added information.

This guy can do frozen sections of bone tissue, if he can really do it, it will be good, and the nature of the cyst can be more accurately determined during the operation, so I am afraid that this kid will brag.

"Ask him if he is bragging, this kind of thing is a matter of human life, if he is bragging, it is not as simple as running naked." Song Zimo asked Robert to dial the phone again, he said.

The phone was dialed: "Lao Wen, it's me, Song Zimo!" ——”

Wen Ruzheng's voice came from inside: "Have you sent the specimen?" Damn, doubt Lao Tzu's level, Song Zimo, let me tell you, I am a gentleman and a gentleman, I don't brag, I don't lie, I don't talk about love that doesn't get married, no-"

(End of chapter)