Doctors who came to participate in the European academic conference arrived one after another, including top experts in spine surgery from various countries, such as Milton in the United Kingdom, Woodhead in the United States, Fujiwara in Japan, and so on.

More than 6,000 doctors from all over the world came to Frankfurt, Germany, and in addition to doctors, many pharmaceutical companies and medical device companies also came from all over the world to participate in the exhibition.

Whether it is China, Europe and the United States, medical conferences are often indispensable for pharmaceutical companies and medical device companies.

In addition to Nandu Fuyi, there are also Xiehe, 301, Jishuitan, Moliu, Huaxi, etc., and many other hospitals have also come, and many doctors want to come out to see and understand.

Only 7 Chinese hospitals were able to get a five-minute speech at the conference, with a total of 9 papers, of which Song Zimo alone held 3 papers.

In fact, when getting the agenda of the conference, doctors in many countries were very dissatisfied with the arrangement of the conference, Song Zimo from China actually monopolized the speech time of 3 papers, and each speech was given ten minutes, you must know that the average person is five minutes, this kind of meeting because of the large number of participants, the speech time must be strictly controlled, many doctors understand the arrangement of August's meeting very well.

The most incomprehensible is Milton in the United Kingdom, because according to the arrangement of the meeting, Milton's speeches are ranked behind Song Zimo, which is difficult for Milton to accept.

In the previous European Spine Surgery Annual Meeting, August, as the chairman, ranked first in the topic of his speech, followed by Milton, this time, Song Zimo ranked first, and even August ranked second, naturally, Milton was postponed to third, and this year Maninstein was invited to speak at the opening ceremony.

As the best Marriott hotel in Frankfurt, it is now also buzzing with this conference.

As the best medical device company in China, Ruixing Medical also sent a team to participate in this meeting this time, and set up an exhibition hall, of course, the rigorous August will not forget to give Ruixing Medical special care and give it the best exhibition location.

Song Zimo arrived in Frankfurt in the morning, followed by Xu Zhiliang, Song Zimo looked particularly handsome in a Zhongshan suit with a standing collar, Xu Zhiliang's clothes were new, and his pants were not torn again, but that hairstyle always looked a little sloppy.

August took them to the high-end business room of the Marriott Hotel, which is the hospitality specification of the conference team to receive VIP experts, and Professor Su's presidential suite, which August paid out of his own pocket.

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The work of the Institute of Surgery is proceeding in an orderly manner, and the two professors, Zhang Lin and Lu Xiaowu, are now very serious, and the two of them are working overtime to study the treatment plan of the patient, and they seem to be very sure in their hearts.

The surgery was scheduled as usual, there were more surgeries and the arrangement was more compact, the first was the surgery for scoliosis orthopedics, and the surgery for spinal tumors was placed in the last.

Scoliosis orthopedic surgery is the most difficult and risky surgery in orthopedics, and there are not many hospitals that can carry it out at present, and there are only a handful of hospitals that can carry out it in large quantities.

Today, it is absolutely difficult to put this scoliosis orthopedic in other hospitals, but it can only be said to be very general in the Institute of Surgery, because many scoliosis orthopedics here are extremely difficult, and many of them are not taken over by other hospitals, and the name of the Institute of Surgery is not in vain.

Now this operation is Zhang Lin's chief surgeon, anesthesiologist Liang Fatzi is performing anesthesia, Zhang Lin straightens his waist, holds his head high, and faces the reading lamp to read the preoperative films.

"Fifth brother, these osteotomy points we designed are correct, right? Does it meet the requirements of Professor Yang's osteotomy? Zhang Lin and Xiao Wu discussed.

Xiao Wu nodded: "That's right, that's right." ”

In order to determine these osteotomy points, Zhang Lin and Xiao Wu drew a lot of surgical drawings yesterday.

"C-arm machine, who is responsible for C-arm machine, adjust it quickly, and then do positioning before and during the operation."

"Anesthesiologist, be quick."

"What about the instrument nurse Zhou Can, why haven't you washed your hands yet?"

As the chief surgeon, Zhang Lin is now starting to give orders, and he used to perform some surgeries, strictly speaking, it was not the real chief surgeon, but today is the difficult surgery that he really operates.

Scoliosis orthopedics, among their classmates, as long as they are engaged in orthopedics, which can be the main scoliosis orthopedics, and the vast majority of their department directors are not capable of scoliosis surgery. Zhang Lin thought in his heart.

"What are you urging, this is not good for anesthesia." Zhou Can was very disgusted by Zhang Lin's lofty posture today.

"Yay! ---I'm the chief knife today, do you dare to listen to the arrangement of the chief knife? Zhang Lin raised his voice.

Zhou Can glanced at him, this Zhang Lin really regarded himself as a professor, and the fat man helped Zhou Can on the side: "It's almost enough, don't be so high-profile, your voice is twice as high as when you have surgery." ”

That's for sure, isn't it me who is the main knife today, and the main knife is the authority.

At this time, Yang Ping came in, after scanning the operating room, sat down in the corner of the operating room, Zhang Lin immediately came over and bowed down to report the current preparations for the operation, Yang Ping sat down and said to Zhang Lin: "I will sit next to you and see, you do yours, don't worry about me, you are the chief surgeon here today, take out the responsibility and appearance of the chief surgeon." ”

It seems that Professor Yang really let the two brothers take charge independently, not just talking, then he must perform well.

As a result, the arrogance of the main knife that had just been extinguished is now rekindled: "Hurry up, Guodong, after you set up your position, you quickly take someone to wash your hands and disinfect the order." ”

"Fifth brother, let's watch the film together?"

So the two walked to the reading lamp to study the film carefully, generally before the operation was opened, the junior doctor was busy brushing the hand disinfection sheet, and the chief surgeon took the time to look at the image again.

Now Zhang Lin is the chief surgeon and a senior doctor, and he has to put on a calm posture and stand in front of the reading lamp to read the film.

"How long will the surgery take?" Liang Fatzi asked, so that he could control the time of anesthesia.

Zhang Lin thought about it, this is really hard to say, so he asked Xiao Wu: "Fifth brother, how long are we going to sit?" ”

Xiao Wu doesn't know, the scoliosis orthopedic surgery usually takes them with the senior doctor, if there is any difficulty, the senior doctor will solve it, and the operation time at that time cannot reflect the real level.

Now that the two of them are independently in charge of the surgery, how long will they be doing, it is impossible to say, there is no example to refer to.

"Let's prepare in four hours, five hours, five hours." Zhang Lin said with great certainty.

Liang Fatzi had to watch while doing it, but the anesthesia requirements for scoliosis are relatively high, once the time estimation is not accurate, if the patient is agitated during the operation, it will seriously affect the operation and easily damage the spinal cord.

Li Guodong is also very active, Zhang Lin Xiaowu was promoted to the main knife, he is considered an excellent among young doctors, so he is automatically promoted to the next level.

In the process of disinfection and ordering, Zhang Lin from time to time as the chief surgeon strictly requires the junior doctors to do every detail of the work meticulously, everything must be required by high standards, anyway, the style of the big professor is absolutely full, if everyone knows the root and is familiar with each other, if Zhang Lin is now doing surgery in the outer courtyard, it is definitely higher than the big professor from the imperial capital.

The operation officially began, Zhang Lin was in charge of the operation, and Xiao Wu was helping.

Zhang Lin stood in the position of the main knife, his posture was more standard than usual, and he had to set an example for the students in every move, after all, it was Teacher Zhang.

The surgical incision site has been marked in advance, and Zhang Lin cut the skin according to the marking, although he did not master the knife flow, but he also had to pretend to be like it, and draw it from top to bottom.

After cutting the skin after several patches, Zhang Lin began to use an electric knife to cut the subcutaneous tissue and the lumbar back fascia, and the action was quite standard, after all, the daily basic training is not vegetarian.

After the fascial incision, the muscles began to be separated, and the subperiosteal separation was carried out from the spinous process with an electric knife.

Detaching the muscles from the spinous process towards the sides, the vertebral plates on both sides were exposed, and Li Guodong and another young doctor were in charge of pulling the hook, which they put into the surgical area.

Zhang Lin said to Li Guodong: You two should pull the hook well, the position of the hook in the operation is very important, if the hook is not done well, the main knife will appear very passive, if the hook work is done well, the main knife will get twice the result with half the effort.

Don't ignore the hook, which is a profound science that contains a lot of knowledge.

Li Guodong said yes again and again.

As an expert in the retractor, Zhang Lin really couldn't get used to the assistant placing the retractor irregularly, so he immediately corrected it himself, put the retractor and handed it to Li Guodong.

And do not forget to instruct Li Guodong: "The placement of the hook is very particular, can not interfere with the operation, try to achieve the maximum exposure, your hands should not be so stiff, the force should continue to be even, pay attention to the progress of the operation at any time, according to the progress of the operation, the hook should be appropriately transformed, remember, the timing of the hook change is very particular, it is definitely not random, I will give you a lesson when I have time." ”

After the spinous process, lamina, and articular process of the entire operation area were revealed, Zhang Lin began to implant pedicle nails.

Because it was the first time I really operated on the surgery, the rhythm of the operation was not very good, sometimes it was a bit aggressive, and sometimes it was a little procrastinating.

"Don't be in a hurry, let's do it slowly." Xiao Wu reminded Zhang Lin.

Zhang Lin stabilized his position: "Well, I'm not in a hurry. ”

Dr. Jin and Dr. Wen had been watching the operation on the side, and they originally thought that it was impossible for Zhang Lin and Xiao Wu to take down an operation like scoliosis orthopedics.

In their impression, Xiao Wu and Zhang Lin can only change dressings, write medical records, and pull hooks, which will not have anything to do with high-end surgery such as scoliosis orthopedics.

But seeing that the operation has been done so far, these two people not only did not have stage fright to ask for help, but also advanced steadily, although the speed of the operation was very slow, but at least the steps were clear and the operation was in place.

These two people are technically deficient, but the strange thing is that these two people actually cooperate so tacitly on the operating table, and every step they are good at is handed over to each other to do, and the table is equivalent to two main knives, which not only did not quarrel, but also cooperated very harmoniously.

The implantation of pedicle nails has been completed, through the intraoperative C-arm machine inspection, although the position of the screw is not so perfect, but it is decent, whether it is the implanted nail entry point or direction, depth, has reached the qualified level, no screw is unqualified.

After placing the screws, Zhang Lin began to determine the location of the osteotomy, but he seemed to have insufficient grasp at this time.

"Fifth brother, can you help me take a look, are these osteotomy parts of mine right?"

Xiao Wu took a look, in fact, he was not sure in his heart, but the opinions of the two people came together, and they discussed it on the stage, and they would be full of confidence in the end.

It is equivalent to fifty points plus fifty points equals one hundred points of certainty.

"That's right, it's exactly right." Xiao Wu replied definitely.

"Fifth brother, then I'll start the osteotomy?"

"Intercept it!"

With the affirmation of his partner, Zhang Lin began to perform an osteotomy on the spine, which is a key step in the operation. If you can complete this step independently, you can basically say that you have mastered this surgery.

Did I start an osteotomy?

Let's osteomy!

Zhang Lin confirmed again, and then began to perform an osteotomy on the vertebrae, his movements were very slow, but very steady, because he knew that he was not very skilled, so the strategy he chose was to win steadily.

With each step, he turned his head to look at the screen of the evoked potential monitor.

Every time he looked at the screen, he would ask Xiao Wu: Fifth brother, is there no problem with the waveform of the evoked potential?

Xiao Wu also turned his head to look at the screen of the evoked potential monitor, and replied: No problem, don't worry.

These two people are very interesting, and it is estimated that if they were to do the surgery alone, they would be less confident, but when the two of them are together, they will have enough confidence.

After all, almost all of the training of the two people is together, they have drawn anatomical drawings together, dissected corpses together, performed surgeries on stage together, practiced basic surgical skills in the training room of the Institute of Surgery, practiced laparoscopic operation and microscope operation, and this long-term cooperation model made them have a kind of interdependence.

For example, Zhang Lin is now clear that the position of the osteotomy is not wrong, but he still has to ask Xiao Wu to help take a look and make a confirmation, if he does not get Xiao Wu's confirmation, he is a little afraid to continue the next step.

In this way, the two are discussing, step by step, slowly, although the speed is not very fast, but relatively stable, so far, there has been no accidental bleeding of blood vessels, and the blood vessels that must be cut off during the operation have been ligated in advance.

Although their level is not high, they can reach a passing level.

Yang Ping had already washed his hands and put on the surgical gown, put his hands in the protective pockets on his chest, stood next to the operating table, and kept watching the operation of the operating area, if he found something wrong, he could intervene directly.

In order to be able to see the operation clearly, Yang Ping turned on the camera on the surgical light, and the screen on the wall was broadcasting the operation live.

It seems that Song Zimo and Xu Zhiliang's teaching is still in place, and these two brothers are also studying hard.

An osteotomy is done, followed by orthopedics.

This step is the riskiest step in the entire surgery, and if you are not careful, you can damage the spinal cord in the orthopedic of the vertebrae, causing paralysis of the patient.

Zhang Lin can be said to be the first time to perform this kind of surgery, and the pressure is very high, and he has a little sweat on his forehead.

"Fifth brother, I'm starting orthopedics now, no problem, right?"

"No problem, don't worry!"

Affirmed by Xiao Wu, Zhang Lin continued to be orthopedic.

He adjusted his breathing and slowly orthopedized his spine, his movements were steady and gentle, his eyes staring at the screen from time to time, focusing on the waveform on the spinal evoked potential monitor.

In fact, Zhang Lin and Xiao Wu don't know how many times they have practiced this step, and they have done a lot of training on the experimental pigs.

In order to master the key techniques of scoliosis surgery, Zhang Lin and Xiao Wu even paralyzed several experimental pigs.

Slowly, the spine is corrected.

On the screen of the evoked potential monitor, the waveform has been very stable, and Zhang Lin breathed a sigh of relief.

"Fifth brother! That's no problem, right? You see that waveform is good, right? ”

"Rest assured ---"

The surgery has been done so far, and it has basically been 80% successful.

Dr. Jin and Dr. Wen were very surprised on the side, the two of them couldn't take this kind of surgery, but Zhang Lin Xiaowu could actually take this kind of operation.

It seems that they are no longer the Wuxia Amon of the past, and the training during this time in the Surgical Institute has allowed them to grow rapidly, and before they know it, these two miscellaneous guys have already surpassed Dr. Jin and Dr. Wen.

It's just that in the Institute of Surgery, the level of Song Zimo and Xu Zhiliang is too high, so it seems that Zhang Lin and Xiao Wu will always be miscellaneous.

Dr. Jin and Dr. Wen couldn't help but feel ashamed, they had been standing still, and Zhang Lin and Xiao Wu had advanced by leaps and bounds, it seemed that the combat power of the immortals' subordinates was definitely not comparable to mortals.

PS: I'm busy today, I'm in a hurry, I'll revise it tomorrow, thank you.

The first is the latest.