Chapter 610: Teamwork, successful bone grafting

  In the operating room of the Department of Traditional Chinese Medicine Orthopedics, I learned that Li Quan was trying to perform thoracic vertebrae replacement surgery for the patient. The top surgeons asked for a battle with Li Quan to complete this unprecedented and difficult operation.
  Jin Leiming of General Surgery, Director Yin of Brain Surgery, and even Professor Tang of Internal Medicine are all shy, and come here to help.
  In fact, I want to see it quickly.
  The advancement of human medicine is all because of some bold doctors who are brave enough to try new treatment methods.
  Dare to challenge some methods that have never been used before.
  Bone replacement is not unusual.
  Even many cosmetic and plastic surgery hospitals dare to do this kind of surgery.
  For example, rhinoplasty is to take a small piece of one's own bone, or a foreign body bone, and then implant it.
  The ultimate goal is to make the nose straight and look better.
  There are also severe limb replantation surgery, which is actually equivalent to bone replacement.
   "Dean Li, are you really ready to try this kind of surgery that has never been done before?" Jin Leiming's expression was very serious.
  As a senior general surgeon, Jin Leiming has very rich surgical experience. The surgical knowledge in all aspects is also extremely profound.
  He always feels that Li Quan’s idea, although it has a certain degree of maneuverability, is extremely risky.
  The key is that no one has ever had a similar operation.
   "I'm serious." Li Quan's tone was determined.
"The success of this operation depends on whether our various medical teams can work together. The craniotomy and the breast removal are performed simultaneously. For the sake of concealment, my thoughts are like this, Director Yin of the Department of Neurosurgery. Responsible for craniotomy and skull removal of the patient. As for which part of the skull is to be removed, how large and how thick, I have already given you the data."
  Li Quan looked at Director Yin after finishing speaking.
   "Director Yin, do you have any questions?"
"For the success of this operation, I brought the entire elite team of brain surgery. My team and I will definitely go all out." Director Yin is a long time old, that is because Li Quan used acupuncture to treat the brainstem. Bleeding, this made him and Director Chen famous.
  My family knows about my family affairs.
  In fact, he and Director Chen did not have any outstanding medical achievements.
   belongs to the kind of plain and satisfactory.
  This time, Li Quan created an opportunity for him to write a medical legend. He was as if he had been beaten with blood, and he had to do everything he could to do this operation.
   "With Director Yin's words, my heart is much more relaxed!" Li Quan nodded and turned to look at Jin Leiming next to him. "Director Jin, you only need to be responsible for opening the chest to the sick child with your team to create conditions for me to take the bones. In order to prevent accidents, the chief physician and the nurse in charge of the Department of Critical Care Medicine have been specially invited."
  To do this kind of surgery, you must be fully prepared.
  Should the sick child stop breathing and heartbeat during the operation, he must be rescued.
  The artificial lung membrane can save the lives of sick children at critical moments.
   "I have no problem with my team."
  Jin Leiming is equally passionate.
  "The anesthesia can begin, and the patient's life monitoring is up to you." Li Quan said to the anesthesiologist.
   "Dean, please rest assured, I will be extra careful."
  The anesthesiologist Zheng nodded his head.
  Dry anesthesia, usually people don’t talk harshly.
   "Hey, Dean Li, you can't favor one another and look down upon our old man! You have to arrange something for me? Even if you give you a scalpel, tweezers, etc., you can do it!"
  Professor Tang is not happy anymore.
  "Just hand over the scalpel to a professional instrument nurse. Professor Tang is the backbone of the internal medicine department of our Whale Hospital. After the operation is completed, you will definitely need strong internal medicine support. Are you afraid that you will have nothing to do by then?"
  Li Quan couldn't help feeling a little funny.
  Professor Tang is too cute.
   "Well, it's almost the same! Actually, I can do surgery." Professor Tang wants to participate more.
  Li Quan did not agree this time.
  Professor Tang is a professional physician after all. As for surgery, although Professor Tang has a good foundation in surgery, he certainly cannot compare with a professional surgeon like Jin Leiming.
  Speaking of interventional surgery in internal medicine, Professor Tang may be very professional.
  But Li Quan didn't dare to let him do this kind of major surgery.
  "Sick child has finished shaving his head and preparing skin!"
  Director Yin and Jin Leiming both reported at the same time.
  "The anesthesia has reached the ideal state, and the patient's heart rate, blood pressure, respiration, and pulse data are stable, and the operation can be started." The anesthesiologist cooperated very tacitly at the critical moment.
"let's start!"
  Li Quan gave the order.
  The atmosphere in the operating room was extremely tense. Those attending physicians who followed the teacher to watch and study had sweaty palms.
  As for the level of resident doctors, only a few particularly outstanding ones have the opportunity to be brought into the operating room by the teacher.
  ……
  About 30 minutes later, the craniotomy of the sick child has been completed, and Director Yin is taking the bones carefully. The thoracotomy by Jin Leiming's team has also been completed, and the thoracic vertebrae can already be seen.
  It’s just that the growth of bone spurs is very tricky.
  It grows on the inner side.
  This also brought great difficulty to Li Quan's bone retrieval.
  In the operating room, apart from the buzzing sound of the monitor, the rest is the sound of the chainsaw, which makes the scalp numb.
  Li Quan carefully operated the chainsaw, removing the small piece of severely diseased thoracic vertebra from the patient.
  It can be clearly felt that this piece of thoracic vertebra has osteoporosis.
  This also reduces the difficulty of Li Quan's bone retrieval.
The heart and lungs next to    are temporarily protected with gauze.
  Even so, Li Quan is still walking on thin ice.
  Slightly shaking hands, or using more force, may harm the heart and lungs of the sick child.
  Usually, even if you use a chainsaw to perform amputations on patients, there is a great risk.
  You can imagine how high the risk is at this moment.
  The nurse kept wiping the sweat from Li Quan's forehead.
  Sweat has salt and various bacteria, so you can't let it drip into the patient's wound.
  Otherwise, it is easy to cause infection.
  It took nearly an hour before Li Quan successfully saw off the small piece of diseased thoracic vertebrae.
After    was over, he checked again and made sure that the sawn parts were not omitted.
  The rest is intact bone tissue.
  After successful bone removal, there is another most important thing, that is, bone grafting.
  In orthopedic surgery, the most commonly used splicing method for broken bones and broken bones is to fix them with titanium alloy nails, or metal plates or locks.
  Li Quan, a master of orthopedics in traditional Chinese medicine, does not need to use those things.
  Like a truly skilled carpenter, he never uses nails when he creates furniture. Instead, the tenon-and-mortise structure is used.
  "Spread the bone spurs on this bone, and I will implant the missing part of the skull later." Li Quan said to Director Yin.
"Ok!"
  Director Yin took over and started work immediately.
  Li Quan took the skull removed by Director Yin’s team and checked it again. The bone removal was very professional.
   Actually compared the size again, and it was just right.
  Modern medical high-tech instruments really provide a strong guarantee for doctors to perform some extremely difficult operations with high precision.
  From this operation, it can be seen that the era of doctors working alone has long passed.
  The more complicated and difficult the operation is, the more one or even multiple medical teams are required to cooperate sincerely.
   Among these medical teams, the most critical person is Li Quan.
  He is the marshal. He commands and dispatches everything, and he even needs to go to battle himself.
  It looks like just taking a piece of bone, but it actually tests everyone's professionalism very much.
  First of all, Li Quan needs to estimate in advance how big a skull needs to be taken. If you want to be accurate to the millimeter level, and you can estimate so accurately based on only the photographs of the sick child before the chest is opened, this is by no means the average chief physician can do.
  Secondly, Li Quan must ensure that the missing area after bone removal is consistent with his estimation.
  This is a test of Li Quan’s technique.
  Furthermore, the skull taken by Director Yin’s team must be exactly the size estimated by Li Quan, which also requires high technology.
  It can be said that any mistake in Li Quan and Director Yin’s team will cause the operation to be imperfect.
  The skull taken is too large, and it will definitely not fit in. It needs temporary polishing, which is very time-consuming.
  The patient had a chest opener and a craniotomy. This is not a child’s play, but may die in minutes.
   "Bring me the ointment!"
  Li Quan said to the nurse.
  Doing this kind of thing, in fact, Li Quan likes Hu Yueer the most.
  Because of cooperating with Hu Yueer for a long time, there is no need for Li Quan to say what he wants. Hu Yueer will deliver the things to him in advance.
  However, Hu Yueer accompanied Sophie one night yesterday. Li Quan pampered her, gave her a vacation, and let her go home and have a good rest.
   "Open it, you can hold it for me." Li Quan continued to command the nurse.
  After opening the bottle cap, a smell of Chinese herbal medicine permeated the operating room.
  But this smell is very light.
  This ointment looks a bit similar to gelatin, but also a bit like jelly.
   is not like black jade intermittently as black as chicken shit.
  This kind of ointment, Li Quan, actually used it once when he was tested at Jiang’s Orthopedic Hospital last time.
  Its function is to glue the broken bones together to promote the rapid healing of the broken bone ends.
  In terms of curative effect, it is definitely not as good as Black Jade Intermittent Ointment, but it can be applied directly on the end of the broken bone. And it has a strong glue.
  In fact, every medicine has its own use.
   Panacea, it shouldn’t exist in this world.
  Those medicines that can cure all diseases are basically liars or health medicines.
  Li Quan evenly brushed the ointment on the skull.
  Then brushed the ointment again on the cut of the missing thoracic vertebra.
  Next, carefully stitch together.
   just stuck in the missing part, not too big or small, only a thin line remains in the gap.
   "Okay, you're done. Check the gauze and equipment, and prepare to seal the chest." When Li Quan arrived, he finally breathed a sigh of relief.
  From the formation of this idea in the brain, and then to the implementation, it went more smoothly than imagined.
   may also have a certain relationship with the patient’s age.
   Thirteen or fourteen years old, is the golden age for surgery.
  Patients in this age group have good physique and strong vitality. Regardless of complications during surgery or postoperative recovery, they are very good.
  "Has the bone spurs on that thoracic vertebra smoothed out?" Li Quan asked.
   "Well, it has been smoothed. There are as many as 20 bone spurs, and the osteoporosis of this bone is very serious." Director Yin has been in the doctor for many years, and this is the first time he has seen such bad bones.
   "The skull is fixed, and the problem should not be big after implantation. It is not possible. In the future, you can consider supplementing with medication to help this bone reach a more normal level."
  Li Quan had already calculated.
  In fact, this bone disease has become like this, and there is not much problem in itself.
  The key is that it is in an active part, constantly rubbing, irritating, and eventually causing bone spurs.
  And just in the chest cavity, the bone spurs pierced into the lungs, causing life-threatening.
  Put it into the head, there should be no more bone spurs.
   After taking over the severely damaged thoracic vertebra, Li Quan compared the missing part of the skull, a circle smaller.
  This can’t be helped.
  In order to make the skull fit exactly into the missing part of the thoracic vertebrae, it was stuck tightly.
  When taking the bone, the skull should be bigger. The area of ​​the thoracic vertebrae should be smaller.
  Because there will be loss when the chainsaw cuts the bone.
  Like a section of ten centimeters of wood, after cutting it from the middle with an electric saw, the total length of the wood may be only nine centimeters.
  The centimeter lost was turned into sawdust.
  Li Quan put it on the ointment and implanted it in the missing skull.
   can only align two edges, and the remaining two edges have a larger obvious gap. There is no other way but to wait until the patient's bones grow, and then slowly grow the gap.
  This will take a while.
   Normally, bones form calluses, about a month or so.
  It is estimated that it will take more than half a year or even longer to fully grow well.
  Bone growth is actually very slow.
  Unlike muscles and skin, it can grow up in just a few days.
   "Stitch it!"
After installing the thoracic vertebrae, Li Quan said to Director Yin.
  ……
  More than fifty minutes later, the patient’s head has been stitched up.
  Next, wake up anesthesia and continue to monitor the patient’s vital signs.
  Heart rate, breathing, pulse, etc. are all normal.
  At this time, Li Quan could finally spit out a long breath of moisture, and his hanging heart fell to the ground.
  This operation used multiple medical teams and was innovative in nature.
   is very significant.
  Next, you need to wait slowly.
   Observe the patient's subsequent recovery.
  Li Quan has full confidence in the prognosis of the patient.
  It should be possible to return to a normal state.
  At that time, you can consider writing an international orthopedic medical thesis.
"Okay, thank you everyone! First send the patient to the intensive care unit and observe closely for a week. If there is no obvious abnormality, you can be transferred to the general ward for rehabilitation. You must explain to the patient and family members that the skull will not heal in a short time. It’s good to wear a protective half helmet."
  Li Quan did not use any alloy nails or steel plates, which saved a lot of expenses for the patients’ families.
  It is estimated that there will be a lot of 200,000 left.
  Of course, what I want to pray now is that the patient can recover smoothly after the operation, without rejection, complications, infection, etc.
  Li Quan walked out of the operating room and found several missed calls on his mobile phone.
  It was from the Korean police officer.
  I don’t know what is going on, so I have to go back and ask.
  It is estimated to be related to the gangsters who kidnapped Sophie.