Chen Cang did not choose general anesthesia.
Instead, he chose local anesthesia.
However, when the patient chooses the body position, he cushions the pillow between the patient''s two shoulder blades, slightly extends the neck, tilts his head about 15 degrees to the opposite side of the incision, and then takes the supine position!
This position looks very strange, but it makes several directors have unspeakable comfort!
you ''re right!
Several old directors in their fifties feel that they have lived in vain for decades. They have never tried such a posture!
It was almost 60 years old. Seeing that there was no clinical energy for a few days, I saw Chen Cang put out such a position with my own eyes.
I''m really knowledgeable!
For a time, whether it is frank Yang Wenwu or worried Qu Jinguo, at this moment, I understand a reason why so many people are willing to follow Chen Cang''s operation!
Because you can learn!
The posture that people casually put out made them sigh for a long time.
Not to mention the surgery later!
Moreover, to tell the truth, they looked at Chen cangyun''s light wind.
I don''t seem to pay attention to such an operation at all.
you bet!
Chen Cang didn''t care about the operation at all.
After all, this operation is not very difficult.
Compared with when he trained in spinal cord fusion and connection surgery, the complete fracture of the spine is much simpler!
This operation is difficult!
However, due to the existence of thermal insulation clothing and helmet, spinal cord injury plays a good buffer role.
Closed wounds do not cause infection, thus eliminating the process of removing lesions and necrotic tissue.
And this process happens to be critical.
Then, Chen Cang''s abnormal surgical incision stunned several people!
Chen Cang made a left or right transverse incision with a length of 6 ~ 8cm from the anterior midline of the neck to the front edge of the left or right sternocleidomastoid muscle in the plane of the fractured vertebral body!
Several experts and academicians looked at it with a confused face!
But he didn''t dare to ask, for fear that Chen Cang said they had lived on dogs these years?
Can only slowly experience!
Fortunately, they have accumulated a lot of experience over the years. Although they can''t react immediately, they can experience it slowly.
A moment later, several people suddenly opened up!
Because the left incision can make the recurrent laryngeal nerve less pulled when entering.
This process is unavoidable in other incisions!
Almost at this moment, several people had a feeling of sudden enlightenment!
Looking at Chen Cang again, his eyes are full of surprises!
You must be Santa Claus. No, it''s Santa Claus!
Send you a small gift from time to time.
At this time, Chen Cang is still so calm. It seems that this is just a dessert, insignificant!
Don''t even blink your eyelashes.
The more Chen Cang is like this, the more in line with the image of a master in everyone''s heart.
Chencang incision peeled up and down along the subcutaneous tissue respectively.
The whole process needs to be very careful.
After all, at this time, the patient has a traction effect on the cervical spine due to muscle reasons. If the strength disappears, it will cause secondary damage to the spine.
So!
It''s a little difficult how to get in front of the line.
Because if you want to reach the vertebral body of the cervical spine, you must go through the thyroid gland!
The middle thyroid vein hinders the exposure of the vertebral body.
Trachea, esophagus and thyroid are easy to solve. The most difficult thing is those blood vessels!
When operating for a while, I don''t pay attention to it. On one side are the superior thyroid artery, middle vein and recurrent laryngeal nerve
These are the key factors affecting the operation
Moreover, this is an unavoidable problem no matter how Chen Cang chooses to speak!
However, they found that Chen Cang''s separation speed was very fast!
The scalpel in hand is fluent in cutting the platysma and deep fascia along the front edge of the sternocleidomastoid muscle, and pulling the sternocleidomastoid muscle and carotid sheath to the outside.
This fast and orderly action made several directors panic!
Even Yu Yonggang, who had been with Chen Cang for a long time, was cluttering in his heart at this time.
This boy... What are you doing in such a hurry!
In fact, Chen Cang is not to blame.
This is like you often do a difficult cholecystectomy. Leng Buding meets an ordinary cholecystitis with low difficulty. For you, there is basically no pressure!
Looking at Chen Cang''s knife is really worried. Several directors looked at Chen Cang worried and couldn''t help reminding: "Professor Chen, be careful of thyroid arteries and veins."
Chen Cang nodded slightly and said, "thank you!"
After saying that, Chen Cang gently opened the glass, and at this time, the thyroid, trachea and esophagus were exposed!
When Chen Cang pulled these tissue forceps to the inside, he surprisingly found that the middle thyroid vein deviated from the vertebral body!
This scene directly made people dumbfounded!
A pair of eyes in their fifties burst with * * light. They didn''t see how they separated!
Even Yu Yonggang was shocked and looked at the scene with shortness of breath!
Generally speaking, when the middle thyroid vein hinders exposure, it needs to be cut after electrocoagulation or ligation.
However, Chen Cang''s operation directly avoided this step!
Make the operation more... Silky!
Yes, that''s the feeling, no difficulty, no pressure, very smooth!
How did you do it!?
Each of them was short of breath for a few minutes, trying to figure out the problem.
Unfortunately, Chen Cang''s action is too fast. They don''t understand it at all!
What''s going on!
At this time, Chen Cang peeled along the loose connective tissue to the deep, and his fingers touched slightly!
With high perception, Chen Cang clearly touched the cervical vertebra in the midline!
Then, he gently the glass and suddenly revealed four vertebral bodies!
This scene!
Suddenly several people blurted out!
"Such a large exposure range!"
"How awesome!"
"Four vertebrae!"
"My God!"
Several people couldn''t help swallowing.
At this moment, the position of the four vertebral bodies is completely exposed on the cervical 7 plane, and the two blood vessels of the thyroid and the recurrent laryngeal nerve are completely bypassed!
If the opening accounts for 20% of the operation in the operation of cervical fracture, but Chen Cang''s operation has virtually expanded the influence of the opening!
This scene, looking at the people is boiling blood, some surging!
The next thing to do is to locate the fractured vertebral body.
However, because the exposed space is large enough, it completely saves a lot of unnecessary processes.
Let the procedure jump directly to X-ray.
When the X-ray results came out, Chen Cang stared at the film and began to combine the previous cervical MRI films in his mind.
The four-dimensional model began to coincide with reality.
Chen Cang said faintly, "give me the bone chisel and drill!"
Yu Yonggang nodded quickly and handed it over from the nurse.
Otherwise, orthopedic surgery is actually a large decoration site!
Chisel, drill bit, everything!
however!
Spinal surgery is a kind of extradivine. The injury can''t be too big, and there are fracture fragments and damaged spinal cord below!
In this way, the difficulty of the operation is increased again.
Therefore, if the opening just now pays attention to skills, the next operation is the most tested technique!
In the case of damaged spinal cord, we must use bone chisel and electric drill carefully!
But the knife and gun are ruthless!
Chisels and electric drills are not gentle things.
You want to open the bone layer by layer, and you have to fuse the spine later.
Remove the fractured vertebral body and form a complete spine, which deepens the difficulty of opening again!
At this time, Chen Cang picked up the bone chisel and chiseled out the 1.5cm deep bone with the bone chisel.
Then, use the micro drill to drill to the only thin layer of cortical bone behind the vertebral body!
Looking at the internal spinal cord, Chen canggang just arrived without any injury!
Everyone was stunned when they saw this scene!
It''s too awesome!
Not to mention anything else, this technique has exceeded 99% of orthopedic doctors!
Orthopedic surgery itself is not very precise!
But neurosurgery is the most sophisticated operation.
Chen Cang made this orthopedic surgery into what neurosurgery should be!
Look at the directors are blushing and ashamed!
I''m sorry!
After all, how old are people? This technique has exceeded most... No, it has exceeded themselves.
Several old academicians looked at each other to see each other''s expressions. This look... Several pairs of eyes touched each other.
Suddenly, the hearts of several people were self-evident. It was so embarrassing.
The next step is to remove the remaining thin bone fragments and fracture fragments protruding into the spinal canal.
Chen Cang''s eyes stared at the wound!
A series of news came into my mind!
[Ding! LV100 King level spinal cord injury, it is recommended to remove bone slices, repair nucleus pulposus tissue and link nerves!]
When Chen Cang saw this scene, he immediately looked happy!
Full level boss!
What are the rewards?
……
……
PS: the operation is over tomorrow. Hey, let the hero spend the night. I''m sorry
But there are too many things to write and check. I hope you can understand.
Finally, ask for a monthly ticket