Auto chess in the operating room

Chapter 250 Zijingang's first LARS artificial ligament
When Dr. Pan entered the operating room, the operation had just begun.

Dr. Cha and Dr. Cui were watching from the sidelines and nodded slightly when they saw Dr. Pan coming in. To Dr. Pan's surprise, even Lu Runbing, the deputy chief physician of the surgery department, was also in the operating room.

Dr. Pan greeted briefly, then looked at the operating table, feeling a little grateful in his heart. It was a great honor to see the reconstruction of the anterior cruciate ligament performed by the international expert Dr. Kevin and this mysterious expert.

Dr. Pan also wanted to know how far he was from these famous doctors.

Since he is a CBA player, the preoperative preparation was extremely thorough. An anteroposterior and lateral X-ray of the knee joint was performed before the operation, which ruled out bony abnormalities.

At the same time, an MRI examination was also done to confirm the diagnosis and check for associated injuries.

The anesthesia for the entire operation was done with spinal anesthesia. After the anesthesiologist finished, he stepped aside and watched the operation very attentively. After all, the lineup of this operation is very high even in Zijingang Hospital. rare.

After the anesthesia was completed, Tang Lou fully entered the state. He didn't feel stage fright at all because he was in someone else's hospital, and he didn't panic at all because his assistant was international expert Kevin.

Here in Tang Lou, he is just an obedient assistant without a name.

"Adjust to the supine position, the knee joint is sagging and the edge of the bed"

Tang Lou directly issued the first order without the slightest courtesy, and Dr. Kevin offered to be an assistant without any complaints.

"Scalpel"

Tang Lou is still unsmiling, with a stormy surgical style. After receiving the scalpel, he directly started the routine bilateral knee and eye surgery, followed by the tendon incision and the entrance of the tibial tunnel.

In less than 3 minutes, the incision and exposure were completed.

"so fast."

Among the doctors watching from the sidelines, except for Dr. Cha and Dr. Cui who had met once and were a little psychologically prepared, the other two all gave a sigh of admiration.

In particular, Director Lu of the hand surgery department thought about it in his heart, even if he could not do it at such a speed, the key point is that Tang Lou has done more than a thousand cases in terms of the speed and accuracy of incision selection.

The next step was to prepare the grafts. Seeing Tang Lou's operation, Dr. Pan and Director Lu couldn't believe it:

"Is he going to use artificial materials?"

"Director Lu really has good eyesight. This operation is indeed prepared to use artificial materials. It is the third-generation material optimized by Dr. Tang and Dr. Kevin. It can also be said to be the first LARS artificial ligament in the General Surgery Department of Zijingang Hospital. .”

Dr. Cha also said very proudly, after all, he organized this operation. Although Tang Lou and Kevin were invited to perform the operation, it was indeed carried out at Zijingang Hospital.

Even Tang Lou didn't know that this was a far-reaching operation.

If Cheng Jian knew, he might twist Tang Lou's ears.With a hammer blow, don't you want to get back together with Sisi?This kind of surgery should be placed in the First Hospital of Hecheng City for the first time!
The difference between artificial materials and autologous tissues and allogeneic materials is that no pretreatment is required.

"Locator Drill Guide Pin."

With the assistance of Dr. Kevin, Tang Lou cleaned up the joint cavity, as well as the excessive scars, and kept enough stumps at both ends.

Watching Tang Lou's operation, Director Lu and Dr. Pan beside him were all eye-opened.

Dr. Zha participated in the entire planning consultation and started to explain to Director Lu and Dr. Pan: "Director Lu, you see, Dr. Tang is very particular about the residual distance of the stump in this step. The previous second-generation artificial graft , one of the reasons why it is very easy to break in the later stage is that insufficient stump is retained, resulting in low biological integration of the graft."

"The ACL stump proposed by Dr. Tang affects the healing speed of the graft, and at the same time, the stump retains the normal ACL vascular network, allowing the graft to revascularize. Moreover, the ACL stump can retain a certain number of mechanoreceptors. (MRCs).”

Listening to Dr. Cha's seemingly understated description, Director Lu certainly didn't think it was really that simple.

It is said that the preservation of the stump is actually more important than the complete separation of the vascular network and the non-destructive separation of the nerves.

This kind of operation has very high requirements for the operator, not only must he be proficient in anatomical knowledge, but also requires a pair of unusually stable and precise hands, as well as an almost inhuman concentration!

Director Lu sighed: "Even if I know about this reconstruction method, most of the doctors have already been persuaded at this step. Even I have to study Dr. Tang's operation video repeatedly before I dare to carry out this operation. .”

As the deputy director of the Hand Surgery Department of Zijingang Hospital, the level of surgery is ranked among the top in the whole province. Even he has no confidence. It can be seen that what Tang Lou is doing now is astonishing.

Dr. Pan nodded, and was already shouting to the boss in his heart: 666!

Dr. Zha continued to add: "Retaining the stump can also improve the stability of the knee joint and the position sense test."

While several people were discussing, Tang Lou had already entered the next step.

Under the guidance of the locator, drill the guide wire from the medial side of the tibial tuberosity 15 mm to the tibial insertion of the anterior cruciate ligament.

"Cannulated Drill Graft."

Tang Lou looked at the diameter of the graft and established a bone channel of the same size through hollow bricks.

"Good steady hands."

Seeing Tang Lou's operation, several doctors were also envious for a while. It is very advantageous to have a steady hand during the operation.

"The next step is to locate the femoral point of the cruciate ligament, which is a test of eyesight and knowledge of anatomy."

Director Lu watched without blinking, and then, the picture he expected to search for for a long time did not appear.

"How did he do that?"

Not only Director Lu, Dr. Pan, Dr. Cha and others were also a little surprised, it was too fast.

Even on the operating table, Dr. Kevin thought that Tang Lou would be so fast. Does he have any special skills?
When Dr. Kevin was puzzled, Tang Lou seemed to see his mind and explained:
"This is also a benefit of reserving the stump of the cruciate ligament. Through the positioning of the stump, the intercondylar fossa is regarded as a clock dial. Since the patient's right knee is located at 1011 points, it passes through the tibial tunnel and is guided by a guide wire with a hollow A femoral tunnel of the same diameter is drilled, and the traction ligament enters the joint from the tibial tunnel, and then enters the femoral tract."

"So simple?"

Dr. Kevin was once again impressed by Tang Lou's unconstrained experience.

"What about the left knee?"

At this moment, Dr. Kevin really has the attitude of an assistant asking for advice.

Director Lu and the others on the side also pricked up their ears, listening very curiously. After all, this is the first third-generation artificial graft operation, so they have no idea about the tricks involved.

After all, for a normal person, how could such a simple and ingenious technique be possible without performing hundreds of surgeries.

"Left knee, 1~2 o'clock."

Tang Lou said lightly.

(End of this chapter)