Surgery Godfather-Chapter 398 - 0373 Sweating while Watching Surgery_2
Chapter 398: Chapter 0373: Sweating while Watching Surgery_2
Chapter 398: Chapter 0373: Sweating while Watching Surgery_2
Even in a normal position, completing bilateral hip and knee joint replacements simultaneously is a challenging surgery.
This extreme position, in which it is possible to complete the surgery, is extremely difficult.
Even Professor Zhang and Director Han have to wonder how he quickly completed the replacement of these four joints.
As to how the surgery is conducted, Yang Ping has done nearly a hundred surgeries on Lu Gang’s system so skillfully that it’s become muscle memory; he’s even conducted numerous research-based pathological dissections.
Song Zimo sterilizes the drapes quickly.
In the final pre-operation check, Yang Ping makes a small incision for the minimally invasive hip joint replacement. In a few minutes, the deep hip joint is revealed, hooks are positioned, and Zhang Lin Xiaowu is asked to help hold them.
As for where the hooks should be placed, and what’s inside, Zhang Lin Xiaowu has no clue. All they need to do is steady the hooks. This is a task they can fully handle, and in accordance with Yang Ping’s requirements, they hold the hooks firmly.
The femoral neck is amputated in one go, and the already deformed femoral head is easily removed with the extractor.
Just now, Director Han was worried about the difficulty of removing the cut femoral head, but the femoral head has already been handed over to Xiao Su and placed in the metal basin.
Under normal circumstances, a caliper is needed to measure the diameter of the femoral head to guide the selection of the model of the artificial joint prosthesis. Now that the femoral head is deformed, it no longer serves as a guide.
Where is Lu Gang’s acetabulum?
The acetabular area of the pelvic hip joint on the CT 3D reconstruction has lost its true acetabulum, and the shallow indentations are meaningless.
For over a decade, his hip joint has been in a dislocated state, the femoral head has been floating in soft tissue, and there’s no socket to contain it.
When orthopaedic surgeons usually deal with the acetabulum, to correct the direction and depth of the acetabulum, they take the patient’s lying position as a reference to find the right angle.
Now, Yang Ping has to make a new acetabulum for Lu Gang where the location, direction, and depth all have to meet the anatomical requirements. Lu Gang’s position is very irregular, and finding the right angle in such a position requires the doctor to have a very strong spatial imagination.
“Xiao Yang -” Professor Zhang was just about to give him some advice.
The acetabular rasp has already been inserted, it makes a rasping sound, and through the safety glasses, a mist of blood rises.
The high-speed drill with the acetabular rasp hasn’t even finished its work when Yang Ping directly announces the model parameters of the acetabular prosthesis.
Huang Jiahui immediately opens the package and lays the prosthesis on the instrument table.
While the competition requires a trial run, Yang Ping doesn’t really need it. After a hundred surgeries, what’s a trial for him? It’s purely a waste of time.
Yang Ping finishes the trial run process and directly asks Xiao Su to start the prosthesis.
Due to lack of physical activity, Lu Gang has osteoporosis, and a biological prosthesis is not suitable. A cemented prosthesis is used instead.
The cement package is opened and mixed with a special solvent. The aromatic smell fills the entire operating room.
The acetabulum is rinsed, the gauze is wrung dry, then the acetabulum prosthesis with dough-like bone cement is accurately implanted into the artificially chiselled acetabulum, pressed tightly.
Immediately afterwards, the end of the femur undergoes marrow expansion, the marrow cavity is rinsed, and after going through the trial process, the bone cement gun introduces the bone cement into the femoral marrow cavity, and then the real femoral prosthetic end is implanted into the marrow cavity, pressed tightly.
All the excess bone cement is entirely removed, the artificial prostheses of the joint head and acetabulum are installed, and the only thing left to do is to stop the bleeding completely. But there’s hardly any blood, and there’s no need for drains.
Under the magnifying lens in charge of zooming in, the camera observes for a few minutes. No obvious bleeding can be seen.
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As minimally invasive access was used, all the important structures, such as the pear-shaped muscle, were not damaged. The bleeding from the bone surface is already stopped by the pressure of the joint prosthetics and bone cement. There’s virtually no bleeding left.
Rinsing, suturing the layers, and thus, one side of the hip joint is replaced.
“Young man, you perform surgery like it’s a game,” Professor Zhang, not daring to blink, exclaimed, “This handiwork, is this still human?”
He initially wanted to communicate with Yang Ping a bit, but the other hip joint was started. The process was too quick, his mind couldn’t keep up with Yang Ping’s rhythm. Both Professor Zhang and Director Han were mentally racing to keep up with him.
As soon as the bilateral hip joints were replaced, without a break, the knee joints were replaced next.
It’s Song Zimo’s first time as a surgical assistant, and for the first time, he’s struggling to keep up. Zhang Lin Xiaowu couldn’t see the whole process of the surgery, every time Yang Ping positioned the hook, they just mechanically held it.
Luckily, with their long training, they were outstanding at holding the hooks. The two men held it firmly and didn’t waver.
Knee joint replacement tests bone cutting and soft tissue balance techniques. Yang Ping’s movements are too quick. Whether those participating in the surgery or those observing, like Professor Zhang and Director Han, everyone dares not take a moment’s rest. One little hesitation and they would be thrown off by the rhythm.
Exposing and cleaning the knee joint synovium, loosening the ligaments and the joint capsule, then the cutting of the tibial end and the femoral end. Trial cutting is a requirement of the surgical procedure. Otherwise, what does Yang Ping need a bone cutting template for? He could directly perform bone cutting by hand, with exact precision down to the millimeter.
Once the locator is set up and the tibial bone-cutting template is assembled, the bone-cutting is completed in a few moves. Then, it’s the femur’s turn for bone-cutting. It all flows smoothly. After bone-cutting, the tibial end prosthesis and the femur end prosthesis are sequentially implanted and firmly fixed onto the bone ends with bone cement.
The aromatic smell of bone cement is getting stronger. Both knee joint replacements are complete, suturing, applying a dressing over the incision.
They readjust the body position and sterilize again to perform the cervical vertebra osteotomy correction. This is the most dangerous step, especially dealing with the malformation of the upper cervical spine and the skull base.
