Chapter 361: with translation of chapter title

Tian Jiaoshou (line1)

Zhou Yisheng (line3)

Teacher

Tian Jiaoshou's skill level has improved, ah; every vertebral resection he's done has been carried out in blood, right? At this step of the Shou Bing, he should have already received 5u of red blood cells, right?

Surgery

Originally, this blood-sucking step is extremely important; before the surgery, Zhou Yisheng has been anxious, and if the blood-sucking is mishandled, he will be scolded head-to-toe by the Professor.

Operating field

Bone

Intervention department doctor

Tian Jiaoshou's mind was replaying the entire procedure of the Shou Bing, scene by scene, frame by frame, turning a deaf ear to the concern of the instrument nurse.

Technique

The Shou Bing is going smoothly, ah; why does Teacher Tian keep closing his eyes? Is he gathering energy, preparing to erupt his mini-universe again?

In that case, let him gather energy; anyway, the patient isn't bleeding much. The Shou Bing... only then did Zhou Yisheng realize that the procedure had just been underway for 40 Minute.

Interventional surgery

Doubt

Heidelberg University

Heidelberg

The instrument nurse immediately handed the bone-biting forceps to Professor Tian.

Professor Tian calmly set aside other emotions, used the pointed-nose bone-biting forceps to remove tumor tissue on the vertebral body, first preserving the posterior edge of the vertebral body as a marker to avoid damaging the spinal cord or nerve roots.

This surgery, clean and swift, is worthy of being in a textbook.

But Professor Tian knew it wasn't that his surgery was so good, but that the operating field was too clean.

Carefully removed part of the tumor from the vertebral body, while other areas were well protected to avoid implantation and metastasis of tumor tissue.

After the vertebral body tumor was cleanly removed, Professor Tian then inserted the dissector between the posterior edge bone of the vertebral body and the dural sac.

After gently separating adhesions, he used the dissector to push the posterior edge bone of the vertebral body forward, causing it to collapse, thereby achieving the goal of thoroughly removing the lesion while protecting the spinal cord.

Although the adjacent intervertebral disc showed no signs of tumor invasion, Professor Tian also removed bone down to the cartilage plate, clearing cartilage from superficial to deep layers of the cartilage plate to make the bone graft bed firm.

Here bleeding should have been around 1000 milliliters, but… the actual bleeding was still very little, only 100-150 milliliters.

Professor Tian was estimating in his mind, but he had already become numb.

This damn surgery is like seeing a ghost!

Is it not because my skill is high, but because the patient's luck is good? Or some other reason?

Intervention Department Doctor?

Impossible! No matter how skilled an Intervention Department Doctor is, they couldn't reach this level.

Professor Tian, numb, followed the surgical procedure step by step.

According to the vertebral body bone defect condition, he took out bone blocks and strips of appropriate length from the posterior iliac crest.

Only then did the surgery return to Professor Tian's "normal" realm of cognition.

At the site where bone was taken from the posterior iliac crest, the bleeding was heavy.

He let out a sigh of relief.

Zhou Yisheng, who had always been at ease, suddenly froze, then hurriedly used the suction device and dry gauze to stop the bleeding.

The surgical situation suddenly changed.

After hemostasis, Professor Tian continued the surgery.

Generally, the bone graft should be 2–3 mm longer than the actual bone defect; the harvested bone block is cut neatly with an electric saw and then tied together with absorbable nylon thread.

It is inserted via the anterolateral aspect of the dural sac into the bone defect area and placed upright there. After inserting the bone strips, crushed bone fragments can be filled in front of them to fill the defect with bone tissue, facilitating bone healing.

Memory alloy rods, bone cement, step by step, in due order.

2 hours 12 minutes, the surgery ended.

Blood loss — including the bleeding from the posterior iliac crest bone harvest — was also less than 500 ml, so smooth as to be unbelievable.

After waking from general anesthesia, the patient was sent back to the ward, and Zhou Yisheng wore a smile.

The surgery went very smoothly; I had even prepared 20 units of fresh frozen red blood cells, but didn't use a single bag. After stepping down, I felt unaccustomed, yet still gave the patient 2 units of red blood cells as a token gesture.

After all, there was 500 milliliters of bleeding.

"Teacher Tian, your skills are getting more and more proficient!" Zhou Yisheng gave a thumbs-up and praised.

Professor Tian, who was resting, kept recalling the surgery, trying to find the reason for its smoothness.

He knew for sure it wasn't because his own skill had improved.

That is due to the Intervention Department Doctor; even if he finds it hard to believe, this is the fact.

Professor Tian turned into Detective Tian.

"Little Zhou, where is your Intervention Department? Take me to have a look." Professor Tian said.

"We don't have an Intervention Department; right now, an Inpatient Chief in the Jizhenbingfang is performing the interventional surgery." Zhou Yisheng said offhand.

"Only one doctor is doing it?" Professor Tian doubted his speculation again.

"Yes, his assistant was transferred from the ICU. By the way, yesterday I also saw a foreigner come up to help, saying he was from Heidelberg University."

Oh, turns out there was an invited expert.

Professor Tian finally found the "truth" of the matter and breathed a sigh of relief.

It's not that my brain has short-circuited, after all.

"Professor, did you perform the lumbar artery embolization?" Professor Tian asked.

No, the foreigner might not be a professor, and we don't know what his identity is; he has a Chinese name called Fugui'er.

The art style changed again, Fugui'er?

With a Northeastern accent, that's quite amusing. Zhou Yisheng thought of Professor Rudolf Wagner and couldn't help wanting to laugh.

During the surgery, it was also Chief Zheng of our Emergency Department who performed the operation, with Fugui'er as the assistant. Zhou Yisheng said.

What the hell is all this nonsense!

Tian Jiaoshou could not possibly imagine the actual situation; all of this had long surpassed his understanding.

Let's go take a look. Tian Jiaoshou glanced at his phone one last time, because the surgery was done so quickly that there was still some time before flying back to Di Du.

The two took a quick look at the post-op patient, then went to the Jizhenbingfang of the Jizhen Da Lou.

Along the way, Tian Jiaoshou inquired further about the emergency intervention situation at Haicheng Shi Yiyuan.

Is it just the level of doing emergency pelvic fracture embolization and gynecological embolization?

That probably wouldn't cause my own surgery to go so smoothly.

Strange.

Tian Jiaoshou, full of suspicion, went to the Jizhenbingfang with Zhou Yisheng.

Fugui'er, there are two surgeries tomorrow; arrive a bit early and send the patient to the Operating Room. Zheng Ren's voice came through.

Mm, Boss, what surgery? Professor Rudolf asked in a Northeastern accent.

The second stage of the TIPS Surgery to retrieve a retrievable stent, and one TIPS Surgery.

Mm, I definitely won't be a complete idiot, rest assured, Boss.

A Northeastern accent came through, and Tian Jiaoshou drifted off……

Walking into the office, Tian Jiaoshou saw Professor Rudolf Wagner standing beside a young doctor, full of respect, saying something.

This person…… looks quite familiar.

Damn!

Tian Jiaoshou suddenly realized that he had seen this person twice at Heidelberg University—this isn't Professor Rudolf Wagner?!