Chapter 1716 Full Level Boss!

Chen Cang did not choose general anesthesia.

Instead, local anesthesia was chosen.

But when the patient chooses the position, he puts a pillow between the patient's shoulder blades, stretches the neck slightly, tilts the head about 15 degrees to the opposite side of the incision, and then takes the supine position!

Such a position looks very weird, but it makes the directors feel indescribably comfortable!

That's right!

Several old directors in their fifties felt that these decades had been wasted, and they had never tried such a posture!

He was almost sixty, and seeing that he had lost his clinical energy for a few days, he saw Chen Cang pose in such a position with his own eyes.

Really well-informed!

For a moment, whether it was the outspoken Yang Wenwu or the worried Qu Jinguo, they all understood a truth at this moment, why so many people were willing to follow Chen Cang for surgery!

Because you can learn something!

The casual postures they put on made them feel emotional for a long time.

Not to mention the surgery for a while!

Moreover, to be honest, they looked at Chen Cangyun's indifferent look.

It seems that such a surgery is not taken seriously at all.

indeed!

Chen Cang didn't take this operation seriously at all.

After all, the difficulty of this operation can not be called very great.

Compared with when he was training for spinal cord fusion and connection surgery, that kind of complete severing fracture of the spine is much simpler!

This operation is difficult!

However, the spinal cord injury has played a good buffering role because of the existence of the patient's thermal insulation suit and helmet.

Closed wounds do not lead to infection, thus eliminating the need for removal of lesions and necrotic tissue.

And this process happens to be critical.

Immediately afterwards, Chen Cang's uncharacteristic surgical incision left several people stunned!

I saw that Chen Cang made a left or right transverse incision with a length of 6-8 cm from the midline of the front of the neck to the front edge of the left or right sternocleidomastoid at the plane of the fractured vertebral body!

Several experts and academicians looked dumbfounded!

But he didn't dare to ask, for fear that Chen Cang would say that they lived on dogs all these years?

You can only experience it slowly!

Fortunately, they have accumulated a lot of experience over the years. Although they can't react immediately, they can slowly understand it.

After a while, several people suddenly realized!

Because the incision on the left side allows the recurrent laryngeal nerve to be less stretched when entering.

This process is unavoidable in other incisions!

Almost at this moment, several people felt a sense of enlightenment!

Looking at Chen Cang again, his eyes were full of surprises!

You must be Santa Claus, no, Santa Claus!

From time to time, I bring you a small gift.

At this time, Chen Cang was still so calm, it seemed that this was just a pre-dinner dessert, insignificant!

Not even blinking eyelashes.

The more Chen Cang is like this, the more he fits the image of a master in the hearts of everyone.

Chen Cang's incision was peeled up and down along the subcutaneous tissue.

The whole process needs to be very careful.

After all, at this time, the patient has a pulling effect on the cervical spine due to muscle reasons. If this force disappears, it will cause secondary damage to the spine.

therefore!

How to line the front of the vertebral body is a bit more difficult.

Because if you want to reach the vertebral body of the cervical spine, you must go through the thyroid gland!

However, the middle thyroid vein hinders the exposure of the vertebral body.

The trachea, esophagus and thyroid are easy to solve, but the rarest thing is those blood vessels!

When operating for a while, if you don’t pay attention, the superior thyroid artery, middle vein, and recurrent laryngeal nerve are on the side...

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 was very fast!

The scalpel in his hand cut open the platysma and deep fascia fluently along the front edge of the sternocleidomastoid muscle, pulling the sternocleidomastoid muscle and carotid sheath to the outside.

This quick and orderly action made the several directors panic in their hearts!

Even Yu Yonggang, who had been with Chen Cang for a long time, felt a thump in his heart at this moment.

This kid...why are you in such a hurry!

Actually, Chen Cang couldn't be blamed for this.

It's like you often have a difficult cholecystectomy, and you suddenly encounter a common cholecystitis with a low difficulty. For you, there is basically no pressure!

Looking at Chen Cang's knife was really worrying. Several directors looked at Chen Cang worriedly, and couldn't help reminding: "Professor Chen, be careful of the thyroid artery and vein."

Chen Cang nodded slightly and said, "Thank you!"

After finishing speaking, Chen Cang lightly glassed the glass and at this time, the thyroid gland, trachea and esophagus were exposed!

When Chen Cang pulled these to the inside with tissue forceps, he was surprised to find that the middle thyroid vein deviated from the vertebral body!

This scene directly made everyone dumbfounded!

A pair of eyes in their fifties burst into light, and they couldn't understand how they were separated!

Even Yu Yonggang was surprised, watching this scene with shortness of breath!

Generally speaking, when the middle thyroid vein obstructs exposure, it needs to be cut after electrocoagulation or ligation.

However, Chen Cang's operation directly avoided this step!

Make surgery even more... silky smooth!

That's right, that's the feeling, no difficulty, no pressure, very smooth!

How did you do it! ?

Each of them was a little short of breath, trying to figure out the problem.

It's a pity that Chen Cang's movements were too fast, they didn't understand at all!

What's going on!

At this time, Chen Cang peeled off the loose connective tissue to the deep part, and his fingers touched slightly!

With high perception ability, Chen Cang clearly touched the cervical vertebral body on the midline!

Afterwards, he gently peeled off, revealing 4 vertebrae immediately!

This scene!

Suddenly several people blurted out!

"Such a large exposure range!"

"Amazing!"

"Four vertebrae!"

"My God!"

Several people couldn't help swallowing.

At this moment, on the 7th cervical plane, the positions of the four vertebral bodies are completely exposed, and the two blood vessels of the thyroid gland and the recurrent laryngeal nerve are completely bypassed!

If it is said that openings account for 20% of the operation in cervical fracture surgery, Chen Cang's surgery has invisibly expanded the influence of openings!

Seeing this scene, everyone's blood boiled with excitement, and their hearts were surging!

The next thing to do is to locate the fractured vertebra.

However, because the exposed space is large enough, this completely saves a lot of unnecessary processes.

Let the surgical steps skip directly to taking x-rays.

When the X-ray results came out, Chen Cang stared at the film, and began to combine the previous cervical spine MRI films in his mind.

The 4D model map began to coincide with reality.

Chen Cang said lightly: "Give me the bone chisel and drill bit!"

Yu Yonggang nodded quickly and handed it over from the nurse.

Otherwise, orthopedic surgery is actually a large-scale decoration site!

Chisels, drills, everything!

but!

Spine surgery is a kind of surgery, the damage should not be too big, and there are fracture fragments and damaged spinal cord underneath!

In this way, the difficulty of the operation is increased again.

Therefore, if the opening just now is about skill, the most test of the next operation is the technique!

In the case of a damaged spinal cord, the chisel and electric drill must be used with great care!

However, swords and guns are ruthless!

Chisels and electric drills are not gentle things by any stretch of the imagination.

I want to open up the bone layer by layer, and I need to fuse the spine in a while.

Remove the fractured vertebral body, and then form a complete spine, which further deepens the difficulty of opening!

At this time, Chen Cang picked up the chisel and used the chisel to remove 1.5cm deep bone.

Then, use a micro drill to drill to only a thin layer of cortical bone behind the vertebral body!

Looking at the spinal cord inside, Chen Cang just arrived, basically without any damage!

When seeing this scene, everyone was stunned!

so amazing!

Not to mention anything else, this method alone has surpassed 99% of orthopedic surgeons!

Orthopedic surgery itself is not very precise!

But neurosurgery is the most delicate operation.

Chen Cang abruptly turned this orthopedic surgery into what a neurosurgery should be!

The directors who watched were blushing and ashamed!

I'm a little embarrassed!

After all, how old are they, this method has surpassed most... No, it has surpassed themselves.

Several old academicians looked at each other, wanting to see each other's expressions, this pair of eyes... several pairs of eyes touched together.

Immediately, several people felt self-evident, what a shame.

The next step is to remove the remaining thin bone fragments and fracture fragments protruding into the spinal canal.

Chen Cang stared at the wound!

A series of messages entered my mind!

【Ding! For lv100 king-level spinal cord injuries, it is recommended to remove bone fragments, repair nucleus pulposus tissue, and connect nerves! 】

After Chen Cang saw this scene, his face immediately became happy!

Full level boss!

What rewards will there be?

...

...

ps: The operation will end tomorrow, hey, let the hero stay overnight, I'm sorry...

But there are too many things to write and check, I hope everyone can understand.

Finally, ask for a monthly ticket...