Chapter 1719： : Full-level boss!

Chen Cang did not choose general anesthesia.

Instead, I chose local anesthesia.

But when the patient chooses a position, he puts the pillow between the patient's shoulder blades, stretches his neck slightly, 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 feel uncomfortable!

That's right!

Several senior directors in their fifties feel that these decades have been in vain, and they have never tried such a posture!

is almost sixty, and seeing that the clinical energy has gone up in a few days, I saw Chen Cang in such a position with his own eyes.

is really knowledgeable!

For a time, whether it is the outspoken Yang Wenwu or the worried Qu Jinguo, at this moment, they understand a truth, why so many people are willing to follow Chen Cang's operation!

Because I can learn something!

The posture that people put up casually made them feel for a long time.

Not to mention the surgery for a while!

And, to be honest, they looked at Chen Cangyun's calm and gentle appearance.

does not seem to put such an operation in his eyes.

indeed!

Chen Cang also didn't take this operation to heart at all.

After all, this operation is not very difficult.

Compared to when he was training for spinal cord fusion surgery, that kind of complete spinal fracture is much simpler!

This operation is difficult!

But the spinal cord injury has a good cushioning effect because of the existence of the patient's insulated suit and helmet.

The closed wound did not cause infection, so the process of removing the lesion and necrotic tissue is omitted.

And this process happens to be critical.

Then, Chen Cang's uncharacteristic surgical incision made several people stunned!

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

A few experts and academicians looked confused!

But I didn't dare to ask, for fear that Chen Cang said that they had lived on dogs all these years?

can only slowly experience!

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

After a while, a few people suddenly became clear!

Because this left side incision can make the recurrent laryngeal nerve less stretched when entering.

This process is inevitable in other incisions!

Almost at this moment, a few people suddenly felt a sense of openness!

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

You must be Santa Claus, no, it’s Santa Claus!

sends you a small gift from time to time.

At this time, Chen Cang is still calm, it seems that this is just a dessert before the meal, insignificant!

I don’t even blink my eyelashes.

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

Chen Cang incision is 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 the muscles. If this strength disappears, it will cause secondary damage to the spine.

Therefore!

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

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

And the middle thyroid vein hinders the exposure of the vertebral body.

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

During the operation for a while, I didn’t pay attention to it. The superior thyroid artery, middle vein, recurrent laryngeal nerve...

These are the key factors that affect surgery. ,

Moreover, this is a difficult problem that cannot be avoided no matter how Chen Cang chooses to speak!

However, they found that Chen Cang's separation was very fast!

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

This quick and orderly action made the directors panicked!

Even Yu Yonggang, who has been following Chen Cang for a long time, gave a chuckle in his heart.

This kid...what are you doing in such a hurry!

Actually, Chen Cang cannot be blamed for this.

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

Looking at Chen Cang's knife was really anxious. Several directors looked at Chen Cang worriedly, and couldn't help but remind: "Professor Chen, be careful of the thyroid arteries and veins."

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

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

When Chen Cang pulled these tissue clamps to the inside, he was surprised to find that the middle thyroid vein had left the vertebral body!

This scene directly made everyone dumbfounded!

A pair of 50-something-year-old eyes burst into light, but I didn't understand how the separation was!

Even Yu Yonggang was shocked, breathing quickly to watch this scene!

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

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

makes the surgery more... silky!

That’s right, that’s how it feels, no difficulty, no pressure, very smooth!

How did you do it! ?

Each of them was short of breath for a few minutes and wanted to clarify the problem.

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

What's going on!

At this time, Chen Cang peeled along the loose connective tissue to the deep part, touching his fingers slightly!

With high perception ability, Chen Cang clearly touched the cervical vertebra in the midline!

Then, he lightly glass, and 4 vertebrae are immediately revealed!

This scene!

suddenly a few people blurted out!

"Such a large exposure area!"

"Amazing!"

"Four cones!"

"Gosh!"

Several people couldn't help but swallowed.

At this moment, on the 7th plane of the neck, 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 in cervical spine fracture surgery, the opening accounts for 20% of the operation, but Chen Cang's operation has invisibly expanded the influence of the opening!

In this scene, watching the crowd is full of passion, a little emotional!

The next thing to do is to locate the fractured vertebral body.

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

Let the operation step jump directly to the X-ray.

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

The four-dimensional model diagram began to overlap with reality.

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

Yu Yonggang nodded quickly and handed it from the nurse.

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

Chisel and drill have everything!

But!

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

In this way, it once again increased the difficulty of the operation.

So, if the opening just now focuses on skill, the most test of the next operation is the technique!

In the case of damaged spinal cord, osteotome and electric drill must be used carefully!

But, the swords and guns are merciless!

Chisel and electric drill are not gentle things.

I want to open up the bone layer by layer, and fusion of the spine will be performed later.

The fractured vertebral body is removed, and then a complete spine is formed, which further increases the difficulty of opening!

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

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

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

When they saw this scene, everyone was stunned!

so amazing!

Not to mention anything else, this kind of technique has already exceeded 99% of orthopedic surgeons!

Orthopedic surgery itself is not very precise!

But neurosurgery is the most precise operation.

Chen Cang abruptly made this orthopedic operation what a neurosurgery operation should be!

The directors who watched are blushing and ashamed!

I'm sorry!

After all How old people are, this technique has surpassed most of them...No, it has surpassed themselves.

A few old academicians glanced at each other, wanting to see each other's expressions. This pair of eyes... several pairs of eyes touched together.

Suddenly, the hearts of several people are self-evident, which is so embarrassing.

Next is the need to remove the remaining thin bone fragments and the fracture fragments protruding into the spinal canal.

Chen Cang's eyes stared at the wound!

A series of news came to mind!

【Ding! lv100 king class spinal cord injury, it is recommended to remove bone fragments, repair nucleus pulposus tissue, and link nerves! 】

Chen Cang looked happy after seeing this scene!

Boss at full level!

What rewards will there be?

……

……

Ps: The operation will be over tomorrow. Hey, let the hero stay overnight. I'm sorry...

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

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