I Have Unlimited Magic Skills

Chapter 610 Teamwork, Bone Grafting Success

In the operating room of the orthopedic department of traditional Chinese medicine, it was learned that Li Quan was going to try to perform a thoracic vertebra replacement operation for the patient. The top doctors in the surgery called for a fight one after another, wanting to complete this unprecedented and difficult operation with Li Quan.

Jin Leiming from the General Surgery Department, Director Yin from the Neurosurgery Department, and even Professor Tang from the Department of Internal Medicine all put on a shy face and pretended to come to help.

In fact, I want to see it.

The progress of human medical technology is all due to some bold doctors who have the courage to try new treatment methods.

Dare to challenge some methods that have never been used before.

Bone replacement is actually not uncommon.

Even many cosmetic plastic surgery hospitals dare to do this kind of surgery.

For example, rhinoplasty is to take a small piece of your own bone, or an allogeneic bone, and then implant it.

The ultimate goal is to make the nose upright and look better.

There is also limb replantation surgery, which is actually equivalent to bone replacement.

"Dean Li, are you really going to try this kind of surgery that has never been done before?" Jin Leiming's expression was very serious.

As a senior chief physician of general surgery, Jin Leiming has very rich surgical experience. Surgical knowledge in all aspects is also extremely profound.

He always felt that although Li Quan's idea was feasible, it was extremely risky.

The point is that no one has ever done a similar operation.

"I'm serious." Li Quan's tone was firm.

"The success of this operation depends on whether our medical teams can work together. Craniotomy and thoracotomy are carried out simultaneously. For the sake of safety, my idea is this. Director Yin of the Department of Neurosurgery Responsible for craniotomy and taking the skull of the patient. As for which part of the skull to take, how big it is, and how thick it is, I have already given you the data."

After Li Quan finished speaking, he looked at Director Yin.

"Director Yin, do you have any questions?"

"For the success of this operation, I brought the entire elite team of brain surgery, and my team and I will definitely go all out." Director Yin is quite old, that is because Li Quan used acupuncture to treat the brainstem Bleeding, this made him and Director Chen famous.

My family knows my own affairs.

In fact, he and Director Chen did not have any medical achievements.

It's the bland, mediocre kind.

This time, Li Quan created an opportunity for him to write a medical legend. He felt like he had been pumped out, and he tried his best to do this surgery well.

"With Director Yin's words, my heart is much relieved!" Li Quan nodded, and turned to look at Jin Leiming next to him. "Director Jin, you just need to be responsible for opening the chest of the sick child with your team and creating conditions for me to take the bone. In order to prevent accidents, I specially invited the chief physician and the nurse in charge of the intensive care department."

To do this kind of surgery, you must be fully prepared.

In case the sick child stops breathing and heartbeat during the operation, it must be rescued.

Artificial lungs can save the lives of sick children at critical moments.

"I have no problem with my team."

Jin Leiming is equally passionate.

"The anesthesia can start, and the patient's life monitoring is all up to you." Li Quan said to the anesthesiologist.

"President, please rest assured, I will be extra careful."

The anesthesiologist nodded solemnly.

Those who do anesthesia are generally people who don't talk too much.

"Hey, Dean Li, you can't favor one person over another, and look down on us old people! You have to arrange something for me, right? Even if I can help you, handing you a scalpel, tweezers or something will do!"

Professor Tang was not happy.

"Handing the scalpel can be done by a professional equipment nurse. Professor Tang is the backbone of internal medicine at Wheeler Hospital. After the operation is completed, it will definitely need a strong internal medicine support. Are you afraid that you will have nothing to do?"

Li Quan couldn't help feeling a little amused.

Professor Tang is too cute.

"Well, that's pretty much the same! In fact, I can also do surgery." Professor Tang wants to participate more.

Li Quan didn't agree this time.

After all, Professor Tang is a professional physician.

As for surgery, although Professor Tang has a good foundation, he certainly cannot compare with a professional surgeon like Jin Leiming.

Speaking of interventional surgery in internal medicine, Professor Tang may be very professional.

But Li Quan didn't dare to entrust him with such a major surgery as thoracotomy.

"The sick child's head has been shaved and the skin has been prepared!"

Director Yin and Jin Leiming reported at the same time.

"The anesthesia has reached the ideal state, and the data of the patient's heart rate, blood pressure, respiration, and pulse are stable, and the operation can begin." The anesthesiologist cooperated very tacitly at the critical moment.

"let's start!"

Li Quan gave the order.

The atmosphere in the operating room was extremely tense, and the hands of the attending physicians who followed the teacher to watch and study were all sweaty.

As for the resident doctor level, only a few exceptionally good ones have the opportunity to be brought into the operating room by the teacher to watch.

...

About 30 minutes later, the craniotomy of the sick child was completed, and Director Yin was carefully taking the bone. The thoracotomy performed by Jin Leiming's team has also been completed, and the thoracic vertebrae can already be seen.

It's just that the growth of bone spurs is very tricky.

It grows on the inner side.

This also brought great difficulty to Li Quan's bone extraction.

In the operating room, apart from the hum of the monitor, the rest is the sound of the chainsaw, which makes one's scalp tingle.

Li Quan carefully operated the chainsaw to remove the severely diseased thoracic vertebrae for the patient.

It can be clearly felt that this thoracic vertebra has suffered from osteoporosis.

This also reduced the difficulty of Li Quan's bone extraction.

The nearby heart and lungs were temporarily protected with gauze.

Even so, Li Quan is still walking on eggshells.

Just a little shaking of the hand, or a little more force, may hurt the heart and lungs of the sick child.

Usually, even using a chainsaw to amputate a patient's limb is very risky.

One can imagine how high the risk is at this moment.

The nurse kept wiping the sweat from Li Quan's forehead.

Sweat contains salt and various bacteria, so it cannot be allowed to drip into the patient's wound.

Otherwise, it is easy to cause infection.

It took nearly an hour for Li Quan to successfully saw off the small piece of diseased thoracic vertebrae.

After he was done, he checked it carefully again to make sure that the parts that had been sawed off were not missed.

All that remains is intact bone tissue.

After successful bone extraction, the most important thing is bone grafting.

In orthopedic surgery, the most commonly used splicing method for broken bones and broken bones is to fix them with titanium alloy nails, metal plates, and locks.

Li Quan, a master of orthopedics in traditional Chinese medicine, doesn't need to use those things.

Just like a truly skilled carpenter never uses nails when building furniture. Instead, a mortise and tenon structure is used.

"Smooth the spur on this bone, and I will implant the missing part of the skull later." Li Quan said to Director Yin.

"OK!"

After Director Yin took over, he immediately started working.

Li Quan took the piece of skull removed by director Yin's team and inspected it. The bone removal was very professional.

I actually compared the size and it was just right.

Modern medical high-tech instruments have indeed provided a strong guarantee for doctors to perform some extremely difficult operations with high precision.

From this operation, it can be seen that the era of doctors fighting alone has long passed.

The more complicated and difficult the operation, the more it requires the sincere cooperation of one or even multiple medical teams.

Among these medical teams, the most critical person is Li Quan.

He is the marshal, and everything is commanded and dispatched by him, and he even needs to go into battle in person.

It seems that it is just a bone, but in fact it is a test of everyone's professional standards.

First of all, Li Quan needs to estimate in advance how big a skull needs to be removed. If you want to be accurate to the millimeter level, and only rely on the pictures taken of the sick child before the thoracotomy, you can estimate so accurately, which is definitely not something that ordinary chief physicians can do.

Secondly, when Li Quan took the bone, he had to ensure that the missing area after the bone was taken was consistent with his estimate.

This is a test of Li Quan's technique.

Furthermore, the skull taken by Director Yin's team needs to be exactly the size estimated by Li Quan, which also requires high technology.

It can be said that any mistakes in the team of Li Quan and Director Yin will cause the operation to be imperfect.

The skull that was taken was too big, so it definitely couldn’t fit in, and it needed to be polished temporarily, which was very time-consuming.

The patient had both a chest and a craniotomy. This is not a child's play, but could die in minutes.

"Bring me the ointment I made!"

Li Quan said to the nurse.

Li Quan actually likes Hu Yue'er the most when doing this kind of thing.

Because he has been cooperating with Hu Yue'er for a long time, Li Quan doesn't need to say anything about what he wants, Hu Yue'er will deliver the things to him in advance.

However, Hu Yue'er stayed with Sophie all night yesterday, Li Quan took pity on her and gave her a vacation, letting her go home and have a good rest.

"Open it, hold it for me." Li Quan continued to direct the nurse.

After opening the bottle cap, a smell of Chinese herbal medicine filled the operating room.

But the smell is very light.

This ointment looks a bit like gelatin, a bit like jelly.

It's not as black as chicken feces like black jade intermittent ointment.

In fact, Li Quan used this ointment once in the Jiang's Orthopedic Hospital last time.

Its function is to glue the broken bones together and promote rapid healing of broken bones.

In terms of curative effect, it is definitely not as good as Black Jade Ointment, but it can be directly applied to the broken bone. And it has strong glue.

In fact, each medicine has its own use.

A panacea should not exist in this world.

Those medicines that cure all diseases are basically liars, or health medicines.

Li Quan evenly brushed the ointment on the skull.

Then the ointment was applied to the incision where the thoracic vertebra was missing.

Next, carefully splice.

Just stuck in the missing part, not too big and not too small, the gap is tight and only a thin line remains.

"Okay, you're done. Check the gauze and equipment, and prepare to seal the chest." When Li Quan arrived at this time, he finally breathed a sigh of relief.

From the formation of this idea in the mind to the implementation, it was smoother than imagined.

It may also have something to do with the patient's age.

Thirteen or fourteen years old is the golden age for surgery.

Patients in this age group have good physique and vitality. No matter the complications during the operation or the postoperative recovery, they are very good.

"Is the bone spur on that thoracic vertebra smoothed?" Li Quan asked.

"Well, it's all worn out. There are more than 20 bone spurs, and this bone is very osteoporotic." Director Yin has been practicing medicine for many years, and this is the first time he has seen such a severely damaged bone.

"The skull is fixed, so there should be no major problems after implantation. If it doesn't work, we can consider supplementary drug treatment in the future to help this bone reach a more normal level."

Li Quan had already calculated.

In fact, this bone disease has become like this, and there is no big problem in itself.

The key is that it is in an active part, constantly rubbing, stimulating, and eventually causing bone spurs.

And it happened to be in the chest cavity, and the bone spur pierced into the lungs, causing life-threatening.

Implant it in the head, and there should be no more bone spurs.

After taking over the severely diseased thoracic vertebrae, Li Quan was smaller than the missing part of the skull.

This can't be helped.

In order for that piece of skull to fit right into the missing thoracic vertebrae, the seams fit perfectly.

When taking the bone, the skull should be larger. The area removed from the thoracic vertebrae is smaller.

Because when the chainsaw cuts the bone, there will definitely be loss.

Just like a ten-centimeter piece of wood, after sawing through the middle with a chainsaw, the total length of the wood may be only nine centimeters.

That centimeter that was lost turned into sawdust.

After Li Quan smeared it with ointment, it was also implanted in the missing part of the skull.

Only two sides can be aligned, and the remaining two sides have large and obvious gaps. There is no way to do this. We can only wait until the patient's bones grow, and then slowly grow the gap.

This takes a while.

Normally, it takes about a month for the bone to form a callus.

It is estimated that it will take more than half a year or even longer to fully grow.

Bones grow very slowly.

It is not like muscle and skin, which can initially grow in just a few days.

"Sew it up!"

After Li Quan installed the thoracic vertebrae, he said to Director Yin.

...

After more than fifty minutes, the sick child's head was sutured.

Next, wake up from anesthesia and continue to monitor the patient's vital signs.

Heart rate, respiration, pulse, etc. are all normal.

At this moment, Li Quan was finally able to let out a long breath of moisture, and his heart was hanging, and he fell to the ground.

The operation involved multiple medical teams and was innovative in nature.

It means a lot.

Next, you need to wait slowly.

Observe the patient's follow-up recovery.

Li Quan has great confidence in the patient's prognosis.

Should be able to return to normal state.

At that time, you can consider writing an international-level orthopedic medicine thesis.

"Okay, thank you for your hard work! First send the patient to the intensive care unit for close observation for a week. If there is no obvious abnormality, you can transfer to the general ward for recovery. Be sure to explain to the patient and his family that the skull will not heal in a short time. Better wear a protective half-helmet."

Li Quan did not use any alloy nails or steel plates, which saved a lot of money for the patient's family.

Two hundred thousand is estimated to be a lot left.

Of course, what we have to pray for now is that the patient can recover smoothly after the operation without rejection, complications, infection, etc.

Li Quan walked out of the operating room and found that there were several missed calls on his mobile phone.

It was Officer Han calling.

I don't know what it is, so I have to go back and ask.

It is estimated that it has something to do with the gangsters who kidnapped Sophie.

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