Doctor of Healing
Page 414
Before the bald host could finish his sentence, Professor Shen shook his head lightly, "I have the same question as you."
The bald host was taken aback.
"Achilles tendon surgery, the difficulty is extremely low." Professor Shen said, "Clip out the ruptured Achilles tendon, that's right, just sew it on."
"That……"
"I remember there was a description in the past - only top chefs can cook cabbage and tofu with top taste." Professor Shen said seriously, "Although the Achilles tendon surgery is a minor surgery, the previous surgery results were not satisfactory."
"For ordinary people, it doesn't have much impact. But for athletes, a little difference is a watershed, which can determine a game, a season or even a player's life."
"This kind of surgery that can't play tricks can produce incomprehensible effects. The level of Dr. Jixiang..."
Speaking of this, Professor Shen pondered.
"Do you think Dr. Jixiang can't do it?"
"I think Zhao Dali's situation is just an individual case. Dr. Ji Xiang is still too young, so that he regards individual cases and successful operations by chance as a new technique he 'researched'."
"If you do this, I think it's better for everyone not to have too much hope for the effect of Neymar's surgery..."
"There won't be any major problems." Professor Shen said what the bald host didn't say, "At worst, the effect will be the same as normal stitching, and there will be no major problems."
"Mr. Shen, I think Dr. Ji Xiang's operation may be successful." Maomao whispered on the side.
"Maomao, you are so confident in Dr. Jixiang." The bald host laughed.
"The previous medical records have proved the level of Dr. Jixiang. Doctor is a very talented profession. I think he should be able to succeed."
The bald host went around a few times before trying to understand Maomao's specific logic.
Regarding the problem of talent, Maomao gave a few examples, but Director Bai frowned.
Maomao has only been a nurse for half a year, so she doesn't have a good understanding of the medical industry.
Although he is considered a talented person in singing and songwriting, he is still young and rarely seen, so the examples given are not appropriate.
After the guests chatted a few words in the comment room, the screen switched, and Neymar's medical team was "communicating" with Jixiang in the office.
Many people in Neymar's medical team were quite excited, especially the director of medical technology, who faced Ji Xiang with dancing and dancing, and almost sprayed saliva on Ji Xiang's face.
"Everyone be quiet." Ji Xiang said in fluent English, "Since I have concerns, let me explain the technical issues. As for the [-]% success rate you require, I cannot guarantee it. And I dare say that any doctor will Not guaranteed."
Zhao Zhe pushed the blackboard, Ji Xiang raised his hand and tapped on the blackboard.
"Quiet, let me explain the specific principles and process of the operation."
The screen then shrinks and falls to the upper right corner of the screen, and the animation content appears.
"The Achilles tendon is a tendon structure that runs through the lower end of the triceps calf muscle, that is, the gastrocnemius and soleus muscles. It ends at the calcaneal tubercle. It is one of the thickest and largest tendons in the human body..."
The voice-over began to popularize the Achilles tendon, and a section of human body anatomy appeared on the screen, showing the audience what is the Achilles tendon in 360 degrees without dead ends.
Subsequently, an animation appears on the screen.
A player is running on the green field. At the moment when he dribbled the ball and changed his speed, the skin of his left ankle and calf was transparent, and the camera focused on it. Stretched, and then broke with a "bang".
The athlete stumbled, but he stood up as if nothing happened, and ran two more steps.
The voice-over began to explain to the general audience that the Achilles tendon has fewer blood vessels and nerves. Even if there is a rupture of the Achilles tendon, the injured will ignore this if they do not have enough knowledge, and may even think it is a sprained ankle.
The player in the picture fell to the ground after only two steps. He held his left leg with both hands and kept touching it.
At this time, the animation shot gave a close-up of his left leg and his right leg.
The hard Achilles tendon behind the left ankle has disappeared, and the hand is soft when pressed, and there is a problem visible to the naked eye.
Even if you are not an orthopedic surgeon or a patient, ordinary people who have never understood the Achilles tendon all their lives can understand it.
"So that's how it is." Boss Ding's eyes straightened.
"It's about the same. Some patients with Achilles tendon rupture don't feel much pain. In NBA games, some people even completed free throws before going back to the locker room." Director Bai said.
Chapter 634 Extreme
The injury process was not long, and it was briefly mentioned in the animation of the subsequent inspection process.
Movie-quality animation is expensive, and it's definitely not going to be used for this - because the audience has no interest in it.
The words 13 days later were printed on the screen, and the patient was pushed into the operating room for hybrid surgery.
Under general anesthesia, local angiography was first performed to mark the position of capillaries.
"13 days, that's a long time."
"It doesn't take so long for ordinary people. It is estimated that the secret yin and yang of Neymar's medical team delayed the time because of their distrust of Xiao Ji." Director Bai said, "Finding the best treatment plan, but delayed the best time, resulting in surgery. Difficulty increases."
"Huh? Lao Bai, do you know about this operation?" Director Liu asked suspiciously.
"Xiao Ji just said."
"..."
In the animation screen, the radiography ends.
At this time, another screen overlaps with the imaging screen, which is the 64-slice CT film made before.
Through overlapping images, viewers can clearly see the capillaries proliferating on the Achilles tendon fascia within 13 days.
There are even two capillaries that have grown into the Achilles tendon, causing hyperplasia.
A scalpel appeared under the shadowless lamp, and the surgeon made a longitudinal incision about 10 cm along the medial or lateral edge of the Achilles tendon.
The process of cutting the skin with the knife was ignored.
Everyone understands that it is normal not to see blood, not to see blood.
The operation process can appear on the screen, which is already the result of the program team's hard work.
After incision of the subcutaneous and peritendon tissues, the surgeon removed the local hematoma and exposed the two ends of the Achilles tendon.
Here, the surgeon did not suture the Achilles tendon in a hurry, nor simply and roughly cut off the hyperplastic part, but patiently peeled off the hyperplastic capillaries and connective tissue bit by bit.
"Old Bai, is it useful for Xiaoji to do this?" Director Liu asked doubtfully.
"It should be useful. Otherwise, with so many blood vessels, the Achilles tendon hyperplasia will definitely be serious after surgery. Although there will not be many hyperplasia, and the blood supply is only capillaries, this is the Achilles tendon." Director Bai said.
Director Liu was skeptical, while Boss Ding listened with dewy eyes.
In the animation, the surgeon strips and removes all the proliferated capillaries and a very small amount of connective tissue at both ends of the ruptured Achilles tendon.
The whole process seemed very simple, but Director Bai decided that the surgeon must have used a microscope and was performing orthopedic surgery in a microscopic way.
Generally, orthopedic surgery is relatively rough, with adzes, chisels, axes and saws, ding ding dong dong, like decoration.When did they use the microscope? Director Bai curled his lips with contempt.
Neurosurgery, the department at the top of the chain of contempt, and the department that can despise each other with neurosurgery is cardiac surgery, other than that, other departments are younger brothers.
After carefully stripping and removing hyperplastic tissue, the surgeon flexes the patient's knee joint by 30° to relieve tension.
The patient's Achilles tendon ruptured, and the operator used a hand drill to drill a bone hole obliquely downward from the posterior upper part of the calcaneus, and enlarged its upper part.
Then suture the proximal end of the Achilles tendon with No. 7 suture with the "8" suture method, place and take out the No. 7 line, and then pass the No. 7 line through the bone hole of the calcaneus out of the plantar skin, and fix the No. 7 line in plantar flexion on the button.
"Isn't it necessary to use steel wire here? Can a No. 7 line work? I don't think double 7 may be able to hold on." Director Liu asked.
"Isn't it directly sutured here? Why are you still drilling?" Boss Ding asked.
The two have different perceptions and ask different questions.
Director Bai looked at the screen without blinking, and said calmly, "In order to reduce damage, Xiaoji chose No. 7 wire, so no steel wire was used. The steel wire is strong, but it is too rough."
"The damage is indeed a bit small, but the No. 7 wire is not strong."
"I guess Xiaoji knows it well."
"Director Bai, didn't you say that you can finish with two stitches? Why are the steel wires and holes punched? It doesn't make the surgery small at all." Boss Ding asked curiously.
"Because the tension is too large, this is also one of the main reasons for the impaired motor function after the rupture of the Achilles tendon. In ordinary positions, the No. 7 wire cannot be said to be strong. Use steel wire."
"But you know the steel wire thing, it will definitely cause some secondary damage...I didn't expect Xiaoji's methods to be so extreme."
Director Bai spoke briefly, regardless of whether Boss Ding understood or not, and continued to concentrate on watching the animation.
The animation is relatively clear, the broken position is stitched and fixed, and there is even a "microscopic" animation.
The needle tip of the suture needle in the operator's hand passes through the fibrous connective tissue. Microscopic observation shows that the connective tissue is not connected together, but is like a dense forest.
The thinnest suture needles were also extremely thick during the period, like alien behemoths.
But this giant alien beast did not go on a rampage, and no one knew what tricks the magician used. This "giant alien beast" just moved forward gently in the jungle.
The needle and thread cause minimal damage to the connective tissue of the Achilles tendon.
Director Bai even noticed that the route of the rough sutures was a bit weird, and the purpose of the surgeon was very clear—to minimize the damage to the fibrous tissue of the Achilles tendon.
But how did he do it?
Director Bai looked at it for a long time but didn't understand it.
He was not interested, and he didn't even think about calling Ji Xiang to find the answer, because Director Bai knew that even if Ji Xiang didn't hide his secrets and tell the whole story, he couldn't understand it.
The operation is so "simple" over.
After the operation, the affected limb was fixed, and the time was fast forwarded. When the postoperative date was fast forwarded to 12 days, the patient walked tentatively on the ground under the guidance of the doctor.
Seeing this, Director Bai's heart suddenly hangs.
The doubts brought about by Line 7 just now are still there, and the time is still short, only 12 days have passed, can it work?
Even with steel wire sutures, it usually takes about 4 weeks before the patient can move tentatively.
On the one hand, Jixiang reduces the surgical injury, and on the other hand, shortens the recovery cycle of patients.
This approach is simply too radical!
It was so radical that Director Bai couldn't accept it.
In the animation, the patient's recovery is excellent, he is trying to move on the ground, and has received a scientific rehabilitation training plan.
Because of the short time, the muscle tissue of the patient's affected limb did not atrophy so badly, and it was relatively easy to recover.
Even after seeing the operation process clearly, Director Bai still had doubts about it.
After all, the later stage of rehabilitation is just animation, not Neymar's own state, nor does it mean that the operation was successful.
"The program team is too irresponsible." Director Liu said with a frown, "If Neymar's recovery after the operation is not satisfactory, wouldn't Xiaoji be blamed? This is to put Xiaoji on the fire for the sake of ratings."
Chief Bai nodded slightly.
He watched this episode with worry, unlike the previous ones, he could still comment after watching it.
Jixiang's "new" operation is like walking a tightrope, and if one is not careful, the operation will fail.
Chapter 635 Seeing Jixiang in the Future
The worries were only those of Director Bai, Director Liu, and those who knew about medical care and cared about Jixiang. The audience was just like Boss Ding, who was driven forward by the rhythm of the program without thinking at all.
Boss Ding's cheeks were flushed with excitement, his hands were clenched into fists, and there were even tears in his eyes.
Neymar is recovered and can catch up with next year's World Cup!
We must win the championship, we must! !
This was the only thought in Boss Ding's mind.
"Director Bai, the surgery is fine. If Neymar can fully recover, that would be great! For so many years, I want to watch Neymar lead Brazil to the World Cup."
"I don't know." Director Bai is not very interested in football, he shook his head, "Zhao Dali is just a case, and Zhao Dali is less than 20 years old, what about Neymar? He is almost 40 years old, so can it be the same?"
After Director Bai talked about the essence of the problem, Boss Ding recognized the essence of the problem like a deflated balloon.
Even if the operation is successful, Zhao Dali can recover to his peak level or even slightly exceed it.But Neymar is a nearly 40-year-old veteran, and he can't compare with Zhao Dali.
It's nice to be young.
But in a flash, Boss Ding became happy again.
"Anyway, as long as Neymar can participate in the World Cup, this is the last time. I also know that even if he can go, Neymar is useless, so as long as he can be seen in the World Cup."
This request is not high, Director Bai smiled slightly, thinking that if Neymar recovers well, it is still possible to appear on the field of the World Cup.
But what's the use of telling the truth? Rational fans, Director Bai and others refused to believe it no matter what.
……
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