In orthopedics, in the Owai operating room, a Kyoto professor invited by the First Hospital of Momoshi City is undergoing surgery to remove the vertebrae.

"Xiao Li, are the positions where the embolization was yesterday? Are they the positions I mentioned?"

Professor Xie from Kyoto asked while peeling his skin.

"Teacher, I'm not studying intervention, because there is only one interventional doctor in our hospital who can do embolization. I don't know if his work is not successful. I only know that there was a patient with peritoneal hematoma after a pelvic fracture in our orthopedic department before. He had an interventional operation, which was quite successful."

Dr. Li said.

"Well, indeed, every hospital is short of interventional doctors. It would be great if you can have one of the first hospitals in Taoshi City."

Professor Xie began to bluntly separate muscle tissue and avoid places where capillaries are dense.

Professor Xie's technique is very smooth, from incision of the skin to exposing the spinous processes and lamina, the lesions are exposed to the vertebrae.

When Professor Xie revealed the incision, his movements became slower because when the incision was exposed, the amount of bleeding was about 300ml. If the operation was not good, it would be severe bleeding. Although Professor Xie was proficient in vertebral body removal, he was also cautious when facing such operations that were prone to severe bleeding.

When Professor Xie exposed the incision and treated the periosteum, he found that the amount of bleeding was particularly small. Professor Xie was shocked and paused to take a look at the patient's surgery field.

Could it be that my own techniques have become more sophisticated?

The amount of bleeding is probably only about 50ml. After the whole operation, the amount of bleeding is about 4,000ml. It seems that my hand feels better today.

Professor Xie continued the next operation. The next steps should cause heavy bleeding, which is inevitable. We can only do the surgery as quickly as possible to make the amount of bleeding less.

The bone-biting forceps in the hand were broken with tumor-infiltrating the spinous process and laminar plate. With a slap, a piece of broken bone was easily bitten by the bone-biting forceps.

Because the bones are infiltrated by tumors and have insufficient hardness, they can be easily broken.

However, after breaking, due to abnormal tumor hyperplasia, the bone plate is broken by forceps, which will cause blood supply to the bone plate to be interrupted, resulting in increased surgical bleeding.

This is the part where the vertebral body removal surgery is bleeding a lot. Professor Xie is also very clear about this. After a lamina is removed, Professor Xie habitually covers it with dry gauze.

"What's going on?"

Professor Xie found that the covered dry gauze did not instantly be soaked in blood, but it took nearly twenty seconds to soak.

Professor Xie is also a professor with master-level skills in orthopedics. He is close to the master-level orthopedic professor in terms of knowledge. With vertebral removal surgery, even some master-level orthopedic professors may not be as good as Professor Xie.

Professor Xie has a deep understanding of every link of the vertebral removal surgery.

If there was less bleeding before, Professor Xie might also feel that he was good at separation skills.

However, the bone bite forceps bite the lamina. This link is the largest bleeding link, and it is impossible to have less bleeding.

Generally speaking, at the beginning of this link, the field of surgery becomes bloody and requires surgery while treating blood.

On the other hand, Professor Xie’s fresh frozen red blood cells have been hung up and are ready to be put into the pressure regulator to be input into the patient’s body.

“Why is there such a small amount of bleeding?

Could it be that the blood supply of the tumor is not abundant enough?”

Professor Xie didn't know how to perform the operation for a moment, and Professor Xie could not think of a reasonable explanation for the scene in front of him.

Dr. Li saw Professor Xie stunned on the side and shouted softly: "Teacher Xie, what's wrong?"

"fine!"

Professor Xie woke up and began to continue the surgery.

The bone-biting forceps in the hand bite the vertebrae, exposing the nerve roots inside. As the tumor invades the spinal canal, the dural canal can be seen swelling outward in Professor Xie's field, but there is no pulsation. The fat in the epidural often displaces and becomes deformed under the pressure of the dural sac.

This time, Professor Xie did not continue to cover the broken laminator with dry gauze. Professor Xie wanted to observe how much bleeding could be caused this time.

The blood trickle out, unlike the fountain-like gushing out, the blood on the lamina slowly soaks the lamina like water droplets.

Professor Xie visually measured that the amount of bleeding was only about fifty milliliters.

This is definitely not a problem of tumors providing blood vessels! Professor Xie is sure that the blood vessels are not rich enough, and the amount of bleeding is much greater than fifty milliliters, so there is only one possibility! Interventional surgery! Professor Xie quickly thought of this. After all, Professor Xie often cooperates with the hospital intervention doctor to complete the vertebral body removal surgery. Sometimes the intervention doctor does it well, and the amount of bleeding during the vertebral body removal process is less, and sometimes the amount of bleeding is greater if the patient does not do it well.

However, the amount of bleeding this time was far beyond Professor Xie's imagination. This was the vertebral body removal surgery that Professor Xie had performed the least amount of bleeding.

Interventional embolization is not difficult for vertebral resection surgery. The difficulty is to control the bleeding volume, which is generally reduced to about 2500 ml, and the interventional level is quite high.

Professor Xie estimated that the amount of bleeding this time was less than 2,000 ml. Professor Xie had never encountered such a low amount of bleeding, nor had he heard of it.

You should know that the hospital where Professor Xie is located is a famous Grade A hospital in Kyoto, but in a small place like Momo City, an interventional doctor is even more powerful than an interventional doctor in Kyoto?

Although Professor Xie was thinking about this, the operation did not stop. There were too many such surgeries, and Professor Xie also had a memory in his body. He would not recall the anatomy when doing it like some beginners.

After finding the nerve roots on both sides of the dural sac, Professor Xie began to peel off the tumor tissue and clear the tumor tissue around the upper and lower joint processes and pedicle one by one.

This link is also the effect of the transverse artery in vertebral removal surgery. If interventional embolism is not performed, threatening bleeding will occur at this time.

In some places that are invisible to the naked eye, tiny blood vessels will exist. With one knife, the blood will be sprayed out like a fee, and the surgery field will be filled with red light, and even the bleeding blood vessels will not be found, let alone the vertebral removal surgery will continue.

After the interventional embolization surgery, it is not that there is no threatening bleeding, but that these threatening bleeding was cleaned by Dr. Li on the side with a suction device. The surgery field allowed Professor Xie to perform the surgery smoothly.

After revealing and removing the transverse process of the lumbar vertebra, Professor Xie was stunned again. He only used the suction device and dry gauze once from beginning to end. What is this concept?

This means that there is no bleeding in this link. Professor Xie calmed down his mood and began to dissect the lesion's vertebra to the longitudinal ligament, asking Dr. Li to use a hook to pull open the surrounding tissue. The vertebra's approach was opened, but the imagined red eyes did not appear at all.

Hell! No matter how high the intervention level is, it is impossible to embolize the blood vessels around the entire vertebrae! If it weren’t for seeing the vertebrae in front of him, Professor Xie suspected that he had not done a vertebrae surgery, or an ordinary orthopedic surgery.
Chapter completed!