Professor Guo said in his heart.

Because now the most critical step is to isolate the tumor and stick close to important organs and large blood vessels such as the kidneys, sciatic nerves, iliac artery veins and other important organs and large blood vessels.

Once the blood vessel is pierced, the next step is to stop bleeding! Various hemostatics!

Crazy stop bleeding!

Because sometimes blood vessels and nerves are attached to tumors? It is naturally difficult!

Ruan Bin used lamina bone digits forceps to remove the lamina and spinous processes of the sacrum on the upper boundary of the tumor, so that the spinal canal can be fully exposed.

Due to the embolization before the operation, he began to use bone bite forceps to remove the sacral vertebra!

Seeing Ruan Bin's action, everyone's breathing suddenly condensed!

"Are you going to have a complete sacral resection?" Huang Weilin exclaimed! Because an incision solves a total sacral resection, it was unimaginable in the past. Because the total posterior resection requires the sacroiliac joint from the back of the patient, but the problem is that the organs and blood vessels are all in front, and if you are not careful, it will be a terrible heavy bleeding. Therefore, no one dares to cut it from the back.

Is Ruan Bin going to challenge now?

Even Professor Guo took a breath!

Is this young man so calm at this point? There is no sign of nervousness on his face!

However, the tumor of this patient is so deep that he can only use Ruan Bin to think of this method and completely remove it!

In fact, Ruan Bin is very sure of the big reason now is that after preoperative vascular embolization, there is not much bleeding on the wound, and there is no risk of bleeding. Even if it is removed from the tumor, there is not much bleeding. Therefore, it is allowed to carefully dissect the structure of the sacral canal. The end of the dural sac is at the level of sacral 2, and the superior nerve is located on both sides of its lower nerve, and the end line is in the middle. Removal of the dural sac or wire saw can easily damage the dural sac and caudal equine nerve. Removal of the bone biting forceps can avoid this disadvantage.

Finally, if the tumor is higher than the plane of the intervertebral foramen in the sacral canal, the sacral 3 god is often compressed and distorted or wrapped in the tumor. Most of the tumors in the sacral 3 are not highly malignant tumors, so it is allowed to cut the nerve sheath of the sacral 3 nerve, separate it from the tumor, and dissect it along the nerve root to the anterior foramen of the sacral sacral, use lamellar bone biting forceps to expand the anterior foramen, so that the sacral 3 nerves move above the osteotomy plane. If the sacral 4 and sacral 5 nerves are surrounded by the tumor and are not easy to peel off, they can be removed together with the tumor.

Just as everyone was sweating for Ruan Bin, the scalpel in Ruan Bin's hand flew like an elf, and the tumors were separated from tangled blood vessels, nerves, etc.

There is no danger!

The separation was successful! Professor Guo and others almost thought that Ruan Bin was not an earthling!

The next second, Ruan Bin cut the sacrum at the upper boundary of the tumor. The tumor, which was more than ten centimeters, was stripped off step by step under the shadowless lamp. In the operating room at 24c, there was no sweat on Ruan Bin's forehead. Instead, Huang Weilin, the assistant, was sweating all over!

"Wipe me." Huang Weilin said to the nurse beside him.

Finally, under the operation of Ruan Bin's hand like God, the tumor was successfully peeled off! After peeling off, it was reconstruction!

Ruan Bin used a nail rod to fix the ilium bones that were not cut off at both ends, forming an arch structure like a church. Then, a heterogeneous bone was used to support the force, which was equivalent to playing the role of a beam. 4 rods, 10 nails, a heterogeneous bone, sawing, cutting, knocking, chiseling, twisting, and the movements on Guo Wei's hands were flowing. In just a few steps, the semi-pelvis was cleanly rebuilt.

This operation made everyone stunned again!

Is this reconstruction so simple?

Why do they have to do it for half an hour every time?

Damn, people are so angry that they are more popular! No, I want to cry.

At this time, after the sacrum removal, the posterior wall of the rectum was eccentric from the wound, and he began to check for any damage.

"Why, why is it so fast? Is there any secret?" Huang Weilin couldn't help asking.

This is what another assistant wants to ask, and it is what more than a dozen orthopedic doctors outside who watched the live broadcast of the surgery want to see it!

"If the tumor invades sacral 2 and sacral 1, try to peel off the nerve roots. In addition to removing the tumor, sacral reconstruction should be performed. For total sacral hip removal, the reconstruction method can transplant allogeneic bones between the iliac bones on both sides or repair and fix the lumbar vertebrae with metal rods and steel wires to achieve stability. If part of the sacral 1 vertebra remains after the tumor is removed, a metal rod of appropriate length can be used to wait for the posterior superior iliac spine on both sides, and wrap the steel wires in the two ends of the metal rod exposing the outer wing of the iliac bone to fix the pelvis. After the operation, you can also stand and walk through the gluteus maximus fibers to place the negative pressure suction tube in the wound, and intermittently suture the wound..." Ruan Bin saw that the operation was almost completed, and his movements in his hands were slowed down, and he explained.

"Been taught a lesson!"

"I benefited a lot from this operation." Although Professor Guo watched online through MR, he also benefited a lot from it!

Especially since he thought he might have some help, he didn't expect that Ruan Bin had surgery throughout the whole process and did not make any mistakes. He didn't need his advice at all!

He even had a lot of things in his heart that he wanted to ask Ruan Bin!

"If this talent was from our Beijing University Hospital, it would be great." Professor Guo said in his heart.

After the operation, Huang Weilin's attitude towards Ruan Bin changed from the past.

He used to think that Zhang Chao was a little too boasted, but now after seeing Ruan Bin’s real operation, he almost wanted to become a disciple of Ruan Bin!

But when I think that I am twenty years older than the other person... I should forget it.

I can't afford to lose this person!

After all, have you ever seen a master who is so younger than his apprentice?

Have you ever met an orthopedic director studying for an attending physician in an emergency department?

Ahhhhh!

"It's so difficult. It seems that I have become more skilled in the future. I will take the opportunity to study here!" Huang Weilin thought in his heart.

...

"Director Huang, right? Do you Dr. Ruan Bin have his contact information?" Professor Guo asked with a smile. That's right, he wants to poach!

"Uh... He left in a hurry just now, and I haven't had time to ask." Huang Weilin was surprised and thought to himself, why did Professor Guo want Ruan Bin's phone number?

"What? Isn't he a doctor in your orthopedics? How come you, a superior doctor, don't have his phone number?" Professor Guo said in disbelief.

"Well, he is from the emergency department~" Huang Weilin said.

"What? The doctor in the emergency department..." It was Professor Guo's turn to be shocked.

An emergency department doctor is so good at orthopedics, so why can't he develop orthopedics?

…………

"Hahahaha! Old Huang, Old Huang, how about it? I said Ruan Bin can do everything. You are willing to accept the loss now, right?" After get off work, Zhang Chao was very happy when he saw Huang Weilin and knew that the other party had lost the bet.

At the same time, I also breathed a sigh of relief. Ruan Bin is really awesome!

He is actually capable of the surgery that Professor Guo is not very sure of!

And it succeeded!
Chapter completed!