Surgery Godfather-Chapter 350 - 0333: Root of the Disease
Chapter 350 -0333: Root of the Disease
The lightbox was very bright, Takahashi had looked for a long time but could not see the necrotic bone mentioned by Yang Ping.
Yang Ping had already indicated the area with a slight abnormality, but in Takahashi’s understanding, that was an impression made by a blood vessel, a typical vascular imprint. How could it be seen as necrotic bone? Necrotic bone and vascular impressions are two completely unrelated concepts and now they have become connected in the differential diagnosis.
Staring into the bright light for too long, Takahashi’s vision began to blur, his eyes began to sting, tears were squeezed out, and he had to divert his gaze temporarily. He looked away, his vision filled with flashes of light, even people were flickering in his sight.
“This advanced skill cannot be mastered in a short time. Even if Doctor Yang points out the male and female reproductive organs on a mosquito, we cannot distinguish them. We will study this in our spare time later,” Song Zimo said, temporarily putting away the film.
This surgery looks simple, but is actually quite difficult to perform.
The key is positioning. Without the navigation system, relying solely on the surgeon’s experience, a window needs to be opened at the lower end of the right tibia, and a large block of bone tissue has to be dug out to potentially remove the infected necrotic bone.
This type of infection in the necrotic bone must be fully excavated. Leaving even a bit behind is like leaving out an infection source, causing the infection to recur after a period, thus wasting all previous efforts.
Therefore, when excavating the necrotic bone, part of the normal bone tissue surrounding it also needs to be removed in order to guarantee thoroughness.
This surgery is like digging sweet potatoes. The sweet potato is buried deep in the ground. An open surgery is like digging a huge pit to finally excavate the sweet potato.
Minimally invasive surgery is like inserting a hollow bamboo tube into the soil and hammering it in. After reaching a certain depth, the tube is pulled out, filled with soil, and at this point, the sweet potato is inside the tube.
“Should we use the Tianji surgical robot and make a reservation with the operating room in advance?” Song Zimo thought that without navigation technology assistance, it would be difficult to perform minimally invasive surgery on such a tiny necrotic bone.
The Tianji surgical robot is equipped with a navigation device, and the accuracy of its navigation can reach 0.8 millimeters.
If the robot is used for the surgery, the child has to have a CT scan again, and the CT data needs to be imported into the robot’s navigation system. Intraoperative CT scans also have to be used for positioning, which would expose the child to a lot of radiation.
“I saw that the child has had a lot of X-rays and CT scans. No need for that again. Using robotic guidance would expose the child to more radiation. Let’s try to simplify this. We’ll do it in our operating room, I’ll perform the surgery.” Yang Ping looked at the large bag of images, hoping to reduce the child’s exposure to radiation as much as possible.
“This is the lesion we dug out, with necrotic bone and infected bone tissue. Have a look.” Song Zimo showed a photo on his phone to the child’s father.
The child’s father didn’t understand, but he knew roughly that this was the root of the illness, and now the doctor had skillfully excavated it.
“Will it hurt a lot to remove the bone?” The child’s father asked worriedly.
“There are few nociceptive nerves in bone tissue, so it won’t feel too painful. If it does hurt, it’s the wound that hurts, and we will give a little painkiller tonight,” Song Zimo explained.
“Will the hole that has been dug be filled in later?”
“Generally, it will be filled with new bone tissue in about three months.”
“Now that the root has been removed, it won’t recur, will it?”
“Generally not, but no one can guarantee it 100%.”
“What should be noticed about the diet, anything to avoid? Or anything to supplement that will be beneficial to his bone growth? Can we make bone soup?”
“A normal diet is sufficient. If you like bone soup, you can make it for him. It doesn’t have any special benefits for this condition, but it doesn’t harm either.”
“Can I make soup with Chinese ginseng? It improves blood circulation and dissolves stasis!”
The child’s father was asking questions, many of which had already been thoroughly discussed preoperatively, but he brought them up again.
“Chinese ginseng is a Chinese medicine, don’t eat it casually. A normal diet is enough. Do you eat Chinese ginseng every day at home?” Zhang Lin, who was losing patience, interrupted.
“Could you share the photos with me?” The child’s father, embarrassed by Zhang Lin’s comment, changed the topic.
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Song Zimo shared the photos with him. The father was quite active and immediately posted a moment with the photo: Finally dug out the root of my child’s disease, we can sleep peacefully tonight.
Then the trouble came. After the post in the moment, many people responded one after another, inquiring about which hospital it was and which doctor they had seen.
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