I can extract side effects - Chapter 646

c642 clinical medicine? No, it’s clinical science

“Surgical robots are an inevitable trend in the development of surgery. They have a super-magnified field of vision, are more precise and stable than human hands, and have few complications. They have important and far-reaching significance for hospitals to improve their core medical competitiveness.”

“Next, I will show you the three major components of the surgical robot, the surgeon’s console, the robotic arm system, and the imaging system…”

In the spacious meeting room, Wang Dali stood on the podium, explaining the contents of the ppt with great effort.

Surgeons from various departments sat under the stage with serious expressions, nodding their heads from time to time to take notes, and circled key points in their notebooks.

After the animal experiments were successfully completed, the hospital organized the backbone teams of each department to train surgical robots.

Let the doctors have a certain understanding of the surgical robot, and then practice it in the follow-up clinical experiments.

In this way, doctors can learn to use robots to perform surgery in the shortest possible time.

Because there are many departments involved, both Wang Dali and Dean Fang attach great importance to it.

Dean Fang allocated the resources of the whole hospital as much as possible to provide Sanqing with the greatest convenience.

Wang Dali came to the stage in person to answer questions about theoretical lessons and system usage.

Of course, in addition to him, the directors of the major departments and the attending physicians also brought lectures on the application of robotic surgery in cardiac surgery, general surgery, and urology.

After class, the doctors came to the operating room to test drive and experience the surgical robot system.

They will systematically accept dry and wet tests, suturing operation, and the proficient use of robotic arms, and finally conduct group training.

After two weeks of surprise training, more than a dozen departments and hundreds of surgeons basically experienced the advantages of surgical robots over traditional surgery on animals or fruits.

They were all very excited, gearing up, just waiting for the clinic to open.

And this day came very quickly.

*****

With a rapid siren sound, the white 120 ambulance drove into the hospital and stopped downstairs in the emergency room.

The medical staff quickly jumped out of the car and pushed the patient into the building.

The emergency doctor arrived in a hurry, took a look at the patient, and immediately called the orthopedics department.

“Hello, I am an emergency department. There is a patient here who accidentally fell from a height.”

“Minor injury, limbs can move, vital signs are stable, looks fine, just a little fracture, it shouldn’t be a big problem.”

“I don’t have any beds here. I will arrange for an examination later, and I will send the patient to you.”

“Okay, then send it here.” The orthopedic doctor was relieved to hear that the condition was not serious, and agreed.

Not long after, the patient was transferred to the orthopedic ward.

Dr. Du from the inpatient department ran over to take a look, and was immediately out of breath, swearing loudly regardless of his image.

“Your sister, the liars in the emergency department, nine out of ten sentences are lies, they are really lawless.”

“My left hip hurts and I can’t move it. Is this all right?”

“Severely fractured pelvis, do you call this a big problem?”

“Fuck, he’s in hemorrhagic shock. Damn, this is also called stable vital signs?”

“Hurry up and rescue! The emergency department of wcnm!”

Under emergency rescue, the patient’s bleeding finally stopped.

Dr. Su wiped the cold sweat from his forehead, took a CT scan of the patient, and instantly spurted out a mouthful of old blood.

“Let me go, the fracture of the left acetabular combined with the fracture of the ipsilateral separation and displacement of the sacrum, I can’t figure it out.”

“I can’t help it, close the door and let the director go!”

He immediately took out his mobile phone and called for help.

“Director, I am Xiao Su. A patient came. He fell from a height and fractured his pelvis. After seeing CT, he needs to reduce and fix the fracture of the pelvis.”

“This operation is too difficult. I can’t handle it. You have to do it.”

Director Cao is currently watching a gallbladder polypectomy operation in the operating room, drooling enviously at the surgical robot.

Hearing the words, he immediately lifted his spirits: “It’s good to be alive.”

He rushed back to the orthopedics department as soon as possible, and after a careful inspection, his face became serious.

“If you want to reduce and fix the pelvic fracture, this operation is very difficult, and it is one of the most difficult operations in trauma orthopedics.”

“Moreover, the patient’s pelvic fracture was quite serious, and it was still an unstable fracture. He had also experienced heavy bleeding, and his body was very fragile.”

“If traditional open surgery is used, the organs may be pulled due to the large incision, which may lead to massive bleeding again.”

“This surgery is not easy to do, and the requirements for stability and precision are quite high. It is best to use minimally invasive surgery to save patients to the greatest extent.”

When Dr. Su heard this, he was a little panicked: “Then what should we do? Our orthopedics department is helping rough men and cutting bones with a chainsaw.

“Why don’t you bring in those people from the general surgery department and have a consultation together?”

Director Cao smiled lightly, and said confidently: “It’s okay, didn’t you forget that there are a few new surgical robots in the hospital?”

“Little Su, don’t panic. With the help of surgical robots, how difficult is it to have a pelvic fracture?”

“In terms of the precision of the operation, my orthopedics department is by no means inferior to anyone else.”

Hearing these words, Dr. Su’s eyes lit up, and he looked at his director with admiration, and kept shouting awesome.

Director Cao waved his hand and calmly gave orders.

“Go talk to the family members about the situation and get their consent.”

“This is considered a major surgery. It is reasonable to use the most advanced orthopedic surgery robot, which is relatively expensive, but it can be done for free if you apply for a clinical trial.”

“After the family members sign the consent form, things will be easy to handle.”

“You do this first, and I’ll apply for the robot’s surgery time.”

Dr. Su still hesitated: “Director, I’m not arguing. I have great confidence in you. I definitely don’t doubt your surgical skills.”

“That’s it. We’ve only had two robotic orthopedic surgeries. Can you perform such a major surgery in one go?”

Director Cao’s eyes as big as copper gongs stared at him instantly: “Hey, you are wrong.”

“After working in clinic for so long, don’t you even understand the real mysteries of clinical medicine?”

“Clinical medicine is actually clinical science, do you understand?”

Doctor Su was stunned for a moment: “How do you say that?”

Director Cao stroked the green stubble on his chin, and said earnestly.

“For a good surgeon, surgical tools and surgical skills are not the most important.”

“Surgical skills are just muscular skills. Anyone, including a butcher, can master the essence and perform beautiful operations after repeating the same action countless times.”

“Surgery is traditionally done by barbers from the beginning, and there is no difficulty at all.”

“But, do you know why all surgeons nowadays need to go to medical school?”

Before Dr. Su could answer, he said it out loud.

“Because only a medically trained brain can make decisions, where to cut, why, how much to cut, what is the next layer, what emergencies may be encountered, what should be done if it happens, and what will be the impact, my team How should I adjust it, do I need help…”

“This series of thinking is the most important essence of a surgeon.”

“In the final analysis, technology is the spinal cord reflex, and only the plan is the brain reflex.”

“A trained butcher can also learn the skills of surgery, but only we doctors know how to make the best choice for the patient.”

“The surgeon’s work is actually all outside the operating table.”

He stretched out his big palm-like hand, pointed to his forehead, and said meaningfully.

“Ordinary surgeons are technicians, and they only know their hands well.”

“Smart surgeons know how to use their brains to find the best treatment plan.”

“Then, do you think I can use the most advanced orthopedic robot—”

“Get a pelvic bone reinforcement operation that has been performed hundreds of times, and save the patient from the death gate?”

Director Cao stared at the other party and asked word by word.

Dr. Su’s eyes met with him, and his whole body trembled from the sharp eyes. In an instant, his whole body was full of confidence, and he hurriedly blew rainbow farts.

“Director, you have realized the ultimate secret of surgery. It is just a pelvic reinforcement operation. I believe you can definitely handle it!”

Director Cao chuckled, waved his hands and said, “It’s good that you know, go, don’t keep me waiting.”

Doctor Su nodded excitedly, turned around and left.

After some exchanges with him, the family members quickly signed the consent form.

Surgery was scheduled for the next afternoon.

When the time came, the operation was full of people again.

Orthopedics is the number one major surgery, and everyone wants to come and experience it.

After a while, Director Cao put on his surgical gown and mask, and walked in with his head held high.

He was over 1.8 meters tall, his arms were muscular, and his figure was as strong as a bear. When he sat down in front of the console, he instantly covered the entire screen.

Fortunately, there was another big screen in the operating room, and everyone surrounded it with a clatter.

Surgery begins.

Director Cao first turned on the navigation system on the robotic arm, took a picture of the patient’s pelvis, and uploaded it to the robot’s imaging system.

After some precise processing, the three-dimensional image of the fracture was intuitively presented in front of his eyes.

Based on the 3D images, Director Cao quickly analyzed in real time and planned the operation. Based on his rich experience, he determined the best channel for nail placement in the system in a short time.

After planning the surgical plan, the robotic arms of the robot move again.

According to the established route, the machine first accurately positioned and made three incisions of only 1 cm in the patient’s abdomen.

Then, the configured screws were precisely driven into the long and narrow pubic bone and sacrum one by one.

The screw placement process was very short, taking less than 5 minutes for three screws.

During the operation, the patient’s blood loss was very small, only about a few ml, less than the size of a bottle cap.

Before the end of the operation, the robotic arm scanned the patient’s abdomen to confirm the position of the screw again.

After realizing that it was accurate, he slowly retracted.

Director Cao’s forehead was dripping with sweat, and he let out a breath slowly.

In ten minutes, he completed three minimally invasive incisions and placed the nails smoothly.

In addition to postoperative scan confirmation and fully automatic wound suturing, it took less than 15 minutes.

The whole process is as easy as eating and drinking.

The most time-consuming and energy-consuming part is the pre-operative planning part.

In terms of the operation time alone and the amount of blood loss during the operation, the surgical robot has surpassed the traditional operation in seconds.

It is unimaginable to replace this with the traditional open surgery.

You must know that the anatomical structure of the pelvis is very complicated. Once a severe fracture occurs, it is often necessary to expose the broken end of the fracture through a very long incision.

Traditional surgery involves a lot of bleeding and trauma, and relies heavily on the experience of doctors. If one is not handled properly, catastrophic consequences will occur.

Switching to a surgical robot to assist in the operation can not only complete the operation with minimal invasiveness, but also greatly reduce the occurrence of infection and complications after reducing bleeding, and patients can return to normal life faster.

Most importantly, such a simple operation can completely lower the threshold for major orthopedic surgery.

As long as experienced doctors formulate a good surgical route, ordinary attending doctors can independently complete such a difficult major orthopedic surgery.

“It’s time for those bastards to understand the true meaning of clinical medicine and experience what clinical learning is.”

Thinking of this, the corners of Director Cao’s mouth twitched slightly, and he had already thought about the 18 postures for attending physicians like Xiao Su in his mind.

At this moment, not far behind, there was a burst of thunderous applause.

It was accompanied by bursts of exclamations and cheers.

“Nice job!”

“Old Cao does have a few brushes, and he can perform such a difficult operation so well.”

“To complete a major operation in 45 minutes is amazing.”

“Orthopedic surgery can also be minimally invasive, amazing!”

“According to the previous method, a 10-centimeter incision must be made in the patient’s abdomen before the nail can be placed. Now it only needs to be 1 centimeter.”

“Precise positioning, less bleeding, less trauma, and good prognosis, it is indeed worth promoting.”

“Be good to patients and doctors, really you are good to me, everyone is good.”

“I read the operation manual. This robot can not only perform pelvic fracture surgery, but also perform trauma surgery on all segments of the spine and limb fractures. It can be said to be a decathlon.”

“The robotic arm is really stable, and the precision is said to be at the sub-millimeter level. I have seen it today, and the nails are really not bad at all.”

“The most powerful thing is the main control computer system, just like the robot’s brain. It can not only help doctors make suggestions, but also track the patient’s movement during the operation, control the mechanical arm to make automatic position compensation, and ensure that the surgical path is consistent with the planned path. .”

“Yes, it is very sensitive. I noticed that when the head of the robotic arm is out of the surgical field of view, the system will give feedback.”

“The robot also has perspective eyes. The scanning system is really easy to use. It can not only see through the depths of the musculoskeletal muscles, but also monitor every surgical procedure in real time.”

“Now the three major problems of orthopedic surgery have been solved in one fell swoop: poor vision, difficult precision, and instability. We can no longer laugh at the orthopedic guys for their rough operations.”

“That’s right, now that there are surgical robots, everyone is on the same starting line. I’m afraid it’s not easy to create a chain of contempt for surgery.”

“Such a good surgical robot must be expensive.”

“No matter how expensive it is, can it be as expensive as Da Vinci?”

“In terms of price, you have to have confidence in domestic equipment.”

“No matter how high-end and expensive the equipment is, as long as it is localized, it will sell you at the price of cabbage.”

“I heard that nuclear magnetic resonance equipment is also made in China, and the price is only one-tenth of the imported ones. For a 30 million MRI, you can take home one for less than 3 million. You say it’s awesome or not.”

“It is estimated that domestic MRI will be everywhere in two years, and MRI can be done for a hundred yuan.”

“So, let me say that Sanqing’s surgical robots are similar. In two years, everyone will be able to use them no matter what department they are in.”

“I never thought in my life that a surgical robot can be used to cut an appendix. The incision is automatically stitched by the robot. The most hurtful thing is that the stitch is better than mine.”

A male doctor in general surgery suddenly sighed, his tone resentful like a middle-aged woman who had been widowed for twenty years.

“Brother, I’m afraid your basic skills are not good enough, you need to practice more.”

“There is no chance. The director said that my sewing is too bad, crooked like a centipede’s foot, and I have lost all his face in this life. From now on, I am strictly prohibited from suturing patients, and I will let robots do everything.”

The general male doctor added that the sadness in his heart was almost overflowing from his face.

“Hahaha~ I can’t, I can’t hold it anymore, let me have a good laugh.”

Cheerful laughter erupted instantly and spread throughout the operating room. (end of this chapter)