Chapter eight hundred and eighty fourth Solis' surprise
The disease of valgus is an international disease. On the one hand, it is natural deformity, on the other hand, it comes from lesions, such as arthritis, rheumatism, etc., and a considerable part of it comes from occupational diseases.
Long-term wearing of high heels is the most direct culprit in the valgus.
This disease is quite common, so Solis is naturally familiar with it.
As of now, there are more than 200 treatments for valgus, most of which have been outdated and eliminated, but even so, there are still many treatments.
Correction treatment can be taken for mild cases, while surgical treatment is required for severe cases.
Foreign countries divide the valgus into metatarsophalal joint matching, which is not matched with arthritis. The masturbation joint matching procedure generally uses distal metatarsal osteotomy such as chevron surgery + distal soft tissue and osteophyctomy; in case of mismatch between the metatarsal joint, the distal metatarsal osteotomy (such as chevron, mitchell) osteotomy plus soft tissue surgery......
But no matter what kind of surgery it is, it is considered a major incision surgery.
This surgery is considered a minor surgery and is also a common surgery. The difficulty is not high. However, in foreign countries, there are not many female patients who are willing to choose the surgery. Unless they have no choice, they will not do it if they can.
For female patients, one pair of feet is the other face of a woman, and most women take great care of their feet.
Many women choose to wear sandals, high heels, and silk stockings to show their beauty. If there are long scars on their feet, it is something that many women are unwilling to accept.
Women often have a paranoid attitude towards beauty. If they choose between life and beauty, some women are even willing to choose beauty.
Therefore, now, both at home and abroad, the business of various plastic surgery hospitals is quite good.
Many people know that plastic surgery is expensive. At the same time, plastic surgery is not within the scope of reimbursement of medical insurance. Plastic surgery cannot be reimbursed whether abroad or domestically, unless it is caused by various accidents or lesions, such as scalds, burns, etc. Plastic surgery performed purely for the pursuit of beauty is at its own expense.
In addition to spending money, every patient who undergoes plastic surgery actually knows the risks.
As long as it is plastic surgery, there will be accidents and risks. Even if it is a relatively successful operation, there will be many accidents or complications at a certain age, such as skin sagging, deformation, allergies, etc.
But there are still many women who are flocking to it, precisely because of women's pursuit of beauty.
Chen Yuan glanced at Solis and did not say anything, but ordered Jiang Feng: "Come and have anesthesia yourself."
The anesthesia procedure for the thumb valgus is different from other surgeries. Anesthesiologists can anesthetize, and doctors must also master anesthesia skills.
After Jiang Feng's anesthesia, Chen Yuan incited a small arc-shaped mouth on the inner side of the distal end of the patient's first metatarsophalal joint. After the incision, Chen Yuan quickly and forcefully used his hand. While beating Chen Yuan, he also explained to Jiang Feng: "The purpose is to loosen the soft tissue of the joint. You must pay attention to the control and pay attention to the use of the hands and brain. Although this operation is simple, it is very testable and requires high personal experience."
Solis looked at the side, feeling a little puzzled: "Doctor Chen, is such a large incision okay? Do you still need to expand the incision?"
Solis has seen others undergo valgus surgery before, but both the steps and procedures seem to be very different from what Chen Yuan did.
"No, ours is a minimally invasive therapy, such a large incision is enough."
As he spoke, Chen Yuan quickly selected a second incision on the inner side of the head and neck of the first metatarsal bone, and then selected a third incision between the first and second metatarsal heads. He also used a periosteal driver to penetrate deep from the incision, move left and right, and completely loosen the lateral metatarsal capsule.
Chen Yuan had a lot of thumb valgus surgery this time. He was already quite proficient in this surgery. While talking to Solis, Chen Yuan did not stop.
After the activity, Chen Yuan quickly selected a second incision on the inner side of the patient's first metatarsal head and neck. Then, between the first and second metatarsal heads, he selected a third incision, and used a periosteal driver to penetrate deep from the incision, move left and right, and completely loosen the lateral metatarsal capsule.
Solis was a little confused. Chen Yuan's incisions were quite small, less than one centimeter. Such a small incision would not even require suture, and the scar would definitely be very shallow at that time.
Bone grinding, bone cutting...
Chen Yuan's surgery was still quite fast, and the operation ended in about fifteen or sixteen minutes.
"Okay, let the patient go out."
While Chen Yuan was taking off his gloves, the nurse was already helping the patient sit up. After sitting up, he slowly slowed down slightly. The patient got off the operating table and walked out by himself. The nurse was supporting him.
"Oh, buy it!"
Solis couldn't believe that the surgery was so fast and the effect was so good that the patient could get out of bed just after the exam?
Solis still understands this kind of surgery. Generally speaking, such a small incision is impossible. Even if the surgery is completed, the patient cannot get out of bed and walk immediately.
"This minimally invasive surgery was first created by Director Wen of Yanjing. It is a minimally invasive surgery and is considered an achievement of the combination of traditional Chinese and Western medicine. It has a small incision, fast recovery, and no scars left."
Chen Yuan smiled and introduced to Solis.
As of now, many procedures are leading domestically abroad, such as liver resection, heart surgery, etc. After all, the West is the pioneer of Western medicine.
Although many people no longer call Western medicine, but directly call modern medicine, it is undeniable that modern medicine is actually Western medicine, and the West is top-notch in many fields of medical care.
But in some fields, there are still leading domestic ones. For example, this minimally invasive surgery is at the leading level in China.
"Integration of Chinese and Western Medicine?"
Solis asked: "Is this related to traditional Chinese medicine?"
He just looked at it, but actually didn't see the part about traditional Chinese medicine.
"The biggest difficulty of this surgery is actually mastering strength, mastering the interception part during osteotomy, subsequent filling, fixing, etc., all borrow from traditional Chinese medicine's bone correction and reduction techniques, and at the same time, the doctor's personal experience is relatively high."
In layman's terms, this surgery is more important to personal feelings, and this personal feeling is more mysterious. For Westerners, they all like to describe it with precise numbers, such as various surgeries, and they all have accurate procedures.
Take this thumb valgus as an example. The accurate description of the method of the metatarsophalal joint matching should be 1ima<14°: If dmaa<10°, distal osteotomy such as chevron surgery + distal soft tissue and osteophycepsy, and if hva correction is not satisfactory, then akin surgery is added; if dmaa is 10°~15°, chevron-gerbert surgery can be performed. 2ima>14°: Metatarsal shaft (such as scarf) or basal osteotomy is required... etc.
They are all very detailed and accurate.
This minimally invasive surgery requires a lot of strength and strength. Many places rely on the experience of doctors and take years of accumulation to master strength and feel. This is the difference between traditional Chinese medicine and Western medicine.
For example, bone reduction in traditional Chinese medicine.
Liao Yiming can even restore patients with comminuted fractures by relying on methods. Many people find it incredible, impossible, bragging, etc., but that is the fact.
The reason why Liao Yiming can do it is precisely because of his rich experience and feel, which has been practiced over the years. This practice requires not only diligence, but also talent.
This is also one of the reasons why traditional Chinese medicine is extremely difficult to promote bone correction. Many Chinese medicine masters are difficult to learn or cannot learn the unique skills of the next generation. On the one hand, it lacks talent, and more importantly, it lacks experience.
As Fang Han said, his bone correction was made with lamb legs, so this was naturally a bragging thing. But this is also a prototype. There is indeed a bone correction master who has developed a skill by practicing lamb bone correction.
"Oh, it's incredible."
Solis was stunned when he heard this. He always thought that the United States was the leader in all aspects, but they couldn't do this small operation. Although it was just a small operation, it could be seen from the underestimation.
For example, at the beginning, a box of matches in China had to be imported, and even matches could not be produced in China. The original matches were called "foreign fire".
But now, China's strong ships, powerful guns, ***, **, rockets, aviation, and everything is catching up.
"The Chinese have too strong learning ability and pioneering ability."
Solis sighed in his heart. He felt that he had come to Jiang Intermediate People's Court this time to be too correct and could have a good understanding of traditional Chinese medicine.
In the past, they did not pay attention to traditional Chinese medicine and always thought that traditional Chinese medicine belonged to marginal medicine. However, with the contact with Fang Han and the experience of Chen Yuan's surgery just now, Solis realized that they had always underestimated China.
Just a little bit, if they don’t pay attention to it, they may one day be surpassed by China.
"Dr. Solis has won the award. This is just a minor operation. I also learned it from Dr. Fang. Dr. Fang knows a lot of things." Chen Yuan said with a smile.
"Doctor Chen also learned this operation from Dr. Fang?" Solis asked.
"Of course, this is the orthopedic injury division. Dr. Fang is the person in charge of the orthopedic injury division. In fact, before Dr. Fang came to Jiang Intermediate People's Hospital, the emergency department did not have the orthopedic injury division or extrahepatic division. These are all the credits of Dr. Fang."
Speaking of this, not only Chen Yuan believes that, but all doctors in the bone injury division and extrahepatic division know that these are all factors of Fang Han. Even Kuang Mingzhuo was actually because of Fang Han.
"Fang is really a magical person." Solis sighed.
"magic?"
Chen Yuan smiled and said, "Maybe, it's really amazing."
Many of them wondered where Fang Han learned his skills from.
Chapter completed!