In the next two days, Lu Ruping's condition still had no new changes.

There is no relief from blindness.

However, what surprised Xu Qiu and the ophthalmologist was that even after being blinded for about four consecutive days, Lu Ruping's eye tissue, visual nerve conduction pathway, and the final craniocerebral CT were not found.

In other words, Lu Ruping is completely a healthy person.

But, she was blind!

This made everyone feel incredible.

On the morning of the third day, Xiang Kai's operation finally began.

Sympathetic nerve resection!

Specifically, it is lumbar sympathetic nerve resection.

Xiang Kai had the problem with the ankle, which was also a dysfunction of the vascular motor in this area, and a complex local pain syndrome occurred, causing hypersensitivity to the sympathetic preganglionic fibers that govern the vascular movement of the lower limbs originated from the lateral horn cells of the chest 10 to lumbar 2 and lumbar 3.

The postganglionic fibers pass through the ash traffic branch and enter the lumbar plexus and sacral plexus, and then pass through the femoral nerve, obstructive nerve, and sciatic nerve to various branches far away from the femoral artery of the lower limb...

The purpose of removing the lumbar sympathetic nerve is to remove the sympathetic innervation of the lesion segment, so that the vascular smooth muscle relaxes and vasodilates, improves local hemodynamics, and thus controls hypersensitivity of the pain.

Of course, since the sympathetic nerve is related to various human functions, once errors occur during resection, it may lead to a large number of lifelong sequelae.

For example, the sympathetic ganglia of waist 1 contains predentate fibers emitted from chest 12 and lateral horn cells of waist 1, which are related to the function of male snake sperm. Once damaged, the patient basically loses normal sexual function...

If you dare to say that the risk is not high, it is only a doctor of Xu Qiu.

...

The operation began around 10 o'clock in the morning.

The patient was lying on the back, with the surgical waist raised, 30 degrees to the opposite side, hip and knee joint bent, general anesthesia...

As the anesthesiologist nodded, Xu Qiu also picked up the scalpel at the same time.

"The operation begins."

The sound fell, and the atmosphere immediately became serious when the operating room was joking the moment before.

The risk of surgery is not high. For Xu Qiu, most people present dare not underestimate this sympathetic nerve resection...

laugh!

Under the shadowless lamp, Xu Qiu pressed his hand gently, and the sharp scalpel also fell on Xiang Kai's skin.

The next moment, an incision of about seven centimeters appeared between the iliac ridge and the rib margin, and the height was exactly controlled at the level of the second lumbar vertebra.

As soon as the fine bloodline appeared, it was immediately wiped off by the assistant.

Xu Qiu's movements were not affected at all, and then he cut open the skin and subcutaneous tissue. After a while, the external oblique muscles were exposed to everyone's attention.

The tip of the knife fell again, and the trajectory was smooth. Soon, along the direction of the muscle fibers, the external oblique muscles began to separate from the tip of the twelfth rib, and finally the fascia was cut open.

Immediately afterwards, the internal oblique muscles of the abdomen were separated.

Further deeper, it is the transverse abdominal fascia.

Unlike before, the transverse abdominal fascia adopts a blunt separation method. After pushing the peritoneum and the internal organs of the abdomen together with the ureter to the midline, the lumbar cube muscle and the psoas muscle are separated here.

The peritoneum is then bluntly separated and moved to the anterior edge of the vertebral body.

Hiss-

The fascia on the inner edge of the psoas muscle and the side of the spine were neatly cut off by Xu Qiu.

Among the slightly thin adipose tissue, the yellow-white nodule-like tissue was picked out by Xu Qiu.

This is the lumbar sympathetic ganglia.

...

At this point, everyone's attention was highly concentrated.

The following severity is related to the success or failure of the operation and is also a moment that directly affects the patient's second half of his life.

Many doctors use high-end equipment such as big opening and closing, electric knife, etc. with magical skills, and the surgery is extremely beautiful, and there is almost no bleeding during the surgery. When released, it can immediately attract countless laymen to worship.

But this kind of doctor is a fancy stand. Behind all kinds of gorgeous operations, there is a high probability that the fistula will occur and accidentally injure the surrounding tissue.

However, these complications often need to wait a few years before the surgery occurs.

No one would associate it with the seemingly perfect operation.

But Xu Qiu was exactly the opposite.

His surgery did not have many fancy things, but only applied various mature techniques to the extreme and showed them in the simplest and simplest posture.

Every time the knife falls, it seems ordinary.

But only experts know that the position selection, strength control, accuracy control, etc. of each knife cannot be achieved without decades of effort.

The so-called warrior is not very good at making great achievements, which is exactly the same as Xu Qiu.

The patients cured by Xu Qiu, no matter how serious the condition was before the operation, there were very few postoperative complications and sequelae, and the prognosis was far beyond the industry average standards...

This makes many people feel that the patients selected by Xu Qiu are very mild.

Only within the Lin Medical and the doctors who are familiar with Xu Qiu realized that most of his patients, if they were placed in other hospitals, could hold several hospital-wide consultations, and the operation function was displayed on the hospital homepage for several days...

...

The surgery continues.

It floats above to the diaphragm, and below it reaches the bifurcation of the abdominal aorta...

The sympathetic nerve branches, sympathetic ganglia of lumbar 2 and lumbar 3 are sequentially cut off.

Xu Qiu then pulled away the fat and accurately picked out the ureter and reproductive femoral nerves, saying:

"You should know these two, and they are easily damaged during the operation.

"Just remember the anatomical position. The sympathetic ganglion is on the medial edge of the lumbar lumbar s, but the ureter and genital femoral nerve are distributed in front of the lumbar supra muscle. The former is yellow-white nodules, and the latter two are conventional nerve fibers outsourcing the endometrium composed of reticular loose connective tissue..."

“…”

The assistant and other doctors and nurses were sweating coldly.

"I know, I know..."

"Doctor Xu, please put it down quickly and don't break it!"

After Xu Qiu released his nerves, everyone breathed a sigh of relief.

Otherwise, the skilled and brave... other doctors would not dare to touch these two nerves at all. Xu Qiu was sure to control the strength that would never damage the nerves.

"Also, there are common mutations in the lumbar sympathetic nerves, and there may be two to eight, and the most may reach more than a dozen. Please identify them carefully and do not miss them.

"The third and fourth lumbar vein on the right side will cross the right sympathetic ganglion. Do not accidentally hurt the lumbar vein during resection..."

While Xu Qiu was operating, he did not forget to impart experience.

Everyone was fascinated by the hearing... They were so happy that they could get the full teachings of a great surgeon. A few casual words may be a valuable asset that requires hundreds of surgeries to be summarized, which can help them avoid detours for several years!

...

An hour later, the operation ended perfectly.

If nothing unexpected happens, Xiang Kai’s problem will be completely solved, and there will be no more hypersensitivity. After that, he will slowly recuperate his nerves, which is not much different from normal people, and it is not a problem to participate in various sports activities.
Chapter completed!