Chen Yu's surgery now has almost a fixed team model. He performs the surgery himself, Hiromi Jonouchi is fixed as his exclusive anesthesiologist, and the second assistant is taken turns by Dr. Higashiyama or the optician. As for the third assistant, he is almost unstoppable.

It was Susumu Nakagawa, a training doctor who had great luck.

As for the first assistant in surgery, Chen Yu doesn't mind letting Hiromi Jounouchi do it for him, but most of the time Hiromi Jounouchi just serves as his exclusive anesthesiologist. In most cases, it's Dr. Higashiyama and the optician.

The pair of second assistants directly fill the role of the first assistant. After all, if the surgery is not difficult, it does not necessarily require all three assistants.

Of course, if it was a major surgery like today, Chen Yu would also invite Daimon Mikiko to be his first assistant.

The operation that allowed Chen Yu to proactively invite Daimon Shiko to be his assistant was naturally quite difficult. For Daimon Shiko who was interested in surgery and loved surgery, it was naturally full of temptation. Naturally, Chen Yu's invitations were successful every time and he borrowed Daimon Shiko.

Come and serve as your first assistant.

But even so, this time Higashiyama Huixiang's surgery was still a little short of manpower just by these people.

This kind of large-scale surgery requires a lot of manpower. Under normal circumstances, only two surgeons are required to rotate and multiple assistants to assist to avoid physical exhaustion.

Of course, for surgeons with the strength of Chen Yu and Daimon Mikiko, they are enough to support the entire operation and do not need to be replaced. It is precisely based on the two's surgical strength that Chen Yu proposed to perform simultaneous surgery on the spinal cord and cauda equina.

When the nerve was expanded and reconstructed, he and Daimon Mikiko performed the surgery at the same time, thus saving operating time.

Although this surgical plan is good, it is not easy to implement.

An operating table is only that big. After a patient lies down, up to five or six people can stand around him. Excluding Chen Yu, the surgeon, and Daimon Shiiko, the instrument nurse who is responsible for delivering surgical instruments, and at most two assistants can stand around.

If it is squeezed, the third assistant responsible for suction can still reach in. With one assistant assisting one surgeon, if four people operate together, it can still be barely manageable.

But this is not the main problem. The key is that Higashiyama Huixiang is going to perform nerve reconstruction surgery, and nerve surgery will inevitably use an operating microscope.

Many people may have never seen a surgical microscope. It is different from the microscopes in the laboratory. The surgical microscope is suspended on the operating table through a very long support arm. It has two eyepieces for observation. It can be easily moved from the two eyepieces.

Doctors use it together and collaborate to complete the operation.

And here lies the problem. One operating microscope can be used by two doctors, but now there are four doctors in front of the operating table, so another operating microscope must be placed, and one that can perform neurosurgery

The surgical microscope is obviously not a small thing. Two long and thick support arms hang on the operating table, almost blocking the shadowless light. The nurses in the operating room spent a lot of effort to operate these two operations.

The microscope should be positioned so that it does not hinder the progress of the surgery.

In fact, if there was not a wide enough distance between Higashiyama Huixiang's injured spine and the cauda equina nerve, Chen Yu would not be able to propose such a surgical plan and could only perform the surgery step by step.

Fortunately, everything finally went smoothly and everything was arranged. The only problem that seemed a little troublesome was the problem of the surgical assistant.

Dr. Higashiyama is Higashiyama Huixiang's brother. According to the principle that surgeons cannot operate on family members, he cannot participate in this operation. It is true that the optician is a surgeon, but he is not a neurosurgery doctor and has no knowledge of nerve reconstruction surgery.

Any experience.

As for the long-term third assistant to the Queen, Susumu Nakagawa? He is just a trainee doctor and still does his job as the third assistant. The most he can do is to do the final skin suturing work. This level of surgery is not his turn.

.

In the absence of a suitable candidate, Chen Yu finally asked Ichichi Iris, whom he had met once, from the neurosurgery department. At any rate, she had also participated in Ichinoseko's last surgery. As for the surgical plan proposed by Chen Yu,

I have some understanding, and I am also a neurosurgery doctor myself. I have rich experience in neurosurgery, and I am a qualified tool person...surgical assistant.

As for the other assistant needed for the operation, Ichichi Iris, who has a thorough knowledge of neurosurgery, will naturally not be a problem. A neurosurgeon who usually has good surgical skills was temporarily seconded. After practicing with Chen Yu for almost half a day, it can be regarded as

With a tacit understanding, we can cooperate in the surgery.

When all the conditions were met, the cleaned Higashiyama Keika was pushed into the operating room. After being turned upside down by Hiromi Jonouchi, the operation began.

"Tsk tsk, who did this surgery in the first place? The quality of the surgery was really bad. If the level of surgery was better and more attention was paid during the surgery, malunion of the vertebrae would not have occurred." As Higashiyama Huixiang's back was cut.

Her spine was exposed, and Chen Yu and Daimon Shiko took a quick look and knew what the problem was.

Although Higashiyama Kexiang's scoliosis was caused by spinal malunion caused by poor postoperative reduction, there are many factors that influence poor postoperative reduction. Of course, Higashiyama Huixiang's side lying on her side is one of them.

However, the doctor who initially operated on her did not place enough fixation nails, which was one of the factors that led to her poor reduction.

Although the steel nails used for fixation have been removed, the traces left by the surgery can still be seen.

This is why after everything was opened, Daimon Mikiko took one look and said that as long as he was careful during the operation, such a serious situation would not happen. After all, the steel nails used for internal fixation were too low-level, and even

Chen Yu felt that this was the first time this guy had done this kind of surgery.

"Stop talking nonsense, move faster, and hurry up. Didn't we promise to complete the operation within ten hours? I have reserved a seat at Sukiyabashi tonight, and I don't want to be late." Seeing Daimon Miko and

Chen Yu and the two actually talked while looking at Higashiyama Huixiang's spine. Hiromi Jonouchi couldn't help but urge them. As an anesthesiologist, she must control the patient's anesthesia time. If a second anesthesia is needed because the operation time is too long,

, that would be a big trouble.

"I know, anesthesiologist." Daimon Shizizi responded and looked at Chen Yu: "Chief surgeon, what should I do?"

"As promised, let's cut the spine first, then implant a 3D printed support body to replace the original spine, then insert the support and fix it, and finally reconstruct the spinal cord and cauda equina nerve." After Chen Yu finished speaking, he looked to the side.
Chapter completed!