Modern Express News (correspondent Wang Juan, Li Zhen, reporter Mei Shuhua) sutures blood vessels to chicken wings, engraves and draws on egg shells, and uses mung beans to simulate hematoma colloids to show neuroendoscopic techniques... On August 26, the Surgical Skills Training Competition for Young Doctors held by the Department of Neurosurgery of the General Hospital of the Eastern Theater was launched. At the scene of the competition, 42 young doctors demonstrated their professional "true kung fu".
"The timer begins!" With the order of the host, the three competition items of the chicken's wing bone inter-bone artery vascular anastomosis, power equipment egg carving, and the use of neuroendoscopy to remove cerebral hematoma were launched at the same time, and the contestants took turns to adjust and quickly entered the state.
The contestants sat in front of the high-powered microscope, slowly cut the epidermis of the chicken wings, carefully separated the arteries less than 1 mm in diameter, and faced with the extremely thin blood vessel wall, they used a suture needle with a diameter of only 0.1 mm and a quarter of the hair thickness of the thread, back and forth, at this time not only to stabilize the hand, but also to breathe tightly controlled.
"This is the first microvascular anastomosis training course held by our department. From the initial scalp suture, cap-shaped aponeurosis suture, muscle suture, dural suture, and final vascular anastomosis, these are the growth paths of neurosurgeons, of which vascular anastomosis, the process is more complicated, the technical requirements are high, the learning growth curve is long, and it needs to be normalized and practiced! Mao Lei, director of the Surgical Treatment Center for Cerebrovascular Diseases, introduced.
The power equipment egg carving link requires the contestants to use the power system magic diamond to grind out different fonts or patterns on the eggshell according to the logo, and the inner film of the eggshell cannot be worn while the eggshell is removed. The contestants carefully designed the competition pattern, carefully grinding their names and smiling faces on the eggs with grinding drills...
"Neurosurgery is different from other specialties in that it requires the opening of the skull to expose the brain tissue, and the skull is closely linked to the nerves and blood vessels, and if there is no skilled bone grinding technique to treat the bone during the process of bone treatment, it is likely to damage the nerves and blood vessels of the patient." The egg shell is relatively thin, and the skillful engraving and painting on the egg can deeply and meticulously simulate the real work of the neurosurgeon in polishing the human skull during surgery." Looking at the eggs that have been carefully "carved", the judges praised the young doctors one after another!
The final project is the application of neuroendoscopic techniques. Neuroendoscopic techniques are typical in the field of micro-invasion neurosurgery. Simulation teaching and surgical operation skills are trained by setting models such as nasal passage, cerebral hematoma removal, and endoscopic forceps. The doctors used peppers, mung beans, and simulated hematoma colloids as props to simulate, and the surgical steps were clear, fully demonstrating their excellent hand-eye coordination ability.
"Compared with the microscope, the slender neuroendoscope is like a 360-degree 'wide-angle camera', which can achieve a clearer and more complete surgical field of view from the shore to the close observation, but for neurosurgeons, to skillfully use the neuroendoscopy, it is necessary to continuously carry out practical training, exercise hand-eye coordination, two-dimensional to three-dimensional and other basic operational skills, thus laying a solid foundation for the final mastery of neuroenoscopic surgical techniques." Deputy Chief Physician of Neurosurgery Ding Ke commented carefully.
After the competition, Ma Chiyuan, director of the Department of Neurosurgery at the Eastern Theater General Hospital, concluded: "To become an excellent neurosurgeon requires not only a wealth of professional knowledge and super high technology, but also great patience, carefulness and perseverance in the work. ”
(Courtesy of the correspondent Editor Yu Shuang)