The spring breeze is proud, and the academic discussion is at the right time. In order to further strengthen the awareness of spine surgeons on the perioperative management of major spine surgery and improve the awareness rate, the "Controlling the Future - Perioperative Management Project of Major Spine Surgery", sponsored by the China Geriatric Health Care Association and undertaken by Orthopedics Online, will be officially launched in 2024.
On April 20th, the first academic event of the year after the launch of the Controlling the Future project was successfully held in Beijing. More than 10 guests from many hospitals in Beijing attended the meeting, focusing on the key issues of perioperative management of major spine surgery, through the detailed interpretation of the "Expert Consensus on Perioperative Blood Management of Major Spine Surgery" and in-depth exchanges of relevant cases, to jointly promote the standardization and scientificization of perioperative management of major spine surgery.
The prologue kicked off and was brilliantly presented
Speech by Ji Jianguo
In his speech, Mr. Jianguo, Chairman of the Conference and Director of the Department of Orthopedics of Peking Union Medical College Hospital, welcomed and thanked the guests. He reviewed the original intention of the establishment of the Future of Control project, and explained the profound meaning of "control", the first is to standardize academic activities under the current new medical situation, and the second is to rely on this platform to deepen the intersection of medicine and engineering, promote innovation and transformation, and enhance the professional value of spine surgeons.
In particular, he pointed out that the core of the perioperative management project of major spine surgery is to focus on the promotion of the "Expert Consensus on Perioperative Blood Management of Major Spine Surgery", through multi-center clinical research and various forms of activities, to share surgical techniques and blood management experience, and to further improve surgical efficacy and reduce surgical complications.
Ding Xiaorong delivered a speech
In his speech, Ding Xiaorong, head of Orthopedics Online, reviewed the bits and pieces since the launch of the project, and expressed his high respect and sincere gratitude to the experts who participated in the formulation of the "Expert Consensus on Perioperative Blood Management in Major Spine Surgery".
She said that in the future, under the guidance of the China Geriatric Health Care Association and the expert team, the project will do a good job in controlling the future project and continue to carry out diversified activities to promote the progress of perioperative management of major spine surgery and provide patients with higher quality medical services.
Zhuang Qianyu presided over the meeting
Zhuang Qianyu from Peking Union Medical College Hospital presided over the meeting and introduced the guests. They are Wang Zheng of the Department of Orthopedics of the General Hospital of the People's Liberation Army, Liu Baoge of Beijing Tiantan Hospital affiliated to Capital Medical University, Zeng Yan of the Third Hospital of Peking University, He Da of Beijing Jishuitan Hospital, Lu Shibao of Xuanwu Hospital of Capital Medical University, Sun Haolin of the First Hospital of Peking University, and Zhang Zhicheng of the Department of Orthopedics of the General Hospital of the People's Liberation Army.
Wisdom sharing and experience exchange
Zhuang Qianyu interprets the consensus
After the opening ceremony, academic exchange activities were closely launched. Zhuang Qianyu took the lead in interpreting the "Expert Consensus on Perioperative Blood Management in Major Spine Surgery", and he introduced the background of the establishment of the project and the process of consensus formulation. The critical draft of the expert consensus is based on the principle of "maximum and complete" evidence-based, through the design of the questionnaire survey that makes the experts "the most time-saving and labor-saving", on the basis of giving the greatest respect for each word of the consensus formulation of expert opinions, and after expert discussion to overcome several major academic controversies that are difficult to make decisions, it has finally formed a crystallization from content to grammar that is fully close to the consensus publication requirements and clinical practice, and condenses the efforts of dozens of top orthopedic experts. This consensus formulation has formed a relatively standardized process, which provides synergy experience for the formulation of other guidelines and consensus in the future.
This consensus provides norms and recommendations for various common problems in the perioperative management of major spine surgery, which are intended to guide doctors to improve the safety of surgery and reduce the risk of related complications when performing major spine surgery, which is helpful to improve the quality of medical services and meet the current medical service requirements.
Cai Siyi made a report
Cai Siyi from Peking Union Medical College Hospital shared "Blood Management Issues Related to Lumbar Degenerative Scoliosis Surgery". Through case analysis, he illustrated the advantages and potential risks of posterior and anterior surgery when choosing a surgical method, and also focused on the management of patients with occult bleeding after surgery. Panelists emphasized the importance of focusing on the hidden cause of blood loss by comparing blood loss between different surgical approaches.
Cheng Junyao made a report
Cheng Junyao, Department of Orthopedics, PLA General Hospital, shared the relevant experience of our hospital on "Perioperative Management of Kyphopedic Orthopedics for Ankylosing Spondylitis", including preoperative anesthesia and general condition assessment, selection of surgical timing, use of preoperative immune preparations, intraoperative anesthesia, use of antimicrobial drugs, blood transfusion as appropriate, spinal cord function monitoring, postoperative incision assessment, postoperative medication, abdominal skin care and prevention and treatment of complications. The panelists discussed his experience in improving postoperative digestive problems, intraoperative anesthesia, and reducing the risk of cerebrospinal fluid leakage in patients with ankylosing spondylitis.
Sun Zhuoran made a report
Sun Zhuoran from Peking University Third Hospital illustrated the experience of "Scoliosis Combined with Lumbar Spondylolisthesis Dysplasia" through two cases. He pointed out that when severe dysplastic spondylolisthesis and severe scoliosis coexist, a staged surgical approach is advocated, with the spondylolisthesis treated first to correct the base, and then the deformity corrected according to the situation. During the treatment process, it is necessary to find the main cause and formulate a treatment strategy to avoid misdiagnosis of compensatory scoliosis as structural scoliosis, so as to avoid unnecessary damage to the patient. For the selection of staged surgery for such patients, the guests shared their own experiences.
Wu Bingxuan made a report
Wu Bingxuan, from Beijing Tiantan Hospital, Capital Medical University, introduced in detail the process of multidisciplinary consultation, preoperative preparation, intraoperative operation and postoperative follow-up for patients with spinal metastatic pheochromocytoma in the report "Perioperative Management of a Special Case of Spinal Metastases". In view of the occurrence of malignant hypertension in such patients, the participants discussed the risks and precautions for surgical operations.
Discussion panelists
Group photo of the guests
At this point, the academic exchange activities have come to an end. The conference brought together the wisdom of many experts and built an efficient academic exchange and learning platform, and jointly explored new strategies and methods for perioperative management of major spine surgery in in-depth discussions and rich experience sharing. With the deepening of the "Mastering the Future" project, we believe that more innovative and diversified academic activities will be carried out in the future, which will provide strong support for the innovation of spine medical technology and the improvement of medical service quality, better meet the needs of patients, and contribute to the realization of the grand goal of "Healthy China".