29-year-old girl, there is little left of herthopedic bones...

Baby's head-sized tumor, the erosion of the tibia disappeared, covered with nerves, blood vessels of the "surgical exclusion zone", a 29-year-old young life, a "I want to take care of myself, do not drag down the family" patient voice, so that a group of surgeons who dare to bear, dare to challenge, dare to face the weight of life, launched a fate-oriented battle ..knife-edge walk away from the "surgical exclusion zone"Strength and courageApril 9, Henan Provincial People's Hospital E30 operating room, the monitor is closely monitoring a 29-year-old young life" tumor has been fully exposed, ready to carry out key steps, we pay attention to coordination, closely observe the amount of bleeding and vital signs changesLiu Jijun, deputy director of orthopaedics at theof, is blindly separating the nerve to remove the tumor
surgical instruments to wander through the patient's spinal tibiaA huge tumor of 10 cm x 10 cm x 9.5 cm, the size of a baby's head, is crisscrossed hereBlood vessels and nerves walk ingested between the bones left, has lost the important role of connecting the spine and pelvis, and thus msWang can not standIn the face of this complex situation, if the operating deviation of milliliters, not only easy to cause haemorrhage caused shock in the operation, but also will damage the nerves, resulting in limited lower limb activity, stool dysfunctionLiu Jijun team to do is to completely remove the tumor for the patient, rebuild the tibia to support the spine, to ensure that the patient can walk back down, so that the young mother can continue to enjoy lifeare particularly important in the face of difficult challenges, and the confidence, experience and teamwork of doctors is particularly important Chief physician Liu Jijun, deputy director physician Zhong Chunan, the attending physician Zhang Yuzhe in the shadowless light of close cooperation The whole surgical process is like a flow of water, one breath , henan Provincial People's Hospital orthopaedics for a 29-year-old young woman successfully removed a huge tibia tumor, and completed the reconstruction of the lumbar (pelvic and spinal continuity biological reconstruction and mechanical reconstruction), to help the young mother regain confidence in life to go to the doctor "I want to live on my own, do not drag down the family" superb medical skills behind, is a drop of efforts and intentions, is willing to take risks of courage and commitment, but also a high degree of responsibility and sympathy for patients Back on April 6, 29-year-old Ms Wang found Liu Jijun, complaining of sudden pain in her lower back and legs, although there had been a similar situation before, but this time the extent is not business as usual She said that she had only to lie in bed to rest for two days can get better, but this time even turned over is difficult, and finally can not get out of bed to walk half a year, Ms Wang was transferred to several large hospitals, but it has not been effectively dealt with
Liu Jijun, a , said Ms Wang was suffering from a "tibia cytoma." osteoblastoma is an invasive tumor, good in the middle-aged and young people, slightly more women than men, limbs are common good hair site, tibia lesions are relatively rare Some patients with early symptoms of tibia is not obvious, not easy to find timely, the volume of tumors at the time of treatment has been large Surgery is the preferred treatment for most tibia tumors, but the anatomical structure in this region is complex, the surgical risk is high and the difficulty is great Watching the body a day is not as good as a day, and finally can not get out of bed to walk "My children are still young, and I want to live my own life and not drag my family down," Ms Wang said "
multidisciplinary work together to prepare all-round protection of patient safety " doctors do not fight uncertain, unprepared war For this young patient, the operation not only to be safe, but also to allow her to live a normal life So surgery has two main priorities Liu Jijun while studying the patient's condition, he said Ms Wang's tumor is huge, the crucive nerve is dense among them, the tibia itself is rich in blood, dense pre-venous veins close to the front edge of the tibia surgery, it can lead to nerve damage or life-threatening from haemorrhage orthopaedic team in conjunction with multidisciplinary experts to consult many times, for Ms Wang designed a well-thought-out treatment plan First, in order to control tumor bleeding, make it hard to remove, the use of injection of dinolita method, once a week, 120 mg, two weeks in a row, the fourth week of surgery second, Liu Jijun team worked together with the deputy director of the integrated intervention department, Cao Guangxuan, through the intervention method will be the two-sided artery and several arterial vascular embolism series supply ingresss to the tumor nutrition, so that the tumor blood supply reduced, reduce the risk of bleeding then, he and anesthesiologists, operating room repeated communication, full expansion, control of pressure reduction, adequate blood products, pressurized blood transfusion, the establishment of 4 intravenous channels, make contingency plans In order to enable Ms Wang to live a normal life, Liu Jijun led the team to take Ms Wang's own calf fibula, in the lumbar 4, lumbar 5 vertebrae and bilateral tibia between the pelvis and spinal continuity reconstruction (biological and mechanical reconstruction) efforts, a difficult, high-risk operation can be successfully implemented After the operation, the nursing team to Ms Wang carefulcare, from wound management to rehabilitation training, all efforts, for Ms Wang's early recovery to buy time Now, with the joint efforts of all of us, Ms Wang's health is improving source: henan province