Chapter 126: Chapter 0123: Sniping through the Wall


    The silence was brief, the discussion continued, tense and heated.


    In academic discussions, there’s no room for diplomatic twists and turns. Sometimes arguments can escte, with table pounding and faces turning red. No one would concede to another.


    The presence of Professor Su prevented such explosive situations from urring, but debates were inescapable.


    “Director Han, do you have any thoughts?” Director Zhao asked.


    Director Han stood upright, akin to a general initiating a war meeting, “The best method is still to carry out a nerve root block. However, in order to avoid anesthesia leakage, it’s essential to insert a cann into the nerve root sheath, which is incredibly challenging. Yet, it is feasible.”


    The subject was steered towards the nerve root block. The director of the oncology hospital scanned his tablet with one hand and rested his chin in the other. After a moment of contemtion, he said, “The difficulty of a nerve root block is indeed immense. From what I see, the tumor has a rich vascr supply, and the patient’s coagtion function is also not ideal. If a mispuncture urs prating into the tumor tissue, it could lead to uncontroble hemorrhage, formation of epidural hematoma, spinal cordpression, and in turn, respiratory depression. Eventually, we would have to resort to a respirator. As you can see, the surrounding soft tissue is entirely tumor, leaving limited space for puncturing, a mispuncture, and subsequent bleeding can happen quite easily.”


    “Indeed, that’s the case. This type of puncture is like sniping—it must be urate and not miss, as a single error could result in serious consequences.” Director Yu of Fuer’s orthopedics department agreed with the oncology hospital’s view.


    There was an outline to the n – nerve root block. It seemed like no one else could think of other alternatives, but considerable challengesy forth.


    Everyone’s gaze rested on Professor Su, handing the difficult problem over to him.


    Professor Su steadied his tablet with his left hand, rested his right elbow on the table, took off his sses, and said, “Everyone has exined their views in detail. It seems that nerve root block is the only choice and no one seems to objective. The difficulty lies in the puncture. It’s indeed challenging, but not impossible. We need to leverage CT and MRI for 3D reconstruction and find a way to choose the correct puncture path. With the help ofputer-assisted navigation technology during surgery, punctures can be achieved.”


    The puncture is challenging, but feasible. That was Professor Su’s conclusion.


    “What if it fails? What are the rescue measures?” Director Yu of Fuer expressed a different opinion.


    Professor Su took a cloth to clean his sses and said, “This is an excellent question. Every medical procedure carries inherent risks. Faced with these risks, we must strive to prevent, but also prepare rescue measures. If the puncture fails and prates the tumor causing bleeding, we abandon the puncture and install a drainage tube along the puncture path. We can use negative pressure to discharge the blood and avoid spinal cordpression due to hematoma.”


    Professor Su demonstrated quick thinking and meticulous nning. In a short time, he organized the n selection, risk control, and remedies for the worst-case scenario. Director Yu admired him.


    This kind of puncture is far from simple to achieve and reflects a person’s cognitive ability and umtion of knowledge and experience.


    Just like firing a sniper rifle, it’s never as simple as pulling the trigger. Each trigger pull is the result of painstaking efforts.


    “Are there any other opinions?” Director Zhao, as the moderator, asked.


    Director Han smiled and said, “What about the two young fellows? Do you have any thoughts? Don’t keep silent.”


    Ordinarily, Professor Su wouldn’t ask Su Nanchen to speak at such an asion. It was enough for him to listen. But as Director Han suggested, it would be a harmless chance for the youngsters to gain experience. Professor Su turned to Su Nanchen who was sitting next to him and asked, “Your seniors are affording you such a precious opportunity. Do you have any brilliant ideas?”


    Confident yet humble, Su Nanchen said calmly, “Thank you, Professor Han, for granting me the opportunity to speak. The puncture indeed resembles sniping, and the target is hiding in a bunker. The puncture needs to avoid both the tumor and bone tissue, leading to very limited options for puncture paths. If possible, we can use 3D printing technology to recreate the spine, tumor, nerves and vessels. We could use a precise one-to-one model for puncture path nning and simte the puncture. We might even temporarily design a locator tool. Inbination with navigational equipment during surgery, the sess rate of punctures would greatly increase.”


    This young man’s cognitive ability is impressive. Being able to integrate advanced 3D printing technology with puncture operation and ording to him, the sess rate could potentially multiply.


    The directors looked at Su Nanchen with newfound respect. Even without the help of Su Qingyun, he could make significant contributions to the field of medical science.


    Professor Su put on his sses again, “Xiao Yang, do you have any thoughts?”


    Professor Su had a good memory. Director Han introduced him only once, and he had already remembered the name. Whether it was for nurturing the younger generation or for giving a token of appreciation, it was appropriate to invite him to express his views.


    Director Han encouraged, “Professor Su called on you, please say a few words.”


    “Xiao Yang, what do you think?” Director Zhao also encouraged.


    Yang Ping calmly said, “Thank you, Professor Su and everyone else! I think that the puncturing needle does not need to avoid bone tissue, instead directly passing through the bone tissue and pedicle. Bone tissue is actually the safest area. There would not be any risk to blood vessels as long as the puncturing needle is in the bone tissue, we don’t need to know where the hidden danger lies, just where there aren’t any.”


    The pedicle is a bony tunnel connecting the front and back of the vertebra, with hard cortical bone on the outside, and loose spongy bone on the inside.


    This point of view is very novel and breaks conventions.


    “Since the enemy has hidden in a bunker, a dead angle for our trajectory, we will urately calcte the enemy’s position in the bunker, fire at the bunker wall, pierce through the wall, and then let the bullet pass through the hole on the wall to snipe the enemy. Thank you everyone.” Yang Ping finished speaking.


    Professor Su looked once again at the three-dimensional reconstruction image on the tablet. This idea is indeed imaginative. The entire puncture path is within the bone tissue, only piercing through the bone tissue in thest step. This not only reduces the chance of mistake butpletely eliminates it. The chance of injury is almost non-existent, the rest is just a matter of how to hit the enemy.


    Puncturing through the pedicle is a basic procedure for any spinal surgery. It is highly unlikely to fail. However, the routine pedicle approach cannot be used and needs to be tilted. The target is inside the spinal canal, not inside the vertebra itself.


    Professor Su is interested, “Xiao Yang, your idea is imaginative and very feasible.”


    “If webine prative bone puncturing and pedicle puncturing with Dr. Su’s 3D printing to simte puncturing, the sess rate would be very high and the feasibility would be beyond question.” Director Hanbined the ideas of both.


    The director of the tumor hospitalughed, “Indeed, young people have a good imagination. One of them brought up 3D printing and another proposed sniping through walls, interesting. It seems we are getting old.”


    Director Yu joked, “I see you’re still sitting here after drinking two bottles of water and you don’t seem to need the bathroom, where have you grown old, I can’t see it.”


    Everyoneughed, rxing the tense discussion.


    “Now that we are clear about the puncture path and methods to increase the sess rate of puncture, it’s time for action. Does anyone have other suggestions?” Professor Su asked everyone.


    After discussing this issue to such an extent, everything has be very clear.


    “Bone puncturing avoids the risk of tumor injury and significantly reduces the likelihood of bleeding, but it does notpletely avoid bleeding. The puncture path includes all the cancellous bone, which may bleed and the puncture needle will not enter the vertebra but tilt and break through the bone tissue into the spinal canal. The blood may flow into the spinal canal from the puncture tube, causing a hematomapression. Although this is unlikely, there is still a possibility, so there needs to be a contingency n.” Director Yu pointed out the ws in our n.N?v(el)B\\jnn


    “This kind of bleeding is different from blood vessel rupture. It is a small amount of blood infiltrating from the bone surface. The catheter with a balloon at the end can be used. Calcte the distance, coat the balloon with bone wax and ce it into the bone canal, then inte the balloon topress the bleeding area.” Professor Su immediately suggested. Clearly, with little thought, he hade up with this on-the-spot solution, showing his vast knowledge in the field.


    “Brilliant!” eximed Director Yu.


    Now there was a contingency n for unexpected situations and the proposal was veryprehensive.


    “Any questions, professors?” Director Zhao asked.


    Everyone just shook their heads and drank water.


    Finally, Director Zhao concluded, “So the n is set: perform a Thoracic 2 nerve root block, ce a tube using the bone prating method, preoperatively simte the puncturing using 3D printing, and useputer navigation assistance during the operation!”


    “Professor Su, what do you think about this?” Director Zhao sought Professor Su’s opinion. Though he presided over the meeting administratively, it was ultimately Professor Su who made the professional decision.


    “Yes, the ‘Sniping through Wall’ n will be utilized!” Professor Su decisively concluded.