The Department of Neurology of the Second Affiliated Hospital of Hainan Medical University was established in 1994, and it is one of the earliest independently founded neurology departments in Hainan Province. With the efforts of several generations of neurology professionals, it has gradually developed into a discipline team with distinct disciplinary characteristics, solid professional competence and a good reputation in the province. In line with the development of the hospital, the number of beds in the Department of Neurology has grown from over 30 at its establishment to 195 open beds (including 12 beds in the Neurocritical Care Unit). It has also set up a Neuropsychological Assessment Room, an Autonomic Nerve Function Testing Room, a Sleep EEG Monitoring Room and a neuroendovascular interventional therapy team. The subspecialty directions of the discipline include cerebrovascular diseases, neurointervention, neurocritical care, neurogenetics and degenerative diseases, epilepsy and paroxysmal diseases, nervous system infections and immune diseases, neuropsychology and sleep disorders, etc. All subspecialty directions of the Department of Neurology are developing in a balanced way. It took the lead in establishing a neurocritical care ward in the province. The number of surgeries performed by the cerebrovascular interventional team ranks among the top in the province. It carries out full-course and comprehensive management of dementia, cognitive impairment-related diseases and Parkinson's disease, and continuously develops new technologies and projects to improve its clinical service capabilities.
The Department of Neurology integrates medical treatment, teaching and scientific research, and is the core department of the hospital's Brain Science Center. The discipline has 3 doctoral supervisors and 5 master supervisors. In the past five years, it has obtained 4 national-level projects, 7 provincial key projects and 10 municipal-level projects, and has published 81 high-level papers. The department has a total of 121 medical staff (including 1 flexibly introduced talent and 1 double-appointed professor), among whom there are 11 chief physicians, 8 associate chief physicians, 3 associate chief nurses, 7 doctors and 4 doctoral candidates. At present, the Department of Neurology is a National Health Commission Advanced Stroke Center, an Advanced Cognitive Impairment Diagnosis and Treatment Center (under construction) and a grassroots talent training base for cognitive impairment. It is also a local training unit for neurosurgeons of the Chinese Medical Doctor Association, a member unit of the National Brain Injury Evaluation Quality Control Center, the chairman unit of the Stroke and Control Professional Committee of the Hainan Preventive Medicine Association, and the leader unit of the Dementia and Cognitive Impairment Group of the Hainan Society of Neurology.
Neurosurgery Ward 1 of the Second Affiliated Hospital of Hainan Medical University originated from the neurosurgery treatment group of the former Third Surgical Ward of Hainan Agricultural Reclamation Hospital, which was founded in 1956. After Professor Chen Shouhua and Professor Zhou Guoze established the neurosurgery professional group, the hospital introduced Professor Mo Yehe as the director of neurosurgery and established an independent specialty in 2008. Through the hard work and unremitting efforts of the neurosurgery team, the scale of the discipline has been continuously expanded, medical conditions have been increasingly improved, and technical strength has been continuously enhanced. In response to the development needs of the discipline, Neurosurgery Ward 1 and Neurosurgery Ward 2 were established on the basis of the original neurosurgery department in 2016. Neurosurgery Ward 1 has 81 beds in total, including a Neurointensive Care Unit (NICU), a general neurosurgery ward and a special needs neurosurgery ward. The medical and nursing team has 57 members, including 17 doctors and 40 nurses, with 7 senior professional titles, 3 doctors, 1 doctoral candidate and 10 postgraduates.
Neurosurgery Ward 1 is a clinical specialty that mainly uses surgery to diagnose and treat diseases of the central nervous system (brain, spinal cord) and peripheral nervous system. The department integrates medical treatment, scientific research and teaching, and is equipped with advanced equipment such as high-precision surgical microscopes, intraoperative electrophysiological monitors and neuroendoscopes, committed to providing patients with precise, minimally invasive and individualized diagnosis and treatment services. The team consists of senior experts, young backbones and nursing teams, covering multiple subspecialty directions such as brain tumors, cerebrovascular diseases, functional neurosurgery, spinal cord diseases, craniocerebral trauma and neurocritical care. It completes about 600 surgeries annually and has significant regional influence.
Adhering to the concept of "patient-centered", the department has established a multidisciplinary collaboration (MDT) model. It collaborates with the Department of Radiology, Department of Endocrinology, Department of Radiation Oncology, Department of Medical Oncology, Department of Pathology, Department of Rehabilitation and other disciplines to provide a full-process diagnosis and treatment plan for complex cases, significantly improving the quality of life of patients.
Brain tumors: Microsurgical resection and comprehensive treatment of gliomas, meningiomas, pituitary adenomas, acoustic neuromas, etc.
Cerebrovascular diseases: Aneurysm clipping/interventional embolization, arteriovenous malformation resection, carotid endarterectomy, minimally invasive treatment of hypertensive intracerebral hemorrhage.
Functional diseases: Epilepsy surgery, deep brain stimulation (DBS) implantation for Parkinson's disease, microvascular decompression for trigeminal neuralgia.
Spinal cord diseases: Microsurgery for intraspinal tumors, Chiari malformation and syringomyelia.
Craniocerebral trauma: Treatment of severe craniocerebral injury, intracranial pressure monitoring and mild hypothermia therapy.
Endoscopic transsphenoidal pituitary adenoma resection, realizing "incision-free" minimally invasive treatment.
Spinal tumor resection and spinal canal reconstruction under intraoperative electrophysiological monitoring.
The department focuses on clinical difficulties and conducts research on "molecular mechanisms of brain tumors", "epilepsy surgery treatment", "neurocritical infection" and other aspects. In the past five years, it has undertaken 5 provincial and ministerial-level projects, published 8 SCI papers, edited/co-edited 2 monographs and obtained 1 invention patent.
It has established long-term scientific research cooperation with well-known domestic institutions (such as Beijing Tiantan Hospital and the Characteristic Medical Center of the Chinese People's Liberation Army Army), promoting the in-depth integration of basic research and clinical transformation.
The department undertakes the teaching and training tasks of undergraduates, standardized training residents and further education doctors, and trains 3 masters on average every year.
Hierarchical teaching system: Junior doctors strengthen microsurgical operation training, and senior doctors participate in complex surgical decision-making.
Academic brand activities: Regularly hold "Frontier Technology Forum of Neurosurgery" to promote the improvement of regional medical standards.
Serve as an editorial board member of Chinese Journal of Minimally Invasive Neurosurgery.
With exquisite technology, innovative scientific research and systematic teaching as its core competitiveness, neurosurgery continues to promote the development of the discipline, provide high-quality medical services for patients and contribute to the improvement of regional neurosurgery diagnosis and treatment levels.
Neurosurgery Ward 2 of the Second Affiliated Hospital of Hainan Medical University was separated from the neurosurgery department and established as an independent ward in 2016. After years of development and growth, it has now become a discipline with a certain scale, strong technical strength and complete modern facilities and equipment, specializing in the diagnosis and treatment of neurosurgical diseases. At the same time, it is also a key discipline integrating neurosurgical clinical practice, teaching and scientific research. The scale and diagnosis and treatment level of the department rank among the top in Hainan Province. Currently, Neurosurgery Ward 2 has 39 beds in total and a medical and nursing team of 26 members, including 8 doctors and 18 nurses, with 3 senior professional titles, 1 doctor, 4 masters and 1 master supervisor. It is an academic team with high quality, high academic qualifications and a combination of old, middle-aged and young members. The department has a strong cultural atmosphere and a reasonable talent echelon. The team members are energetic, united and cooperative, good at reform and brave in innovation, and have taken the lead in carrying out a number of new businesses and technologies inside and outside the province.
Neurosurgery Ward 2 of the Second Affiliated Hospital of Hainan Medical University admits about 800 patients annually, handles about 1,800 outpatient and emergency visits annually and performs about 300 surgeries annually. The department is equipped with advanced diagnosis and treatment equipment. At the same time, benefiting from the establishment of the hospital's "one-click activation" and "green channel" mechanisms, the intermediate links from emergency treatment to surgery have been greatly shortened, winning time for timely surgery for patients with neurosurgical emergencies and critical illnesses such as cerebral hemorrhage and brain trauma. In addition to its advantages in the treatment of cerebral hemorrhage and craniocerebral trauma, minimally invasive microsurgical neurosurgery has become its feature. It routinely carries out microscopic and neuroendoscopic surgical treatments for common neurosurgical diseases such as brain tumors, spinal cord and spinal column tumors and cerebral hemorrhage.
To further smooth the diagnosis and treatment channel, the neurosurgery department has joined forces with the Department of Emergency Medicine, Department of Anesthesiology, Operating Room, Department of Critical Care Medicine, Department of Rehabilitation Therapy, Department of Acupuncture and Moxibustion, Department of Hyperbaric Oxygen Therapy and other departments. Adhering to the concept of standardized and individualized diagnosis and treatment, through disciplinary cooperation, it strives to provide each patient with cerebral hemorrhage and brain trauma with a series of standardized, scientific and advanced comprehensive treatment plans and first-class medical technology from emergency admission to surgical treatment, as well as from perioperative critical care to postoperative rehabilitation, so that patients can obtain better curative effects.
All medical staff of Neurosurgery Ward 2 of the Second Affiliated Hospital of Hainan Medical University will continue to work hard, with the tenet of "first-class technology, first-class equipment and first-class service", and provide patients with leading-level and all-round medical services with strong comprehensive strength.
(1) Individualized minimally invasive microsurgical treatment of various common intracranial tumors, including gliomas, meningiomas, schwannomas, pituitary adenomas, hemangioblastomas, metastatic tumors, etc. Through individualized evaluation and precise positioning, the goal of surgical treatment is achieved by minimally invasive microscopic technology.
(2) Treatment of various types of severe craniocerebral trauma, including cerebral contusion and laceration, acute or chronic subdural hematoma, epidural hematoma, skull fracture, etc. It gives full play to the advantages of neurosurgery and advanced treatment concepts, conducts all-round management, comprehensive monitoring and dynamic quantitative assessment of the disease development, formulates timely and accurate treatment plans and prevents complications. At the same time, with the establishment of the hospital's "one-click activation" and "green channel" mechanisms, the rapid diagnosis and treatment process from emergency treatment to admission to surgery for patients is realized, which greatly improves the treatment level of emergency and critical patients.
(3) Individualized minimally invasive microsurgical treatment of cerebrovascular diseases, including cerebral aneurysms, vascular malformations, cavernous hemangiomas, cerebral hemorrhage, etc. Through individualized evaluation, the most appropriate surgical method is selected, including the single or combined application of multiple methods such as microscopy, endoscopy and intervention, to improve the diagnosis and treatment effect.
(4) Treatment of pediatric neurosurgical diseases, including various brain tumors, vascular diseases, hydrocephalus, etc.
(5) Minimally invasive microsurgical treatment of spinal cord and spinal column diseases, including intramedullary tumors, extramedullary subdural tumors, epidural tumors, etc.
(6) Minimally invasive treatment of various functional diseases: For intractable functional diseases such as trigeminal neuralgia, hemifacial spasm and glossopharyngeal neuralgia, minimally invasive technology is used for thorough decompression to relieve pain and preserve normal blood vessel and nerve functions.
(1) Microsurgical treatment of gliomas. Preoperative imaging reconstruction is conducted, and precise positioning of gliomas is realized through navigation or ultrasound. Intraoperative electrophysiological monitoring is used to monitor the nerve function status throughout the process. Fluorescence imaging is used to fully expose the tumor. The tumor is carefully resected under a microscope. Through a variety of technical means, efforts are made to completely resect the tumor while ensuring the nerve function.
(2) Individualized treatment of hypertensive intracerebral hemorrhage: According to the different conditions of patients, individualized surgical methods such as ultra-early minimally invasive surgery, stereotactic navigation surgery, neuroendoscopic surgery, transsylvian microsurgery and standard large craniectomy decompression are adopted to improve the prognosis and quality of life of patients. Among them, neuroendoscopic minimally invasive surgery uses neuroendoscopes, combining minimally invasive technology with visualization through precise optical, camera and display technologies to achieve high-definition magnification at close range. The combination of neuroendoscopes with 3D imaging software, neuronavigation, intraoperative ultrasound and other technologies enables neuroendoscopes to give full play to the advantages of accurate positioning, minimal trauma and good curative effect. During the neuroendoscopic surgery for hypertensive intracerebral hemorrhage, the neuroendoscope can be placed into the hematoma cavity, providing a clear and sufficient field of view and avoiding residual hematoma. The surgical steps include preoperative positioning, small bone window craniotomy, channel placement, neuroendoscope connection, hematoma removal, etc.
(3) Microscopic technology for spinal cord and spinal column tumors. Preoperative precise positioning is conducted. During the operation, microscopes, minimally invasive channels and other tools are used, combined with technologies such as hemilaminectomy. The tumor is precisely resected under neuroelectrophysiological monitoring, which accelerates the postoperative rehabilitation process of patients and protects the nerve function of patients.
Neurosurgery Ward 2 of the Second Affiliated Hospital of Hainan Medical University has been engaged in the research on the basic and clinical application of neurosurgery and the development of new technologies and new materials. Dr. Wang Peng, the person in charge of the department, is currently undertaking a 2025 Hainan Provincial Health Commission Science and Technology Innovation Joint Project and published 1 SCI paper as a corresponding author in 2024.
Neurosurgery Ward 2 of the Second Affiliated Hospital of Hainan Medical University has been undertaking the theoretical teaching, internship and practical training tasks for postgraduates, undergraduates of medical universities, international students and undergraduate and junior college students of nursing colleges. Based on the characteristics of Hainan region, it has established a teaching model featuring "trilingual teaching". Many teachers in the department have won the titles of "Excellent Teacher" and "Excellent Standardized Training Teacher".
Dr. Wang Peng, the person in charge of the department, gave keynote speeches at the Postgraduate Medical Education Forum hosted by the Chinese Medical Doctor Association for two consecutive years in 2023 and 2024. Meanwhile, in 2024, he conducted experience sharing on teaching models and curriculum ideology and politics in the form of a workshop at the Hainan Provincial Standardized Training Base Director Training Course. He also won the special prize in the first Clinical Teaching Ward Round Competition of Hainan Medical University in 2024.
In the future, the department will continue to strengthen cultural construction, actively advocate the spirit of dedication, unity and cooperation and selfless dedication, continuously strengthen professional learning and enhance the treatment of critical and difficult patients. It will strive to strengthen the coordinated development of medical treatment, teaching, scientific research and other aspects. In line with the needs of stroke patients with hemiplegia in Hainan, it will carry out the new technology of contralateral C7 nerve transfer for the treatment of hemiplegia after stroke. At the same time, under the background of medical-engineering integration, it will carry out individualized microscopic precise surgical treatment of cerebral hemorrhage supported by neuronavigation and 3D printing technology. Under the correct leadership of the hospital, Neurosurgery Ward 2 will continue to develop steadily in terms of discipline construction, medical services, scientific research and teaching.
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