godfather of surgery

Chapter 296 VR Anatomy Images

Chapter 296 VR Anatomy Images
Guo Jingyao was pushed out from the operating room. In the family waiting area, his wife and children came up one after another to inquire about the status of the examination.

Dr. Huang briefly introduced his condition to his family members, and told them to go back to the family meeting area in the orthopedic ward to wait. Dr. Huang will introduce Guo Jingyao's current condition to them in detail later, so as to arrange surgery as soon as possible.

Guo Jingyao was pushed back to the ward, and the consulting doctor team also returned to the conference room to continue discussing the operation plan.

"Doctor Yang, I'm sorry to trouble you. We implore you to perform this operation. What preparations do you think I need to make?" On the way back to the conference room, Doctor Lin asked Yang Ping.

The diagnosis is now very clear, consistent with Yang Ping's diagnosis at the consultation meeting.

This operation can only be performed by Yang Ping, because if this operation fails, there will be no chance of recovery.

"I want to transfer the team here. They have just resumed work after the Spring Festival, and there will be difficulties in deployment. I will try my best." Yang Ping is not sure, after all, Corey just went to work, the whole team came, and the house was empty.

If it doesn't work, Song Zimo will be transferred alone. With a good assistant, the operation will be much easier.

Before I knew it, it was evening in Kuala Lumpur.

He was still in China yesterday, and now he is discussing the case in Kuala Lumpur. Yang Ping does not feel uncomfortable at this time-space switch.

Yang Ping reported the situation to Director Han, and Director Han replied immediately, asking Yang Ping to stay in Malaysia. The whole team of the comprehensive orthopedics department will go to Malaysia as soon as possible, and the hospital office will send someone to lead the team. Worried, he has deployed manpower.

Director Zhu also made a report to the company headquarters, and Anning Insurance immediately got in touch with Sanbo Hospital to organize a team to go to Malaysia.

If Yang Ping wants to perform surgery in Malaysia, he needs a temporary medical license in Malaysia, so that he can legally go to the operating table, otherwise he will not be able to perform surgery on the stage.

The administrative department of Gleneagles Hospital also started the process to apply for a temporary medical license and spinal surgery permission to the Kuala Lumpur Department of Health on behalf of Yang Ping and the upcoming team.

After everything was properly arranged, Yang Ping found out that Xiao Su didn't read dozens of WeChat messages, most of which were messages asking Yang Ping to pay attention to his health.

Suddenly, he remembered that he had just applied for the whole team to come over, and Xiaosu would definitely send him over. Parents should have no problem staying at home alone, and they would understand that they were familiar with everything about grocery shopping in the community.

Dad often taught that he should understand himself when his illness is serious. Thinking of this, Yang Ping immediately called Xiaosu, although they only separated for a day, it seemed that they had been separated for a long time.

"I'm already packing my things!"

"Well! It's hard work."

"Parents, don't worry, they are very familiar with the community and the surrounding environment."

"I'll call and talk to them."

Everyone is very busy, Yang Ping is about to participate in the preoperative discussion, Xiao Su has to pack her luggage, and has no time to talk about love, everything goes without saying.

Yang Ping called his parents, who told Yang Ping to put patients first and not to miss his family. They are very familiar with the environment of the community, so don't worry.

Doctors like Yang Ping, who participated in Guo Jingyao's DSA, did not eat. Dr. Huang arranged for fast food to be delivered to the meeting room, and waited for the VR image of the Singapore General Hospital while eating.

The other doctors, while waiting outside the operating room, ate fast food.

Fast food is KFC's hamburgers and chicken drumsticks, which are simple and high in calories.

"August—" Milton wanted to ask him a question.

But August was concentrating on eating his hamburger, and he finished a three-layer hamburger, and the chicken legs were almost gone.

Is this old guy showing that his appetite and physical strength are better than his own?Milton grabbed the drumstick and gnawed on it.

"It's a disgrace to waste food—"

August ate the last French fries, took off the film gloves, wiped his mouth, picked up the garbage, and threw it into the big bucket of fast food garbage in the corner.

Milton burped twice and continued to stuff it into his mouth, thinking: If the German can do it, so can he.

Preoperative discussion is a system that any hospital has, which gathers the wisdom of everyone to prevent mistakes in some important operations.

The virtual reality (VR) image reconstruction of the Singapore General Hospital has been completed. Everyone wears Google VR glasses. The 3D anatomical image of Guo Jingyao’s thoracic spine appears in the air in front of him. It is very clear. Yang Ping uses this image to explain the operation, which will save much effort.

"Everyone, you see, this is the local anatomy of the patient's thoracic spine. The approach we use to enter the spinal canal is to take the posterior median approach and incise layer by layer until we reach the back of the spinal canal—the lamina, and open a window on the lamina. , enter the spinal canal through the window, and our surgical target is the blood vessels outside the spinal dural sac, and we remove all the outer structures, leaving only the spinal cord and blood vessels, which is convenient for viewing.”

Everyone immediately reached out to remove all the skin, fascia and muscles in the [-]D anatomical map suspended in the air, and then removed all the thoracic vertebrae, leaving only the spinal cord and surrounding blood vessels inside, which made it more intuitive to observe.

The virtual reality technology of the Singapore General Hospital is relatively basic, and it can only present anatomy, which is just a pair of detachable high-definition 3D images.

The virtual reality technology developed by a team in the United States can virtualize the anatomy and physiology of organs, and then use virtual tactile technology, surgeons can operate on virtual organs, cut a certain part, it will bleed, and hurt a certain important part , which simulates physiological disturbances, very close to real surgery.

"It seems that these arteries must be cut and ligated, otherwise the operation will be affected. Normally, these blood vessels are irrelevant and can be ligated completely. We will do this without thinking, so as to expose the site of the dural arteriovenous fistula. "The arteries that Yang Ping said flickered.

Sure enough, these arteries lay across the surgical approach, blocking the surgical access. Only by cutting and ligating them can the surgical target be revealed. If the function of these arteries is not clear in advance, I am afraid that any spinal surgeon will be unwilling to do so. He hesitated to cut and ligate these blood vessels.

All the doctors present broke out in a cold sweat, including Dr. Huang, who performed Guo Jingyao's operation on the intraspinal cyst in the thoracic spine. Fortunately, the cyst was not in this segment, otherwise the blood supply of the spinal cord would have been destroyed by now, and the possibility of another operation would be lost. Chance.

"These arteries cannot be retracted. If they are not cut off and there is no room for operation, how to deal with the arteriovenous fistula?" A doctor proposed.

Yang Ping's indication mark appeared on the 3D graphics: "The operation can only be performed from the arterial gap, and this is the only operation gap."

"The gap is too small, and it is still impossible to do it under a microscope." Another doctor thought it was too difficult.

Atsushi Kobayashi's voice: "The operation window is indeed too small, can it be bypassed?"

"No! The only operation gap is exposed from other places, and the site of arteriovenous fistula cannot be exposed." Milton was very sure.

"If I hadn't seen it with my own eyes, it would be unbelievable. They seem to be born to prevent our operation. Can we cut off the blood vessels and anastomose these blood vessels after the arteriovenous fistula is finished?" August used his imagination .

Yang Ping affirmed his opinion: "It is possible, but it is not necessary, and the operation can be completed in the gap."

"So, this operation needs to be done by my team!" Yang Ping emphasized again. "

"I can be your assistant—" August offered himself.

Yang Ping blurted out: "No, the operation is too difficult, the operation is too delicate, a careless movement will bring catastrophic trouble to the operation."

A master in European spine surgery applied to be an assistant, but was rejected on the spot in front of so many doctors.

Milton wanted to apply just now, but immediately swallowed his words back.

Fortunately, everyone was wearing VR glasses, so no one could see the embarrassing expression on August's face.

"For this arteriovenous fistula, after the arteriovenous is separated, the artery cannot be repaired. It can only be cut off, and then the blood vessel is taken for bridging and anastomosis. It is too difficult to do this kind of operation in the gap window of several arteries, and I am afraid that you will not be able to achieve it. "Yang Ping explained.

Neither Milton nor August dared to fight any more. Indeed, if the operation was to be done this way, they really did not have much confidence to be an assistant.

 There is still a chapter, I feel that the modification is not mature enough, so I haven't posted it, so I will post it tomorrow!The hard-core doctor's text involves advanced medical knowledge, which is difficult to deal with. It must be expressed in a popular way, otherwise it will be boring and difficult to understand.

  
 
(End of this chapter)

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