godfather of surgery

Chapter 607
Munich Harlaching Orthopedic Hospital, the building with red roof and white walls looks simple and elegant.

The green of the pointed roof and the spire of the bell tower is like emerald dotted between the reds, eliminating the impetuousness brought by the red. This combination gives people a dual psychological hint of positivity and calmness.

The window of the doctor's office was open, and the sunlight slanted in, but it did not affect the clarity of the screen.

Several top professors of spine surgery in Germany are immersed in hand-drawn drawings at this time and cannot extricate themselves. The expressive ability of hand-drawn drawings is better than any language, and the anatomy is more detailed than any anatomical atlas they have ever seen.

After displaying dozens of pictures, it starts from the beginning again, and the details of the whole operation are already very clear in this way.

Some professors even asked Marcus to replay the pictures, and everyone savored them carefully, and took photos of the missed pictures.

Those exquisite pictures are like works of art, leaving a deep impression on everyone.

Using pictures to explain everything has become Yang Ping's usual method.

Yang Ping was a man of few words. He sat at the conference table and didn't speak. He tapped the table lightly with his fingers without making a sound. Of course, he didn't know much about Beijing opera, he could only type out some pop songs.

"Professor Yang, how sure are you about this operation?" Professor Lan Bo couldn't help asking.

August translated, Yang Ping stopped his fingers and said solemnly: "Eighty percent!"

Eighty percent, that is, a success rate of 80.00%. For this kind of ultra-difficult and ultra-high-risk surgery, there can be [-]%. That is a very high success rate. In Chinese words, the matter is stable.

80.00% success rate?
Everyone was surprised again and exchanged glances with each other. Just now everyone thought that emergency orthopedic surgery was a helpless move, an adventure in a critical moment, and they didn't expect to be so confident.

In fact, every time someone asks how sure the operation is, Yang Ping is a little bit in trouble, saying that it is too high is not suitable, and he will easily become a quack doctor who pats his chest; .

Therefore, [-]% of the answers are the most appropriate, and patients can rest assured that they will not be suspected of pat their chests.

Most of the German bigwigs thought they heard it wrong, and it should be reasonable with an [-]% certainty.

So Professor William asked again on behalf of everyone: "August, just now, how sure is Professor Yang's master?"

"80.00%!" August reiterated, speaking clearly.

"80.00%?"

"Yes, 80.00%!"

Professor William took a deep breath, and the German spine surgery collectively entered the Ice Age at this time.

Even if it is said to be [-]%, if you gamble on your luck, these big shots will not be ashamed.

You guys have worked together and worked hard for more than ten years, some have been working hard for more than [-] years, and have also received strong support from colleagues in other European countries and North America. They are still at a loss for this case, let alone grasp it.

Now this young-looking Chinese doctor said that he was [-]% sure. These words were like an avalanche in the Alps, which made the hearts of all the bosses cold and cold, and they could not answer for a long time.

"I saw in the operation diagram that the spine undergoes a three-dimensional large-scale correction, from bending to straightening on the X-axis and Y-axis, and a large-scale rotation on the Z-axis, which will cause great stretching and squeezing of the spinal cord. Twisting not only damages the fragile spinal cord itself, but also twists and pulls blood vessels, causing the blood supply vessels to bend or spasm, thereby forming an embolism and causing spinal cord ischemic injury.” Professor Lloyd was the first to thaw out and raised his concerns.

August’s translation was timely, and Yang Ping replied: “Don’t worry about this, I have done a lot of research in this area, and I have made a clear summary of the correlation between spinal cord and blood supply and orthopedics during spinal orthopedics. And osteotomy have accepted these laws, will minimize the negative impact, and there will be no spinal cord injury that you worry about."

The Chinese professor is really a steady person who doesn't talk much, and the light [-]% of the words have already hit you big guys.

Now, don't cause spinal cord damage, it's said so confidently and flatly.

Regardless of whether the United States or Europe has studied the field of spinal surgery for more than ten years, there is no way to predict spinal cord injury, and we can only rely on somatosensory evoked potential monitoring.

However, somatosensory evoked potential monitoring is often an afterthought. When abnormal signals are detected, sometimes the spinal cord has been damaged.

Why did Professor Lloyd have the illusion that the person he was talking to was not a colleague from the same world.

There is another person that Professor Lloyd feels this way when he talks to him, and that is Maninstein of the Charité Medical School.

This godlike guy, as a surgeon, has made outstanding achievements in trauma surgery, oncology surgery, neurosurgery, cardiac surgery, hepatobiliary surgery, and plastic surgery, and more importantly, he is a Nobel Prize winner in medicine.

When talking to that guy, his eyes always have a feeling of contempt for everything, as if no matter how difficult the problem is for others, he always says, oh, this problem is easy.

Now Lloyd felt that the eyes of this Chinese man did not despise everything, but ignored everything.

What a wonderful scene it would be if these two people had a conversation, Lloyd had a strange thought.

"Professor Yang must have spent a lot of time researching this artificial thorax to design it so delicately?" Constantine paid most attention to the diagrams of the heart and chest.

Because the design of the artificial thorax is very delicate, it is combined with the skin expander. After implantation, a certain space is obtained to ensure the decompression of the heart, and then gradually micro-expands automatically with the breathing, and slowly expands to the volume of the normal thorax. During this process, The skin also extends with the expansion, which solves the problem of insufficient skin coverage.

This is far from enough. In order to protect the blood supply, the artificial thorax is implanted in bulk, without destroying the blood supply at all. The skin is cut open, the rib periosteum is cut, and then the subperiosteal dissection is performed to remove the ribs one by one. Then the artificial ribs are implanted, the periosteum is sutured to wrap the artificial ribs, and then the artificial ribs are connected to each other, to the sternum, and to the remaining posterior ribs.

Such a sophisticated prosthesis is difficult to design within three to five years.

Constantine concluded that Chinese professors have accumulated three to five years in this regard.

"I originally planned not to do this, but to use new technology, using external fixator technology combined with Ilizarov's theory, to correct the spine and thorax at the same time, but the patient had an accident and needed emergency correction, and the fatal weakness of the new technology is the correction The process is slow, so we have no choice but to use backup plans, which were improvised a week ago, and some were decided before boarding the plane." Yang Ping remained calm.

Constantine didn't know how to continue asking. As a cardiac surgeon, he had participated in the design of an artificial heart, and he was very familiar with the technical content and development difficulty of this thoracic prosthesis.

The two exchanges of questions brought the atmosphere of the audience to freezing point again. The surrounding temperature seemed to have dropped suddenly, and people began to feel that asking questions was a heavy matter.

"Gotenberg's father has been waiting outside for a long time. He hopes to meet the professor from China."

A doctor came in and whispered in August's ear.

August got off the plane with Yang Ping, went straight to the ward, and then discussed before the operation, forgetting to meet the Duke.

Leaving the bosses in a daze in the office, August brought his mentor to meet the old Duke in the conference room next to the doctor's office.

The old prince handed the cane to the butler, and held Yang Ping's hand solemnly with both hands across the rectangular table: "Dear professor, please, thank you!"

Ever since August told the Duke this exciting news, the Duke had dreamed of meeting the Chinese doctor, standing before him, so young.

Yang Ping looked at the old man, and it was difficult to see that this thin old man was the head of a European super consortium, and he was clearly a retired university professor.

"You're welcome, it's our duty to cure diseases and save lives." Yang Ping said modestly, his duty is a bounden duty.

Yang Ping always likes to use this sentence to respond to the gratitude of patients or family members.

"Mr. Maninstein predicted that my poor child would not live to be 30 years old. Over the years, his illness developed completely according to Maninstein's prediction. As he said, his heart finally collapsed. This happened twice, both times. I am afraid that there is really no way this time, but God loves you, let us meet you." The old prince sat down, tearing up, wiping his tears from time to time with a handkerchief.

"My friend, don't be too sad. The person sitting in front of you is the world's top doctor. Being sad can only make you lose your ability to make decisions. Let us discuss how to help our children get through this difficult time. I need your support and confidence." August comforted his friend.

"I will do my best to support you, my child will be handed over to you, friends, take out the signed agreement, everything is arranged by God, no matter what, please, respected Chinese professor, I represent the entire family I beg you, save him." The old prince was a little incoherent, grabbing his cane with trembling hands.

"I will do my best." Yang Ping said firmly.

The old Duke nodded: "Please forgive me, I was a little out of control, because I love this child too much, he lost his mother when he was a teenager, I did not fulfill my responsibility as a father, I thought I could help him, but nothing helped Seeing him panting in the wheelchair, it hurts my heart. If I could, I would be willing to suffer in his place. Now he is living on a few tubes, what a pity—"

"Friends, take care of your body and keep your mind awake. There are still many decisions that we need to make together, such as signing the emergency surgery now." August told his friend seriously that he must stay in shape.

August saw that the friend’s condition was okay. In fact, August knew this friend very well. He was sad and clear-headed, so he asked Marcus to bring the signed document and signed it in person.

The old prince put away his handkerchief, and began to regain his composure. He habitually looked carefully at the signed documents, and then solemnly signed his name.

"Mr. Maninstein is supposed to be there at this time, but he's on vacation in Iceland."

Because Maninstein's name was mentioned many times, August explained the legend to his mentor.

This crazy Frankenstein is now concentrating on the connection between the spinal cord and nerve bundles, that is, after the spinal cord and nerves are cut off, they are connected to restore function.

No one knows why he loves this field. Since focusing on this field, the weirdo has given up all other research.

Maninstein is not only an academician of the German Academy of Sciences, but also an academician of many European countries, including the Royal Swedish Academy of Sciences. He is a legendary figure in Europe, but this person has a disadvantage, that is, he is very lecherous and his private life is very chaotic. Iceland beach vacation.

"It is he who judges that the heart will age prematurely in a squeezed state, and through calculations, it is concluded that the little duke will exhaust the potential of the heart before the age of 30 and is in danger of life, and he judges that spinal correction will cause high paraplegia , leading to the paralysis of the ventilator, the palliative treatment is to perform thoracic surgery to expand the space of the heart, but he cannot determine whether the heart stops beating due to overuse after decompression, so there is no further plan for a long time.” After the old Duke left, August took the opportunity to introduce the legendary figure in detail.

"The plan he gave later was to correct the thoracic cage and replace the original heart with a permanent artificial heart, so as to avoid postoperative overuse, and then give an allogeneic heart replacement. However, he was obsessed with the connection research of spinal cord injury, After giving the plan, he did not come up with a specific surgical plan." August knew that the guy often forgot things.

Promise good things today, and may forget tomorrow.

Yang Ping has heard of the great god-level figure of Charité Hospital for a long time, and also knows some gossip about him. After playing in various specialties, he wrote a lot of books, published a lot of papers, and won a Nobel Prize by the way , is a legend in the medical world.

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After the doctor's order for emergency surgery was issued, both the ward and the operating room were busy. August accompanied Yang Ping to rest in the office, and it would not be too late to enter the operating room when he picked up the patient.

Other professors also quietly accompanied Yang Ping, waiting for the patient to enter the operating room.

The entire office seemed very quiet, no one spoke, and no one whispered in private.

In order to ensure the safety of the operation, the ECMO team also follows up the operating room to assist the anesthetist in managing the patient's vital signs.

Moreover, all kinds of customized instruments are sterilized and packaged, and have been prepared in the operating room.

German doctors are more attentive than doctors in any other country.

For an operation, several instrument tables are often prepared. Sometimes an operation may only need a few instruments, but they may prepare dozens or hundreds of instruments, just in case.

"Marcus, prepare two for the equipment nurse." August was afraid that Marcus would forget, and urged again.

"I prepared two, don't worry." Marcus was very reliable.

August has performed so many surgeries in China. With the speed of the professor's surgery, I am afraid that an equipment nurse can't handle it, unless he has a special equipment nurse.

Two should be able to keep up with the professor's rhythm.

(End of this chapter)