The Godfather of Surgery

Guo Jingyao was pushed out from the operating room. In the waiting area for family members, his wife and children came up one after another to inquire about the examination.

Dr. Huang briefly introduced his condition to his family members and asked them to go back to the family meeting area in the orthopaedic ward to wait. Dr. Huang will introduce Guo Jingyao's current condition in detail later, so that the operation can be arranged as soon as possible.

Guo Jingyao was pushed back to the ward, and the team of doctors who consulted also returned to the conference room to continue discussing the surgical plan.

Dr. Yang, I'm sorry to bother you. We kindly ask you to perform this operation. What do you think I need to do to prepare? On the way back to the conference room, Dr. Lin asked Yang Ping.

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

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

I'm going to transfer the team. They have just resumed work after the Spring Festival. There will be difficulties in the deployment. I will try my best. Yang Ping is not sure. After all, Corey has just gone to work.

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

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

He was still in China yesterday, and now he is discussing the case in Kuala Lumpur. This time and space switch, Yang Ping has no discomfort at all.

Yang Ping reported the situation to Director Han, and Director Han responded immediately and asked Yang Ping to stay in Malaysia. The entire team of comprehensive orthopedics will go to Malaysia as soon as possible. The hospital office will send someone to lead the group. He is guarding at home. Worrying, he has already deployed his manpower.

Director Zhu also reported to the company headquarters. Anning Insurance immediately got in touch with Sanbo Hospital and organized a team to go to Malaysia together.

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 the surgery.

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

After everything was arranged properly, Yang Ping discovered that Xiao Su's dozens of WeChat messages were mostly to ask Yang Ping to pay attention to his body.

Suddenly, he remembered that he had just applied for the whole team to come over, and Xiao Su would definitely be sent over. Parents should be fine at home alone, and they would understand that they are familiar with everything about shopping in the community.

Dad often taught that he should understand himself when his illness was serious. Thinking of this, Yang Ping immediately called Xiao Su, although the two were 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.

Don't worry, parents, 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 up, there is no time to talk about love, everything is silent.

Yang Ping called his parents. The parents asked Yang Ping to focus on the patient and not to miss the family. They are very familiar with the community environment, so don't worry.

Doctors Yang Ping and Guo Jingyao DSA did not eat. Dr. Huang arranged for fast food to be delivered to the meeting room and waited for the VR images of Singapore General Hospital while eating.

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

Fast food is something like KFC's hamburger drumstick, simple, high calorie.

August— Milton wanted to ask him a question.

But August was concentrating on the burger, and a three-tiered burger was almost finished, and the drumstick was almost done.

Is this old guy showing that his appetite and physical strength are better than himself? Milton grabbed the drumstick and nibbled at it.

It's shameful to waste food—

Auguste ate the last french fries, took off his film gloves, wiped his mouth, and packed up the trash and threw it into the corner of the bin for fast food trash.

Milton hiccupped twice and continued to shove it in his mouth, thinking: What a German can do, he can do too.

For preoperative discussions, any hospital has a system that 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. Guo Jingyao's 3D anatomical image of the thoracic spine appears in the air, very clear. Yang Ping will use this image to explain the operation, which will be very labor-saving.

Everyone, look, this is the local anatomy of the patient's thoracic spine. We enter the spinal canal, take the posterior median approach, cut it layer by layer, go straight to the back of the spinal canal - the lamina, and open a window on the lamina. , enter the spinal canal through the window, our surgical target is the blood vessels outside the spinal dural sac, everyone removes all the outer structures, leaving only the spinal cord and blood vessels, which is convenient for viewing.”

Everyone immediately stretched out their hands and removed all the skin, fascia, and muscles in the 3D anatomical map suspended in the air, and then removed all the thoracic vertebrae bones, leaving only the spinal cord and surrounding blood vessels, which made the observation more intuitive.

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

The virtual reality technology developed by a team in the United States can simulate the anatomy and physiology of organs. Then, using virtual touch technology, surgeons can operate on virtual organs, cut a certain part, and it will bleed and hurt an important part , it simulates physiological disturbance, very close to real surgery.

It seems that these arteries must be cut off and ligated, otherwise it will affect the operation. In normal times, these blood vessels are irrelevant and can be ligated completely. We do this without thinking, so that the site of the dural arteriovenous fistula can be exposed. The arteries that Yang Ping said flickered.

Sure enough, these arteries lie across the surgical approach, blocking the entry of the surgery. Only by cutting and ligating them can the surgical target be revealed. If the function of these blood vessels is not clarified in advance, I am afraid that any spine surgeon will not know what to do. Hesitantly cut and ligated these blood vessels.

All the doctors present broke out in a cold sweat, including Dr. Huang, Guo Jingyao performed the thoracic spinal cyst surgery. Fortunately, the cyst was not in this segment, otherwise the blood supply of the spinal cord would have been destroyed, and he would have lost the opportunity to undergo another operation. Chance.

These arteries cannot be retracted. If they are not cut off and there is no room for manipulation, how to deal with arteriovenous fistulas? A doctor put forward.

Yang Ping's indicator appears on the 3D graphics: It can only be operated from the gap of the artery, which is the only operating gap.

The gap is too small, and it is still operated under the microscope. There is no way to do it. Another doctor felt that it was too difficult.

Xiaolin Du's voice: The operating window is really too small, can you bypass it?

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

If I hadn't seen it with my own eyes, it's unbelievable. They seem to be born to prevent us from operating. Can the blood vessels be cut off, and after the arteriovenous fistula is treated, these blood vessels can be anastomosed? August used his imagination. .

Yang Ping affirmed his opinion: Yes, but there is no need for this, you can complete the operation in the gap.

So, this operation needs my team to complete! Yang Ping emphasized again.

I can be your assistant— August suggested himself.

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

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

Milton also wanted to apply just now, and immediately swallowed his words.

Fortunately, everyone was wearing VR glasses, and no one could see the embarrassed look on August's face.

In this arteriovenous fistula, after separating the arteries and veins, the arteries cannot be repaired, but they can only be cut off, and then the blood vessels are taken for bridging and anastomosis. It is too difficult to do this operation in the interstitial windows of several arteries, and you may not be able to achieve it. Yang Ping explained.

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

There is another chapter, I feel that the revision is not mature enough, so I haven't posted it yet, so I'll post it tomorrow! The hard-core doctor's articles, involving advanced medical knowledge, are difficult to deal with, and must be expressed in a popular way, otherwise it will be easy to be boring and difficult to understand.