The Godfather of Surgery

Chapter 300 Flat Surgery

Yang Ping controls the microscope instrument with three fingers of thumb, index finger and middle finger.

The equipment seemed to be attached to his fingers by some kind of force, and no matter how he changed his posture, he would not break away from the control of his fingers.

Every operation is precise, meticulous and just right, and these operations are done with the hands in the air and the arms without any fulcrum.

The arteries and veins are successfully separated, and the fistula is large. If only repair is done, it will cause arterial stenosis, which will cause blood vessel blockage and cause spinal cord blood supply disorder.

The only way to cut off the fistula is to perform an end-to-end anastomosis of the blood vessels. Such a difficult operation seemed extremely simple and easy in Yang Ping's hands.

The microscissors neatly cut a small section of the artery and vein, the fistula was removed, the two ends of the blood vessel were slightly freed, and the healthy port could be closed without tension.

The micro-suture needle thread is firmly held on the needle holder, and in a small space, it can be moved and turned, and the needle can be entered and exited at any angle.

The tip of the forceps held the adventitia of the blood vessel, the needle easily penetrated and pierced, and then a beautiful surgical knot was tied. The two instruments fit perfectly and did not interfere with each other due to crowding.

The assistant's micro-scissors - the third instrument also reached in, and the trimming was done with precision, and in the tight space, the three instruments did not collide, or block each other.

When one side of the blood vessel is anastomosed, when the opposite side of the blood vessel needs to be sutured, the assistant's tweezers hold the long lines at both ends, gently turn the blood vessel over, and expose the other side of the blood vessel. When the opposite side is also sutured, the blood vessel is counted as one circle. Stitched.

After the arterial anastomosis is completed, the vein is also precisely anastomosed end-to-end in the same way. Several instruments, whether it is the main surgeon or the assistant, will appear at the best time, and will not be late or leave early to destroy the harmony of each other.

The team of doctors in the viewing area, seeing such superb surgical operations, finally understood why Yang Ping refused August's assistant's application and insisted on transferring his own team across the country.

In this type of surgery, the operating space is extremely narrow, and the surrounding area is still a mutant artery that must be protected. The assistant's cooperation is slightly worse. Even if there is an error in the timing of the instruments entering the field of view, there will be a fight between the instruments. A little tear in the blood vessels may push the operation to a dead end.

Do you know why you were rejected? If you were to be an assistant, you would definitely fight with the main surgeon's instruments, either damaging the mutant artery to be protected or the arteriovenous fistula to be treated. Milton mocked August.

August sneered: Could it be that if you take the stage as an assistant, the ending will be better than mine? Will the instruments live in harmony as they do now?

Being poked at a soft spot, Milton was powerless to refute, selectively ignoring August's words, and pretending to watch the operation seriously and didn't hear him.

The fate is not shallow, Boss Cheng sat down with two European experts again, August glanced at Boss Cheng, saw Boss Cheng's focus, and asked curiously, Can you understand surgery?

I don't understand surgery? Am I staring at the screen and counting sheep? Boss Cheng scolded.

What's your opinion? August wanted to test the Chinese chef.

Boss Cheng commented: The positioning is accurate, the lamina fenestration directly exposes the arteriovenous fistula; the operation in a narrow space increases the difficulty of the operation, which is also a helpless move, the mutant spinal cord supply artery must be protected; the quality of the vascular anastomosis is very good , end-to-end, slightly everted, so there is no need to worry about embolism at the anastomotic stoma; what is even more amazing is that the instrument is like a root in the hands of the surgeon, and the posture can be adjusted at will. If there is no such flexible The ability to operate the equipment, I am afraid that this operation will be very embarrassing!

August looked at Boss Cheng suspiciously, and then at Milton. Milton shrugged habitually. The Chinese chef's comment was very professional, and he didn't hear any loopholes.

The first arteriovenous fistula operation was successfully completed, and a window was opened in the previous laminae, and the method of dealing with the first arteriovenous fistula was used. The venous fistula is not large and can be repaired directly. The whole operation has no suspense and is unremarkable.

Just like the flat push tactics of the Americans in the late World War II, the plane bombed, covered with artillery fire, and then the mechanized army pushed flat to destroy the dead. The process was quite smooth without any twists and turns.

A wise doctor can save the day, and the more wise state is - not in danger at all.

Auguste believes that Yang Ping is a higher realm.

The operation was not turbulent, and it didn't look exciting enough. That's what I wanted. I'm glad I canceled the flight. Milton has been suppressing his breathing. After watching the entire operation, some of the dangers he feared did not appear.

Several instruments went in and out. Milton was afraid that a careless movement would damage the blood vessels and make the operation more difficult, but nothing happened until the two arteriovenous fistulas were treated, and double-click electrocoagulation to stop the bleeding in the spinal canal. The instrument did not experience any collisions.

Dr. Zhou, please do a DSA to verify whether the fistula has been successfully treated. Yang Ping gently put the instrument back on the curved plate, and caring for the surgical instrument is the content of the surgeon's professional ethics.

Everyone moved away from the operating table and rested in the adjacent area. Dr. Zhou and his assistants had already put on their surgical gowns and were waiting. This time, the target blood vessels were directly selected, not for investigation.

Soon, Dr. Zhou completed the DSA. After waiting for a few minutes, the contrast agent was still bridged and returned to the bridge, the way back, and the operation was very successful.

The surgical area was rinsed with normal saline, and small holes were drilled on the four sides of the lamina bone, and then it was securely fastened like a road manhole cover. The sutures on the four sides were tightened and knotted. After three months, the window will heal as before, no any questions left.

Layered hemostasis, layered suture, automatic retractor removal, automatic homing of the paraspinal muscles, and even drainage are avoided.

Yang Ping and Song Zimo turned around, and Zhang Linxiao Wu followed them back to back, swapping positions, and the stitching was their job.

One floor per person? Xiao Wu suggested.

Zhang Lin nodded: Deal!

Xiao Wu sutures the deep fascia, and Zhang Lin sutures the skin. They are both future Director Lu and Director Zhang. They made trouble for the skin sewing and lost their identity.

Whether it is the deep fascia or the skin, the sutures are very serious. After all, more than a dozen doctors stare at the close-up shots on the screen, and any irregular movements will be magnified.

Fortunately, Yang Ping usually has very strict requirements on their surgical basics, and Song Zimo often takes them to practice surgical operations in the department's laboratory.

Zhang Lin sews the skin, and Xiao Wu trims the thread. Each thread is only one centimeter. If you measure it with a ruler, there will not be much error. No skin is needed, and the sterile dressing is directly attached to it.

It's so smooth!

Auguste stretched a little, as an international expert in spine surgery, he couldn't escape the degeneration of the intervertebral disc.

Fortunately, not long after the operation, he moved the psoas muscle, and the slight pain was immediately dissipated.

Dr. Yang's other spinal surgeries should be the same?

Milton had a magical idea in his mind. He wanted to leave Yang Ping's contact information and ask Yang Ping to go to the UK for surgery, so that he could learn.

He pretended not to think about anything and just said lightly, The surgery is over!

He didn't want to inadvertently remind the German, otherwise he would also go to Dr. Yang for contact information.

In the Internet age, the UK uses Whatsapp, and I don't know what similar software the Chinese use. Milton secretly took out his mobile phone and started Google search, wechat! Download it decisively, then register and study how to use it.

August's eyes were withdrawn from the screen, and Milton immediately put away his mobile phone like a thief. August's reaction to the British was a little puzzled.

Just play with your phone, are you so nervous?

Schedule surgery for the next week! Milton found a reason to cover up.

August looked at him holding the phone with an unnatural expression, and said suspiciously, You don't look normal, as if you were chatting with your lover?

So what, doubt my combat effectiveness? Milton pushed the boat along the way.

August shook his head: No, how can you doubt your combat effectiveness? Viagra can be bought anywhere.

After watching the whole operation, Xiao Lin Du was convinced, especially in a small space, when performing microsurgical operations, some operating angles were impossible for ordinary people, but the instruments were placed on Yang Ping's fingers, and the angle could be changed at will.

What Yang Ping said during the consultation was not a brag. Other doctors really couldn't complete this operation smoothly. Even if it could be done, it wouldn't be so fast or perfect, and there would definitely be many difficulties along the way.

Director Zhu was also in the viewing area. After watching the operation, he was a little excited. This time Yang Ping helped him a lot. Anning Insurance stood out among many high-end insurance companies, showing a strong medical resource organization ability.

The operation was also over. Boss Cheng thought that the bathroom in the conference room would be convenient. Milton took the opportunity to follow him and followed him all the way to the bathroom. Boss Cheng stood still and was about to open the zipper when he saw Milton standing beside him, his hand in his hand. Picking up a mobile phone, I felt a jolt in my heart and stopped immediately.

Milton blushed and said, Hello, Mr. Chef!

Hello, what's the matter?

Boss Cheng asked carefully, just urinating, who are you standing next to, holding a mobile phone, and scaring someone.

Milton thought for a while: Mr. Chef, can we add a WeChat?

This Englishman actually wants to add WeChat? Will he add WeChat?

Milton is also an internationally renowned expert. Old Cheng opened a hospital, so getting to know someone more is not a bad thing.

Can I scan your code? Boss Cheng took out his mobile phone.

Milton looked ashamed: I'm not very skilled, can you teach me? How to add other people's WeChat or let others add my WeChat?

Boss Cheng simply pointed out Milton, the social tools, and the principles were similar. Milton understood it. After adding Boss Cheng's WeChat, he didn't even go to the bathroom, and returned to his seat happily.

You didn't wash your hands? August frowned.

It's dry, said Milton lightly.

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