The Godfather of Surgery

There is also a team at Nandu University of Technology that is studying brain-computer interface technology. I don't know how it's progressing? Their members in charge of EEG signal research often ask me questions and invite me to participate. burst out again.

Xu Zhiliang, you find them. If possible, we can cooperate. We will discuss this matter independently after the meeting.

Yang Ping already has a clear plan in mind. He wants to use the research of brain-computer interface to develop artificial transmission of neural signals, and finally overcome the recovery of spinal cord injury.

In the system space, he has almost infinite time to read. This kind of massive reading allows Yang Ping to master the breadth and depth of professional technology beyond the reach of ordinary people.

I can also help contact ATR. Takahashi is always looking to do something.

He always hopes to do something meaningful, like submitting a certificate, to build a stronger relationship with Yang Ping.

Well, Takahashi, do you have a detailed understanding of their progress and technical route?

Yang Ping appreciates Gaoqiao's transformation this time. This learning spirit corresponds to an old Chinese saying that there is no difficulty in the world, only those who are willing to do so.

After a free discussion, everyone's opinions are relatively consistent and clear. Yu Shuilian's postoperative treatment is divided into three stages. The first step is to try to avoid infection and organ failure, and to pass the dangerous period; the second step is to reconstruct the anus and Urethra, to restore defecation and urination function; 3. The third step is to restore the ability to walk upright with the help of prosthetics as much as possible. The task of each step is very arduous.

Yang Ping paused, summed up his speech just now: Everyone's opinions are relatively clear, our most urgent problem at present is to help patients successfully overcome the difficulties of infection and organ failure; then rebuild the anus and urethra, restore the physiological excretion ability; finally restore The patient's ability to walk upright; during the whole process, psychological counseling should be carried out to establish an optimistic and positive psychological state of the patient.

Song Zimo used a notebook to make meeting minutes, which were written into the disease course records, and a dedicated page for case discussions.

As for Dr. Yang, Dr. Yang has not expressed his opinion yet. Everyone expects Yang Ping to speak a few words, especially those students who are eagerly waiting for Yang Ping to speak.

Yang Ping knew that everyone was waiting, and after a little bit of teasing, he said: The patient's bladder is still there, the sphincter function and urination reflex are preserved, and urination can be controlled, and urinary incontinence will not occur in the future; however, the anus, rectum, and sigmoid colon are all After the anus has been removed and the anus has been reconstructed, the biggest problem is before us, how to reconstruct the original anal sphincter function and defecation reflex to avoid fecal incontinence, and if the patient is in a state of fecal incontinence in the future, the quality of life will be greatly reduced.

Takahashi originally thought that the second-stage operation would stay at the level of plastic surgery at most, just to establish an excretory duct. Unexpectedly, Yang Ping would also rebuild the function of the anal sphincter and defecation reflex in pursuit of simulating normal functions.

Yes, why didn't he think of this, Takahashi immediately took out his notebook to record, Dr. Yang was far superior to himself in terms of surgical technique and surgical thinking. After only a few days, he felt that he had gained a lot.

This is a brand new topic. The anal sphincter is the orbicularis muscle, and there are very few parts of the human body where the orbicularis muscle exists, such as the eyes, lips, and bladder neck. These parts are all orbicularis muscles, and it is impossible to use these as donors for reconstruction. Anal? Takahashi relaxed a lot and spoke freely like a young student.

How do you open and close your mouth? How do you open and close your eyes? How does your bladder control urination? It's impossible for any of them to replace the anal sphincter, right?

Zhang Lin felt that this was an immortal meeting, but he couldn't get in, and he was completely marginalized. If he had a chance, he would say a few words no matter what.

Is it possible to take part of it as a donor? After all, muscle fibers and muscle strength are plastic. Even if a part is removed, can it be restored to its original shape and muscle strength through training?

Xiao Wu finally followed, and was with a group of great people. He was most afraid of this kind of discussion, so he just chatted and chatted, from Nature to Science, his head was dizzy, and it was hard to catch Hold the tail a little bit, and people wave it gently, but the hair doesn't catch it.

Brothers and sisters looked at each other, and there was a resonance in an instant: Thank God, I caught the tail of the discussion.

Not only the replacement material for the sphincter is a problem, but also the reconstruction of the anal defecation reflex. In order to reconstruct the bladder reflex for patients with spinal cord injury, Professor Xiao Chuanguo from Wuhan Tongji Hospital created the Xiao's reflex arc, which has achieved certain success and we can learn from it. Song Zimo was silent for a while, then returned to the center of the discussion.

This is definitely a difficult problem. How to rebuild, we won't discuss it at this meeting. This is an assignment left to everyone. I hope that in two weeks, each person will come up with a specific surgical plan. If you have no opinion, today's Is this the end of the case discussion?

Everyone agrees that if the discussions continue, no concrete plan will be forthcoming even by tomorrow.

Takahashi is very interested in this assignment. This is a case discussion within the department. The assignment is actually such a profound problem.

This kind of surgery, even if there is a good material and a plan to follow, the operation itself is very difficult, and it requires a collection of knowledge from various disciplines such as orthopaedic surgery, reconstructive surgery, plastic surgery, microsurgery, neurosurgery, gastrointestinal surgery, and anorectal surgery. to perform such an operation.

Dr. Yang, can you tell us about Yu Shuilian's surgery, how your garbled surgery was done, and why was it arranged this way? Takahashi was afraid that Yang Ping would end the meeting.

Yang Ping told Gaoqiao that this surgical method has no learning value because it is too difficult for others to copy.

Takahashi also knew in his heart that he couldn't do it, but he didn't want to give up after all. Even if he couldn't learn it, he had to figure out the principle.

There are five big puzzles on the table, which are the teaching aids prepared by Xiao Wu. Yang Ping got up, tore the film of the five puzzles, pulled out all the pieces that had been assembled, poured them on the table, and then completely messed them up.

The five puzzles have different background colors, namely red, yellow, blue, green, and purple, but now they are all mixed together into a messy pile.

Everyone can see clearly, I will demonstrate the way of conventional surgery first.

Yang Ping didn't explain much. The movements in his hand were very fast. He sorted the pieces according to the background color first, picked out the same color and put them in a pile, and then put them in the order of red, yellow, blue, green, and purple. The puzzle pieces are put together, and each piece of the puzzle is put together in the order of left and right up and down.

As the pieces were pressed in one by one, soon, the five puzzle pieces were assembled in order, and everyone was amazed at his memory and puzzle ability.

Yang Ping has re-shuffled the puzzles, mixed them into a pile, and mixed up all kinds of colors in a mess.

Now, I will demonstrate another surgical method, which is what you call garbled surgery.

This time, Yang Ping didn't classify the small pieces, but took it from the pile of pieces, and put which piece he got, no matter which piece of the puzzle, no matter where it was, and put it in the original position.

Sometimes this piece of the puzzle is pasted, and sometimes that piece of the puzzle is pasted, sometimes the center of the puzzle, and sometimes the edge of the puzzle. There is no order or pattern. Take the piece that suits you.

Slowly, there are fewer and fewer pieces on the table, and the picture of the puzzle becomes more and more complete. When the last piece is pressed in, all the pieces of the puzzle are completed, and one piece is not bad.

The language explanation was too laborious. Yang Ping used a puzzle to demonstrate his garbled operation in an easy-to-understand manner.

It's just that everyone looks at magic, and they are not ready. The puzzle has been successfully assembled twice in two ways.

Song Zimo, Xu Zhiliang, and Gao Qiao all stood up and picked up a few puzzle pieces on the table to see that there was no mistake at all.

These puzzle pieces, even the film has just been torn apart, and Yang Ping has only touched it temporarily.

What a powerful brain, what a powerful overall planning ability, is this a human brain?

The second puzzle took a lot less time than the first puzzle. If someone else did it in the second way, they would definitely fall into chaos.

Takahashi understood, this is why Yang Ping told him not to learn, because others can't do it at all.

The puzzle pieces were scattered on the conference table, and Takahashi was fiddling with it all the time, still unfinished.

Yu Shuilian's surgery, each operation is a puzzle, and it is an emergency rescue operation, there is no time to familiarize yourself with the operation, so it is like a few new puzzle pieces in front of you. nothing.

In this case, no one will choose the second method, as long as normal people will choose the first method.

Can you? Xu Zhiliang asked Song Zimo.

Song Zimo shook his head: Yes, but the speed will be slower than the first method, and it takes a certain amount of thinking and searching time in the middle.

Me too, if it's a jigsaw puzzle, I don't dare to use the second method. Xu Zhiliang was convinced.

Takahashi fiddled with the jigsaw puzzles as if looking at magic props: Teacher Wu, did you buy a new one?

Xiao Wu kneaded the film on the table into a ball: The film is all torn off. Dr. Yang asked me to bring a few pieces of the puzzle. I don't know what to do, I thought it was for Sisi to play with.

Takahashi took a deep breath. At the academic meeting, Yang Ping who crushed him not only had the strongest hands, but also the strongest brain.

It is an honor to lose in his hands!