The Godfather of Surgery

Takahashi's speech received a round of warm applause, and those wonderful drawings were constantly praised.

Dr. Takahashi, after the reconstruction of the anus, the nerve reflex controlled by the muscles is opposite to that of the natural anal sphincter. The anal sphincter is usually contracted and closed, and it is only opened during defecation. The pectoralis minor muscle you used is usually in a relaxed state. , it will only shrink when you exert force. A graduate student asked.

Those who can ask questions are those who usually study hard, otherwise the head is full of mud at this time, and there will be no questions.

You lack basic knowledge of repair and reconstruction surgery— Takahashi immediately realized that his tone was wrong, and turned to look at Yang Ping, Yang Ping's face was not different.

He confirmed that Yang Ping hadn't noticed the tone of his off-line just now, paused, and continued, but his tone had been suppressed: The use of biofeedback stimulation after surgery to rebuild the coordination of the transplanted muscle contraction, that is, we train the muscles. , keeping it systolic and closed at ordinary times, and diastolic when needed.

The discharge of stool is not only the opening of the anus, but also the rhythmic contraction and peristalsis of the rectum, which pushes the stool to descend until it is discharged. The patient's rectum and sigmoid colon are both defective. How to solve this problem? Dr. You asked a more acute question.

In academic disputes, the six relatives do not recognize each other, and whoever is right is the boss. These guys are usually immersed in technical research, and they do not have the sophistication of social people.

This problem does not exist, the whole intestine has peristaltic propulsion ability, and the descending colon is no exception. Although the descending colon does not have a strong thrust of the lower rectum, in view of the principle of adapting human anatomy and function, with the increase in the number of reconstructed anus , the thrust of the descending colon will gradually increase to suit its job.

You just mentioned that the sphincter is drawn from the pectoralis minor muscle, but you didn't mention where the material for the urethral reconstruction came from? I would like to know what material are you going to use for the reconstruction of the urethra? Is it the anterior or posterior wall of the bladder? asked the chief physician.

He has also done urethral reconstruction. Naturally, he is concerned about this aspect. Yu Shuilian is missing almost the entire urethra. For such a long distance, what material is the best to use. If the bladder wall mucosa is used for reconstruction, I am afraid it will not be enough.

The colonic mucosa can be used to reconstruct the urethra, so the material is sufficient, and there is no limit to the length of the urethra. This method comes from the Sixth Hospital of Magic City, and I have improved it.

Urethral reconstruction is the field of urology, but Takahashi is a composite trauma surgeon, and his level in this field is no lower than any urology specialist who is good at urethral reconstruction in the world.

There are many questions, including graduate students who have just debuted, and doctors with high professional titles in their majors. Takahashi, relying on his extensive and profound knowledge, handles every problem perfectly.

Usually at international academic conferences, Takahashi is known for being aggressive. At a trauma surgery conference in North America, he singled out a few Americans, and he was speechless.

Today, I was so excited that I almost went off the line. Fortunately, I stopped in time to avoid serious consequences.

Of course, this serious consequence is also the serious consequence that Takahashi himself thought.

The tension and self-confidence are intertwined. Because Yang Ping is sitting under the podium, he is nervous. The student mentality makes him always take care of Yang Ping's expression, for fear that he will not perform well.

Self-confidence is in front of the audience. He is used to talking loudly, flying with confidence, and it is inevitable that he will be off the line when he is excited.

When it was Song Zimo's turn, the surgical atlas he showed was even more beautiful than Takahashi's. He might have been influenced by Professor Zhang and Yang Ping's guidance. The effect is definitely better.

Takahashi's surgical design has been very perfect, and many things overlapped. He just went through the same places briefly, focusing on adding what Takahashi didn't talk about.

The patient's ovaries, fallopian tubes and uterus have been preserved. We can't focus on the reconstruction of the urethra and anus. We should consider the reconstruction of YingDao to solve the problem of cyclical endometrial disintegration and the discharge accompanied by bleeding in female patients.

The patient has already given birth. In this special case, uterine preservation is meaningless. Why can't the hysterectomy be removed? This way, there is no need to reconstruct the YD, which reduces the trouble. A newly recruited doctor of trauma orthopedics proposed a simpler method.

Can be excised, why rebuild? The questioner's logic is clear.

Hysterectomy not only leads to inability to conceive normally, but also may cause ovarian function decline, estrogen secretion disorder, abnormal blood lipid metabolism, etc. Endocrine abnormalities may affect mental and psychological aspects, and depression cannot be ruled out.

We take a step in trouble, and the patient's life is convenient.

Song Zimo's thinking is just the opposite, it can be reconstructed, why is it excised.

It can be ninety, why am I only staring at sixty.

Discussions among academic bullies naturally marginalize ordinary students. This is an unchangeable reality.

The discussion made Song Zimo and Takahashi the protagonists, and even Xu Zhiliang of the trio was under great pressure.

If you think of clinical experience as poker power and personal IQ as poker skill, this discussion is like playing poker.

When the power of the cards is evenly matched, the technology can only be used. The power of the cards is seriously tilted, and no technology can affect the ending.

Gaoqiao's hand is the best, Song Zimo's card skills are the best, and Xu Zhiliang does not have the advantage.

But he was not discouraged because of this, instead he was high-spirited, happy that he was able to enter such a team, and thanked Yang Ping for not disliking his congenital defects and giving him a precious opportunity.

Gao Yuan, the director of the Sports Medicine Center, is really busy. He has just finished dealing with the task at hand and rushed over to the meeting of comprehensive orthopaedics, case discussions, preoperative discussions, and small lectures. As long as he is free, he will definitely attend.

When Director Gao arrived, the conference room was already full. There was a rounded rectangular conference table in the middle, surrounding the conference room, keeping a distance of one meter. There were three floors inside and three floors outside, and even the door was full of people.

How does this get in? Director Gao, regardless of his identity, had to squeeze in. He turned his body to the side, exerted brute force, and squeezed in. An intern was staring at the electronic screen, and his ears were standing upright. At this time, he Damn, a person is always crowding around.

In a moment of anger, the intern didn't even look at it. He slammed and shook violently in the direction of the squeezing force, causing Director Gao to stagger backwards and almost fell.

Squeeze your head, it's full early, don't come early. The intern scolded in a low voice, but his eyes were still fixed on the screen.

Director Gao reluctantly stood still and wiped his sweat. Everyone listened intently to the speech inside, and no one paid any attention to him.

Lao Gao didn't care about the intern either. There were two doors in the conference room, one side couldn't get in, and the other side was the same.

There was no way, Lao Gao asked the nurse to ask for a chair in the ward, put it at the door, found a piece of paper to cushion it, and stood on the chair, only to see it inside.

Fortunately, everyone is more disciplined. Except for the speaker, no one else spoke, not even a few words in a low voice. It was clear that Song Zimo was speaking.

Yang Ping should not have spoken yet. He should have spoken last. Director Gao was glad that he was not too late.

When Gaoqiao heard Song Zimo's proposal for the reconstruction of YD, he felt ashamed, and he did not think so thoroughly.

Song Zimo was indeed worthy of being Dr. Yang's assistant, and his consideration for this patient's surgery was even deeper than his own.

Xu Zhiliang's surgical plan could no longer surpass Takahashi's. After he took the stage, Zhang Lin trembled subconsciously.

Seeing Xu Zhiliang speak, Zhang Lin was anxious, but Lao Xu really didn't stutter when discussing the case: The surgical plan has been perfected, and I only have one immature suggestion. After the patient loses his lower body, he loses his sexual characteristics. The shape of WaiYin can be reconstructed from the patient's psychological consideration, which is more acceptable than the obtrusive pore appearance, and the natural WY structure of women can protect the urethral opening and reduce the possibility of urinary tract infection.

Xu Zhiliang's suggestion was not necessary, and even most doctors would not consider this issue at all, but Xu Zhiliang considered it and bravely proposed it.

There was another discussion. There were people around him asking questions, and some people from the Department of Orthopedics were arguing with each other. Finally, it was Yang Ping's turn to speak.

Everyone is looking forward to the stars and the moon. The climax of the meeting is now, especially Lao Gao, whose legs are numb, just for this moment.

Yang Ping stood on the podium, and dozens of mobile phones were secretly aimed at him.

Go through more than a dozen pictures first, what kind of meeting is there, just look at these pictures. If you don’t know, you may think that the photos of the human body are taken by black and white cameras, and the key photos will not be so three-dimensional.

These pictures also borrowed the sub-lens expression method of the comics to clearly show the steps of the operation, and the key steps also have a close-up magnifying lens.

He briefly summed up everyone's plan, and then added his own opinion: Reconstruction of defecation function, in addition to rebuilding the sphincter, also needs to carry out bladder mucosal transplantation to move part of the bladder mucosa to the inner surface of the descending colon. There are baroreceptors in the bladder mucosa. These baroreceptors recreate bowel movements and establish true voluntary defecation.

In order to transplant the bladder mucosa, it is necessary to connect the nerves. The dissection of innominate small nerves is difficult to do, otherwise many surgeons will do it.

Mucosal grafts, if the connecting nerves are not considered, the baroreceptors cannot transmit signals to the centers of the brain and spinal cord, as if they do not exist.

Restoring bowel movements is entirely feasible if one can find anonymous neural connections and then train with biofeedback.

However, to find the innominate nerve of the bladder mucosa, it is necessary to have the length that can connect the pudendal nerve and its branches, which is something that surgery cannot do at all.

Takahashi has done research in this area, but ended in failure.

Many top urologists and reconstructive surgeons in the world have also tried, but they all failed.

This is destined to be an unattainable operation that can only exist in theory.