The Godfather of Surgery

The melodious and melodious guzheng music of mountains and rivers in the operating room makes people feel happy.

August took Marcus to sew the skin carefully. The three-dimensional reconstruction image of the spine remained on the navigation screen. The spiral spine had been corrected along the anti-spiral direction, and several osteotomized parts of the spine were firmly fixed by internal fixation equipment. , the pedicle screw system on the rear side and the locking plate on the front side, the fixation is very stable, in anticipation of future bone fusion.

The thoracic image formed by the titanium alloy artificial rib prosthesis is very conspicuous. The first to seventh rib prosthesis are connected with the remaining ribs at the end of the sternum and the end of the spine. , they will form a biological fixation with the ribs.

The eighth to twelve ribs, including the tenth and twelfth floating ribs, are still connected to the remaining ribs at the back, and connected to each other at the front, finally forming a whole.

The cancellous bone on each osteotomy surface will still bleed after operation. After the operation, the red blood cell count, hematocrit and hemoglobin will be monitored dynamically, and blood transfusion will be supported if necessary.

Yang Ping told Auguste the precautions after surgery, and there was nothing special about it.

We have prepared 12 units of red blood cells, enough to cope. Auguste sewed up the long incision on the young duke's lower back, but only a few small incisions on the front side of the chest and abdomen, even for implanting the anterior plate The incision is no more than 3 cm.

The anesthesiologist sat on the stool next to the patient's head with a dazed expression. Is this the end of the operation?

He was ready to use his whole life experience to deal with this operation, and he had already prepared for the worst, but he hadn't started using all his strength, yet the operation had already been completed.

The anesthesiologist has seen a lot of scoliosis operations, and seeing the images on the screen, not only the operation has been completed, but also very beautiful.

It's just that the operation time is only more than two hours.

It's too fast, it's not like performing an operation that has been prepared for more than 20 years.

The two equipment nurses can still understand the difficulty of this operation, because they have released their mental and physical strength to the limit, and they still feel a little unable to keep up with the rhythm. They are really tired!

The spiral spine was corrected, and the little duke's body was also straightened. The twisted state disappeared, and the lower back showed a normal curvature, while the front chest was still close to the original, which was in great contrast with the normal lower back.

But that's okay, the ribcage will slowly open up over time.

The method is to blow up balloons for the little duke, which can not only exercise the function of the lungs and tap out the potential of the lung tissue that has not fully functioned before, but also use the power of the ventilator to slightly expand the artificial thorax, and slowly expand it to normal.

genius!

A hot-tempered Lloyd spits out the word in German.

This is not an emergency operation. It is clearly a very mature operation plan that was prepared for many years and solved one problem after another.

Every detail should have been studied countless times, and it is impossible to come up with it in a temporary state of emergency.

Could it be that August had worshiped under this Chinese professor more than ten years ago, and secretly studied the condition of the little duke with the Chinese professor? This is the only reasonable explanation.

But if this is the case, how can Chinese professors be so young.

The dose of anesthesia may be a bit high, and the little duke has not woken up yet. Judging from the somatosensory evoked potential monitor, there were no abnormal electric waves during the whole operation. However, Yang Ping felt that the postoperative examination of limb sensation and muscle strength is the most reliable. .

Yang Ping waited for the little duke to wake up from anesthesia, which put a lot of pressure on the anesthetist.

The mountain that had troubled the little duke for more than 20 years was moved away today. The door of the operating room was opened, and the old duke came over with a cane. August stood at the door and did not speak. He just opened his arms and hugged his friend: The operation is very difficult. All right, he's fine now.

Oh! Thank God! Thank you Professor Yang and you! The old prince was so excited that he burst into tears.

The negative emotions accumulated in his heart for more than 20 years were emptied at once. For more than 20 years, he tried to use financial resources to change all this, but it was in vain.

Thank you! The old duke couldn't let go for a long time.

If August hadn't recommended this Chinese doctor, his son would not have been saved at all.

What about the Chinese professor, I want to thank him personally!

He's still in the operating room, don't hug him when he comes out, he hates men hugging him, you shake hands with him, the handshake should be strong and a little longer.

I know, with Chinese etiquette.

right!

The little duke woke up from anesthesia, and when he was able to cooperate with the inspection, Yang Ping checked the sensation and muscle strength of his limbs himself, and everything was normal.

Send it back to the ward!

Yang Ping took off his gloves and threw them into the trash can.

There are still images of the spine and thorax on the screen of the navigation device. If a person is imaginative and can put his imagination into practice, then this person has unlimited creativity.

The mentor in front of him is this kind of person. In August’s heart, the mentor is still so young, and his achievements will definitely surpass that of Maninstein.

Therefore, Yang Ping already exists like a belief in August's heart.

After the operation, a brace was customized for him to protect him for about three months.

The engineers in the orthopedic hospital's orthopedic hospital in Harlaching will measure the size within 24 hours after the operation and make a satisfactory brace to protect the little duke's spine.

Because of this severely deformed spine, the osteotomy in some parts is the truncation of the entire vertebrae, so the stability is not good. Although there is joint anterior and posterior fixation, considering that the little Duke has been in a wheelchair for a long time and the bone quality is not good, there are some loose screws. Possibly, brace protection is more secure.

After the osteotomy is fused and the entire spine is self-stabilizing, the brace can be removed.

——

An operation is like a magic show.

More than a dozen German orthopedic experts watched a Chinese professor successfully complete an impossible operation.

The difficulties and dangers that everyone worried about before the operation did not exist.

Just like the magician's limbs are bound and sinking to the bottom of the water, the audience holds their breath for fear that the magician will not be able to escape and drown in the water.

But the magician will still escape successfully. It is the audience who are frightened, and the magician is not in a hurry.

If the operation is completed after many setbacks and difficulties, everyone can accept it, and now the operation is completed without any disturbance.

With an empty heart, everyone has worked hard for more than ten years, discussed for more than ten years, and waited for more than ten years. Now it only takes more than two hours, and the problem has been solved.

There is definitely no problem with the orthopedics, which has exceeded the expected standard and can be called perfect. What I worry about now is the feeling and muscle strength of the limbs, and whether there is spinal cord injury.

Whether it is Professor William, Professor Lloyd, Professor Rimbaud, or other professors.

Their hearts were empty. Over the past ten years, they had often gathered together to discuss the little duke's condition. When they got together today, they thought they would experience a world-shattering surgery.

But nothing happened, just like their own daily surgery, plain and simple.

Shall we go back to the ward?

Professor Lloyd reminded everyone that their minds were still buzzing. To be honest, because they were lying on their sides, the angle of the camera on the operation area was not very good, and everyone did not see clearly how the operation was completed.

Moreover, when thoracoscopic and laparoscopic osteotomy are performed, the anatomy under the microscope is different from what you usually know. The lens is a vast expanse, completely covered by various tissues.

When performing minimally invasive surgery under the microscope, if the lens sees all red due to bleeding, it is called red blindness.

This kind of no room for manipulation, surrounded by unknown organizations, is sometimes called white blindness.

In short, several big guys didn't understand the whole process, they only saw the electric knife and ultrasonic bone knife operating inside, but they didn't know what the goal was or what they were doing.

If you let all the big guys here do it, even if the laparoscopic technology is very skilled, it will be difficult to complete the operation just now.

When Professor Yang switched back and forth between the front and back of the patient to correct the spine after osteotomy, everyone did not understand it. This kind of correction is very challenging for the surgeon, especially the spatial imagination. There are so many screws that cannot be followed in order. Tighten all the screws, but gradually tighten the screws. Tighten one a little bit, and then tighten the other. The order is very particular. It’s not a random thing. In this way, when the orthopedic is successful, all the screws are tightened at the same time. .

The technical details involved in this surgery are just like Microsoft's Windows system, which looks simple on the surface, just graphics operations. For this simplicity, behind it is a combination of tens of millions of programming languages.

The limbs felt normal after the operation, and the patient has been sent back to the ward!

Professor William reported the latest news.

That means the operation has been successful, regardless of whether there will be spinal cord and nerve damage in the second stage, at least it is successful for now.

To do what it is now, no one present can do it.

In the correction of the spiral spine, several osteotomies are completely cut, and then the spine is rotated and aligned along the longitudinal axis to correct the rotational deformity on the longitudinal axis. This is the most dangerous operation, and it is also a step that baffles all doctors.

Usually scoliosis correction, whether it is the left and right bending of idiopathic scoliosis, or the front and back folding of ankylosing spondylitis, the correction mainly occurs in a single plane, even if there is an operation in three-dimensional space, it is a very slight operation.

Only this kind of complete truncation and rotation inversion is the most terrifying.

Just like the amount of exercise you usually do by taking a few laps in the community, it is completely incomparable with a real marathon.

Over two hours, in just over two hours, he solved a problem that we hadn't solved for more than ten years. Lloyd smiled bitterly.

Professor William didn't speak.

Professor Rimbaud had a bad face, and he blamed Lloyd in his heart. We don't need to keep repeating things that everyone knows.

August should have known this Chinese professor a long time ago. They may have cooperated secretly for many years for some reason. Professor William speculated.

When he was at Charité Hospital, August completed his specialist training under William, and now he considers him as a mentor, and William always feels a little uncomfortable.

However, the Germans don't pay much attention to these human affairs, and they don't take them too seriously. This feeling of acetic acid is fleeting.

I checked, and the Chinese professor's papers are concentrated in the last year, which means that his age is not as old as we thought. Lloyd always wanted to find out the age of the other party.

Just as the Chinese are inaccurate in judging the age of foreigners from their appearance, foreigners are inaccurate in judging the age of Chinese people.

Anyway, he must be in his forties.

It is already very good to have such achievements in his forties.

Professor Lloyd guessed.

Where's Maninstein, have you got in touch?

asked Professor William.

Maninstein has a good relationship with Lloyd, and they usually keep in touch.

No, I heard that he was on vacation in Iceland. If he comes back and hears that the little duke has had a successful operation, how would he react?

I don't know, he's a wild and unconstrained character who always surprises others. Let's count it as a surprise for him this time.

From the in-depth study of the disease, the formulation of the surgical plan, and the design of the equipment, everything is very mature. I am sure that for the little duke, there must be a team behind him who has been studying for a long time. No one will be indifferent to a billion euros. Like you and me.

The old duke's operation on his son was released by the duke's fund with one billion euros, which was regarded as a reward.

Not to mention anything else, just look at this artificial thorax, which is designed to be movable and will not expand during normal breathing. It needs to be expanded by blowing a balloon. It can expand by a millimeter at most every day, and the expansion is irreversible. Controlling the speed of expansion, avoiding loss of control, and stabilizing the expanded space, this kind of design cannot be achieved in a short time. Lloyd has carefully analyzed the entire details of Yang Ping's operation plan.

Moreover, his spinal external fixator is really an innovation that leads the direction of technology. If it is not for emergency treatment, Gothenburg uses external fixator technology and does not need fusion at all. Why is this person not well-known before, only a few top magazines have published It's just an article.

Lloyd felt that such a character should be very well-known in the industry, how could he not know.

It seems that August has more connections than them, and he deserves his name to be the chairman of the Spine Surgery Association.

Shall we go back to the ward? Lloyd suggested.

Because everyone sitting here has no intention of leaving.

Okay, let's go back to the ward to see Fort Gordon.

The most powerful orthopedic department in Germany, more than a dozen bosses saw someone get up, stood up one after another, and moved to the VIP ward. Gothenburg was already lying on the bed in the emergency ward. ECMO was running stably, replacing his heart and lungs to maintain Gothenburg's systemic circulation. And pulmonary circulation, transport blood to the whole body, nourish every cell.

Just less than three hours apart, Goldberg successfully completed the operation.

The old prince was standing by the bed, leaning on a cane. In fact, he was in fairly good health and didn't need a cane at all. It was probably some kind of prop for this kind of person.

The head of the largest consortium in Europe was still in disbelief at this moment, thinking that he was dreaming.

The experience during this period was too tortuous. First, August told him the good news that there was a Chinese doctor who could treat Gothenburg’s disease. But after August went to China, everyone waited happily until the Chinese doctor came to Germany The new technology treats Gothenburg, but Gothenburg has an accident and his heart collapses directly, so the new technology is useless, and the hope is shattered again.

Unexpectedly, Chinese doctors can still complete the operation with the traditional surgical operation.

This kind of sorrow and joy alternates, and the ravages of the spirit are extremely barbaric.

The old Duke is now haggard and in a daze, and he is a little afraid to accept the facts before him.

He's fine, and if all goes well, in three months, he'll be able to take off the brace, stand up and walk like a normal person, and his deflated chest will expand by then, and he'll have a real man's chest.

Looking at his friend's dazed eyes, August felt that he must be overjoyed, and his excitement hadn't landed yet.

August, we have something to confirm with you. Professor William personally came to invite August.

In August's current state, only Professor William can call him around.

August followed Professor William to the spinal surgery conference room. A dozen big men were sitting upright, and August was shocked. What does this mean?

The door was closed.

Please sit down! Professor William was very polite.

August sat down carefully: Everyone?

We have a very private question to ask you? Regarding Professor Yang, you must answer it honestly. Professor William was very serious.

?

August didn't know what happened, the atmosphere was so serious.

For a long time, Professor William asked in the eyes of everyone's encouragement:

How old is your mentor?

With such a situation, I thought that this group of people was going to destroy themselves on behalf of Germany. August said with a sigh of relief:

Twenty-eight!

Twenty-eight?

Everyone in the audience instantly petrified.

I thought it was at least forty years old? Professor Lloyd said hoarsely.

Forty years old?

My mentor is young and handsome, with a jade tree facing the wind, no matter how you look at it, he will not be forty years old, what kind of eyes do you have.

If August hadn't been well-bred, he would have scolded people directly.