godfather of surgery

Chapter 1027 Popcorn

Elsa's heart has been completely freed and is now held in Yang Ping's hand. Yang Ping is ready to cut open the heart and correct the internal structure of the heart, that is, to repair the internal structure of the engine.

At this time, Mannstein took the opportunity to give a close-up of the scene. Brian was so scared that sweat broke out on his forehead. He had never seen such a scene before. He was holding a living person's heart in his palm, and this heart belonged to his precious granddaughter.

"How is it? Can you see clearly?" Mannstein asked from the side.

Brian, who was still in shock, felt that there must be an old grudge between him and Maninstein, otherwise why would this family seem to provoke him from time to time.

"Why isn't your heart beating?" Brian wiped the sweat from his forehead.

Mannstein said slowly, "This is a heart that has been separated from the body. It has been injected with a cardiac arrest fluid before it was separated from the body. Professor Yang artificially stopped the heart, and then Aisha's body relied on extracorporeal circulation to supply blood. Soon, Professor Yang will open the heart and operate inside to correct the internal deformity and return it to normal."

Holding the heart in his hand, Brian, who is not a doctor, found it scary.

"Everything is under control?" Brian asked fearfully.

Mannstein said uncertainly: "It's hard to say, whether it can be controlled or not, the operation must be done."

Brian turned his head and looked at Mannstein, who was concentrating on the operation on the screen.

The following work is all very delicate technical work, such as the repair of ventricular septal defect and atrial septal defect inside the heart, the correction of various outlet malformations, and the correction of large blood vessel malformations. Brian certainly couldn't understand it without the experience of a surgeon, but he knew the danger and difficulty of this step, so he kept an eye on the whole process and didn't dare to relax.

Brian may have never been so nervous in his life. His nerves were stretched so tight that they seemed to break at any time, and his heart was beating wildly in his chest, hitting his ribs violently.

Maninstein noticed from the corner of his eyes that Brian was fidgeting. He knew that he couldn't go on like this or Brian would die here. His fingers controlled the remote control, restoring the picture from a close-up to a normal picture. The normal picture did not have as strong a visual impact as the close-up.

The young doctors who were watching the operation from behind saw the doctor in front holding the remote control and adjusting the screen from time to time, but they couldn't say anything. After all, the doctor was a Nobel Prize winner and a good friend of Professor Yang. If it was someone else, they would attack him and curse him if he messed up the screen while watching the operation.

Zhang Lin usually likes to argue with people. Whenever there are foreigners coming to study, he will argue with them. But now, Zhang Lin doesn't dare to argue with Mannstein. He really doesn't dare to argue with him because Mannstein's level of arguing is higher than his. Mannstein often argues with academic giants in Europe and the United States, and those who have been argued with by him never have the courage to talk back. Old Mannstein is just that argumentative. Zhang Lin can be said to have met a world-class master of arguing.

Even Teacher Zhang didn't dare to say a word, so naturally the others didn't dare to say a word, allowing this big guy to control the scene.

Now the screen has returned to its default size and the surgical field of view is fully displayed on the screen. Everyone breathed a sigh of relief. They can finally watch the operation normally without having to keep looking at the close-up of the heart taking up the entire screen.

The demonstration room is outside the operating room and is a non-sterile area, so there is no need to implement the sterile system and the management is relatively loose. Doctors often cannot eat at normal times due to surgery, so it is completely fine to drink or eat something while observing the operation. As long as the demonstration room is not too dirty, the head nurse has no time to manage it.

Zhang Lin and Xiao Wu served each of the two masters a glass of juice, and then served some biscuits and pastries on a plate, so that the two masters could watch the operation to their heart's content. Of course, the two teachers had their own plans. Their own book "Surgical Retractors" was being prepared for publication, and if they invited Mannstein to help write a preface, the book would also be considered international.

"Teacher Zhang, thank you, you are so enthusiastic." Mannstein had a good impression of Zhang Lin.

Zhang Lin and Xiao Wu sat down next to him. Zhang Lin pointed at the image on the screen and said, "You're welcome. Look, the retractor used in this operation was designed by us."

Mannstein took a look and said, "Oh——"

I was just focusing on the surgical operation and didn't notice the auxiliary retractor next to it. I have never seen this retractor before and its appearance is very novel.

"This hook is great," Mannstein praised.

Zhang Lin was quite shameless: "This is a world-first, the best retractor for heart surgery in the world, and it beats all existing retractors in seconds. What we have now is not just a retractor, but a world-leading systematic surgical retractor technology."

Mainstein nodded continuously, his eyes still fixed on the high-definition screen. He was not very interested in the pinky promise for the time being, but out of gratitude for the juice and pastries, he nodded in approval.

This heart surgery was indeed difficult to perform, as there were too many areas that needed to be explored and corrected. Yang Ping proceeded step by step without any rush, and Song Zimo, as his assistant, cooperated tacitly.

The operation of shifting the heart is equivalent to a heart transplant. Most of the work of heart transplantation is completed as long as the blood vessels are anastomosed. In addition to the relocation of the heart, this operation also requires fine correction of deformities in various parts. Therefore, each step of this operation is a difficult heart surgery when taken separately.

The goal of orthopedic surgery is function. Deformities in certain parts of the heart cause functional impairments. Orthopedics are used to achieve normal heart function. Therefore, not only must orthopedics be done properly, but all factors must be taken into consideration. One cannot neglect the other. After all surgical targets were fully revealed, Yang Ping carefully explored the sternum, diaphragm, abdominal wall muscles, and pericardial defects. These were very consistent with the preoperative evaluation. The defects were very serious. Without the use of digital human VR technology for preoperative evaluation, it would be difficult to achieve accurate preoperative evaluation for this type of surgery, relying solely on the evaluation of CT and MRI images. This also virtually increased the difficulty of the operation. In addition, the patient was already six years old and had missed the best age for surgery.

If this type of surgery is performed without sufficient preoperative evaluation, the patient may easily panic during the operation and can only take one step at a time. This makes the entire surgical process very passive, which may easily lead to accidents during the operation or serious complications after the operation.

All the surgical steps are like a precise clock, with gears affecting each other. If one step is not done well, it will definitely affect the effect of other steps. The whole operation has several major steps - right ventricular double outlet correction + left lower pulmonary artery reconstruction + atrial septal defect repair + ventricular septal defect repair + lower sternal cleft repair + diaphragm defect repair + umbilical hernia repair, etc. Each step must be fully in place.

After assessing the defect, Yang Ping began to assess the deformities of the heart itself, including the internal structure of the heart and the large blood vessels. The preoperative assessment had revealed that there were defects in both the ventricular septum and the atrial septum. Now it was necessary to open the heart directly, assess the deformities again from the inside, and then repair them one by one.

Yang Ping's surgery was performed so smoothly and without any disturbances, which made his assistants feel bored sometimes, but they knew that this kind of boredom was very precious.

No matter what kind of surgery, even if others may have a very difficult and dangerous result, Yang Ping performed it smoothly, as if it was not a difficult and risky surgery, but just a simple minor surgery. Therefore, it is easy for observers, especially new observers, to be misled and gain blind confidence in the process, thinking that this surgery is not that difficult and is too simple.

Song Zimo and Xu Zhiliang had both made this mistake in the early days, and unknowingly gained a kind of blind confidence. So after gaining experience, they were cautious about every operation performed by Yang Ping. They had their own conversion formula in their minds, and the evaluation of the difficulty of the operation obtained during the observation was multiplied by a correction coefficient, which was the actual difficulty of the operation.

Over in the demonstration room, as the operation proceeded step by step, Brian, who had been nervous at first, now felt much calmer. After observing for a while, even though he had no surgical experience, he could intuitively feel that this operation was very stable and reassuring.

The remote control in Maninstein's hand slowly lost its initial effect. No matter how they zoomed in or how they moved the camera closer, even if Brian was allowed to look at the cut heart and Yang Ping repairing the defective atrial septum and ventricular septum inside the heart, Brian no longer had the roller coaster-like feeling he had before.

If a person has a strong aura of confidence and stability, he can put the panicked people around him at ease. The surgery can also exude a kind of aura from the screen. This unique aura can put people watching the surgery at ease.

After correcting the intracardiac malformation, Yang Ping sutured the heart, returned the ectopic heart to the chest cavity, and then corrected the malformation of the large blood vessels and anastomosed them at the same time.

It is far from enough to correct the deformities of the heart and great blood vessels and put the heart back in place. The entire bony and soft tissue "armor" that protects the heart needs to be repaired. Otherwise, the heart may fall out again one day.

The sternum is part of the thorax, which is the bony armor that protects the heart and lungs. Now that there is a defect in the sternum, its repair requires the use of a titanium plate. This titanium plate is made using 3D modeling and printing technology. It is used to replace the defective sternum and form a solid protective plate in front of the heart to prevent the heart from herniating from the weak defect again.

This is different from the titanium plates for adults. Children are in the process of growth and development. Their bodies are growing taller and longer, and their chests, sternums, and hearts are constantly growing. Adults do not have this problem, so the titanium plates for adults do not need to be considered to be extended with age. However, the titanium plates for children need to consider this. As children grow taller and older, the titanium plates become relatively smaller and cannot play the original protective role. Therefore, the titanium plates must be designed to automatically extend with growth, so as to provide reliable protection during her growth and development.

The diaphragm and midline muscle defects were repaired using special biological patches, also to prevent the heart from herniating through these weak spots.

Among the crowd watching the operation, a female intern got a bucket of popcorn from somewhere and ate it while watching the operation, just like watching a movie. In fact, at Sanbo Hospital, watching Yang Ping's live operation is more exciting and popular than watching a blockbuster movie. Doctors who can understand it come to learn knowledge, and doctors who can't understand it come to join in the fun and feel the atmosphere. After leaving the gate of Sanbo Hospital, you can still say that I often watched Professor Yang Ping's live operation. Some people can even say that I am half a student of Professor Yang Ping because I often watched his operations. So sometimes whether you can understand it or not is one thing, but more importantly, you must come to watch it.

If Director Zhao from the Medical Department hadn't prohibited it, Zhang Lin and Xiao Wu could probably save enough to buy a house by buying tickets.

Brian had never experienced such a scene before, watching an operation and eating popcorn. How could he enjoy such a lively and energetic scene in quiet Sweden? Brian pulled Einstein's clothes and pointed at the girl who was enjoying popcorn, meaning that he wanted to do the same.

Maninstein waved his hand, and Zhang Lin immediately came over. Maninstein said, "Can you help me get that thing over here?"

What the hell?
Zhang Lin looked up and saw that it was popcorn. This was easy. Zhang Lin called the girl's boyfriend and said, "Can you help me get some popcorn for Mr. Brian to experience Chinese life?"

Brian was almost drooling at the girl's popcorn. China is really an amazing country. Top experts set up offices on the first floor of the hospital. Everyone can buy tickets to see a doctor, and the tickets are very cheap. There is no need for long appointments, let alone high fees. One expert can see more than a hundred patients a day.

If this kind of world-class surgery were to be performed in Europe or the United States, it would never be so casual. Every aspect would be made very formal and tense. How could these interns be allowed to gather here and watch casually, with some holding popcorn, as if they were watching a movie? This is trampling on the dignity of this difficult surgery.

The girl turned her head and saw Mr. Brian looking at her greedily. She looked at the popcorn in her hand again. This scene was so familiar. When she was a child, sometimes when she was eating snacks, the children next to her who didn’t bring snacks would stare at her like this.

You can't let a Nobel Prize winner be like this, the old man is quite pitiful, it's just a bucket of popcorn, are the living conditions in foreign countries so monotonous that even a bucket of popcorn is a rare thing? Chinese people are still quite kind. The girl stood up timidly and handed over the popcorn.

Brian was immediately overjoyed and took the popcorn: "Thank you, thank you, how much do I need to pay?"

"No, I'll give it to you." The girl said in surprise. She thought Mr. Brian would postpone it.

Brian thanked the girl and reached for some popcorn. Mannstein also took advantage of the situation and grabbed a handful, then leaned back in his chair and continued to watch the operation.

It was so relaxing and comfortable. This was the correct posture for watching an operation. Brian was very engaged.