godfather of surgery

Chapter 300 Flat Surgery

Yang Ping uses his thumb, index finger and middle finger to control the microscopic instruments, and he is able to do a job with ease in a small space.

The instrument seemed to be attached to his fingers by some kind of force, no matter how he changed his position, he would never lose the control of his fingers.

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

The arteriovenous is successfully separated, and the fistula is large. If it is simply repaired, it will cause arterial stenosis, and stenosis will cause blood vessel blockage and cause spinal cord blood supply disorder.

The fistula can only be cut off, and then the blood vessels are anastomosed end-to-end. Such a difficult operation is extremely simple and easy in Yang Ping's hands.

Micro-scissors neatly cut off a small section of arteries and veins, the fistula is removed, the two ends of the blood vessels are slightly free, and the healthy ports can be combined without tension.

The micro-suture needle thread is firmly clamped on the needle holder. In a small space, it can be moved and flipped to get the needle in and out at any angle.

The tip of the tweezers lifted the adventitia of the blood vessel, and the needle was easily pierced in and out, and then a beautiful surgical knot was tied. The two instruments fit perfectly without interfering with each other due to crowding.

The assistant’s microscissors—the third instrument also came in, and the thread was cut accurately. In the narrow space, the three instruments did not collide or block each other.

After 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 threads at both ends and gently turn the blood vessel over, exposing the other side of the blood vessel. Finished sewing.

After the arterial anastomosis was completed, the veins were anastomosed accurately end-to-end in the same way. Several instruments, no matter the surgeon or the assistant, appeared at the best time, and the harmony between each other would not be disrupted by being late or leaving early.

The doctor team in the viewing area finally understood why Yang Ping rejected the application of August's assistant and insisted on transferring his own team from across the country after seeing such a superb operation.

This kind of operation requires an extremely narrow operating space, and there are still mutated arteries that must be protected around the operating space. The assistant's cooperation is a little poor. A little bit of blood vessel tearing may push the operation to a desperate situation.

"Do you know why you were rejected? If you go to be an assistant, you will definitely fight with the chief surgeon's instruments, either to damage the mutated artery to be protected, or to damage the arteriovenous fistula to be treated." Milton sneered at August.

August sneered: "Could it be that if you come to the stage as an assistant, the ending will be better than mine? Will the equipment live in harmony like now?"

Being poked at a soft spot, Milton was powerless to refute, and selectively ignored August's words, pretending to watch the operation seriously and not hear his words.

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

"I can't understand surgery? Am I staring at the screen and counting sheep?" Boss Cheng cursed.

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

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

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

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

It was the same as the Americans' flat-push tactics in the late World War II. Aircraft bombed, artillery covered, and then the mechanized army pushed flatly, destroying everything. The process was quite smooth without any twists and turns.

"A smart doctor can turn danger into a breeze, and the more brilliant state is-not to be in danger at all."

August believes that Yang Ping is a higher realm.

"The operation was smooth and didn't look exciting enough. This is exactly what I wanted. I'm glad I canceled my flight." Milton kept his breathing down. After watching the entire operation, some of the dangers he was worried about did not appear.

A few instruments went in and out, and Milton was afraid that an accidental 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 bleeding in the spinal canal. There were no collisions with the device.

"Doctor Zhou, please do a DSA to verify whether the fistula has been successfully treated." Yang Ping gently put the instrument back into the bend, and taking good care of the surgical instrument is the professional ethics of a surgeon.

Everyone moved away from the operating table and rested in the nearby area. Dr. Zhou and his assistants were already wearing surgical gowns and waiting. This time, they directly superselected the target blood vessels. It was not an investigation, but it was the second time. Naturally, they were much more proficient.

Soon, Dr. Zhou completed the DSA. After waiting for a few minutes, the contrast agent returned to the bridge and returned to the road. It did not sneak into the vein from the artery. The operation was very successful.

Physiological saline was used to flush the surgical area, small holes were drilled on the four sides of the lamina bone, and then it was fastened firmly like a road manhole cover. The sutures on the four sides were tightened and knotted. After three months, the window would heal as before, and it would not any remaining issues.

Layered hemostasis, layered suture, automatic retractor removal, automatic return of paraspinal muscles, and no need for drainage. This is extremely confident in your own hemostatic effect.

Yang Ping and Song Zimo turned around, and Zhang Linxiaowu switched places with them back to back. The stitching was their job.

"One floor per person, right?" Xiao Wu suggested.

Zhang Lin nodded: "Deal!"

Xiao Wu sutured the deep fascia, and Zhang Lin sutured the skin. They were both directors Lu and Zhang.

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

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

Zhang Lin sews the skin, Xiao Wu cuts the thread, leaving only one centimeter for each thread. If you use a ruler to measure, there will not be much error. The stitch distance is very standard. No skin is needed, and the sterile dressing is directly pasted.

Really smooth!

August stretched a little. As an international expert in spinal surgery, he couldn't escape the degeneration of the intervertebral disc.

Fortunately, not long after the operation, he stretched his psoas muscles, and the slight pain was immediately dispelled.

"Does Dr. Yang perform other spinal surgeries in the same way?"

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

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

He didn't want to remind this German dude accidentally, otherwise he would also ask Dr. Yang for his contact information.

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

August looked away from the screen, and Milton immediately put away the phone like a thief. August's reaction to the British was a bit puzzling.

Just playing with your phone, are you so nervous?
"Schedule the operation next week!" Milton found an excuse to hide it.

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

"So what, do you doubt my combat effectiveness?" Milton pushed the boat along.

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

After watching the whole operation, Xiao Lindu was convinced, especially in a small space, some operation angles are impossible for ordinary people to perform microsurgical operations, but the instruments are on Yang Ping's fingers, and the angle can be changed at will.

What Yang Ping said during the consultation was not a boastful boast. Other doctors really couldn't complete this operation smoothly.

Director Zhu was also in the viewing area. He was a little excited after the operation. This time, Yang Ping helped him a lot. Anning Insurance stood out among many high-end insurance companies, showing a strong ability to organize medical resources.

The operation was over, and Boss Cheng thought about the convenience of the bathroom in the meeting room. Milton took the opportunity to follow and followed all the way to the bathroom. Picking up a cell phone, my heart skipped a beat, and I stopped immediately.

Milton blushed and said, "Mr. Chef, hello!"

"Hello, what's the matter?"

Boss Cheng asked cautiously, "It's just peeing. You are standing by the side with your mobile phone. Who are you scaring?"

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

This British guy actually wants to add WeChat?Will he still add WeChat?

Milton is also a well-known international expert. Old Cheng runs a hospital. Knowing one more person is not a bad thing.

"I scan your QR code?" Boss Cheng took out his phone.

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

Boss Cheng simply pointed out to Milton that the social tools have similar principles. 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.

Milton said flatly: "Dried."

(End of this chapter)