godfather of surgery

Chapter 387
Yang Ping's back was covered with cold sweat, and even he himself didn't know when he sweated so much.

High concentration is a great consumption of mental and physical energy.

The four cardiac arrests that hang on the line can drain all the confidence of the doctor.

However, he is still as firm as a rock, pushing the operation to success step by step.

Director Han hugged Yang Ping tightly. This young man who usually doesn't speak much can always turn the tide at critical moments, and the mountain collapses before him without changing his expression.

"Quick, go and change your clothes, don't catch a cold." Director Han finally said.

"It's okay, it's almost done." Yang Ping smiled.

Professor Feng was pushed out from the operating room, with a tracheal intubation, connected to the emergency transport ventilator.

On the portable ECG monitor following the flat car, the heart rate was 80 beats/min, the blood pressure was 132/85mmHg, and the blood oxygen saturation was 100%.

Wen Rentao and Zeng Ran were pushing the cart, Dr. Wu was guarding the ventilator, the itinerant nurse was holding the guardrail, and Professor Ma followed, and everyone sent Professor Feng back to the ICU ward.

Professor Zhang, Director Han, Hong Zhigang, and Dean Chen immediately surrounded him.

Looking at the stable parameters on the monitor, I let go of my hanging heart.

"The operation was successful!" The news spread immediately.

People from other operating rooms came out one after another, watching Professor Feng's flat car roll out of the operating room.

If there is no accident, two hours after returning to the ICU, Professor Feng can pull out the endotracheal tube and resume spontaneous breathing.

The door of the operating room opened, and Professor Feng came out on a flat car and pushed it to the special elevator for surgery.

The waiting area for family members was already full of people, all of them were doctors who had demonstrated the classroom, and Johannesson, Griffin, and Woodhead were also among them.

Everyone did not make any noise or interfere with the advancement of the flat car. The elevator door opened and Professor Feng was pushed into the elevator.

When it was sent to the ICU, the doctors and nurses were already ready, almost waiting in line.

Pass the bed, connect the ventilator and monitor, and draw blood to monitor various indicators dynamically.

Professor Zhang, Han Jiangong, Hong Zhigang and Yang Ping accompanied the bedside, and the others were invited out.

The tumor from the upper cervical spinal cord to the medulla oblongata is completely resected, the nerve nuclei and conduction bundles are perfectly protected, and the interference caused by the weak thermal injury of the laser cutter head is also transient.

Next, we need to be alert to the edema of the medulla oblongata and spinal cord, but Yang Ping took great care of the tissues during the operation, even if there is postoperative edema, it is very slight.

The application of methylprednisolone and 20% mannitol was sufficient to deal with this possible slight edema.

Two hours later, Professor Feng's endotracheal tube was removed, he got off the ventilator, and resumed spontaneous breathing.

Heart rate, respiration, blood pressure, and oxygen saturation are all normal and very stable.

Early postoperative extubation off-line, you can truly observe the respiratory state.

Sometimes if the respiratory center is damaged, the patient cannot be taken offline and can only rely on the mechanical ventilation of the ventilator.

Now Professor Feng's breathing and heartbeat are very stable, and the sensory activities of his limbs are normal, which shows that the operation did not damage the breathing and heartbeat centers, nor did he damage the spinal cord.

Everything showed that the operation was very successful, not only the tumor was removed, but no sequelae were left.

After the old man woke up, he knew that his operation was successful, he couldn't believe it.

After all, after general anesthesia, I looked tired and didn't want to talk too much. I just wanted to rest after answering a few words.

"You all go to eat, I'll just stay here, there are so many ICU doctors." Professor Zhang asked Director Han, Hong Zhigang and Yang Ping to eat.

"You go to eat too, we will guard." The director of the ICU said to Professor Zhang.

There is nothing to worry about when a person is placed in the ICU. There is always food to eat.

Professor Zhang saw that no one was going to eat, so he had to forcefully order: "Everyone go to eat. After eating, Jiangong and Zhigang will come over, and Xiao Yang will go back to the hotel to rest."

Director Deng of the hospital office booked a private room in a hotel near the hospital, and President Chen led a team to accompany him, thanking Sanbo Hospital for its help in the name of the hospital.

During the meeting, Dean Chen delivered an official thank you speech.

Hong Zhigang accompanied Han Jiangong, Hong Zhigang was very embarrassed and guilty. He was obsessed with ghosts and used improper means to slander his junior for his own self-interest.

And the younger brother knew that he had slandered him, so he used his tricks, pushed the boat along, and gave himself the opportunity to take over as the head of the department.

For more than ten years, only I have been kept in the dark, and I am still complacent about my little tricks.

The more Hong Zhigang thought about it, the more sad he became. His teacher back then took full responsibility, made a sincere apology to the patient, and negotiated compensation, so the situation did not worsen.

Although it was not an accident of subjective responsibility, Hong Zhigang's careless mistakes caused serious disability to the patient. Later, he visited the patient many times, explained the situation to the patient, gave him financial compensation many times, and even subsidized the patient's son to go to college. Both work in a state-owned enterprise, and the patient not only forgave him, but also thanked him very much.

For more than ten years, Hong Zhigang has been tormented by his conscience no matter for this patient or Junior Brother Han.

Hong Zhigang did not expect that the teacher he respected turned out to be his biological father.

The experiences of the past few days really seemed like a dream to Hong Zhigang.

"I'm sorry, Junior Brother!" Hong Zhigang raised his glass, replacing wine with tea.

Han Jiangong put his arms around his back and whispered in his ear, "Don't bring up the past again, okay, I accept your apology, and this article will be over in the future."

At that time, the brother made a mistake, but it was not a heinous crime. Afterwards, he really regretted it. The orthopedics department of the Sixth Hospital of the Shanghai Hospital has flourished in the hands of Hong Zhigang these years. He has selected and trained a group of young people. , have learned from the most advanced hospitals in the world, and formed a set of standardized training management system.

Yang Ping was surrounded by Wen Rentao, Zeng Ran and Mu Jun. Mu Jun thought of the international trauma surgeon Fumiya Takahashi and asked, "I heard that Professor Takahashi came to China?"

He wanted to ask if he was in Sanbo Hospital, but Yang Ping said, "He has been in our hospital for several months, why, do you know him?"

"He is our teacher. We received training from him when we were studying in Japan. He is very strict." Mu Jun quickly explained.

Sure enough, Takahashi was in China. In Sanbo, the guesses of Wen Rentao and Mu Jun were verified.

Yang Ping thought that they knew about Takahashi's training and wanted to know about Takahashi's current situation, so he took a sip of tea and said, "Gao Qiao's training period of three months has now been extended to half a year. He is very good and studies hard."

Everyone looked at each other in blank dismay, Takahashi went to Sanbo for further study?
Everyone thought they were going to train them, but Takahashi actually went to Sanbo for advanced studies. This topic that was brought up inadvertently was quite embarrassing.

"Your Golden Knife Award's spinal orthopedic surgery is amazing. I haven't figured out many problems yet." Zeng Ran immediately changed the subject to resolve the embarrassment.

Referring to the Golden Knife Award, Director Peng of the Medical Office said: "We discussed to upload Mr. Feng's operation video to the Golden Knife Award website, but according to the rules of the Golden Knife Award, the case must be from a participating hospital. Although the chief surgeon is Dr. Yang, But Mr. Feng is considered as a case of Magic Six, and I don’t know if it can be counted as Dr. Yang’s participating case. We try our best to apply and communicate with the main committee. Such a classic case is rare.”

Director Peng has been dealing with this matter. Mr. Feng explained before the operation that he used himself as a teaching case. If the operation failed, he would conduct autopsy research afterwards.

Now that the operation is successful, Director Peng and Dean Chen have been thinking about it, and they should follow Feng Lao's original intention and disclose the operation video to their peers.

This operation is an excellent teaching case for both spine surgeons and neurosurgeons.

And the best way to make it public is to put it on the Golden Knife Award website, which is currently the most powerful way to spread it.

It would be even better if it could become one of Yang Ping's participating cases. Even if it can't, it will benefit everyone a lot by setting up a separate area on the Golden Knife Awards website to showcase this operation.

"The purpose of the competition is to encourage young doctors to go all out and strive for excellence. This operation is a manifestation of this spirit. I think the main committee will consider this." Professor Zhang also strongly recommends this operation as a participating operation.

Dean Chen knows that Yang Ping has been staying here for several days, and he will stay for a few more days after the operation, which will definitely delay his preparations for the Golden Knife Award season. Xinyi made up for Yang Ping's time delay, so he said: "In the name of the Magic Sixth Hospital, we contacted several authoritative orthopedic professors and asked the main committee for permission."

Cases that challenge the restricted area and demonstrate the wisdom and courage of doctors should be respected and learned from doctors across the country.

The third season of the game happened to be surgery for spinal and pelvic tumors, among which upper cervical spine tumors were the focus of the duel.

In the case of Mr. Feng, Yang Ping also began to think about how to simplify, standardize, and popularize this difficult operation.

Let the operation be replicated on a large scale. Although it is difficult for other doctors to reach their own level, at least it can advance the tumor surgery of the upper cervical spinal cord and brainstem to a higher level.

Among them, Yang Ping's experience in anatomy and pathophysiology is the most valuable. Without a thorough anatomical study of the brain stem, there would not be such a high success rate.

Without in-depth research on the pathophysiology of the brainstem, one would not be so calm in the face of several cardiac arrests.

Yang Ping decided to write a paper to study the anatomy and pathophysiology of the upper cervical cord and brainstem, and based on these foundations, design more scientific and safe surgical approaches and surgical methods, so that everyone can master their own surgical methods.

The meal was pretty good, and the tea was pretty good, so Professor Zhang suggested that the banquet should be over.

Professor Zhang arranged for everyone to go to the ICU to see Professor Feng again.

Hong Zhigang and Han Jiangong stayed in the ICU to watch the night, and they took turns on duty.

Wen Rentao sent Yang Ping back to the hotel. He couldn't bear it anymore, so he went back to the hotel to rest.

In the past few days, Professor Zhang has been tossed by the old man with back pain and exhaustion. If he doesn't rest, he is afraid that he will have to go to the ICU.

(End of this chapter)