The Godfather of Surgery

No matter what kind of surgery, the initial steps are the same, anesthesia, positioning, disinfection, draping, and then the official start -——.

It is inappropriate for non-surgical personnel to gather in the operating room. It violates the principle of asepsis and hinders the activities of the surgical team. Therefore, Professor Cao suggested: "Shall we go to the demonstration classroom?"

So, everyone came to the demonstration classroom that had been prepared. The demonstration classroom of general surgery is quite good, because no matter now or in the future, there will always be doctors from all over the world sitting here to observe the surgery.

Therefore, Dean Xia would not tolerate mediocrity in this place where the world's medical elites gathered, so he made small magical changes to the demonstration classroom.

The electronic screen must be the best on the market currently, and the wired network and 5G are used together. Of course, the 5G network is usually used. In case of 5G failure, the backup wired network can be used.

The simple plastic seats were replaced by ergonomic sofas, and some small screens were hung around the walls so that people crowded in the back could watch the surgery calmly.

Beverages are indispensable, including coffee, tea, mineral water and various juices. According to Professor Zhang Zongshun’s suggestion, a first aid box is also prepared in the demonstration classroom, which contains some commonly used first aid drugs.

According to Professor Zhang, from his personal experience, observing Yang Ping's surgery is like riding in a world-class domestic car or watching "Fast and Furious" in the city center.

There was no other way. In order to appear more considerate, Dean Xia had to order the magic modification team to put up a reminder to remind viewers to pay attention to their physical condition.

Li Zehui once watched Yang Ping perform surgery in this demonstration classroom. At that time, this place still had plastic chairs.

Professor Li remembers clearly that it was a patient with scoliosis and a heart malformation. The operation should have been completed by cooperation between spine surgery and cardiac surgery, but Professor Yang completed the heart surgery by the way.

Yes, yes, it was by the way. This surgery by the way made Professor Li feel embarrassed. He was even better than a cardiac surgeon in his own profession. Later, Professor Li encountered difficulties when performing charity surgery in Saudi Arabia. At this time, he thought of Yang. Ping, invited Yang Ping to fly to Saudi Arabia for surgery.

The operation in Saudi Arabia once again refreshed Professor Li's understanding of Yang Ping. When the world's cardiac surgeons were at a loss, Professor Yang was able to do it with ease. Li Ze will never forget it.

At that time, all his honor and self-esteem as a heart surgeon in Cleveland, the world's most famous hospital, were shattered. He never thought that there was no such a powerful heart surgeon in the world.

In fact, everyone is the same. They often don't believe in things that are beyond common sense, but when they see it with their own eyes, they will worship the other person like a god.

If someone tells you that someone playing basketball can defeat an NBA team alone, you will not believe it. Anyone who believes it is a fool. No matter how close this person is to you, no matter how powerful he is, no matter how high his professional status is, you will not believe it, because it is impossible, absolutely impossible.

Only when you see this person's miraculous ability with your own eyes will you believe it. At the same time, you will also think that this person is a god. How could there be such a person in the world?

Therefore, every doctor who recognizes Yang Ping's surgical ability must have seen him perform surgery with his own eyes, otherwise he would never believe it.

The operation began, and the picture shows the first step of thoracotomy and skin incision.

The approach Yang Ping took was obviously not a transsternal approach with wide opening and closing. The approach he planned to use was to make two incisions in the intercostal space on the left side of the chest, one for full cardiac cavity reconstruction and one for primary surgery. The surgical approach of switching the artery and pulmonary artery is much less invasive than the median sternal approach.

The method of cutting the skin is Yang Ping's usual one-cut technique. From the starting point to the end of the incision, it only requires one continuous smooth cut, and there will never be a second cut or a follow-up cut.

This knife not only completes the length of the incision, but also completes the depth of the incision. Unless there are important nerves and blood vessels that need to be protected in the middle, one knife will just cut through the subcutaneous fat layer, no more, no less.

The two incisions only require two crisp cuts, without any sloppiness.

Yi Dao Flow is not only the signature of Yang Ping's surgery, but also the signature of Song Zimo and Xu Zhiliang who were taught by Yang Ping himself.

With one stroke of the knife, the electrosurgical knife immediately made up for it, accurately extinguishing each small bleeding point. The whole action was completed in one go, and it was done in one go.

Academician Wang's heart skipped a beat, then he turned to look at Director Xin: "You have such solid basic skills? Is it just a single knife to cut the skin?"

In more than 40 years of medical practice, Academician Wang has never seen such a confident way of cutting skin. Li Zehui explained: "This is the legendary Itto-ryu. I am afraid that only here can you see One-sword style."

"One-sword style?"

"It's just a single cut to cut the skin, no need to separate or make additional cuts."

Academician Wang nodded, understanding this novel term, but what if there are important blood vessels and nerves? So Academician Wang couldn't help but ask.

"The scalpel will definitely cut above the nerves and blood vessels, just above them, and will never hurt the nerves and blood vessels." Li Ze will act as a commentator.

At this time, Professor Xin reminded with a smile: "When observing this young man's operation, you must pay full attention. If you are not careful, you will miss important steps. If you are not careful, the operation may be completed."

As soon as he finished speaking, what Professor Xin was worried about happened, because just after chatting for a few words, his chest had already opened.

Academician Wang no longer dared to be distracted and could only concentrate on observing the operation. Indeed, the operation was very fast, as fast as the fast playback of a video, so fast that it made people nervous.

This child has undergone three surgeries. The third surgery has not been long yet. The adhesions around the heart are severe and exposure is extremely difficult. When Academician Wang participated in the discussion of this case, everyone focused on the issue of exposure.

Moreover, in many similar adhesion cases in the past, after multiple surgeries, the heart could not be exposed at all, and the location of the heart and great blood vessels could not be found.

This kind of thing has happened before. In a case that Director Chen was on stage for two hours, the heart could not be revealed. The knife could only explore and move forward bit by bit. In the end, Academician Wang had to go on stage in person, which took three hours. Finally the heart and great blood vessels were exposed.

This current case is more troublesome than previous adhesion cases. Severe adhesion is a surgeon's nightmare.

This case shows that the heart must be a dangerous and fierce battle, Academician Wang thought so, and Professor Xin thought so too.

But Li Ze would think otherwise. The original case was much more serious than this adhesion, and the professor's knife was as skillful as an elf.

I didn’t even have time to think about how to complete the operation with such a small minimally invasive incision.

Slower!

Academician Wang almost screamed, he was so involved.

Because on the screen, the round knife has been replaced by a sharp knife, and the sharp knife is very fast, and there is no intention of exploring and dissecting at the same time.

In such an area of ​​severe adhesion, speed is fatal, because you don't know what is under the knife. If you are not careful, you may cut the heart, or cut off the blood vessels, or cut off the conductive bundle of the heart, bringing fatal consequences.

In heart surgery, every step is like dancing on the tip of the knife. How could this be possible?

Academician Wang was so frightened that he almost instinctively covered his eyes, his heart pounding. How bold, young man!

In the thrill, the heart is revealed, and then the pericardium is smoothly opened, exposing the heart to view.

Moreover, opening the pericardium is done with one knife, rather than gradually cutting through it bit by bit.

With this cut, the adherent pericardium was completely opened without any damage to the myocardium. Then, the adhesions between the pericardium and the heart were gently and quickly separated by the sharp knife.

He expected that revealing the heart would be a fierce battle, but everything went smoothly, and the so-called possible fierce battle was solved by him smoothly.

One sword style!

Academician Wang silently recited this new term.

The living heart is beating right in front of you, this is the rhythm of life.

Yang Ping's hand gently reached in, took the little heart in his hand, and then held it up.

"Professor, now I can see my heart and speak without stuttering." This was Xu Zhiliang's voice.

"The heart can also cure stuttering?" Yang Ping was very surprised.

"This is another study on the correlation between CNS, cardiac vision and stuttering recovery. Maybe we can find a new way to cure stuttering."

"Look, I don't stutter at all when I speak now. It's really amazing. I want to stutter, but I can't."

"That's because the beating heart brings you the shock of life. You should engage in cardiac surgery in the future. It seems that your talent lies in cardiac surgery."

"Can't we develop globally like you?" Song Zimo asked.

"cannot."

"Then I will do emergency trauma surgery in the future. It can be considered a small area and can be done all over the body."

"Prepare for extracorporeal circulation!"

The surgeon advanced step by step without any hesitation, and the sound of preparing for extracorporeal circulation and cardiac arrest came from the screen. Soon, extracorporeal circulation was established, and then cardioplegia was injected to artificially create cardiac arrest.

Well, the house has lost water and power, and the people inside have moved out.

Now we need to dismantle the house, re-plan the partition walls inside, restore the normal left and right ventricles, and then repair other partition walls that have become crooked and collapsed. This is a huge project.

The surgery seemed less serious and cautious, and was performed in a chat, which seemed very relaxed.

The heart has been opened, and the left ventricle and right ventricle have fused into one large chamber. Now it is necessary to build a dividing wall between the two, and to repair the doors between the left ventricle and the left atrium, and the right ventricle and the right atrium.

Three levels of surgery - resection, repair, and reconstruction.

No matter which specialty, reconstructive surgery is the most difficult. Resection only requires cutting away the target organs and tissues, while repair only attempts to restore the original or close to the original through repair, while reconstruction is indeed to use surgery to re-simulate a certain anatomical tissue, while simulating anatomy. At the same time, its functionality must also be simulated.

The operation was a huge undertaking, and the most intuitive reflection is that the number of sutures on the heart reached 3,000.

Moreover, there cannot be one unqualified needle or bleeding in one place. When the heart contracts, strong force will start from the unqualified and weak needle, tearing the sutured parts, causing the operation to fail.

The stitching speed on the screen surprised Academician Wang. If he hadn't seen it with his own eyes, he would never have believed that a person could be so skilled at stitching speed.

How many operations does it take to achieve this kind of operation speed? It is not only fast, but also good. Every stitch is perfect.

Now, the whole operation scene is suturing all the time, fast suturing.

——

Outside the operating room, Mai Zijing's parents were so worried that they almost felt suffocated.

On the blue plastic chair, McGee held his wife in his arms. Every second that passed was like a beating in his heart. This operation would either be the beginning of happiness or farewell forever.

They don't know the current progress of the operation and whether there are any difficulties. The waiting is very painful.

The operation has been going on for more than three hours, and Xiao Su happened to bring lunch to Yang Ping. Because her home is close to the hospital, Xiao Su doesn't go to work now, so she brings meals to Yang Ping every day, and also walks around to clear the blood.

The nurse in the operating room opened the door and took in the food delivered by Xiao Su. Mai Jifu took the opportunity to ask anxiously: "Hello, nurse, how was Mai Zijing's surgery?"

The nurse glanced at McGifford: "Are you his father?"

McGiff nodded.

"The operation went well. It's being done. Professor Yang is doing it himself. Don't worry, don't be so nervous. There is a TV there to watch. We will notify you when it's done."

Hearing that it went well, Mr. and Mrs. McGeefe felt a little relieved.

The door to the operating room was closed again, and Xiao Su also sat down in the family area and comforted the couple: "Don't worry too much. Professor Yang has done more difficult things than this. The child is younger than your son. Relax and watch TV."

The TV in the operating room is a digital TV. It contains not only ordinary movies and TV series, but also some surgical promotional videos introducing classic cases of comprehensive surgery. Xiao Su calls up these videos from the control touch screen and plays them to the couple. This may relieve their tension.

A series of surgical introductions such as five-segment reimplantation, half-section surgery, folding surgery, Yemeni Mirror Man with congenital heart malformation, etc., were played on the video. Sure enough, this method was effective, and McGeefu and his wife felt much calmer.

An Yinghui, Mai Jifu's wife, also chatted with Xiao Su. Xiao Su kept telling him how powerful Professor Yang, the surgeon, was and would do his best.

It's up to people to make things happen, and it's up to God to make things happen, McGeefu thought in his heart, which made him feel more at ease.

——

After more than three hours of surgery, the whole heart cavity reconstruction was slowly completed with fast and rhythmic suturing. The precise machine-like suturing shocked Academician Wang. He was glad that he came to Sanbo Hospital in person this time, otherwise he would have missed this world. Top notch surgery.

It only took more than three hours to complete the entire cavity reconstruction. If I did it myself, it would probably take ten hours.

This kind of suturing speed and quality is probably unparalleled in the world. No wonder he was able to control the entire operation within 6 hours. No wonder there is no need to pay too much attention to this case, because in his hands, this case is really a miracle. Common cases.

It's not that it's light, it's that it's light to him.

During the entire operation, there was no sense of tension or pressure at all. The whole process was very relaxed, just like an extremely ordinary operation. You could even hear the chat between the surgeon and his assistant.

The entire operation proceeds step by step without any ineffective or repetitive movements, which is a sign of ultimate proficiency.

Even the stitches left by sewing give people a beautiful artistic enjoyment.

In cardiac surgery, there will be figures who can lead the world, Academician Wang sighed in his heart.

The next step is the rotation of the aorta and pulmonary artery, which is related to the reconstruction of the entire heart cavity. This step is more clear. The aorta and pulmonary artery are cut off from the root, and then the positions are switched for anastomosis.

The requirements for suturing large blood vessels are very high, because the aorta and pulmonary artery are directly connected to the heart. When the heart contracts and ejects blood, the pressure is very high. If the suture quality is not up to standard, the anastomosis will collapse directly.

Therefore, when doing hand work on the heart, no needle can be careless.

"Do you have Professor Yang's WeChat account?" Academician Wang couldn't help but ask.

Professor Xin nodded: "Always keep in touch with him on WeChat."

"Remember to push his WeChat to me, and I will also add his WeChat. This young man is a genius in cardiac surgery. We have to fight for it." After finishing speaking, Academician Wang immediately focused on watching the surgery video.

This kind of surgery is really something you are not used to as you get older, and your heart must be able to withstand it. Watching Yang Ping's surgery was like watching "The Fast and the Furious" in the city center. The surgery was too fast and it was a high-risk operation, so the whole process was in suspense. On.

——

"Zhou Can, have you checked the medicines in the first aid kit in the classroom today?"

"Regular weekly inspections are the same as the department's emergency vehicle management procedures."

"That's good!"

"Why do you ask?"

"There is also an old man among the experts observing the surgery today. I am worried that he may have a heart problem while watching the professor's surgery."

"No way, he is the academician grandfather from Fuwai?"

"Yes, oops, in the future it would be better to stipulate that people over 65 years old are not allowed to observe, and their ID cards will be checked when entering the venue."

"Serious!" Yang Ping's voice.

"The radio is off--" a low voice.

There was silence as the broadcast symbol displayed on the screen made a cross.

Academician Wang frowned, a group of children.