The Godfather of Surgery

Aisha's heart has been completely dissociated and is now held in Yang Ping's hand. Yang Ping is preparing to cut open the heart and perform orthopedics on the internal structure of the heart, which is to repair the internal structure of the engine.

At this time, Maninstein lost no time in giving this shot a close-up. Brian was so frightened that sweat broke out on his forehead. He had never seen such a scene before. The heart of a living person was held in his palm, and this heart belonged to him. My precious granddaughter’s.

"How's it going? Can you see clearly?" Maninstein asked next to him.

A shocked Brian felt that there must be a grudge between him and Maninstein, otherwise why would this family seem to stimulate him from time to time.

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

Maninstein said slowly: "This is an isolated heart, and the cardioplegia solution has been injected before it was isolated. Professor Yang artificially stopped the heart, and then Aisha's body relied on extracorporeal circulation to provide blood. Soon, Yang The professor will open the heart and perform surgery inside to correct the internal deformities and return it to normal.”

The heart was just held in his hand, and Brian, who was not a doctor, looked very frightened.

"Everything is under control, right?" Brian asked fearfully.

"It's hard to say, whether it's controllable or not, it has to be done," Maninstein said uncertainly.

Brian turned to look at Maninstein, who was staring intently at the surgery on the screen.

The next work is very detailed technical work, such as the repair of ventricular septal defects and atrial septal defects inside the heart, the correction of various outlet malformations, and the correction of large blood vessel malformations. Brian has no experience as a surgeon, so of course he cannot understand it, but He knew the danger and difficulty of this step, so he kept an eye on it the whole time, not daring to let go even half a step.

Maybe Brian had never been so nervous in his life. His nerves were always tense, as if they might break at any time, and his heart kept beating wildly in his chest, hitting his ribs hard.

From the corner of Maninstein's eyes, he noticed that Brian was restless. He knew that he could not continue like this. If this continued, Brian would explain here. The fingers in his hand controlled the remote control to restore the picture from a close-up to a normal picture. Ordinary pictures do not have as strong a visual impact as close-ups.

The young doctors who were sitting in the back observing the operation had nothing to say when they saw the big boss in front holding the remote control and adjusting the screen from time to time. After all, the big boss was a Nobel Prize winner and a good friend of Professor Yang. If it were anyone else, and everyone was watching the surgery and messing around like this, everyone would attack him in a group, and it wouldn't be weird to curse him.

Zhang Lin usually likes to quarrel with people. Whenever a foreigner comes to study, he doesn't dare to quarrel with him. But now, Zhang Lin doesn't dare to quarrel with Maninstein. He really doesn't dare to quarrel with others, because Maninstein's level of quarrel with others is better than that of others. He was taller. Maninstein often criticized academic bigwigs in Europe and the United States. Those he criticized never had the courage to talk back. Old Man was just so arrogant. Zhang Lin was considered a world-class master who could criticize others.

Even Teacher Zhang didn't dare to go up and say a word, and the others naturally didn't dare to say a word, allowing this big boss to control the screen.

Now that the screen has returned to the default size, the surgical field of view is fully displayed on the screen. Everyone breathes a sigh of relief and can finally watch the surgery normally, without always looking at the close-up of the heart taking up the entire screen.

The demonstration classroom is located 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 relaxed. Doctors often can't eat at normal times due to surgery, so it's perfectly fine to drink or eat something while observing the surgery. As long as it doesn't go too far and make the demonstration classroom dirty, the head nurse doesn't have time at all. Come take care of this place.

Zhang Lin and Xiao Wu brought a glass of juice to each of the two bosses, and then some biscuits and pastries on a plate, allowing the two bosses to enjoy the operation. Of course, the two teachers also have their own plans. Their "Surgical Retractor Science" is being prepared for publication. If Maninstein is invited to help write a preface, this book can be regarded as very international.

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

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

Maninstein took a look and said: "Oh——"

I was just paying attention to the operation and did not pay attention to the auxiliary retractor on the side. I have never seen this retractor before, and its appearance is particularly novel.

"This retractor is good." Maninstein praised.

Zhang Lin is quite thick-skinned: "This is the world's original retractor, the best in the world for heart surgery. It instantly kills all existing retractors. What we have now is not just a retractor, but an internationally leading system." Surgical retractor technique.”

Maninstein kept nodding, and then his eyes still stayed on the high-definition screen. He was not very interested in retracting the hook for the time being. Out of gratitude for the juice and pastries, he still nodded in approval.

This heart surgery was indeed difficult to perform. There were too many areas that required exploration and correction. Yang Ping advanced step by step and took his time. Song Zimo, as his assistant, always cooperated tacitly.

The work of transposing the heart is equivalent to a heart transplant operation. Most of the work of heart transplantation is completed as long as the blood vessels are anastomosed. In addition to the heart transposition, this operation also requires detailed correction of various deformities, so this Each step in the operation is a difficult heart operation if taken individually.

The goal of orthopedic surgery is function. Deformity in a certain part of the heart causes functional impairment. Orthopedics can achieve normal heart function. Therefore, not only should the orthopedics be done properly, but also various factors should be taken into consideration. We should not neglect one thing while focusing on the other.

After all the surgical targets were fully revealed, Yang Ping carefully explored the defects of the sternum, diaphragm, abdominal wall muscles and pericardium. These were very consistent with the preoperative evaluation. The defects were very serious. Without the digital human VR technology for preoperative evaluation, it would be difficult to make accurate preoperative evaluations for this type of surgery based solely on the evaluation of CT and MRI images. This also invisibly increased the difficulty of the surgery. In addition, the patient was already six years old and had missed the best age for surgery.

If the preoperative evaluation of this type of surgery is insufficient, it is easy to fall into panic during the operation, and can only do it step by step. In this way, the entire surgical process is very passive, which is easy to cause accidents during the operation or serious complications after the operation.

All surgical steps are like a precise clock. The gears affect 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 in place.

After evaluating the defect, Yang Ping began to evaluate the deformity of the heart itself, including the internal structure of the heart and the deformity of the large blood vessels. The preoperative evaluation has already known that there are defects in the ventricular septum and atrial septum. Now it is necessary to open the heart directly, evaluate the deformity again from the inside, and then repair it one by one.

Yang Ping's operation was too stable, without any waves, which made the assistants feel bored sometimes, but they knew that this kind of boredom was very precious.

No matter what kind of operation, even if it has a nine-turn and a nine-death effect in other people's hands, it is also stable in Yang Ping's case, as if this is not a high-difficulty and high-risk operation, but just a simple minor operation. Therefore, for observers of the operation, especially new observers, it is easy to be misled and gain blind confidence in the observation, thinking that this operation should not be like this, it is too simple.

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

In the demonstration classroom, as the operation was carried out step by step, Brian, who was originally nervous, was now in a much calmer mood, because after observing for a period of time, even if 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 and out, no matter how they zoomed in, even if they let Brian look at the cut heart and Yang Ping repairing the defective atrial septum and ventricular septum in the heart, Brian no longer had the roller coaster feeling before.

If a person has a strong, confident and steady aura, he can reassure the panicked people around him, and the operation can also reveal a kind of aura from the picture. This unique aura can reassure the people who observe the operation.

After correcting the malformation in the heart, Yang Ping sutured the heart, put the ectopic heart back into the chest cavity, and then corrected the malformation of the large blood vessels, and anastomosed the large blood vessels at the same time.

It is far from enough to correct the malformation of the heart and large blood vessels and put the heart back in place. It is necessary to repair the entire bone and soft tissue "armor" that protects the heart, otherwise the heart may fall out again one day.

The sternum is part of the thorax, and the thorax is the bony armor that protects the heart and lungs. Now there is a defect in the sternum, and its repair requires the use of titanium plates. 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 part of the defect again.

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

The muscle defects of the diaphragm and the midline of the abdomen are repaired with special biological patches, which are also to prevent the heart from herniating from these weak parts.

Among the people watching the operation, a female intern got a bucket of popcorn from somewhere and ate while watching, just like watching a movie. In fact, in Sanbo Hospital, everyone watching Yang Ping's live operation is more exciting and popular than watching a blockbuster. 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 also say that I am half a student of Professor Yang Ping because I often observe his operations. So sometimes whether you can understand it or not is one thing, and more importantly, you must come to see it.

If Director Zhao of the Medical Department hadn't banned it, Zhang Lin and Xiaowu could probably save up a house by buying tickets.

Brian had never experienced such a scene before. He could eat popcorn while watching an operation. How could he enjoy such a lively and energetic scene in the quiet Sweden? Brian pulled Maninstein'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 is it?

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

Brian was drooling as he stared at the girl's popcorn. China is really a magical country. Top experts set up offices on the first floor of the hospital. Everyone can buy tickets to see a doctor, and the ticket price is 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 world-class surgery were to be performed in Europe or the United States, it would not be so casual. It would be very formal and tense in all aspects. How could these interns gather here to watch casually? Some people even held popcorn, just like watching a movie. This was trampling on the dignity of this difficult surgery.

The girl turned her head and saw Mr. Brian looking at her with greed. 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 eagerly like this.

You can't let the Nobel Prize winner do this. The old man is quite pitiful. It's just a bucket of popcorn. Are the living conditions abroad so monotonous that even a bucket of popcorn is a rare thing? The Chinese 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, it's for 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 he 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 involved.