The Godfather of Surgery

Dr. Yang really intends to realize the operation in theory?

Impossible, Takahashi remained awake enough, but Dr. Yang said in front of so many people that he was going to use such a plan.

Without full certainty, a doctor will not be so calm and calm.

Especially an established doctor like Yang Ping does not need to rely on false names to elevate himself.

Then, there is only one possibility, he really wants to use this technique.

Using bladder mucosa to reconstruct the bowel reflex of the anus, and using veins to reconstruct the urethra, these two procedures, in the international academic field of prosthetic and reconstructive surgery, are some technical experts' attempts to reconstruct the anus and urethra.

How many top gastrointestinal surgeons, urological surgeons, and repair and reconstruction surgeons have worked hard and made all kinds of efforts in vain. The bladder mucosa has never been able to dissect the tiny nerves connected to it, and the veins cannot be delaminated to steal qualified thickness.

Takahashi had just reconstructed the anus by the bladder mucosa, and thought of reconstructing the urethra by the veins. The surgical drawing on the screen has switched to the urethral reconstruction.

Yang Ping pointed to the surgical drawing: The urethra can also be reconstructed by abandoning the colonic mucosa and using venous conduits for reconstruction. There are many sources of venous materials. Due to the characteristics of the reticular structure, a branch is cut, and the loss to the patient is almost zero.

Reconstructing the urethra with veins? Reconstructing the urethra with veins!

These have proven, surgery can not be done, he brought up again and again.

Internationally, there are several top teams in this area of ​​research, all of which have ended in failure. They have always believed that these procedures are theoretically feasible, but the requirements for the surgeon's surgical skills are too high.

Bladder mucosa transplant reconstruction is convenient, the chief surgeon in animal experiments, exhausted methods, all kinds of nerve staining, can not find the small nerves of the bladder mucosa, even if sometimes lucky, find a few, there is no way to dissect out.

When vein grafting is used to reconstruct the urethra, the blood vessels cannot be stripped in layers, and the wall is too thick, resulting in vascular necrosis after implantation. Some people use the step-by-step dilation technique to expand the diameter of the tube and try to thin the wall, and the final result is also necrosis.

The conclusion is that the original nutrition of the blood vessel is nourished by the blood of the tube. After transplantation, it is much more difficult than other mucosal tissues to supply nutrition by infiltration of the fluid outside the tube from the tissue bed of the recipient area.

If the two procedures challenged by Dr. Yang are successful, it will cause a sensation in reconstructive surgery, pushing anal reconstruction and urethral reconstruction several steps.

For the treatment of veins, we use the delamination technique of the tube wall to cut part of the tube wall and then implant it according to the conventional method. The vein is a natural fluid circulation channel, instead of the urethra, the urine flow rate will be better, and it is not easy to form stenosis. It is implanted upside down, and the venous valve is beneficial to prevent the bacteria from going retrograde and reduce the probability of urinary tract infection.

Yang Ping's tone was very flat, not like he was talking about difficult surgery.

What is shown on the surgical drawing is the layered anatomy of the blood vessel wall, where the peeling starts and which layer needs to be peeled off, which is clearly expressed.

Is this really going to challenge the theory of surgery? Takahashi's heart was turbulent, and it was enough to challenge one, but now he is challenging two surgeries that could not be completed.

No, it's not a challenge, look at him, it's a plan.

From his expression and tone, it is clear that this is just a routine operation, and there is no mention that this operation has never been successful.

If it is true——Takahashi's inner excitement is like overflowing high-alcohol, flowing everywhere, a little lighter is a flame, and he can immediately learn the operation that he once thought could only exist in theory.

Only Song Zimo is not surprised at all. He has long been used to this kind of thing. He will not take the time to question, but will only think about how Yang Ping will achieve it. At the same time, he hopes that he will become the second person to master the new technique.

Fujiwara Miyuki sat quietly by the side. She had little interest in the discussion. Maybe the light outside the window was a little harsh, or maybe she was uncomfortable watching the electronic screen for a long time. Miss Fujiwara took out a pair of glasses and put them on, light brown sunglasses.

Turning over one picture after another, just appreciating these pictures, it is pleasing to the eye, the blood vessels, nerves, and internal organs are very clear, the three-dimensional sense of the anatomical level is appropriate and beneficial, and the details of the operation are clearly displayed.

As for the WY reconstruction mentioned by Dr. Xu just now, I think it is very necessary. In reconstructive surgery, not only the function but also the appearance must be pursued. Of course, the appearance is a higher-level pursuit, which must be ensured after the function is spared.

The anal sphincter reconstruction mentioned by Takahashi uses the pectoralis minor muscle, and the selection of the material is very accurate. This is a choice that can only be made after strict screening; the YD reconstruction mentioned by Song Zimo is absolutely necessary, and the patient must be like a normal woman. Going through slow natural aging, rather than premature aging, even if it is only half body, we have reason to let her live with more dignity.

The last picture is the effect picture after successful operation. Part of the bladder mucosa is transplanted to the lower colon, the pectoralis minor muscle replaces the function of the sphincter muscle, and the vein cut from the abdominal cavity is inverted to reconstruct the urinary catheter.

Some people came up with the idea of ​​these more than a dozen pictures - take them and collect them, maybe they can be auctioned at high prices many years later.

After Yu Shuilian's surgery was finished, these surgical methods were not just on paper, but were performed without compromise. In a few days, Yu Shuilian's surgery was done according to the dozen or so pictures.

Every step, the drawings have been clearly described, and the combination of various shots allows an intern to understand the entire operation, similar to reading comics.

Yang Ping stood on the podium, waiting for everyone to ask questions, but no one asked, not even a big guy like Takahashi couldn't ask questions now.

Unless you ask: Is this operation impossible? Many people have failed, and I have failed too.

But people decide to do it, and the stupidest surgeon wouldn't joke about surgery.

I don't understand, do you understand?

Looks like I understand a little bit.

Then go back and tell me, and I'll treat you to dinner tonight?

I - I'd better go back and read the book together.

It's not in the book. A senior brother just said it, didn't you understand?

Hey, I mean, I understand a little—a class that I can't figure out even if I read the book.

Several interns were discussing, because after Yang Ping's speech, everyone relaxed and began to bow their heads to discuss.

After waiting for a few minutes, no one answered. Yang Ping planned to end the preoperative discussion, which turned into a small lecture.

Dr. Yang— Fujiwara Miyuki stood up.

Doctor Fujiwara, is there any problem? Yang Ping was about to step off the podium.

Model, that Japanese model doctor—

A few students in the periphery began to squeeze around, beautiful women, everyone wanted to take a look, even if Fujiwara Miyuki was wearing a white lab coat, her perfect figure could not be hidden.

The twinkling eyes, fair skin, 1.78-meter figure, and that unique oriental temperament make the young men who usually only have access to Japanese short video beauties bright.

As far as I know, the reconstruction of the anal defecation reflex by the bladder mucosa and the reconstruction of the urethra by veins have never been successful in the world. I want to know why Dr. Yang is so confident? Why not choose a more traditional one with a higher success rate. Surgery? Miss Fujiwara took off her sunglasses, looked at Yang Ping, raised her brows slightly, smiled and waited for Yang Ping's answer.

When she stood, although it was just an ordinary standing posture, it was like being on the runway, with all her gestures and charms.

This operation is recognized as the best in theory. The reason for everyone's failure is that the bladder mucosa cannot dissect the required nerves, and the veins cannot be delaminated to cut the thin wall that you want. I think, this It’s just an operation-level problem, for me, it’s not an obstacle, such a good technique should not be shelved, someone has to realize it, and I’m willing to be the first person to eat crabs.” Yang Ping’s explanation is not know if she is satisfied.

Fujiwara Miyuki applauded gently: You are the one standing on the top of the mountain, I wish your surgery a success!

Thank you! Yang Ping stepped down from the podium.

Miss Fujiwara went up to meet her, stretched out her hand, and wanted to shake hands with Yang Ping to express her wishes.

Yang Ping shook her hand gently and symbolically.

The preoperative discussion is almost over, the surgical plan has been formed, and everyone is still unfinished. This kind of meeting, what we learn is the real thing. Later, when we go out to talk about this aspect of surgery, and throw out a word, that is to let people catch a few. under the head.

At the end of the meeting, in order not to block the people who came out, Director Gao immediately got down and moved the chair away. He was worried that Yang Ping would leave the conference room soon, so he would quickly squeeze in and say a few words to Yang Ping.

But just when everyone came out of the meeting, Director Gao went against the current and met the intern at the door again.

What are you squeezing, rushing to reincarnate, the intern said angrily, turning around and looking at it, what the hell, it was Director Gao who was scolding.

Suddenly, the small heart shrank tightly. Isn't this Director Gao of the Sports Medicine Center?

This dude is still an intern at the Sports Medicine Center, which is the rhythm of courting death.

Squeeze, squeeze your head. The boy was anxious, and for a moment, he glanced at Director Gao, pretended not to see it, and glared at another classmate next to Director Gao, roaring: It was you at the beginning. Squeeze, squeeze again now.

The classmate didn't do anything, was inexplicably scolded, and he was speechless: I-I--

The intern quickly left the scene, sweat on his forehead.

Fortunately, I am smart, otherwise I would be embarrassed.