The Godfather of Surgery

After the lecture, Yang Ping returned to the office and used his computer to answer questions from members of the forum online.

One hour of Q\u0026A time, very relaxed.

The Chinese proficiency of these people is improving every day.

In fact, it is not how difficult it is to learn Chinese, but how motivated it is to learn.

When the momentum is strong enough, difficulty is no longer an issue.

At this point in time, August is really at a disadvantage. To be fair, Yang Ping plans to move the lecture time to around 6 pm.

For myself, it is also a good thing to eat early in the afternoon, and then get together for two hours of lectures and study.

In this way, everyone has a balance in time, and August doesn't have to stay up all night.

It's just listening to the lectures, there's no need for people to risk sudden death.

Zhang Lin has received three applications for further study, August and Robert are for three-month study, and Gao Qiao is for two-week short-term study.

August and Robert came to China a week later.

And Takahashi came to China two days later.

Takahashi applied for advanced studies a full month earlier than Robert.

The strange thing is that Takahashi didn't mention anything about further studies in the forum chat room.

Because, he still has an important task, to strive for the base of the third phase clinical trial of spinal external fixator for Dongda Hospital.

He understands that this opportunity is only to lay the foundation for other cooperation in the future, so he must take it.

Takahashi has also inquired from many parties and pondered over and over again. If he can win the experimental cooperation with the spinal external fixator, it is very likely that there will be many cutting-edge technology cooperation in the future.

Therefore, the chances are greater if you are one step ahead of the Americans and Germans.

——

Li Jun's preoperative examination results came out, because of uremia, the biochemical results must be messy, especially the creatinine is ridiculously high.

Li Guodong arranged for him to go to the hemodialysis room for dialysis, and he had regular dialysis twice a week.

The nephrologist consulted and said that twice a week may not be enough, and it should be increased once a week, three times a week.

Because of renal anemia, Li Jun's complexion is not very good-looking.

The originally fair face lost a little anger.

But in any case, this disease can be treated, and if the kidney can be successfully transplanted, he can live a normal life.

Li Jun's luck is not bad. If he waits for a kidney source like others, he doesn't know how long he will have to wait. Fortunately, his boyfriend Qin Xiaowei's kidney is a qualified match for him.

However, whether it is a relative or a non-relative, kidney donation must go through ethical review.

The main fear is that this kind of donation will be mixed with organ trading.

Donors for organ transplantation have always been very tight, especially because there are very few donated organs in China, so for a long time, the only way to quickly replace the kidneys was to go by the sidelines.

Sunshine boy Qin Xiaowei was still wearing the same T-shirt, the strange tattoos on his arms were very eye-catching. Looking at the attire, he reminded people of those fashionable guys dancing hip-hop.

With a fanny pack around his waist, he sneaked into Yang Ping's office and stuffed a small red envelope into Yang Ping.

Yang Ping rejected him.

The young man said sincerely that he wanted Yang Ping to perform the surgery. He knew that this operation was very risky, and he didn't want A Jun to have any sequelae. A Jun had already suffered enough.

Yang Ping reassured him that he would do his best.

Uremia is not a contraindication to surgery. After dialysis, surgery can be performed the next day, which does not have much impact on the safety of anesthesia and surgery.

When calculating drugs for anesthesia, you need to be more careful.

——

The first day after hemodialysis is the period when uremic patients are in the best physiological state, and Li Jun's operation begins.

Supine position, routine disinfection and laying sheets.

Yang Ping's scalpel cut a vertical incision in the middle of the lower abdomen.

Pelvic tumors involve the sacrum, especially tumors in the sacral canal. This is a specialized category of bone tumors, and there are many nerves and blood vessels around the sacrum, making surgery very difficult.

In most cases, this operation requires the cooperation of bone tumors, general surgery, and urology.

This is also the result of the subdivision of modern medical specialties. General surgeons are familiar with the liver, gallbladder, pancreas, spleen, and gastrointestinal tract, but they are helpless when they encounter kidneys, bladder, and ureters; Deep around the sacrum, so I never dared to do anything, let alone open the sacral canal.

There are specialties in the surgery industry, and once the operation exceeds the scope, naturally they will not do it, and they do not have the corresponding anatomical knowledge.

Of course, some bone tumor doctors who are proficient in anatomical knowledge can independently complete such tumors without the need to cooperate with the general surgery department and the urology department.

For Yang Ping, his knowledge of anatomy has reached the level of proficiency, so naturally he doesn't need the cooperation of other departments.

In terms of surgical authority, Sanbo Hospital had released him a long time ago.

The scalpel is sharp, cut the skin, subcutaneous, fascia and muscle, and open the peritoneum.

Yang Ping pushed away the intestines and various organs, revealing part of the tumor, and the enveloped meat ball appeared in everyone's field of vision.

There are blue-red blood vessels distributed on the surface of the capsule, some of which are still bulging.

I heard that Nezha's mother was pregnant for three years and six months, and she gave birth to a meat ball. Do you think it was also a teratoma at that time?

Zhang Lin asked while pulling the hook.

Since it's a teratoma, how can I cut out a alive and kicking villain with one knife? Is this a medical malpractice? Misdiagnosis!

Xiao Wu continued.

Every time these two brothers perform an operation, apart from pulling the hook, they also have another important mission, which is to enliven the atmosphere.

Song Zimo doesn't like to talk, and Xu Zhiliang's talk makes people anxious, but rescue is an exception.

Yang Ping's vascular forceps bluntly separated the surrounding tissues bit by bit. This tumor has quite a lot of blood vessels, which are inextricably linked with the presacral vascular plexus.

A large piece of gauze is placed around the tumor to separate the tumor from the surrounding tissue and prevent tumor cells from falling off and planting.

Before the nature is determined, no one dares to say whether the tumor is benign or malignant.

Therefore, for any tumor surgery, try to achieve tumor-free technology --- this is the basic technology of tumor surgery.

It is both an operating technique and an operating principle.

That is, during the entire operation process, try not to let the tumor cells come into contact with other normal tissues, so as to prevent the cells from falling off and taking root and sprouting like seeds.

Is it moving?

While chatting, Zhang Lin saw the meat ball bouncing and shaking.

Professor, he is pulsating. Is this the fetal heart?

Yang Ping didn't speak, and after finishing the work of gauze isolation, he said, You guys feel it, what is it?

Zhang Lin put his palm on the surface of the sarcoma. This is not a sarcoma, it is clearly the beating like fetal heartbeat. He felt more clearly when he became a father just now.

This beating is very rhythmic, which is the beating of the heart.

How can a tumor have a beating heart?

Zhang Lin's eyes were full of surprise, and his voice was a little loud: Fetal heart?

And he concluded that just now Yang Ping asked him to feel it with his own hands, which was to test him. If there were no new discoveries, how could he test him.

The instrument nurse, the itinerant nurse, the anesthesiologist, and all the idlers in the audience suddenly froze, and the operating room was silent.

In the open surgery area, the pulsating rhythm of the tumor was very strong.

As Zhang Lin said, only the fetal heartbeat can be so rhythmic.

Song Zimo and Xu Zhiliang didn't speak at the side, because the two brothers had tumors, and Song Zimo and Xu Zhiliang had no chance to contact them for the time being.

Yes fetal heart rate, definitely not wrong.

Zhang Lin once felt this pulsation through his wife's belly.

Professor, it's the fetal heartbeat!

Zhang Lin is very sure.

This time, I will definitely be able to establish a glorious image of myself in front of the students. Neither Song Zimo nor Xu Zhiliang noticed it, which is not surprising, because they haven't become fathers yet.

man!

Can you really get pregnant?

Associating with that vertebra, this is a fetus.

It's so magical.

umbilical cord? There's an umbilical cord, Professor!

Zhang Lin's hand touched something like an umbilical cord, and Xiao Wu also confirmed it at this time.

Really the umbilical cord.

Surgeons have experience in obstetrics and gynecology, and they still know what the umbilical cord looks like.

This feel, this thickness, this texture, is really an umbilical cord!

The fetal heart beats, if you are careful, you can hear the beating sound of the little heart tata.

Fetal heart + umbilical cord, what is it if it is not a fetus?

The two brothers nodded after exchanging fiery glances: This is the fetus!

Is this an intersex person who is really pregnant?

People around cast puzzled looks at Yang Ping, hoping that the professor could give everyone an answer.

The young professor was very steady, changed a pair of gloves slowly, and said kindly: This is the supply blood vessel of the tumor, which thicker artery does not pulse in the living body? You can touch his aorta, or the inner and outer iliac artery?

Zhang Lin and Xiao Wu looked at each other and stretched their hands in. Really, the aorta was pulsating, and both the internal iliac artery and the external iliac artery were pulsating.

How could I forget this one!

The glorious image just established collapsed in an instant, and Song Zimo said at this time: The professor asked you to touch it to let you feel the texture of the teratoma, not to let you judge whether it is a fetus or not.

oh--

Zhang Lin and Xiao Wu stopped talking and focused on pulling the hook.

After all, pulling the hook is the real job of the two brothers.

Be honest and honest, don't think about establishing a tall and glorious image in front of the students all day long.

PS: I need a little refreshment for coding at night. Dark beer, coffee and tea are completely useless. Only the monthly pass of Zhu Jun will make me clear-headed and energetic. Please! Bow!