Guo Jingyao was pushed out of the operating room, and his wife and children came up to offer condolences in the waiting area for his family.

Dr Wong briefed his family on his condition and told them to go back to the family meeting area of the orthopaedic ward, where Dr Wong would later brief them on Kwok's current condition so that surgery could be arranged as soon as possible.

Guo Jingyao was wheeled back into the ward, and the team of doctors who consulted also returned to the conference room to continue discussing the surgical plan.

"Doctor Yang, excuse me, we implore you to perform this operation, what do you think I need to do to prepare?" On the way back to the conference room, Dr. Lin asked Yang Ping.

The diagnosis is now very clear and consistent with Yang's diagnosis at the consultation meeting.

This operation can only be performed by Yang Ping, because if this operation fails, there will be no chance to remedy it.

"I'm going to transfer the team, they have just resumed work after the Spring Festival, and there will be difficulties in deployment, so I'll do my best." Yang Ping wasn't sure, after all, Corey had just gone to work, and the whole team came over, and the house was empty.

It really didn't work, so I transferred Song Zimo alone, and with a good assistant, the operation would be much easier.

Before you know it, it's already evening in Kuala Lumpur.

He was still having breakfast in China in the morning, and now he is discussing cases in Kuala Lumpur, and Yang Ping does not feel uncomfortable at all in this time and space switch.

Yang Ping reported the situation to Director Han, and Director Han immediately replied, letting Yang Ping stay in Malaysia, the entire team of the comprehensive orthopedics department will go to Malaysia as soon as possible, and the hospital office will send someone to lead the group.

Director Zhu also made a report to the company's headquarters, and Hospice Insurance immediately contacted Sanbo Hospital to organize a team to go to Malaysia.

If Yang Ping wants to perform surgery in Malaysia, he needs a temporary medical license in Malaysia so that he can legally go to the operating table, otherwise he will not be able to go to the stage for surgery.

The Gleneagles Hospital Administration Department has also initiated the process of applying to the Kuala Lumpur Department of Health for a temporary medical license and spine surgery authority on behalf of Yang Ping and the upcoming team.

Everything was arranged, and Yang Ping found out that Xiao Su's dozens of WeChat messages had not been read, and most of them were to ask Yang Ping to pay attention to his body.

Suddenly, he remembered that he had just applied for the whole team to come over, and Xiao Su would definitely send it over, and there should be no problem for his parents to be at home alone, and they would also understand that they were familiar with everything they were selling vegetables in the community.

Dad often teaches that the illness is serious, he should understand himself, thinking of this, Yang Ping immediately called Xiao Su, although the two have only been separated for a day, it seems that they have been separated for a long time.

"I'm already packing my things!"

"Hmmm! Great work. ”

"Mom and Dad, don't worry, they are very familiar with the community and the surrounding environment."

"I'll call and talk to them."

Everyone is very busy, Yang Ping is about to participate in the preoperative discussion, Xiao Su has to pack his luggage, there is no time to talk about love, everything is in the words.

Yang Ping called his parents, and his parents asked Yang Ping to put the patients first, not to worry about the family, they are very familiar with the community environment, don't worry.

None of the doctors involved in Kwok Jingyao's DSA were eating, so Dr. Huang arranged for fast food to be delivered to the conference room and waited for the VR images of Singapore General Hospital while eating.

The other doctors, while waiting outside at the time of surgery, ate fast food.

Fast food is KFC's hamburger chicken thighs and the like, which is simple and high in calories.

"August---" Milton wanted to ask him a question.

But August was concentrating on the burger, and a three-tiered burger was actually finished, and the chicken legs were almost gone.

Is this old guy showing that his appetite and physical strength are better than his own? Milton grabbed the chicken leg and nibbled on it.

"It's shameful to waste food---

August eats the last fries, wipes his hands, picks up the trash, and throws it into the corner bucket for fast-food garbage.

Milton burped twice and continued to stuff it in his mouth, thinking: what the Germans can do, he can do.

Preoperative discussion, any hospital has a system, gathering the wisdom of all people, to prevent some important surgeries from failing.

The virtual reality (VR) image reconstruction of Singapore General Hospital has been completed, everyone is wearing Google VR glasses, and Guo Jingyao's 3D anatomical image of the thoracic spine appears in the air, which is very clear.

"Ladies and gentlemen, you see, this is the patient's thoracic spine local anatomy, we enter the approach of the spinal canal, take the posterior median approach, cut layer by layer, go directly to the back of the spinal canal --- the vertebral plate, open a window on the vertebral plate, enter the spinal canal through the window, our surgical target is the blood vessels outside the spinal dural sac, we remove all the outside structures, leaving only the spinal cord and blood vessels, so that it is easy to watch."

Everyone immediately reached out and removed all the skin, fascia and muscles in the three-D anatomy diagram suspended in the air, and then removed all the thoracic bones, leaving only the spinal cord and surrounding blood vessels inside, which is more intuitive to observe.

This kind of virtual reality technology is relatively basic, can only present anatomy, a team in the United States researched the virtual reality technology, can be virtualized the anatomy and physiology of the organ, and then using virtual tactile feedback technology, surgeons can operate on the virtual organ, cut a certain part, it will bleed, hurt an important part, it will stop life activities, very close to the real operation.

"These arteries must be cut and ligated, otherwise it will affect the operation, in normal times, these blood vessels are inconsequential, they can be ligated, we will do this without thinking, so that the site of the dural arteriovenous fistula can be revealed." Several arteries that Yang Ping said flashed and flickered.

Sure enough, these arteries are across the surgical approach, blocking the entry of the operation, and only by cutting them off and ligating can the surgical target be revealed, if the role of these blood vessels is not understood in advance, I am afraid that any spine surgeon will not hesitate to cut off and ligate these blood vessels.

The doctors present all broke out in a cold sweat, including Dr. Huang, Guo Jingyao's thoracic neuraxial cyst surgery was done by him, fortunately, the cyst was not at this segment, otherwise the spinal cord blood circulation would have been destroyed and the opportunity for another operation would have been lost.

"These arteries can't be retracted, if they are not cut off, there is no room for operation, how to deal with arteriovenous fistula?" A doctor brought it up.

Yang Ping's indication mark appears on the 3D drawing: "You can only enter and operate through the gap in the artery, and this is the only operation gap." ”

"The gap is too small, and I still can't do it under the microscope." Another doctor found it too difficult.

Atsushi Kobayashi's voice: "The surgical window is indeed too small, can you bypass it?" ”

"Can't! The only operating gap, visible from elsewhere, does not expose the site of the arteriovenous fistula. Milton was sure.

"If you hadn't seen it with your own eyes, it was unbelievable, they seemed to be born to prevent us from operating, could we cut the blood vessels, treat the arteriovenous fistula, and then anastomose these blood vessels?" Auguste used his imagination.

Yang Ping affirmed his opinion: "Yes, but there is no need for this, and the operation can be completed in the gap." ”

"So, it's up to my team to do this surgery!" Yang Ping emphasized again. ”

"I can be your assistant--- Auguste suggested himself.

Yang Ping blurted out: "No, the operation is too difficult, the operation is too delicate, and a careless action will bring catastrophic trouble to the operation." ”

The master of spine surgery in Europe, who applied to be an assistant, was rejected on the spot in front of so many doctors.

Milton had just wanted to apply, but immediately swallowed his words back.

Fortunately, everyone was wearing VR glasses, and no one could see the embarrassed expression on August's face.

"This arteriovenous fistula, after separating the arteries and veins, the arteries cannot be repaired, they can only be cut off, and then the blood vessels are taken for bridging and anastomosis. Yang Ping explained.

Neither Milton nor August dared to fight anymore, indeed, if the operation was to be done, he really did not have much confidence to be an assistant.