Yang Ping uses three fingers, the thumb, index finger and middle finger, to control the microscopic instruments, which is easy to navigate in a small space.

The device is like being attached to his fingers by some kind of force, and no matter how he changes his position, he will not be able to escape the control of several fingers.

The arteries and veins are successfully separated, and the fistula is large, and if it is simply repaired, it will cause arterial stenosis, which will cause blood vessel blockage and spinal cord blood supply disorders.

The fistula can only be cut off, and then the blood vessel end-to-end anastomosis can be done, such a difficult operation is extremely simple and easy in Yang Ping's hands.

Microscissors neatly cut a small section of the artery and vein, the fistula is removed, the ends of the vessel are slightly free, and the healthy port can be joined without tension.

The microsuture needle is held securely on the needle holder, and in a small space, it can be moved and flipped to obtain any angle of needle entry and exit.

The tip of the tweezers holds the outer membrane of the blood vessel, the needle is easily pierced and threaded, and then a beautiful surgical knot is made, and the two instruments fit perfectly together and do not interfere with each other due to crowding.

The assistant's microshear--- the third instrument also extends in, and the thread is cut precisely, and in a small space, the three instruments do not collide or block each other.

When one side of the blood vessel is anastomosed and the opposite side of the blood vessel needs to be sutured, the assistant's tweezers hold the long lines at both ends to gently flip the blood vessel, exposing the other side of the blood vessel.

After the arterial anastomosis is completed, the veins are also done in the same way, end-to-end precise anastomosis, and several instruments, whether they are the chief surgeon or the assistant's, appear at the best time, and will not destroy each other's harmony because of late arrival or early departure.

The group of doctors in the viewing area, seeing such a superb surgical operation, finally understood why Yang Ping refused August's application for an assistant and insisted on transferring his own team across borders.

In this kind of operation, the operation space is extremely narrow, and the surrounding of the operation space is still a mutated artery that must be protected, and the cooperation of the assistant is slightly worse, even if there is an error in the timing of the instrument entering the field of vision, there will be an instrument fight, once the fight, even if the blood vessels are torn a little, the operation may be pushed into a desperate situation.

"Any idea why you were rejected? If you go to be an assistant, you will definitely fight with the instrument of the chief surgeon, either damaging the mutated artery to be protected, or damaging the arteriovenous fistula to be treated. Milton scoffed at August.

August sneered: "Could it be that if you come to power as an assistant, the ending will be better than mine?" Will the devices be as harmonious as they are now? ”

Poked in the soft spot, Milton was powerless to refute, selectively ignoring Auguste's words, pretending to be serious about the operation and not hearing his words.

Fate is not shallow, Boss Cheng sat with two European experts again, August glanced at Boss Cheng, saw Boss Cheng's focused, and asked curiously: "Can you understand the operation?" ”

"I can't understand the surgery? Am I staring at the screen and counting sheep? "Boss Cheng slandered.

"What's the idea?" August wanted to put the Chinese chef to the test.

Boss Cheng commented a few words: "The positioning is accurate, and the vertebral plate is opened to directly expose the arteriovenous fistula; Operating in a small space increases the difficulty of surgery, and it is also a helpless move, and the mutated spinal cord feeding artery must be protected; The quality of the vascular anastomosis is very good, end-to-end, slightly eversion, without worrying about embolism at the anastomosis; What's even more amazing is that the instrument is like a root in the hands of the surgeon, and the posture can be adjusted at will, if there is no such flexible instrument operation ability, I am afraid that this operation will be very embarrassing! ”

August looked at Boss Cheng suspiciously, and then at Milton, who shrugged his shoulders habitually, the Chinese chef's comments were very professional and didn't hear any loopholes.

The first arteriovenous fistula operation was successfully completed, and the window was opened in the last vertebral plate, and the method of dealing with the first arteriovenous fistula was followed, this window was still accurate, and the "manhole cover" was uncovered, and the center was the arteriovenous fistula, which was not large, and could be repaired directly, and the whole operation was not suspenseful and unremarkable.

Like the flattening tactics of the Americans in the late stage of World War II, the plane bombing, artillery fire covering, and then the mechanized army flattening, destroying the withering and decaying, the process is quite flat, without any twists and turns.

"A wise doctor can turn danger into a disaster, and a more intelligent state is --- will not fall into danger at all."

August believed that Yang Ping was a higher realm.

"The surgery didn't make waves, it didn't look exciting enough, which was exactly what I wanted, and I'm glad I cancelled my flight." Milton had been holding back the amplitude of his breathing, and after watching the entire operation, some of the dangers he feared did not arise.

Several instruments went in and out, Milton was afraid that a careless action would damage the blood vessels and make the operation more difficult, but nothing happened until the two arteriovenous fistulas were treated, and the double-click electrocoagulation was used to stop bleeding in the spinal canal, and the instruments did not collide.

"Dr. Zhou, please do a DSA to verify whether the fistula has been successfully treated." Yang Ping gently put the instruments back into the curved plate and took care of the surgical instruments, which is the professional ethics of the surgeon.

Everyone moved away from the operating table and rested in the side area, Dr. Zhou and his assistant were already waiting in surgical gowns, this time it was directly over-selecting the target blood vessels, not for investigation, and it was the second time to do it, so naturally they were much more proficient.

Soon, Dr. Zhou completed the DSA, and after waiting for a few minutes, the contrast agent was still bridged back to bridge, road to road, and did not secretly flow from the artery into the vein, and the operation was very successful.

Normal saline irrigates the surgical area, small holes are drilled on the four sides of the lamina, and then like a road manhole cover, it is firmly buckled, the sutures on the four sides are tightened, knotted, and after three months, this window will heal as before, leaving no problems.

Layered hemostasis, layered suture, automatic retractor removal, automatic homing of paravertebral muscles, and even drainage is avoided, which is extremely confident in their hemostatic effect.

Yang Ping and Song Zimo turned around, Zhang Lin Xiaowu was back to back with them, swapping places, and the work of stitching was their job.

"One floor per person, right?" Little Five proposed.

Zhang Lin nodded: "Deal!" ”

Xiao Wu sutured the deep fascia, and Zhang Lin sutured the skin, both of which were future Director Lu and Director Zhang, who made an unpleasant fuss about sewing the skin and lost their identity.

Whether it is the deep fascia, or the skin, the sutures are very serious, after all, a dozen doctors, staring at the close-up on the screen, any irregular action, will be magnified.

Fortunately, Yang Ping is usually very strict with their surgical skills, and Song Zimo often takes them to practice surgical skills in the department's laboratory.

Zhang Lin sews the skin, Xiao Wu cut the thread, each thread, leave only one centimeter, if you take a ruler to measure, there will not be much error, the needle distance is very standard, the skin is neat and tidy, even the last skin is not needed, the sterile dressing is directly pasted.

It's so smooth!

August stretched a little lazy, and as an international expert in spine surgery, he could not escape the degeneration of the intervertebral discs.

Fortunately, not long after the operation, he moved his psoas muscles, or the slight pain was immediately dispelled.

"The same should be true for Dr. Yang for other spine surgeries?"

Milton had a magical idea in his mind, to leave Yang Ping's contact information, and ask Yang Ping to go to the UK for surgery, so that he could study and study.

He pretended not to think about anything, and just said lightly: "The operation is over!" ”

He didn't want to inadvertently alert the German, otherwise he would have gone to Dr. Yang for contact information.

In the Internet era, Britain uses Whatsapp, I don't know what similar software the Chinese use, Milton secretly took out his mobile phone and began to Google search, wechat! Download decisively, then sign up and research how to use it.

August's gaze retracted from the screen, and Milton immediately put away his phone like a thief, August's reaction to the British was a little incomprehensible.

Just playing with your phone, are you so nervous?

"Schedule surgery for next week!" Milton found a reason to cover up.

August looked at him holding the phone, looked unnatural, and said suspiciously: "You look like you have an abnormal expression, as if you are chatting with your lover?" ”

"So what, doubt my combat effectiveness?" Milton went with the flow.

August shook his head: "No, how can you doubt your combat effectiveness? Viagra is available everywhere. ”

After watching the whole operation, Kobayashi was convinced, especially in a small space, to carry out microsurgical operations, some operation angles are impossible for ordinary people to do, but the instrument is on Yang Ping's fingers, and the angle can be changed at will.

What Yang Ping said during the consultation was not a boastful statement, this operation, other doctors really can't complete it smoothly, even if it can be completed, it will not be so fast, it will not be so perfect, and there will definitely be many difficulties in the middle.

Director Zhu was also in the viewing area, after watching the operation, he was a little excited, this time Yang Ping helped him a lot, and Anning Insurance stood out among many high-end insurance companies, showing a strong ability to organize medical resources.

The operation was over, and Boss Cheng thought that the bathroom in the conference room would be convenient, and Milton took the opportunity to follow: "Hello, Mr. Chef!" ”

"Hello, what's the matter?" It's always uncomfortable to go to the bathroom and be followed.

Milton thought for a moment: "Mr. Chef, can we add a WeChat?" ”

This British, how can he even add WeChat? Milton is also an internationally renowned expert, and Cheng runs a hospital, so it's not a bad thing to know more people.

"I'll scan your code?" Boss Cheng took out his mobile phone.

Milton looked ashamed: "I'm not very skilled yet, can you teach me a little bit?" How do I add someone else's WeChat or let someone add my WeChat? ”

Boss Cheng simply instructed Milton, social tools, the principles are similar, Milton understands it, and after adding Boss Cheng's WeChat, he doesn't even go to the bathroom.

"You didn't wash your hands?" August frowned.

Milton said lightly, "It's dry." ”