After Yu Shuilian removed the stitches, the liver and kidney function remained normal, and she successfully passed the dangerous period of organ dysfunction.

In this way, the reconstructive surgery of the urethra and anus was put on the agenda, and the homework assigned by Yang Ping to everyone was handed in when it was time to hand in the homework.

Yang Ping assigned them homework and designed their own plans for reconstructive surgery, hoping that the three of them could discuss it together.

Takahashi is a master of international trauma surgery, mastering the latest concepts and techniques, allowing Song Zimo, Xu Zhiliang and Takahashi to collide and produce sparks of thought.

Judging from the discussion information in the group, the three actually have their own advantages, and Takahashi has the most clinical experience.

Song Zimo's talent is the highest, whether it is thinking ability or hands-on ability, he is obviously above Gao Qiao and Xu Zhiliang, and the gap between Song Zimo and Gao Qiao lies in clinical experience.

The experience that Yang Ping handed over to him, for Song Zimo, is still a theory, a theory that cannot be obtained from books, he has not done as many surgeries as Takahashi, and his natural clinical experience is worse than Takahashi.

Xu Zhiliang's thinking ability is no worse than Takahashi, but whether it is theoretical knowledge or clinical experience, it is still much worse than Takahashi, after all, Takahashi has been studying in this major for a long time and has exchanged and studied everywhere.

And Xu Zhiliang does not have the experience that Song Zimo has given him as much as he does, and he only has the clinical experience he can obtain from studying for a doctorate, which is very limited.

Xu Zhiliang graduated from the Imperial Capital Medical University from undergraduate to doctorate, more than one billion Chinese, undergraduate can be admitted to the God Capital Medical University, that is a student among more than a billion people.

Takahashi is a top student among the 100 million Japanese, and from this selection ratio, Takahashi is only a provincial-level top student in China.

Therefore, it is reasonable that Xu Zhiliang's IQ level is no worse than that of Takahashi.

However, it is also reasonable that Takahashi's elite doctor training route has a great distance from Xu Zhiliang in terms of clinical and scientific research capabilities.

Xu Zhiliang, as long as he is cultivated, it is completely possible to surpass Gao Qiao over time, at least Yang Ping thinks so.

He hopes that these two people can get along with Takahashi and learn from his broad international vision, which is the most important thing.

The conference room was crowded with people, some sitting, some standing, all dressed in clean white coats, and even the most sloppy people had their collars and buttons tidied up.

These people, including doctors in the Department of General Orthopaedics, graduate students, trainees, interns, and young doctors from other departments, took the time to attend the meeting.

The sitting, generally the orthopedic department's own people, and the surrounding ones are generally other surgical ones.

There are also a lot of stools around, but everyone is afraid that they can't see or hear, so they simply stand up and have a better view.

Yu Shuilian's rescue surgery has already caused a sensation in the hospital, and now the comprehensive orthopedic department wants to reconstruct her urethra and anus, and everyone wants to know how to do this surgery.

If the rectum is present, just an anal sphincter injury, surgery to reconstruct the anus, a general surgeon or plastic surgeon will have many ways to reconstruct.

However, reconstructing a functioning anus at the end of the lower colon is beyond the scope of everyone's knowledge, and everyone is very interested in what kind of cutting-edge new surgery is being performed.

In addition, a department that snatches patients from the hands of death, a department that can attract international trauma surgery experts, and a department that continues to create miracles.

Every focus is fascinating, and several doctors with high professional titles in plastic surgery, general surgery, urology, and anorectal surgery have come, with the mentality of participating in the academic meeting.

Although this discussion is a department-level surgical discussion, in the eyes of everyone, it is no different from an international academic conference.

Yang Ping is in Sanbo Hospital, an almost god-like existence, Song Zimo, a genius, Gao Qiao, a big cow in international trauma surgery, this kind of meeting must be very exciting.

In the white coats on the floor, the elegant and silent venue, the medical discussion was serious and serious, and everyone was in awe.

The first to show the surgical plan was Takahashi, who arranged him, for nothing else, except for Yang Ping, no one has as much surgical experience as him, and he is a leading figure in international surgery today.

It's just that during this period of comprehensive orthopedics, everyone forgot Takahashi's original identity and only regarded him as the respectful Xiao Gao, and Yang Ping wanted him to stimulate everyone's enthusiasm.

Takahashi straightened his white coat and looked at Yang Ping, and with permission, he confidently walked to the podium, perhaps at this time, he found his true identity.

How many times he has walked to the podium at the International Conference on Trauma Surgery, and how many times he has given a speech is not as good as this podium, just because there is a god-like figure in his heart sitting next to him.

A picture of the surgery, which was entered into the computer in advance and opened on a high-definition screen, was drawn by Takahashi with his life's work.

Not for anything else, just to get the young teacher to recognize.

"Hello everyone, I am Fumiya Takahashi, a trainee in the Department of Comprehensive Orthopedics, you can call me Xiao Gao, and the following is my report on Yu Shuilian's surgical plan."

"Modern surgery, starting from the conquest of bleeding, pain, and infection, really unveiled, to this day, surgery has solved a lot of pain for people, no matter what surgery, can not escape the three realms, excision, repair, reconstruction."

"Excision, such as the treatment of appendicitis, discards the diseased tissue or organ and leaves it from our body; Repairs, such as skin cracks, fractures, tendon ruptures, we try to repair it and try to restore its original anatomy and function; In order to restore its ability to work, we have exhausted all means to imitate one such organ to replace its function, such as artificial joint replacement. ”

"Today, Yu Shuilian's surgery is a reconstructive operation, because her original natural anus and urethra have disappeared, in order to restore her excretory function and live as clean and tidy as a normal person, we have to reconstruct an anus for him."

"Reconstructing an organ, our ultimate goal is to simulate the function, this patient has two reconstructions, reconstructing the urethra and anus, reconstructing the urethra to achieve only the function of the urination tube, the muscles that control urination in the neck of the bladder, there is no damage, so this surgery is a conventional plastic surgery, there is no difficulty, this kind of surgery, I have many papers in the Lancet, among which curvature reconstruction is what I proposed."

"The most difficult anal reconstruction, if you want to reconstruct an anus that can control bowel movements, under the current medical technology, there must be a preserved rectum, there must be a complete neural pathway, unfortunately, this patient's anorectum and sigmoid colon were removed, the terminal receptors of our defecation reflex, baroreceptors are distributed in the mucosa of the rectum, the descending colon does not have such receptors, all the terminals that lack the nerve reflex arc, it is almost impossible to establish an anus that can control stool under such conditions"

"The development of artificial anus to this day is still imperfect, the long-term implantation of the sphincter cuff, the repeated activity of the kit, frequent stimulation of the tissue, is bound to produce an inflammatory response, coupled with the high-pressure activity of the cuff, resulting in the erosion of the tissue, leading to pain, infection and wound dehiscence, a series of complications.

"I have done a lot of in-situ anal reconstruction with electrical stimulation of the gracilis or gluteus maximus myoplasty, and the fluid closure rate is more than 95%, which is very high in the world, but such a high ectopic reconstruction is really inexperienced."

"We take the flap part, to give up the muscles around the upper limbs and shoulder joints, because the patient has to use the upper limbs to complete a lot of alternative movements, so I can take the material from the waist, she does not need to rely on the waist muscles to stand upright in the future, and the weakening of muscle strength is reduced."

"The sphincter selection department selects the free muscle flap of the pectoralis minor muscle, with the thoracoacromial artery and the anterior medial chest nerve, the center of the flap is perforated, implanted at the end of the descending colon, and surrounds the end of the colon, the blood vessels can be anastomosed with the branches of the blood supply vessels near the colon, and the nerves can be anastomosed with the residual pudendal nerve to establish a muscle-controlled nerve conduction arc, but I have no good way to produce --- bowel desire for the time being."

The tuberculosis atlas's description of his own surgery brought him back to the level of a master of trauma surgery, and after finishing his speech, he was greeted with a round of applause.

This procedure was designed on the basis of Takahashi's extensive experience in reconstructive surgery, which is very much in line with Yu Shuilian's current situation, but the biggest problem at present is that she cannot reconstruct the reflex of defecation.

His surgery can end the inconvenience of Yu Shuilian to defecate with a fistula in her abdomen, and may have solved the problem of fecal incontinence by using the strategy of regular bowel movements.

Takahashi's surgical plan is a very high-level reconstruction combination, and if you want to achieve a success rate of 95%, it is indeed the best in the world.