The Halachen Orthopaedic Hospital in Munich, with its red roof and white walls, is simple and elegant.

The green color of the pointed roof and the spire of the bell tower is like an emerald dot between the reds, eliminating the impetuousness brought by red, and this combination gives people a double psychological hint of positivity and calmness.

The windows of the doctor's office are open, allowing sunlight to shine in obliquely, but without affecting the clarity of the screen.

Several of the top professors of spine surgery in Germany were immersed in hand-drawn drawings at this time, whose expressive ability was better than any language, and their anatomical fineness was better than any anatomical atlas they had ever seen.

After dozens of pictures were played, they started from the beginning and played slowly in a loop, and the details of the entire operation were already very clear.

Some professors even asked Marcus to play back the pictures so that everyone could savor them and take pictures of the missing pictures.

Those delicate pictures are like works of art, leaving a deep impression on everyone's hearts.

Illustrating everything with pictures has become Yang Ping's usual method.

Yang Ping is a person who doesn't talk much, he sat at the conference table and didn't speak, his fingers gently tapped the table, and he didn't make a sound, of course he didn't know anything about Peking Opera, he only knocked out some pop songs.

"Professor Yang, how sure are you about this operation?" Professor Rimbaud couldn't help but ask.

August translated, Yang Ping stopped moving his fingers and said solemnly: "Eighty!" ”

Eighty percent, that is, 80 percent success rate, for this kind of ultra-difficult, ultra-high-risk surgery, can have eighty percent, that is a very high success rate, in Chinese terms, the matter is stable.

Eighty percent success rate?

Everyone was surprised again, exchanging glances with each other, just now everyone thought that emergency orthopedic surgery was a helpless move, an adventure in a time of crisis, and they didn't expect to have such a big grasp.

In fact, every time someone asks how sure the operation is, Yang Ping is a little difficult, saying that it is too high and inappropriate, and it is easy to become a doctor who pats his chest and packs tickets; Saying too low will scare people, and others will think that they are careless of human life and take life as a child's play.

Therefore, the answer is the most appropriate, and the patient can rest assured, and there will be no suspicion of patting his chest and packing the ticket.

Most of the German bigwigs thought that they had misheard, and that it should be 8 percent sure that it was reasonable.

So Professor William asked again on behalf of everyone: "August, how sure is Professor Yang just now?" ”

"Eighty percent!" August reiterated, and deliberately clear.

"Eighty percent?"

"Yes, eighty percent!"

Professor Wilhelm gasped, and the German Spine Surgeons collectively entered the Ice Age.

Even if you say fifty percent, gamble on luck, these bigwigs will not be ashamed.

The bigwigs have been working together for more than ten years, some of them have been working hard for more than 20 years, and they have received strong support from other European countries and their counterparts in North America, but they are still helpless, let alone sure, about this case.

Now this young looking Chinese doctor is eighty percent sure, and this is like an avalanche in the Alps, which makes the big guys' hearts cold and cold, and they can't answer for a long time.

"I look at the surgical diagram, the spine is orthopedic in three dimensions, from bending to straight on the X and Y axes, and there is a large rotation on the Z axis, which will cause great stretching and squeezing and twisting to the spinal cord, which will not only damage the fragile spinal cord itself, but also distort and stretch the blood vessels, causing the blood supply vessels to bend or spasm, thus forming embolism and causing spinal cord ischemic injury." Professor Lloyd was the first to thaw and raised his concerns.

August's translation was very timely, and Yang Ping replied: "Don't worry about this, I have a lot of research in this area, in spinal orthopedics, the correlation between the spinal cord and blood vascularity and orthopedics, I have a clear summary, release and osteotomy have been governed by these laws, which will minimize the negative impact and will not appear the spinal cord injury you are worried about." ”

Chinese professors are really stable and don't talk much, and the fluttering eighty percent of them come out of their mouths, which has already hit the big guys very hard.

Now, without causing spinal cord injury, the phrase is so confident and insipid.

Regardless of the research in the field of spine surgery in the United States or Europe for more than ten years, there is no way to predict spinal cord injury, and can only rely on somatosensory evoked potential monitoring.

However, somatosensory evoked potential monitoring is often an afterthought, and by the time abnormal signals are detected, sometimes the spinal cord has already been damaged.

Professor Lloyd has the illusion that he is not talking to a colleague from the world.

There is another person with whom Professor Lloyd would feel this way, and that is Maninstein from the Charité School of Medicine.

As a surgeon, this god-like guy has made outstanding achievements in many fields such as trauma surgery, oncological surgery, neurosurgery, cardiac surgery, hepatobiliary surgery, plastic surgery, and more importantly, a Nobel Prize winner in medicine.

Talking to that guy, there was always a feeling of contempt in his eyes, as if no matter how difficult the question was, he always said, oh, this is easy.

Now Lloyd feels that the eyes of this Chinese are not despising everything, but ignoring everything.

What a wonderful scene it would be if these two men were allowed to talk, Lloyd had a strange thought.

"This artificial thoracic cage, Professor Yang must have spent a lot of time researching to design it so exquisitely?" Constance Dante paid the most attention to several diagrams of the heart and the outside of the chest.

Because the design of the artificial thoracic cage is very exquisite, it is combined with a skin expander, after implantation, a certain amount of space is obtained to ensure the decompression of the heart, and then gradually micro-dilation with the breathing, slowly expanding to the volume of the normal chest, in this process, the skin also extends with the expansion, so as to solve the problem of insufficient skin coverage.

This is far from enough, in order to protect blood vessels, the artificial thoracic cage is implanted in a bulk way, without destroying blood vessels at all, the skin is incised, the periosteum of the ribs is cut, and then subperiosteal is dissected, the ribs are taken out one by one, and then the artificial ribs are implanted, the periosteum is sutured to wrap the artificial ribs, and then the artificial ribs are connected to each other, with the sternum, and with the residual posterior ribs.

This kind of delicate prosthesis is difficult to design without three or five years.

Constance Dante concluded that Chinese professors had been accumulating in this area for three or five years.

"I originally planned not to do this, but to use new technology, using external fixator technology combined with Ilizarov's theory, to orthopedize the spine and thoracic cage at the same time, but the patient had an accident and needed emergency orthopedics, and the fatal weakness of the new technology was the slow orthopedic process, so we had no choice but to use backup solutions, these were all improvised methods a week ago, and some were decided before getting on the plane." Yang Ping's tone was still flat.

Constance Dante didn't know how to go any further, as a cardiac surgeon who had been involved in the design of artificial hearts and had a good understanding of the technical content and difficulty of developing this thoracic prosthesis.

The two questions and exchanges brought the atmosphere of the audience to the freezing point again, and the surrounding temperature seemed to have cooled down suddenly, and people began to feel that asking questions was a heavy thing.

"Gordonberg's father waited outside for a long time, and he wanted to meet the professors from China."

A doctor came in and whispered in August's ear.

As soon as August drank Yang Ping off the plane, he went straight to the ward, and then it was the preoperative discussion, forgetting to meet with the duke.

Leaving the bigwigs in the office in a daze, August took the mentor and met the old duke in the meeting room next to the doctor's office.

The old duke handed the cane to the butler, and solemnly held Yang Ping's hand with both hands across the rectangular table: "Dear professor, please, thank you!" ”

Ever since August told the Duke the exciting news, the Duke had dreamed of meeting the Chinese doctor, and now stood in front of him, so young.

Yang Ping looked at the old man, and it was difficult to see that this thin old man was the head of a European super consortium, which was clearly a retired university professor.

"You're welcome, it's our duty to treat the sick and save people." Yang Ping modestly said that duty is duty.

Yang Ping always likes to use this phrase to respond to the gratitude of patients or family members.

"Mr. Manstein predicted that my poor child would not live to be thirty years old, and the development of his condition over the years was exactly according to Maninstein's prediction, and as he said, his heart finally collapsed, and this situation happened twice, both times it was avoided, this time I am afraid that there is really no way, but God loves, let us meet you." The old duke sat down, and the old man was full of tears, and from time to time wiped his tears with a handkerchief.

"My friend, you don't have to be too sad, sitting in front of you is the world's top doctor, sadness can only make you lose the ability to make decisions, let's discuss together, how to help the child get through the difficulty, we need your support and confidence at this time." August comforts his friend.

"I will do everything I can to support you, my child will be handed over to you, friend, take out all the signed agreements, everything is arranged by God, no matter what, please, respected Chinese professor, I beg you on behalf of the whole family, save him." The old duke was a little incoherent, and his trembling hand went to grasp the cane.

"I'll give it my all." Yang Ping's firm tone.

The old duke nodded: "Please forgive me, I am a little out of shape, because I love this child too much, he lost his mother when he was a teenager, I did not fulfill my responsibilities as a father, I thought I could help him, but nothing helped, watching him gasp in a wheelchair, my heart is like a knife, if I can, for willing to take his place to suffer, now he is on a few tubes to sustain his life, it's really pitiful-"

"Friend, take care of your body, keep your brain awake, there are still many decisions that we need to make together, such as signing off on emergency surgery now." August solemnly told his friend that he had to stay in shape.

August saw that this friend's state was okay, in fact, August knew this friend very well, sad and sad, and his mind was clear, so he asked Marcus to bring the signing document and signed it in front of him by the way.

The old duke put away his handkerchief, began to regain his composure, habitually carefully looked at the signed documents, and then solemnly signed his name.

"Mr. Maninstein should be there at this point, but he's on vacation in Iceland."

Because Maninstein's name is mentioned several times, August explains the legend to his mentor.

The crazy Frankenstein is now immersed in the connection of the spinal cord to the nerve bundle, that is, after cutting the spinal cord and nerves, connecting them and restoring their function.

No one knows why he loves this field, and since focusing on this field, the weirdo has given up all other research.

Maninstein is not only an academician of the German Academy of Sciences, but also an academician of many European countries, including the Royal Swedish Academy of Sciences, and is a legendary figure in Europe, but this person has a shortcoming, that is, he is particularly lustful and has a chaotic private life.

"It was he who judged that the heart would age prematurely in a squeezed state, and through calculations, he concluded that the little duke would exhaust the potential of the heart before the age of thirty and face the danger of life, and he judged that the spinal orthopedic would cause high paraplegia, resulting in ventilator paralysis, and the palliative treatment was to carry out thoracic orthopedics to expand the space of the heart, but he could not determine whether the heart was overdecompressed and stopped beating, so there was no further plan." After the old duke left, August took the opportunity to introduce the legendary figure in detail.

He later gave the plan of orthopedic thoracic cage and replacement of the original heart with an artificial heart at the same time, so as to avoid postoperative overwear and then give an allogeneic heart replacement. However, he was obsessed with the study of the connection of spinal cord nerve injury, and after giving a plan, he did not come up with a specific surgical plan. "August knows that guy often forgets things.

Promise good things today, and you may forget tomorrow.

Yang Ping has long heard of the charité hospital, a god-level person, and also knows some lace news about him, after he has played all over the specialty, he has written a lot of books, published a large number of papers, and won a Nobel Prize by the way, which is a legend in the medical field.

——

After the doctor's order for emergency surgery was issued, the ward and operating room were busy, and August accompanied Yang Ping to rest in the office, and it was not too late to enter the operating room when the patient was picked up.

The other professors also quietly accompanied Yang Ping, waiting for the patient to be taken into the operating room.

The office was quiet, no one was talking, and no one was talking to each other in private.

In order to ensure the safety of the surgery, the ECMO team also follows up with the operating room to assist the anesthesiologist in managing the patient's vital signs.

Moreover, all kinds of customized instruments are sterilized and packaged and ready in the operating room.

German doctors are more attentive than doctors of any other country.

For an operation, there are often several instrument tables, and sometimes an operation may only require a few instruments, but they may prepare dozens or hundreds of instruments, just in case.

"Marcus, the instrument nurse prepares two." August, fearing that Marcus would forget, told him again.

"I've prepared two, don't worry." Marcus is reliable.

August has operated so many surgeries in China, and with the speed of the professor's surgery, I am afraid that one instrument nurse will not be able to handle it, unless he is a special instrument nurse.

The two should be able to keep up with the professor's pace.

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