The guzheng music of the mountains and rivers is melodious and tactful in the operating room, which makes people feel happy.

August took Marcus to sew the skin carefully, the navigation screen kept the three-dimensional reconstruction image of the spine, the spiral spine had been corrected in the direction of the reverse spiral, several osteotomy parts of the spine were firmly fixed by internal fixation devices, the pedicle nail system on the back side and the locking steel plate on the front side, the fixation was very stable, in anticipation of future bony fusion.

The thoracic image formed by the titanium artificial rib prosthesis is very conspicuous, and the first to seventh rib prosthesis is connected to the remaining ribs at the sternal and spinal ends before and after, and the joints are coated with micropores, just like the prosthesis of artificial joints, and they will form a biological fixation with the ribs.

The eight to twelve ribs, including the tenth and twelfth floating ribs, are still connected to the remaining ribs on the posterior side, while the anterior sides are connected to each other, eventually forming a whole.

"Some blood will be produced from the cancellous bone at various osteotomy surfaces after surgery, and the red blood cell count, hematocrit and hemoglobin will be monitored dynamically after the operation, and blood transfusion support will be provided if necessary."

Yang Ping told August the precautions after surgery, and there was nothing special.

"We have 12 units of red blood cells on stock, which is enough to cope." August sutured the long incisions on the back of the little duke's back, while only a few small incisions were needed to suture the anterior chest and abdomen, and even the incisions used to implant the anterior steel plate were only 3 centimeters.

The anesthesiologist sat on the stool next to the patient's head with a blank face, is this the operation done?

He was ready to use his life's experience to deal with this operation, and he was ready for the worst, but he had not yet started to use his strength, and the operation was already done.

Anesthesiologists have seen a large number of scoliosis surgeries, and when they see the images on the screen, not only are the surgeries done, but they are beautiful.

It's just that the operation time is just over two hours.

It's too fast, and it's not at all like doing an operation that has been prepared for more than 20 years.

The two instrument nurses can still understand the difficulty of this operation, because the two of them have released their mental and physical strength to the limit, and they still feel a little unable to keep up with the rhythm, which is really tiring!

The spiral spine was corrected, the little duke's body was straightened, the distorted state had disappeared, and the lower back showed a normal curvature, while the chest cage on the front side was still close to the original, which was in great contrast with the normal lower back.

But it doesn't matter, as time goes on, the ribcage will slowly stretch out.

The method is to blow up balloons to the little duke, which can not only exercise the function of the lungs and tap the potential of the lung tissue that has not been fully functioned before, but also use the power of the ventilator to make the artificial chest slightly expand, and slowly, expand to normal.

Talented!

The grumpy Lloyd spat out the word in German.

This is an emergency operation, which is clearly a very mature surgical plan that has been prepared for many years and solved one problem after another.

Every detail should have been studied countless times, and it is impossible to come up with it in an emergency situation.

Could it be that Auguste had already worshiped this Chinese professor more than ten years ago, secretly studying the condition of the little duke with the Chinese professor? That's the only reasonable explanation.

But in this case, how can a Chinese professor be so young?

The dose of anesthetic may be a bit large, the little duke has not woken up yet, judging from the somatosensory evoked potential monitor, there were no abnormal radio waves throughout the operation, but Yang Ping felt that the examination of limb sensation and muscle strength after surgery was the most reliable.

Yang Ping waited for the little duke to wake up from anesthesia, which made the anesthesiologist very stressed.

The mountain, which has plagued the little duke for more than twenty years, was moved away today, the door of the operating room was opened, the old duke came over with a cane, and August stood at the door without speaking, just opened his arms and hugged this friend: "The operation went well, he is fine now." ”

"Oh! Thank God! Thank you, Professor Yang and you! The old duke was so excited that he burst into tears.

The negative emotions that had been gathering in his heart for more than 20 years were suddenly emptied, and for more than 20 years, he tried to change all this with financial resources, but in vain.

"Thank you!" The old duke couldn't let go for a long time.

If it hadn't been for August's recommendation of the Chinese doctor, his son would not have been saved at all.

"What about the Chinese professor, I want to thank him personally!"

"He's still in the operating room, don't hug him when he comes out, he hates men hugging him, you shake him with both hands, and when you shake hands, you have to be strong and a little longer."

"I know, with Chinese etiquette."

"Yes!"

The little duke woke up from anesthesia, waiting for the time when he could cooperate with the examination, Yang Ping personally checked the sensation and muscle strength of his limbs, and everything was normal.

Send it back to the ward!

Yang Ping took off his gloves and threw them in the trash.

There are also images of the spine and ribcage on the screen of the navigation device, and if a person is imaginative and can put his imagination into practice, then that person has infinite creativity.

The mentor in front of him is this kind of person, in August's heart, the mentor is still so young, his achievements will definitely overshadow Maninstein.

Therefore, Yang Ping already exists like faith in Auguste's heart.

"After the operation, he was given a customized brace to protect him for about three months."

The engineers in the brace room of Harachin Orthopaedic Hospital will measure the size within 24 hours after the operation and make a satisfactory brace to protect the little duke's spine.

Because of this severely deformed spine, the osteotomy of some parts is the amputation of the entire vertebrae, and all the stability is not good, although there is a joint fixation of the anterior and posterior roads, considering that the little duke has been in a wheelchair for a long time and the bone quality is not good, so there is a possibility that the screws will be loosened, and the brace protection is more secure.

After the osteotomy is fused and the entire spine is self-stabilizing, the brace can be removed.

---

An operation is like a magic show.

More than a dozen German orthopedic bigwigs watched the Chinese professor successfully complete an impossible operation.

The difficulties and dangers that everyone feared before surgery did not exist.

It's like a magician whose limbs are tied and sunk to the bottom of the water, and the audience holds their breath for fear that the magician will not be able to free himself and drown in the water.

But the magician will still succeed in escaping, and it is the audience who is terrified, but the magician is not in a hurry.

If you have experienced many setbacks and difficulties and completed the surgery, everyone can still accept it, and now the surgery is done without any waves.

Everyone has an empty heart, worked hard for more than ten years, discussed for more than ten years, waited for more than ten years, and now it only takes more than two hours for the problem to be solved.

There is certainly no problem with the orthopedics, it has exceeded the expected standard, it is perfect, and now the concern is the feeling and muscle strength of the limbs, whether there is a spinal cord injury.

Whether it's Professor William, Professor Lloyd, Professor Rimbaud, or other professors.

Their hearts were empty, for more than ten years, they had often gathered together to discuss the condition of the little duke, and today they gathered together, thinking that they would undergo an earth-shattering operation.

But nothing happened, just like their own daily daily surgery, uneventful.

"Shall we go back to the ward?"

Professor Lloyd reminded that everyone's brain was still buzzing, and to be honest, because it was a lateral decubitus position, the camera did not shoot the angle of the surgical area very well, and everyone did not see how the operation was completed.

Moreover, when thoracoscopic and laparoscopic osteotomy is performed, the microscopic anatomy is different from what everyone usually knows, and the lens is a vast expanse, all of which are blocked by various tissues.

During minimally invasive surgery, if the lens is red because of bleeding, it is called "red blindness." ”

This kind of lack of room for manoeuvre, surrounded by unknown tissues, is sometimes called white blindness.

In short, several bigwigs didn't understand the whole process, and only watched the electric knife and ultrasonic bone knife operating inside, but they didn't know what the goal was and what they were doing.

If you let all the bigwigs here do it, even if the laparoscopic technology is very proficient, it will be difficult to complete the operation just now.

When Professor Yang switched back and forth between the front and back of the patient, and orthopedic the spine after the osteotomy, everyone did not understand, this kind of correction is very testing of the feeling of the main knife, especially the spatial imagination, so many screws, can not be screwed to death in order, but gradually tighten the screws, this one tightens a little, and then tightens the other, the order is very particular, not nonsense, so little by little, at the same time that the orthopedic is successful, all the screws are tightened.

The technical details of this operation, like Microsoft's Windows system, seem simple on the surface, that is, graphical operation, but for this simplicity, behind it is a combination of tens of millions of programming languages.

"After the operation, the limbs feel normal, and the patient has been sent back to the ward!"

Professor William reported the latest information.

That means that the surgery has been successful, and whether there will be spinal cord and nerve damage in the second stage is at least a success for now.

To do it like this, no one present can do it.

In the orthopedic form of the spiral spine, several osteotomy is a total amputation, and then the spine is rotated along the longitudinal axis to correct the rotational deformity on the longitudinal axis, which is the most dangerous operation, and it is also this operation that stumps all doctors.

Orthopedic scoliosis, whether it is the left and right curvature of idiopathic scoliosis or the anterior and posterior folding of ankylosing spondylitis, orthopedics mainly occur in a single plane, and even if there is an operation in three-dimensional space, it is a very minor operation.

Only this kind of total truncation and rotation and alignment is the most terrifying.

Just like the amount of exercise that usually takes a few laps in the community, it is completely incomparable to a real marathon.

"In more than two hours, in just over two hours, he solved a problem that we hadn't solved for more than a decade." Lloyd smiled bitterly.

Professor William did not speak.

Professor Rimbaud's face was not good-looking, and he complained in his heart about Lloyd, things that everyone knows, and there is no need to keep mentioning them repeatedly.

"August must have known this Chinese professor for a long time, and they may have been secretly working together for many years, perhaps for some reason." Professor William speculated.

When he was at the Charité Hospital, August completed his specialist training under William, and now he recognized others as mentors, and William always felt a little uncomfortable.

However, the Germans did not pay much attention to these human affairs, and did not take them too seriously, and this acetic acid feeling flashed by in a flash.

"I've checked that the Chinese professor's papers are concentrated in the last year, which means that his age is not as old as we thought." Lloyd always wanted to figure out the age of the other party.

Just as Chinese will not judge the age of foreigners accurately in terms of appearance, foreigners will not judge the age of Chinese accurately.

Anyway, I should be in my forties.

In his forties, such achievements are already very good.

Professor Lloyd guessed.

"Where's Maninstein, have you been contacted?"

Professor William asked.

Maninstein had a good relationship with Lloyd and was in contact with each other.

"No, I heard that he was on vacation in Iceland, and if he came back and heard that the little duke had been successfully operated, how would he react?"

"I don't know, he's a whimsical character who always surprises others, so let's surprise him this time."

"From the in-depth study of the condition, the formulation of the surgical plan, the design of the instruments, every single place is very mature, I am sure that for the sake of the little duke, there must be a team behind him who has been studying for a long time, and no one will be indifferent to a billion euros, just like you and me."

The old duke's operation on his son was released by the duke's fund for one billion euros, which was considered a bounty.

"If nothing else, just look at this artificial chest, designed to be movable, will not expand during normal breathing, you need to use balloons to expand the chest, up to one millimeter per day, and it is irreversible after expansion, so that you can control the speed of expansion, avoid loss of control, and stabilize the expanded space, this design can not be done in a short time." Lloyd had carefully analyzed the entire details of Yang Ping's surgical plan.

"Moreover, his external spinal fixator is really an innovation that leads the direction of technology, if it is not an emergency, Gothenburg uses external fixator technology, there is no need for fusion at all, why is this person not famous before, it is just a few articles in top magazines."

Lloyd felt that a character like this should be extremely well-known in the industry, how could he not know.

It seems that August has more connections than them, and he deserves to be the president of the Spine Surgery Association.

"Shall we go back to the ward?" Lloyd proposed.

Because everyone is sitting here, and they don't have any intention of leaving.

"Alright, let's go back to the ward and see Fort Golden."

The strongest force in German orthopedics, more than a dozen bigwigs saw someone get up, stood up one after another, and moved to the VIP ward, Gothenburg was already lying on the bed in the emergency ward, ECMO was running stably, replacing his heart and lungs to maintain Goldenburg's systemic circulation and pulmonary circulation, transporting blood to the whole body, and nourishing every cell.

Less than three hours later, Fort Gordon successfully completed the operation.

The old duke stood on the side of the bed, holding a cane, in fact, his body was not bad, he didn't need a cane at all, probably some kind of prop for this kind of person.

The head of Europe's largest consortium was still a little unconvinced at this time, thinking that he was dreaming.

The experience during this period was too tortuous, first August told him the good news, saying that there was a Chinese doctor who could treat Gordonberg's disease, but after August went to China, everyone was full of joy and waited until the Chinese doctor came to Germany to treat Gordonberg with new technology, but Gordonberg had an accident and his heart collapsed directly, so that the new technology was useless, and hope was dashed again.

Unexpectedly, Chinese doctors are still able to complete the operation with traditional open surgery.

This alternation of joy and sorrow is extremely barbaric to the ravages of the spirit.

The old duke was now very haggard and in a trance, and he was a little afraid to accept the facts in front of him.

"He's all right, and if all goes well, in three months' time, he can take off his brace and walk like a normal person, and his small chest will expand at that time, and he will have a real manly chest."

August looked at his friend's trance-like eyes and felt that he must be overjoyed, and his excited heart had not yet landed.

"August, we're looking for you to confirm something." Professor William personally came over and invited August.

In August's current state, only Professor William could call him around.

August followed Professor William to the conference room of spine surgery, and more than a dozen bigwigs sat upright, August was shocked, what does this mean?

The door was shut.

"You may be seated!" Professor William was polite.

August sat down cautiously: "Everyone? ”

"We have a very private question for you? You have to be honest about Professor Yang. "Professor William is very serious.

“？”

Auguste did not know exactly what was going on, the atmosphere was so serious.

For a long time, Professor William asked in the encouraging eyes of everyone:

"How old is your mentor?"

In such a position, he thought that these people were going to destroy themselves on behalf of Germany, and August breathed a sigh of relief and said:

"Twenty-eight!"

Twenty-eight?

The big guys in the audience were petrified instantly.

"I thought I was at least forty?" Professor Lloyd's hoarse voice.

Forty years old?

My mentor is young and handsome, Yushu is in the wind, no matter how you look at it, you won't be forty years old, what kind of eyes do you have.

If Auguste is not a good cultivator, he will scold people directly.

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