No matter what kind of surgery, the early steps are the same, anesthesia, positioning, disinfection, and ordering, and then the official start -——。

It is not appropriate for non-surgical staff to gather in the operating room, which not only violates the principle of sterility but also hinders the activities of the surgical team. ”

So, everyone came to the demonstration room that had been prepared for a long time, and the demonstration room of comprehensive surgery was still good, because whether it is now or in the future, there will always be doctors from all over the world sitting here to observe the operation.

Therefore, Dean Xia will not tolerate this ordinary place where the world's medical elites gather, and he has made a small magic change to the classroom.

The electronic screen must be the best on the market at present, and then the wired network is used in conjunction with 5G, of course, the 5G network is usually used, in case of 5G failure, the backup wired network can be on top.

Simple plastic chairs have been replaced with ergonomic sofas, and small screens are hung around the walls so that people crowded in the back can watch the surgery calmly.

Drinks are indispensable, coffee, tea, mineral water and various fruit juices, according to Professor Zhang Zongshun's suggestion, a first-aid kit is also prepared in the classroom, which is equipped with some commonly used first-aid medicines.

According to Professor Zhang, with his personal experience, watching Yang Ping's surgery is like riding in a world-class domestic car, or watching the "Fast and Furious" in the city center.

There was no way, in order to be more intimate, Dean Xia had to order the magic reform team to get a reminder to remind the observers to pay attention to their physical condition.

Li Zehui once watched Yang Ping have surgery in this classroom, and it was still a plastic chair at that time.

Professor Li remembers very well that it was a scoliosis patient with a heart malformation, which should have been completed by the cooperation of the Department of Spine Surgery and the Department of Cardiac Surgery, but Professor Yang completed the heart surgery by the way.

That's right, yes, by the way, this surgery by the way made Professor Li embarrassed, more powerful than his own professional cardiac surgeon, and later Professor Li encountered difficulties when he did charity surgery in Saudi Arabia, then he thought of Yang Ping and invited Yang Ping to fly to Saudi Arabia for surgery.

The operation in Saudi Arabia once again refreshed Professor Li's understanding of Yang Ping, and when the world's cardiac surgeons were helpless, Professor Yang was at ease, and Li Ze will never forget it.

At that time, all his honor and self-esteem as a heart surgeon in Cleveland, the temple of the world, were shattered, and he never imagined that there was no such powerful heart surgeon in the world.

In fact, like all people, they often don't believe in things that are beyond common sense, but when they see them with their own eyes, they worship each other like gods.

If someone tells you that someone who plays basketball can single-handedly take on a team in the NBA, you won't believe it, and whoever believes is a fool. No matter how close this person is to you, no matter how strong his ability is, no matter how high his professional status is, you will not believe it, because it is impossible, absolutely impossible.

Only when you have seen the miraculous abilities of this person with your own eyes will you believe, and at the same time you will think that this person is a god, how can there be such a person in the world.

Therefore, every doctor who recognizes Yang Ping's surgical ability must have seen him perform surgery with his own eyes, otherwise he will definitely not believe it.

The surgery began, and the screen shows the first step of thoracotomy.

Yang Ping is obviously not a transsternal median approach with a wide opening and closing, but the approach he intends to use is to make two incisions in the intercostal space of the left chest, one for cardiac reconstruction, and the other for the transfer of the aorta and pulmonary artery, which is much more minimally invasive than the median sternal approach.

From the beginning to the end point of the incision, only a continuous silky knife is required, and there will never be a second knife or a supplementary knife.

This knife not only completes the length of the incision, but also completes the depth of the incision, unless there are important nerves and blood vessels that need to be protected in the middle, the knife is precisely the subcutaneous fat layer, no more, no less.

Two incisions, only two simple knives, without the slightest drag.

A knife flow is not only a symbol of Yang Ping's surgery, but also a symbol of Song Zimo and Xu Zhiliang taught by Yang Ping himself.

With a slash, the electric knife is immediately replenished, accurately extinguishing each small bleeding point, and the whole action is done in one go, once in place.

Academician Wang chuckled in his heart, and then turned his head to look at Director Xin: "The basic skills are so solid?" Cutting the skin is a knife? ”

In his more than 40 years of medical practice, Academician Wang has never seen such a confident way of cutting the skin, and Li Zehui explained on the side: "This is the legendary knife flow, and I am afraid that only here can you see a knife flow." ”

"A knife stream?"

"It's just that the skin is cut in place, and there is no need to divide or repair the knife."

Academician Wang nodded, he understood this novel term, but what if there were important blood vessels and nerves? So Academician Wang couldn't help asking.

"The scalpel will definitely cut into the top of the nerve-blood vessels, just on it, and it will never hurt the nerve-blood vessels." Li Ze will act as a commentator on the side.

At this time, Professor Xin reminded with a smile: "Observing this young man's operation, you have to pay full attention, if you are not careful, you will miss important steps, and if you are not careful, the operation may be completed." ”

As soon as the words fell, what Professor Xin was worried about happened, because he had just chatted a few words, and his chest had already opened.

Academician Wang no longer dared to be distracted, so he had to concentrate on observing the operation, indeed, the operation was very fast, so fast that it was like the fast play of a video, so fast that it made people worry.

This child has undergone three surgeries, and it is not long before the third operation, and the adhesions around the heart are serious, and it is extremely difficult to reveal it.

Moreover, in many similar cases of adhesion in the past, after multiple surgeries, the heart could not be exposed at all, and the location of the heart and large blood vessels could not be found.

This kind of thing happened before, in a case of Director Chen's chief surgeon, two hours after he came to the stage, he couldn't reveal his heart, and the knife could only explore and move forward little by little, and in the end, Academician Wang could only come to the stage in person, and it took three hours to finally reveal the heart and large blood vessels.

Now this case is more troublesome than previous cases of adhesions, and severe adhesions are a nightmare for surgeons.

In this case, revealing the heart must be a dangerous battle, Academician Wang thinks so, and Professor Xin thinks too.

But Li Ze would not think so, the original case was much more serious than this adhesion, and the professor's knife was like an elf, and he was at ease.

I didn't have time to think about how to complete the surgery with such a small minimally invasive incision.

Slow down!

Academician Wang almost screamed, he was too engaged.

Because on the screen, the round knife has been replaced by a sharp knife, and the speed of the sharp knife is very fast, and there is no meaning of dissecting while exploring.

In such areas of severe adhesions, fast can be fatal, because you don't know what's under the knife, and if you're not careful, you can cut the heart, or cut the blood vessels, or cut the heart's conduction tracts, with fatal consequences.

Heart surgery, every step is dancing on the tip of the knife, how can this be.

Academician Wang was so frightened that he almost instinctively covered his eyes, his heart was pounding, he was too bold, young man!

In the thrill, the heart is revealed, and then the pericardium opens smoothly and the heart is exposed to the field of vision.

And opening the pericardium is also a knife, not a gradual cut little by little.

After this knife, the adherent pericardium was completely opened without injuring the myocardium, and then the adhesion between the pericardium and the heart was gently and quickly separated by the sharp knife.

It was expected that revealing the heart would be a vicious battle, but everything went well, and the so-called possible vicious battle was solved by him silkily.

A knife stream!

Academician Wang silently recited this new term.

The living heart beats right in front of your eyes, this is the rhythm of life.

Yang Ping's hand gently reached in, held the little heart in his hand, and then held it up.

"Professor, I don't stutter when I see my heart talking." This is Xu Zhiliang's voice.

"Does the heart also have the function of healing stuttering?" Yang Ping was very strange.

"Another CNS, a study on the association between cardiac vision and stammering healing, may be able to find a new way to cure stuttering."

"You see, I don't stutter at all now, it's really, amazingly, I want to stutter, but I can't."

"That's because of the shock of life brought to you by the beating heart, you should do cardiac surgery in the future, it seems that your talent is in cardiac surgery."

"Can't we develop globally like you?" Song Zimo asked.

"I can't."

"Then I will still do trauma emergency surgery in the future, which can be regarded as a small global area, and I can do it all over the body."

"Prepare for cardiopulmonary bypass!"

Without the slightest hesitation, the chief surgeon advanced step by step, and the sound of preparing for cardiopulmonary bypass and cardiac arrest came from the screen, and soon, cardiopulmonary bypass was established, followed by the injection of asystole, artificially creating cardiac arrest.

Well, the house has been cut off from water and electricity, and the people inside have moved out.

Now it is a big task to dismantle the house, re-plan the partition wall inside, restore the normal left and right ventricles, and then repair the other partition walls that have collapsed crookedly.

The surgery is less serious and cautious, and it is carried out in a chat, which seems very relaxed.

The heart has been opened, the left ventricle and the right ventricle have merged into one large chamber, and now a partition wall needs to be built between the two, and the door between the left ventricle and the left atrium and the right ventricle and right atrium needs to be repaired.

The three levels of surgery -—— excision, repair, and reconstruction.

Regardless of the specialty, reconstructive surgery is the most difficult, excision only requires the removal of the target organs and tissues, while repair is only an attempt to restore the original or close to the original through repair, while reconstruction is indeed a surgical re-simulation of a certain anatomical tissue, and its function must be simulated while simulating the anatomy.

The operation is huge, and the most intuitive manifestation is that the number of stitches on the heart is up to 3,000 stitches.

And there can be no unqualified needle, there can be no blood leakage, when the heart contractions, the strong force will start from the unqualified and weak needle, tear the part that has been sutured, resulting in the failure of the operation.

The speed of stitching on the screen surprised Academician Wang, if he hadn't seen it with his own eyes, he would never have believed that a person's stitching speed could be so proficient.

How many surgeries do it take to practice this surgical speed, not only fast, but also good, every stitch is perfect.

Now, the whole picture of the operation is to be sutured all the time, and the sutures are fast.

——

Outside the operating room, Mai Zijing's parents felt tightly in their hearts, almost suffocating.

On the blue plastic chair, McGiff hugged his wife, and every second that passed was like a knock on his heart, this operation was either the beginning of happiness or goodbye.

They don't know how the surgery is going, if they are experiencing difficulties, and the wait is very painful.

The operation has been going on for more than three hours, and Xiao Su happened to send lunch to Yang Ping, because his home is close to the hospital, Xiao Su is not going to work now, and he sends food to Yang Ping every day, and he also walks around by the way to dredge his qi and blood.

The nurse in the operating room opened the door to bring in the food sent by Xiao Su, and Mai Jifu took the opportunity to ask anxiously: "Hello nurse, how is Mai Zijing's surgery?" ”

The nurse glanced at McGiff: "You're his father?" ”

McGifu nodded.

"The operation is going well, it's being done, Professor Yang is personally in charge of the operation, don't worry, don't be so nervous, there is a TV to watch, we will notify you when it's done."

Hearing that it was going well, McJifu and his wife felt a little relieved.

The door of the operating room closed again, and Xiao Su also sat down in the family area and comforted the couple: "Don't worry too much, Professor Yang has done something more difficult than this, the child is younger than your son, relax, watch TV." ”

The TV in the operating room is a digital TV, which not only has ordinary movies and TV series, but also some surgical promotional videos that introduce classic cases of comprehensive surgery, Xiao Su called up these videos from the control touch screen and played them to the couple, which may relieve their tension.

Five-stage replantation, half-amputated people, folding people, congenital heart malformations in Yemeni mirror people, etc., a series of surgical introductions, played on the video, and sure enough, this trick worked, and the mood of McJifu and his wife was much calmer.

Mai Jifu's wife, An Yinghui, also chatted with Xiao Su, and Xiao Su kept telling him how powerful Professor Yang, who was in charge of the surgery, and he would definitely go all out.

Planning is in people, and success is in heaven, McJifu thinks in his heart, so he can be regarded as a little more down-to-earth.

——

After more than three hours of surgery, the whole cavity reconstruction of the heart slowly ended in a fast and rhythmic suture, like a precise machine-like suture, which shocked Academician Wang, and he was glad that he came to Sanbo Hospital in person this time, otherwise he would have missed the world's top surgery.

It only took more than three hours to complete the full cavity reconstruction, and if I did it myself, I am afraid it would take ten hours.

This kind of suturing speed and quality, I'm afraid the world can't find a second one, no wonder he was able to control the entire operation within 6 hours, no wonder there is no need to pay too much attention to this case, because, in his hands, this case is really an ordinary case.

It's not that it's lightweight, it's that it's inherently light for him.

During the whole operation, I couldn't see the slightest sense of tension and pressure, and the whole process was very relaxed, just like doing an ordinary operation, and I could even hear the chat between the surgeon and the assistant.

The entire procedure is progressed step by step without any ineffective or repetitive movements, which is a sign of extreme proficiency.

Even the stitches left by stitching give people a kind of artistic enjoyment of beauty.

In cardiac surgery, there will be a figure who can lead the world, Academician Wang sighed in his heart.

This is followed by the reversal of the aorta and the pulmonary artery, as opposed to the reconstruction of the whole cavity of the heart. This step is clearer and cuts the aorta from the pulmonary artery at the root and then swaps the anastomosis for replacement.

The requirements for large vessel sutures are very high, because the aorta is directly connected to the heart with the pulmonary artery, and the pressure is very high when the heart contracts and ejects, and the suture quality is not up to standard, and the anastomosis is directly disintegrated.

Therefore, in the heart of the hand, not a single needle can be sloppy.

"Do you have Professor Yang's WeChat?" Academician Wang couldn't help but ask.

Professor Xin nodded: "I have been in touch with him on WeChat." ”

"Remember to push his WeChat to me, and I will also add his WeChat, the young man is a genius in heart surgery, we have to fight for it." After Academician Wang finished speaking, he immediately focused on watching the operation video.

This kind of surgery, I am really not used to it when I am older, the heart has to be able to bear it, watching Yang Ping's surgery is like watching the "Fast and Furious" in the city center, the operation is too fast, and it is a high-risk operation, so the whole heart is hanging.

——

"Zhou Can, have you checked the medicine in the first-aid kit in the classroom today?"

"Regular weekly check-ups are the same as the department's ambulance management procedures."

"That's good!"

"Why are you asking this?"

"There is also an old man among the experts who observed the operation today, and I am worried that he will have heart problems when he sees the professor's surgery."

"No, it's the academician grandfather from Fuwai?"

"Yes, heck, in the future, it is better to stipulate that those over 65 years old are not allowed to observe, and enter the venue to check their ID cards."

"Serious!" Yang Ping's voice.

"The radio is not off," a low voice -——.

The audience was silent as the broadcast symbol displayed on the screen crossed out.

Academician Wang frowned, a bunch of children.

(End of chapter)