The European Spine Surgery Annual Meeting closed with a sound of surprise, and this annual meeting brought a lot of surprises and suspense to everyone.

In the past, no annual meeting would have made everyone so reluctant, and even if it was closed, everyone was still reluctant to leave for a long time.

The first patient in Europe to use the precise epiphyseal block technique to treat scoliosis can be successfully orthopedic.

Because the child's scoliosis was so severe, and the operation of the precise epiphyseal block technique was too minimally invasive and too simple, more than 6,000 spine surgeons had to doubt its effectiveness.

The whole operation is very easy, under the supervision of the C-arm machine or navigation system, a mung bean-sized blocker is implanted into several predetermined points of the vertebrae, and the child is alive and kicking the day after surgery.

Will this work?

All the doctors attending the meeting can see from the first demonstration operation that Song Zimo's surgical level is extremely high, and he can almost surpass all the doctors present.

This is just an assistant, so what is Professor Yang's surgical level? This became a suspense for the conference.

These doctors only know that Yang Ping once performed a miracle: he published 13 CNS papers in a few months.

But I have never seen him have surgery, how high is his surgical level? Many people want to see Yang Ping's surgery with their own eyes.

The second suspense of the conference is whether Yang Ping's paper is true?

In a paper published on a medical website, Yang Ping mentioned that not only have spatially directed genes been discovered, but also that a complete muscle has been cultivated using spatially oriented genes.

If this is true, it will be a super-heavyweight scientific achievement, and for the first time, humans will be able to clone organs in vitro without relying on embryonic technology.

With these questions, everyone reluctantly ended the meeting.

After the European Annual Meeting of Spine Surgery ended, Song Zimo and Xu Zhiliang really had the task, that is, accompanied by August, to investigate European medicine, including hospitals, medical universities and medical laboratories, so as to broaden their horizons and learn from each other's strengths.

Among them, Professor Manstein extended a grand invitation to Song Zimo and Xu Zhiliang, inviting them to visit his laboratory and hoping to establish close academic cooperation with Sanbo Hospital.

Of course, Professor Manstein has not said that he wants to copy Yang Ping's experiment, and he wants to be Yang Ping's Nobel Prize recommender, and the only person who can make Maninstein think of himself as a genius is Yang Ping.

Geniuses only have a common language with geniuses, so Maninstein wants to be friends with Yang Ping.

Closure makes people regress, and openness makes people progress, which Yang Ping still attaches great importance to, no matter how powerful he is, he can't be complacent and work behind closed doors.

It's rare to go out, so Yang Ping asked Song Zimo and Xu Zhiliang to stay in Europe for a few more days, communicate more with their peers, and broaden their horizons.

At the same time, he also took advantage of this opportunity to cultivate Zhang Lin Xiaowu's independent consciousness and independent ability, Song Zimo and Xu Zhiliang are their senior doctors, if Song Zimo and Xu Zhiliang are in the department, Xiao Wu Zhang Lin will always be psychologically independent.

Hearing this news, Zhang Lin and Xiao Wu were very happy, they could continue to be senior doctors for a few more days and do a few more surgeries, after all, it was very refreshing to be a senior doctor.

Zhang Lin and Xiao Wu usually hang their children, and they don't drop the chain at critical times, although they can only do three or four surgeries a day, they can finally operate on the main surgery, although they are not perfect, but they are also qualified, which can make people feel at ease.

Their extremely difficult surgeries can't be done for the time being, but most of them can be won safely, and they can barely support the door of the department.

It's a pity that Zhang Lin Xiaowu can only perform surgery with two people on stage at the same time, otherwise he can do six to eight surgeries a day if he is separated from each other, which is much more efficient.

Fortunately, there are not many emergency surgeries at the Institute of Surgery, and most of them are elective surgeries, so they can be done slowly.

From the situation of Zhang Lin Xiaowu's main surgery, Yang Ping felt that his training method for the team doctors was correct, which could ensure that everyone could get good development and reach a certain height.

A team cannot be supported by just one or two people, and each team member must be able to develop freely and give full play to their abilities.

With the help of Dean Sun, Bao Yulou finally met Yang Ping, who was still working on his son's surgery.

Yang Ping has promised to perform surgery for Bao Junhao, but the specific time of the operation has not been determined. This time Bao Yulou came for this matter, he didn't have to come forward in person every time, but the matter is special, in order to express enough sincerity, no matter how busy Bao Yulou is, he comes to Sanbo Hospital in person every time.

Today, Zhang Lin Xiaowu's operation was a little faster, it ended at seven o'clock, Yang Ping just came out of the operating room after the operation, and met Bao Yulou accompanied by Dean Sun, he did not bring an entourage, followed by Mrs. Bao and Bao Junhao, seeing Yang Ping coming out of the operating room, Bao Yulou immediately came up and shook hands with Yang Ping.

"Hello Professor Yang, you are still bothering you when you are so busy." Bao Yulou behaved very humblely, not at all like a big boss.

"It's okay, you say, what's the matter?" Yang Ping went straight to the point.

Bao Yulou's face was slightly embarrassed: "Professor Yang, I specially brought my family to thank you this time, I am very grateful to Professor Yang for taking time out of his busy schedule to arrange time for Junhao to perform surgery, I don't know what time is convenient for Professor Yang, Junhao and I are all subject to Professor Yang's arrangement."

Oh, Yang Ping remembered that he forgot to promise Bao Yulou about the operation, so there was no follow-up after agreeing.

This made Bao Yulou very anxious, he was afraid that the night would be long and dreamy, and with the help of Dean Sun, he came to inquire about the specific operation time this time.

"Professor Yang is very busy during this time, but he will try to find time as much as possible, so don't worry." Dean Sun helped Bao Yulou speak on the side.

Yang Ping thought for a while and said: "Next week, come to the hospital next Monday, do surgery on Tuesday, come early on Monday, arrive at the department on time at 8:30, find the doctor on duty to open a hospitalization order, pay attention to an empty stomach, and can't eat breakfast."

finally determined the specific time for his son's surgery, which made Bao Yulou very happy. His son has no prospects, Bao Yulou knows it, it was originally a simple matter, but it made his son and that strange wife twists and turns.

But a son is a son after all, even if he is as stupid as a pig, he is also his son.

Bao Junhao doesn't do anything, he can't do anything, he is a little interested in football, so there is no way, Bao Yulou tried his best to make him a football player, but now he has a knee injury and can no longer play football, if he wants to return to the game, he can only ask Professor Yang to perform surgery.

But fortunately, after a series of operations such as apologies and donations, Bao Yulou finally expressed his sincerity, and Yang Ping finally agreed to operate on Bao Junhao.

At present, there are not many doctors in the world who can operate on Bao Junhao, and the best one can only be Yang Ping, and several other doctors who can do this kind of surgery are all Yang Ping's students, if it weren't for that farce in the United States, I really don't know about it.

Mrs. Bao and Bao Junhao were very polite and polite, no longer as arrogant as before, they leaned forward slightly, showing a bowing posture, and squeezed out a smile on their faces: "Thank you, Professor Yang!" Much appreciated. ”

This is what Bao Yulou told him again and again in advance, and this matter must not be extraneous again.

——

Bao Junhao, this kid, just gathers with a group of fox friends and dogs all day long to spend all day drinking, sometimes it is a distressing thing to not spend the money, Bao Junhao is like this.

Just came out of Sanbo Hospital, and disappeared without saying hello to his father, at this time, his fox friend was waiting for him in a villa, saying that he would have a party tonight.

"Brother Hao, looking at your appearance, you don't seem to be very happy lately."

Wu Kequan, a good brother who mixes with Bao Junhao all day long, said.

This guy is also a bastard, and he doesn't do anything serious for a day.

"Of course I'm not happy, Lao Tzu is like a grandson during this time, in order to have an operation, my old man is donating, and writing an apology letter, the old man also forced me and my mother to apologize to that bastard in person, every time I speak in front of him, I have to be respectful, saying that it is to express sincerity, I can't wait to rush up and kick him."

Bao Junhao poured a glass of wine and took a sip of it, and there was no place to vent the evil anger in his heart.

"No wonder, I said why are you always sullen these days."

The good brother poured wine for Bao Junhao.

"What character? Such a? Let Brother Hao serve like his grandson, and I'll go to the meeting. The good brother was also indignant.

Bao Junhao sighed and said, "Yang Ping, the doctor from Sanbo Hospital, this kid is very dragged by it, isn't he just going to have a few surgeries, what's the big deal."

The more Bao Junhao spoke, the more angry he became.

The good brother saw it in his eyes, and he thought that he was just an ordinary doctor.

"Do you want to find a few people for you to teach him a lesson, and give you this bad breath, there are still such people who dare to be disrespectful to Brother Hao." The good brother was also very indignant.

Bao Junhao thought about it, he was scolded by the old man during this time, and he was forced to apologize, and the resentment had been gathering in his heart for a long time.

But I think again, this operation hasn't been done yet, let's talk about it after it's done, Bao Junhao doesn't want to be a cripple, he's a little stupid, but he's not stupid enough to be unclear about this matter.

"Don't worry, wait until the operation is over, who will still bird him after the operation, when the time comes, help me find a few people to repair him properly, don't make too much trouble, but don't repair it too lightly, just waste his hand." Bao Junhao said viciously.

The good brother immediately agreed: "This matter is on me, I will repair it to the extent that you say it, and I will repair it to the extent that he is sure to make him remember it in his life, our brother Hao is not easy to mess with."

"Well, my old man is really too much, he has so much money in his hand like a grandson, so there is a bird to earn money." Bao Junhao had to shake his head when he talked about his father.

——

Professor Deng Jianliang of the outpatient clinic called Yang Ping and asked if Yang Ping had been off work.

Yang Ming said that he had not yet gotten off work and was in the department ward.

Professor Deng Jianliang said: "There is a patient with moyamoya disease in the emergency department, a two-year-old girl, and I am going to admit her to the hospital."

The patient was seen in the emergency department, and the emergency department asked for a neurosurgery consultation, but because the patient was young, the neurological consultation doctor was not sure, so he had to ask Professor Deng Jianliang to help take a look.

Because of the relatively young age, the difficulty of the operation, and the need for emergency surgery, Professor Deng felt that it was safer to communicate with Yang Ping in advance.

"Take it! Emergency surgery! Yang Ping replied without thinking about it.

Two-year-old moyamoya disease patients are indeed more difficult to perform moyamoya disease surgery at this age.

Moyamoya disease is a rare cerebrovascular disease, also known as abnormal vascular reticulosis at the base of the brain or spontaneous basilar artery annular occlusion.

It can occur in both children and adults, with ischemic manifestations in children and hemorrhagic manifestations in adults.

Due to narrowing or occlusion of blood vessels, upstream blood vessels dilate due to excessive resistance, which can easily lead to rupture and bleeding of blood vessels. Downstream blood vessels are prone to blockage due to insufficient blood supply.

Now the child's main symptom is sudden left limb weakness, and the child's home is near the hospital, so once discovered, he was immediately sent to the emergency department of Sanbo Hospital.

Yang Ping informed Zhang Lin that Xiao Wu was preparing for emergency surgery, and there were very few emergency surgeries in the Institute of Surgery, so everyone was very excited when they heard about the emergency surgery, and Xiao Wu Zhang Lin immediately ran to the emergency department to see the patient.

Yang Ping retrieved the child's cerebral angiography pictures from the computer.

Cerebral angiography shows a typical smoky vascular network.

Smoky blood vessels are malformed vascular networks, which are caused by narrowing or occlusion of the initial intracranial segment of the internal carotid artery, resulting in the malformation of the blood vessels connected to the skull base and the formation of an abnormal vascular network.

To be more specific, it is characterized by the slow thickening of the arterial intima at the end of the internal carotid artery and the anterior cerebral artery and the beginning of the middle cerebral artery, the gradual narrowing of the arterial lumen to the point of occlusion, and the compensatory dilation of the perforator artery at the base of the brain.

The image showed that it was consistent with the characteristics of moyamoya disease, and there was no problem with the diagnosis.

The treatment of moyamoya disease is divided into direct and indirect revascularization.

In this case, which is only two years old and has very thin blood vessels, indirect revascularization is usually an option, which involves stripping the superficial temporal artery and applying it to the subdural surface of the brain and to the dura mater.

This results in indirect revascularization and improvement of intracranial ischemic status.

If the foundation of vascular anastomosis is solid, it is not impossible to do direct vascular reconstruction.

Yang Ping asked Zhang Lin Xiaowu to arrange the operation first, and he went to the cafeteria to finish dinner quickly.

Zhang Lin Xiaowu and these two guys are very smart, and the first thing they do after surgery every afternoon is to eat.

In this way, there is no need to panic if there is surgery later, and even if there is no surgery, you can save time to train the trainer to train the basic skills.

Try not to go to the operating table hungry, this is Yang Ping's style, which is learned by every doctor in the department.

Even if you really don't have time to eat, when you change clothes in the locker room, you can take the time to eat a compressed biscuit, and the whole box of compressed biscuits in the locker room can be eaten casually, which is prepared for emergency surgery and no time to eat.

Keeping the doctor in good condition helps to ensure the quality of the surgery.

(End of chapter)