The guzheng music of mountains and flowing water is melodious and graceful in the operating room, making people feel happy.

August took Marcus to sew the skin carefully. The three-dimensional reconstructed image of the spine was retained on the navigation screen. The spiral spine had been corrected in the anti-spiral direction, and several osteotomy parts of the spine were firmly fixed by internal fixation equipment.

, the pedicle screw system on the posterior side and the locking plate on the anterior side are fixed very firmly to look forward to future bony fusion.

The thoracic image formed by the titanium alloy artificial rib prosthesis is very conspicuous. The first to seventh rib prostheses are connected front and back to the remaining ribs at the sternum end and spinal end. The connections are coated with microporous coatings, just like artificial joint prostheses.

, they will form biological fixation with the ribs.

The eighth to twelfth ribs, including the tenth and twelfth floating ribs, are still connected to the remaining ribs on the back side, and are connected to each other on the front side, eventually forming a whole.

"The cancellous bone at various osteotomy surfaces will still bleed some after the operation. The red blood cell count, hematocrit and hemoglobin will be dynamically monitored after the operation, and blood transfusion support will be provided if necessary."

Yang Ping told August to take precautions after surgery, but there was nothing special.

"We have prepared 12 units of red blood cells, which is enough to cope with the situation." August sutured the long incision on the little Duke's waist and back, while only a few small incisions were sutured on the front chest and abdomen, even for the implantation of the anterior plate.

The incision is no more than 3 centimeters.

The anesthesiologist sat on the stool next to the patient's head with a blank look on his face. Is the operation finished?

He was ready to use his life's experience to cope with this operation and was prepared for the worst. However, before he could use all his energy, the operation was already completed.

The anesthesiologist has seen a large number of scoliosis surgeries, and when he saw the images on the screen, not only was the surgery completed, but it was also very beautiful.

The operation time is only more than two hours.

It's too fast, it's not 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 they have exhausted their mental and physical strength to the limit, but they still feel a little unable to keep up with the rhythm. It is really tiring!

The spiral spine has been corrected, and the little Duke's body has been straightened. The distortion has disappeared, and the waist and back show a normal curvature, while the front thorax is still close to the original, which is in great contrast with the normal waist and back.

But it doesn’t matter, as time goes by, the chest will slowly expand.

The method is to blow up the balloon for the little Duke. This not only exercises the function of the lungs and taps out the potential of the lung tissue that has not been fully utilized before, but also uses the power of the ventilator to allow the artificial thorax to expand slightly and slowly.

to normal.

Genius!

The grumpy Lloyd uttered the word in German.

This is not an emergency surgery. It 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 cannot be taken out temporarily in an emergency.

Could it be that August had become a disciple of this Chinese professor more than ten years ago and secretly studied the young Duke's condition with the Chinese professor? This is the only reasonable explanation.

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

The dose of anesthetic may be a bit high, and the little Duke hasn’t woken up yet. Judging from the somatosensory evoked potential monitor, there were no abnormal electric waves during the entire operation. However, Yang Ping feels that the most reliable way is to check the sensation and muscle strength of the limbs after the operation.

.

Yang Ping was waiting for the little Duke to wake up from anesthesia, which put a lot of pressure on the anesthesiologist.

The mountain that had troubled the little Duke for more than 20 years was removed today. The door to the operating room was opened. The old Duke came over with a cane. August stood at the door without saying a word. He just opened his arms and hugged his friend: "The operation is very easy."

Good luck, 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 accumulated in his heart for more than 20 years were suddenly cleared. For more than 20 years, he tried to use financial resources to change everything, but in vain.

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

If August had not recommended this Chinese doctor, his son would not have been saved.

"Where's that Chinese professor? I want to thank him personally!"

"He is still in the operating room. Don't hug him when he comes out. He hates men hugging him. Shake hands with him with both hands. The handshake should be strong and long-lasting."

"I know, use Chinese etiquette."

"Yes!"

After the little Duke woke up from anesthesia and was waiting to cooperate with the examination, Yang Ping personally checked the feeling and muscle strength of his limbs and found that everything was normal.

Send him back to the ward!

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

There are still images of the spine and thorax on the screen of the navigation device. If a person is imaginative and can put his imagination into practice, then this 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, and his achievements will definitely surpass that of Maninstein.

Therefore, Yang Ping already exists like a belief in August's heart.

"A customized brace will be made for him after the operation to protect him for about three months."

Engineers in the brace room of Harlachen Orthopedic 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 severe deformity of the spine, the osteotomy in some parts is the amputation of the entire vertebrae, so the stability is not good. Although there is combined anterior and posterior fixation, considering that the little Duke has been in a wheelchair for a long time and has poor bone quality, there are screws that can become loose.

Possibly, the brace protection is more secure.

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

---

An operation is like a magic show.

More than a dozen German orthopedic experts watched as a Chinese professor successfully completed an impossible operation.

The difficulties and dangers that everyone worried about before the operation did not exist.

Just like the magician's limbs are tied and sunk to the bottom of the water, 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 escape successfully. It is the audience who is frightened, but the magician remains calm.

If the operation was completed with many setbacks and difficulties, everyone would still be able to accept it, but now the operation is completed without any trouble.

Everyone feels empty in their hearts. After more than ten years of hard work, more than ten years of discussion, and more than ten years of waiting, the problem has been solved in just over two hours.

There is definitely no problem with the orthosis. It has exceeded the expected standards and is perfect. Now I am worried about the feeling and muscle strength of the limbs and whether there is spinal cord injury.

Whether it is 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 little Duke's condition. Today they gathered together, thinking that they would undergo an earth-shattering surgery.

But nothing happened, just like their daily operations, ordinary.

"Shall we go back to the ward?"

Professor Lloyd reminded that everyone's brains were still buzzing. To be honest, because it was in the lateral decubitus position, the camera's shooting angle of the surgical area was not very good, and everyone did not see clearly how the surgery was completed.

Moreover, when performing thoracic and laparoscopic release osteotomy, the anatomy under the microscope is different from what everyone usually knows. Under the lens, there is a vast area, all blocked by various tissues.

During minimally invasive surgery under the microscope, if all that is seen through the lens is red due to bleeding, it is called "red blindness."

This kind of lack of operating space and being surrounded by unknown organizations is sometimes called white blindness.

In short, the bosses didn't understand the whole process. They only saw the electric knife and ultrasonic bone knife operating inside, but they didn't know what the goal was or what they were doing.

If you let all the big guys here do it, even if you are very skilled in endoscopic techniques, 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 to correct the osteotomy of the spine, no one understood that this kind of correction was very challenging for the surgeon, especially his spatial imagination. There were so many screws that could not be sequenced.

Tighten all the screws, but tighten the screws step by step. Tighten this one a little, and then tighten the other one. The order is very particular, not random, so little by little, when the correction is successful, all the screws are tightened.

.

The technical details involved in this operation are just like Microsoft's Windows system. On the surface, it looks simple, just graphical operations. For this simplicity, there are tens of millions of programming language combinations behind it.

"My limbs feel normal muscle strength after surgery, and the patient has been returned to the ward!"

Professor William reports on the latest news.

That means the operation has been successful. We don’t care whether spinal cord and nerve damage will occur in the second stage, but at least it is successful now.

To achieve this, no one here can do it.

In the correction of the spiral spine, several osteotomies are completely cut, and then the spine is rotated and aligned along the longitudinal axis to correct the rotational deformity on the longitudinal axis. This is the most dangerous operation, and it is also this step that stumps all doctors.
p>

Ordinary scoliosis correction, whether it is left and right bending for idiopathic scoliosis or front and back folding for ankylosing spondylitis, the correction mainly occurs in a single plane. Even if there is an operation in a three-dimensional space, it is a very slight operation.<

/p>

Only this kind of truncation and rotation and involution is the most terrifying thing.

Just like walking a few laps in the neighborhood, the amount of exercise is completely incomparable to a real marathon.

"In just over two hours, he solved a problem that we had not solved for more than ten years." Lloyd smiled bitterly.

Professor William did not speak.

Professor Rimbaud looked unhappy. He complained about Lloyd in his heart. Everyone knows things that don’t need to be mentioned again and again.

"August should have known this Chinese professor for a long time. Maybe they have cooperated secretly for many years for some reason." Professor William speculated.

When he was at Charité Hospital, Auguste completed his specialist training under William. Now that he recognized someone else as his mentor, William felt a little uncomfortable.
To be continued...