Guo Jingyao was pushed out from the operating room. In the family waiting area, his wife and children came up one after another to inquire about the examination.
Dr. Huang briefly introduced his condition to his family members and asked them to go back to the family consultation area in the orthopedic ward to wait. Dr. Huang would later introduce Guo Jingyao's current condition to them in detail in order to arrange surgery as soon as possible.
Guo Jingyao was pushed back to the ward, and the consulting team of doctors also returned to the conference room to continue discussing the surgical plan.
"Dr. Yang, please excuse me. We kindly ask you to perform this operation. Do you think I need to make any preparations?" On the way back to the conference room, Dr. Lin asked Yang Ping.
The diagnosis is now clear and consistent with Yang Ping's diagnosis at the consultation meeting.
This operation can only be performed by Yang Ping, because if the operation fails, there will be no chance of recovery.
"I need to transfer the team over. They have just resumed work after the Spring Festival. There will be difficulties in the deployment. I will try my best." Yang Ping is not sure. After all, Corey has just gone to work and the whole team has come over and the house will be empty.
If it doesn't work, just transfer Song Zimo here alone. With a good assistant, the operation will be much easier.
Before I knew it, it was already evening in Kuala Lumpur.
He was still in China yesterday, and now he is discussing cases in Kuala Lumpur. Yang Ping doesn’t feel any discomfort at all during this time and space switch.
Yang Ping reported the situation to Director Han, and Director Han immediately replied, asking Yang Ping to stay in Malaysia. The entire comprehensive orthopedics team will rush to Malaysia as soon as possible. Someone from the hospital office will be responsible for leading the team. He is guarding the home and Yang Ping must not be asked.
Worried, he has already deployed manpower.
Director Zhu also reported to the company headquarters, and Anning Insurance immediately contacted Sanbo Hospital and organized a team to go to Malaysia.
If Yang Ping wants to perform surgery in Malaysia, he needs a temporary medical license from Malaysia so that he can legally operate on the operating table. Otherwise, he cannot perform surgery on the operating table.
The Gleneagles Hospital Administration Department has also initiated procedures to apply for a temporary medical license and spinal surgery authority from the Kuala Lumpur Department of Health on behalf of Yang Ping and his upcoming team.
After everything was arranged, Yang Ping discovered that Xiao Su’s dozens of WeChat messages had not been read, and most of them were asking Yang Ping to pay attention to his health.
Suddenly, he remembered that he had just applied for the entire team to come over, and Xiao Su would definitely send it over. There should be no problem with his parents being alone at home. They would also understand, and they were familiar with everything they needed to buy groceries in the community.
Dad often teaches that if his condition is serious, he should understand him. Thinking of this, Yang Ping immediately called Xiao Su. Although the two were only separated for a day, they seemed to have been separated for a long time.
"I'm already packing my things!"
"Well! Thank you for your hard work."
"Don't worry, parents, they are very familiar with the community and the surrounding environment."
"I'll call and talk to them."
Everyone is very busy. Yang Ping is about to participate in the pre-operative discussion, and Xiao Su has to pack her luggage. There is no time for romance. Everything is left unsaid.
Yang Ping called his parents, who asked Yang Ping to put his patients first and not miss his family. They were very familiar with the community environment, so there was no need to worry.
Doctors like Yang Ping and others who participated in Guo Jingyao's DSA did not eat. Dr. Huang arranged for fast food to be delivered to the conference room and ate while waiting for the VR image of Singapore General Hospital.
Other doctors ate fast food while waiting outside the operating room.
Fast food is KFC's hamburgers, chicken legs and the like, simple and high in calories.
"August---" Milton wanted to ask him a question.
But August was concentrating on eating burgers. A three-layer burger was actually finished, and the chicken legs were almost gone.
Is this old guy showing that his appetite and physical strength are better than his own? Milton grabbed the chicken leg and gnawed it.
"Wasting food is shameful---"
August ate the last French fries, took off his film gloves, wiped his mouth, collected the garbage, and threw it into the big bucket in the corner specially designed for fast food garbage.
Milton burped twice and continued to stuff it into his mouth, thinking: If the Germans can do it, he can do it too.
Preoperative discussion is a system that every hospital has to pool the wisdom of everyone to prevent mistakes in some important surgeries.
The virtual reality (VR) image reconstruction of the Singapore General Hospital has been completed. Everyone put on Google VR glasses. The 3D anatomical image of Guo Jingyao's thoracic spine appeared in the air in front of them. It was very clear. It would be very labor-saving for Yang Ping to use this image to explain the surgery.<
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"Everyone, you see, this is the partial anatomy of the patient's thoracic spine. Our approach to the spinal canal is to take a posterior midline approach, incise layer by layer, directly to the back of the spinal canal - the lamina, and open the lamina.
Window, enter the spinal canal through the window, our surgical target is the blood vessels outside the spinal dural sac, we remove all the outside structures, leaving only the spinal cord and blood vessels, so that it is easier to see."
Everyone immediately reached out and removed all the skin, fascia and muscles from the 3D anatomy diagram suspended in the air, and then removed all the thoracic vertebrae bones, leaving only the spinal cord and surrounding blood vessels inside, so that it would be more intuitive to observe. The virtual reality technology of Singapore General Hospital is relatively basic and can only display anatomy, which is just a detachable high-definition 3D image.
The virtual reality technology developed by a team in the United States can simulate the anatomy and physiology of organs. Then using virtual touch technology, surgeons can operate on virtual organs. If a certain part is cut, it will bleed and injure an important part.
, it simulates physiological interference and is very close to real surgery.
"It seems that these arteries must be cut and ligated, otherwise the operation will be affected. In normal times, these blood vessels are insignificant and can be ligated. We will do this without thinking, so as to reveal the site of the spinal dural arteriovenous fistula.
"The arteries Yang Ping mentioned flashed and flashed.
Sure enough, these arteries are lying across the surgical approach, blocking the surgical entrance. Only by cutting and ligating them can the surgical target be revealed. If the function of these blood vessels is not clear in advance, I am afraid that any spine surgeon will not do it at all.
Hesitantly cut off and ligated these blood vessels.
All the doctors present broke out in a cold sweat, including Dr. Huang, who performed Guo Jingyao’s thoracic spinal canal cyst surgery. Fortunately, the cyst was not in this segment, otherwise the blood supply to the spinal cord would have been destroyed and there would be no possibility of another operation.
Opportunity.
"These arteries cannot be retracted. If they are not cut off and there is no room for operation, how to deal with arteriovenous fistula?" A doctor asked.
Yang Ping's instruction mark appeared on the 3D graphics: "The operation can only be done through the artery gap. This is the only operation gap."
"The gap is too small, and it's impossible to do it under a microscope." Another doctor thought it was too difficult.
Kobayashi Atsushi's voice: "The surgical window is indeed too small. Can it be bypassed?"
"No! The only operating gap is exposed from other places, and the part of the arteriovenous fistula cannot be exposed." Milton was very sure.
"If you hadn't seen it with your own eyes, it would be unbelievable. They seem to be born to prevent our operation. Can we cut off the blood vessels, deal with the arteriovenous fistula, and then anastomose these blood vessels?" August used his imagination.
.
Yang Ping confirmed his opinion: "Yes, but there is no need. The operation can be completed during the gap."
"So, this operation needs to be completed by my team!" Yang Ping emphasized again.
"I can be your assistant---" August volunteered.
Yang Ping blurted out: "No, the operation is too difficult and the operation is too delicate. A careless movement will bring catastrophic trouble to the operation."
A master figure in European spinal surgery applied to be an assistant, but was rejected on the spot in front of so many doctors.
Milton wanted to apply just now, but immediately swallowed his words.
Fortunately, everyone is wearing VR glasses, so no one can see the embarrassed expression on August's face.
"In this arteriovenous fistula, after the arteries and veins are separated, the arteries cannot be repaired. They can only be cut off, and then the blood vessels are taken out for bridging and anastomosis. It is too difficult to perform this operation in the gap window of several arteries. You may not be able to do it.
"Yang Ping explains.
Neither Milton nor August dared to fight for it anymore. Indeed, if the operation had to be done this way, they would not have much confidence to be an assistant.
