Dr. Yang really intends to implement the theoretical surgery?
Impossible, Takahashi stayed awake enough, but Dr. Yang said in front of so many people that he was prepared to use such a plan.
Without complete assurance, a doctor would not be so calm and calm.
Especially doctors like Yang Ping who have made great achievements do not need to rely on false names to elevate themselves.
Then, there is only one possibility, he really wants to use this technique.
Using bladder mucosa to reconstruct the defecation reflex of the anus, and using veins to reconstruct the urethra, these two surgeries are attempts by some skilled experts to reconstruct the anus and urethra in the international repair and reconstructive surgery community.
How many top gastrointestinal surgeons, urologists, repair and reconstructive surgeons have worked hard and made various efforts, but in the end they were in vain. The bladder mucosa has been unable to dissect the small nerves connected to it, and the veins cannot be peeled off in layers to steal the qualified thickness. Takahashi had just reconstructed the anus using bladder mucosa, and when he thought of reconstructing the urethra using veins, the surgical pictures on the screen had switched to urethral reconstruction.
Yang Ping pointed to the operation drawing: "The urethra can also be reconstructed by abandoning the colon mucosa and using venous pipelines. There are many sources of vein materials. Because of its network structure, cutting a branch will cause almost zero loss to the patient."
Use veins to reconstruct the urethra? Also use veins to reconstruct the urethra!
He proposed these operations again and again, which had been proven to be impossible with surgery.
Internationally, several top teams have conducted research in this area, but all ended in failure. It has always been believed that these surgeries are theoretically feasible, but the requirements for the surgeon's surgical skills are too high.
When using bladder mucosal transplantation to reconstruct defecation, the surgeon tried his best to find out the tiny nerves in the bladder mucosa through various nerve staining methods during animal experiments. Even if he was lucky and found a few, there was no way to dissect them.
When vein grafting is used to reconstruct the urethra, blood vessels cannot be peeled off in layers, and the wall is too thick, resulting in vascular necrosis after implantation. Some people use stepwise expansion techniques to expand the diameter of the tube while trying to thin the wall, and the final result is necrosis.<
/p>
The conclusion is that blood vessels are originally nourished by the blood in the tubes. After transplantation, nutrients are supplied by penetration of fluid from outside the tubes through the tissue bed in the receiving area, which is much more difficult than other mucosal tissues.
If the two surgical procedures challenged by Dr. Yang are successful, it will cause a sensation in reconstructive surgery and push anal reconstruction and urethral reconstruction to several levels.
"For the treatment of veins, we use layered wall stripping technology to cut off part of the wall and then implant it according to conventional methods. Veins are natural liquid circulation channels. Instead of the urethra, the urine flow rate will be better and it is less likely to form stenosis.
; After it is implanted upside down, the venous valve will help prevent bacteria from traveling backwards and reduce the probability of urinary tract infection."
Yang Ping's tone was very calm, and it didn't sound like he was talking about a difficult surgery.
What the surgical drawings show is the layered anatomical structure of the blood vessel wall. Where to start peeling off and which layer needs to be peeled off are clearly expressed.
Is this really a challenge to the theoretical surgery? Takahashi's heart is filled with turmoil. He only needs to challenge one operation, but now he is challenging two operations that cannot be completed.
No, this is not a challenge, judging from his appearance, but he is confident.
From his expression and tone, it was clear that this was just a routine surgery, without mentioning that no one had ever succeeded in this surgery.
If it is true---Takahashi's inner excitement is like overflowing highly alcoholic alcohol, flowing everywhere. If he lights up a lighter, the flame will rise, and he can immediately learn the surgery that he once thought could only exist in theory. p>
Only Song Zimo was not surprised at all. He had long been accustomed to this kind of thing. He would not spend time questioning it, he would only think about how Yang Ping would achieve it, and at the same time hope that he would be the second person to master the new technique. p>
Miyuki Fujiwara sat quietly aside. She was not very interested in the discussion. Maybe the light outside the window was a bit dazzling, or maybe she was not used to looking at the electronic screen for a long time. Miss Fujiwara took out a pair of glasses and put them on, light brown sunglasses.
Turning over one picture after another, just admiring these pictures is pleasing to the eye. The blood vessels, nerves, and internal organs are all very clear. The three-dimensional sense of the anatomical levels is appropriate and the details of the surgery are clearly and understandably displayed.
"As for the WY reconstruction that Dr. Xu mentioned just now, I think it is very necessary. In reconstructive surgery, we must not only pursue function, but also pursue appearance. Of course, appearance is a higher-level pursuit, and it must be after ensuring sufficient function." p>
"The anal sphincter reconstruction mentioned by Takahashi uses the pectoralis minor muscle, and the selection of the materials is very accurate. This is a choice that can only be made after strict screening; the YD reconstruction mentioned by Song Zimo is completely necessary to make the patient look like a normal woman.
Experiencing slow natural aging instead of premature aging, even if she is only half a body, we have reason to let her live with more dignity."
The last picture is the effect of the successful operation. Part of the bladder mucosa is transplanted to the lower colon, the pectoralis minor replaces the function of the sphincter, and the vein harvested from the abdominal cavity is inverted to reconstruct the urethra.
Someone came up with the idea of collecting these dozen or so pictures---collecting them, maybe they could be auctioned at a high price many years later.
Yu Shuilian's surgery is finished. These surgical methods are not just words on paper, but must be carried out to the letter. In a few days, Yu Shuilian's surgery will be performed according to the dozen or so pictures.
Each step is clearly described in the drawings, and the combination of various lenses allows an intern to understand the entire process of the operation, almost like reading a comic.
Yang Ping stood on the podium, waiting for everyone to ask questions, but no one asked questions. Even a powerful person like Takahashi couldn't ask questions now.
Unless you ask: "Is this operation impossible? Many people have failed, and I have failed too."
But even if people decide to do this, the stupidest surgeon will not joke about the operation.
"I don't understand. Do you understand?"
"I seem to understand a little bit."
"Then you tell me when you go back and I treat you to dinner tonight?"
"I---I'd better go back and read the book together."
"It's not in the book. A senior brother just said it. Didn't you understand it?"
"Hey, I mean, I understand a little bit---a lesson that I can't understand even if I read the book."
Several interns were discussing, because after Yang Ping's speech, everyone relaxed and started to lower their heads to discuss.
After waiting for a few minutes, no one answered. Yang Ping planned to end the pre-operative discussion, which turned into a small lecture.
"Dr. Yang---" Fujiwara Miyuki stood up.
"Dr. Fujiwara, do you have any questions?" Yang Ping was about to step off the podium.
"Model, that Japanese model doctor---"
Several students on the periphery began to squeeze in and out. Everyone wanted to take a look at the beauty. Miyuki Fujiwara's perfect figure could not be hidden even if she was wearing a white coat.
The twinkling eyes, fair skin, 1.78 meter tall figure, and that unique oriental temperament make the eyes of young men who usually only have exposure to Japanese short video beauties shine brightly.
"As far as I know, the bladder mucosa to reconstruct the anal defecation reflex and the vein to reconstruct the urethra have never been successful in the world. I want to know why Dr. Yang is so confident? Why not choose a more traditional method with a higher success rate?
Surgery?" Miss Fujiwara took off her sunglasses, looked at Yang Ping, raised her brows slightly, and waited for Yang Ping's answer with a smile.
When she stands, although she is just standing in an ordinary posture, she is as charming as on a runway.
"This operation is recognized as the best in theory. The reason why everyone failed is that the bladder mucosa cannot be dissected out the required nerves, and the veins cannot be peeled off in layers to cut out the thin walls they want. I think this
It's just a matter of surgical operation. For me, this is not an obstacle. Such a good surgery should not be shelved. Someone has to implement it. I am willing to be the first to try it." Yang Ping's explanation was not satisfactory.
I know if she is satisfied or not.
Miyuki Fujiwara applauded softly: "You are a person standing on the top of the mountain. I wish your operation a success!"
"Thank you!" Yang Ping walked down from the podium.
Miss Fujiwara came up to her, stretched out her hand, and wanted to shake hands with Yang Ping to express her best wishes.
Yang Ping shook her hand gently and symbolically.
The preoperative discussion is almost over, the surgical plan has been formed, and everyone is still unfinished. At this kind of meeting, what we learned is real things. In the future, when we go out to talk about this aspect of surgery, if we throw out a sentence casually, it will make people scratch their heads.
Lower head.
At the end of the meeting, Director Gao immediately came down and moved his chair a little further in order not to block the people who came out. He was worried that Yang Ping would leave the conference room soon, so he quickly squeezed in and said a few words to Yang Ping.
But just when everyone was leaving the meeting, Director Gao went against the current and met the intern at the door again.
"Why are you squeezing? You are rushing to be reincarnated," the intern said angrily. He turned around and saw, holy shit, it was Director Gao he was scolding.
All of a sudden, my little heart tightened. Isn’t this Director Gao of the Sports Medicine Center?
This guy is still an intern at the Sports Medicine Center, and he is looking for death.
"Why are you squeezing? I'm squeezing your head." The boy suddenly thought, and for a moment, his eyes glanced at Director Gao, pretending not to notice, and directly stared at another classmate next to Director Gao, and shouted: "It was you too in the beginning.
It’s crowded, and now it’s crowded again.”
The classmate didn't do anything. He was yelled at for no apparent reason. He hesitated and couldn't speak: "I---I---"
The intern hurriedly left the scene, his forehead covered with sweat.
I feel lucky that I am smart, otherwise I would be embarrassed.
