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Chapter 387 Postoperative stability

Yang Ping's back was covered with cold sweat. Even he himself didn't know when he had sweated so much.

High concentration consumes a lot of mental and physical energy.

Four life-threatening cardiac arrests can drain a doctor of all his confidence.

However, he remained as firm as a rock and pushed the operation to success step by step.

Director Han hugged Yang Ping tightly. This young man who usually didn't speak much was always able to turn the tide at critical moments, and his appearance remained unchanged despite the collapse of Mount Tai.

"Quick, go change your clothes, don't catch a cold." Director Han finally spoke.

"It's okay, it's almost done." Yang Ping smiled.

Professor Feng was pushed out from the operating room with a tracheal intubation and connected to an emergency transport ventilator.

On the portable ECG monitor following the flat car, the heart rate was 80 beats/min, the blood pressure was 132/85mmHg, and the blood oxygen saturation was 100%.

Wen Rentao and Zeng Ran pushed the cart, Dr. Wu guarded the ventilator, the circulating nurse held on to the guardrail, and Professor Ma followed. Everyone sent Professor Feng back to the ICU ward.

Professor Zhang, Director Han, Hong Zhigang, and Dean Chen immediately gathered around.

Looking at the stable parameters on the monitor, I felt relieved.

"The operation was successful!" The news spread immediately.

People from other operating rooms came out one after another to watch Professor Feng's flat car roll out of the operating room.

If there are no accidents, Professor Feng can remove the tracheal intubation and resume spontaneous breathing two hours after returning to the ICU.

The door of the operating room opened, and Professor Feng came out in a flat car and pushed it to the elevator dedicated for surgery.

The waiting area for family members was already crowded with people, including doctors observing the demonstration classroom. Johnathan, Griffin and Woodhead were also among them.

No one made any noise or interfered with the advancement of the flat car. The elevator door opened and Professor Feng was pushed into the elevator.

When I was sent to the ICU, the doctors and nurses were ready and almost lined up to wait.

Pass the bed, connect to the ventilator and monitor, and draw blood to dynamically monitor various indicators.

Professor Zhang, Han Jiangong, Hong Zhigang and Yang Ping were at the bedside, and the others were invited out.

The tumor from the upper cervical spinal cord to the medulla oblongata is completely removed, and the nerve nuclei and conductive bundles are perfectly protected. The interference caused by the weak thermal damage of the laser head is also transient.

Next, we need to be wary of edema in the medulla oblongata and spinal cord, but Yang Ping took great care of the tissues during the operation. Even if there is postoperative edema, it is very mild.

The application of methylprednisolone and 20% mannitol is enough to deal with this possible mild edema.

Two hours later, Professor Feng's tracheal intubation was removed, he was removed from the ventilator and resumed spontaneous breathing.

Heart rate, respiration, blood pressure, and blood oxygen saturation are all normal and very stable.

Extubation and weaning in the early postoperative period allow for true observation of respiratory status.

Sometimes if the respiratory center is damaged, the patient cannot be weaned off the machine and can only rely on mechanical ventilation from a ventilator.

Now Professor Feng's breathing and heartbeat are stable, and his limbs feel normal, indicating that the operation did not damage the respiratory and heartbeat centers, nor the spinal cord.

Everything shows that the operation was very successful. Not only was the tumor removed, but there were no sequelae.

When the old man woke up, he knew that his operation was successful, which was unbelievable.

After all, after general anesthesia, I looked tired and didn't want to talk much. I just answered a few words and wanted to rest.

"You all go to eat. I'll just stay here and watch. There are so many ICU doctors." Professor Zhang asked Director Han, Hong Zhigang and Yang Ping to go to eat.

"You go to eat too, we'll keep watch." The ICU director said to Professor Zhang.

There is nothing to worry about when a person is placed in the ICU. You always have to eat.

Professor Zhang saw that no one was going to eat, so he had to forcefully order: "Everyone go to eat. After eating, Jiangong and Zhigang will come over, and Xiao Yang will go back to the hotel to rest."

Director Deng of the hospital office booked a private room in a hotel near the hospital, and Director Chen led his team to accompany him, thanking Sanbo Hospital for its help in the name of the hospital.

During the banquet, Dean Chen inevitably gave an official speech of thanks.

Hong Zhigang accompanied Han Jiangong. Hong Zhigang was very embarrassed and guilty. He was obsessed with it and used unfair means to slander his junior brother for his own selfish gain.

But the junior brother knew that he had slandered him, so he took advantage of the situation and gave himself the opportunity to take over as the department director.

For more than ten years, I have been the only one who has been kept in the dark, and I am still complacent about my little tricks.

The more Hong Zhigang thought about it, the sadder he became. His mentor took full responsibility, made a sincere apology to the patient, and negotiated compensation, which prevented the situation from worsening.

Although it was not a subjective accident, Hong Zhigang's careless mistake caused serious disability to the patient. Later, he visited the patient many times, explained the situation to the patient, provided financial compensation many times, and also sponsored the patient's son to go to college, and helped arrange for him to work in magic after graduation.

Du worked in a state-owned enterprise, and the patient not only forgave him, but was also very grateful to him.

For more than ten years, Hong Zhigang has been tortured by his conscience no matter whether he is this patient or Junior Brother Han.

Hong Zhigang also didn't expect that his respected mentor turned out to be his biological father.

The experiences of the past few days were like a dream to Hong Zhigang.

"I'm sorry, junior brother!" Hong Zhigang raised his glass and replaced the wine with tea.

Han Jiangong hugged his back and whispered in his ear: "Don't mention the past anymore, okay, I accept your apology, and this article will be over from now on."

The senior brother was wrong at the time, but he was not unforgivable. He sincerely regretted it afterwards. The Department of Orthopedics of the Sixth Hospital of Modu has been flourishing under the hands of Hong Zhigang over the years. He has selected and trained a group of young people, and has been very responsible for talent training and department management.

, they all learned from the most advanced hospitals in the world and formed a standardized training and management system.

Yang Ping was surrounded by Wen Rentao, Zeng Ran and Mu Jun. Mu Jun thought of the international trauma surgeon Fumiya Takahashi and asked: "I heard that Professor Takahashi came to China?"

He wanted to ask if he was in Sanbo Hospital. Yang Ping said: "He has been coming to our hospital for several months. How do you know him?"

"He is our teacher. We received training from him when we were studying in Japan. He is very strict." Mu Jun hurriedly explained.

Sure enough, Takahashi was in China, and at Sanbo, Wen Rentao and Mu Jun's guesses were verified.

Yang Ping thought they knew about Takahashi's further training and wanted to inquire about Takahashi's current situation, so he took a sip of tea and said: "Takahashi's training period was originally three months, but now it has been extended to half a year. He is very good and studies very seriously."
Everyone looked at each other, Gao Qiao went to Sanbo to further his studies?

Everyone thought they were going to train them, but Takahashi was actually studying at Sanbo. This topic that was brought up inadvertently was quite embarrassing.

"The spinal orthopedic surgery you won the Golden Knife Award for was so awesome. I still haven't figured out many questions." Zeng Ran immediately changed the subject to resolve the embarrassment.

Speaking of the Golden Knife Award, Director Peng of the Medical Department said: "We discussed that Feng's surgery video should be uploaded to the Golden Knife Award website. However, according to the rules of the Golden Knife Award, the cases must be from participating hospitals. Although the surgeon is Dr. Yang,

But Mr. Feng is considered a case of Magic Six, and I don’t know if it can be counted as a case of Dr. Yang’s participation. We tried our best to apply and communicated with the host committee. Such classic cases are rare."

Director Peng has been dealing with this matter. Mr. Feng explained before the operation that he would use himself as a teaching case. If the operation failed, an autopsy would be conducted afterwards.

Now that the operation is successful, Director Peng and Director Chen have been considering that they should adhere to Mr. Feng’s original intention and make the operation video public to their peers.

This operation is an excellent teaching case for both spine surgeons and neurosurgeons.

The best way to make it public is to put it on the Golden Knife Awards website, which is currently the most powerful way to spread it.

It would be better if it can become Yang Ping's participating case. Even if it cannot, opening up a separate area on the Golden Knife Award website to display this operation will benefit everyone a lot.

"The purpose of the competition is to inspire young doctors to go all out and strive for excellence. This operation is the embodiment of this spirit. I think the host committee will consider this." Professor Zhang also strongly recommended this operation as a participating operation.<

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Dean Chen knew that keeping Yang Ping here for several days and several more days after the operation would definitely delay his preparation for the Golden Knife Award season. If Feng Lao's surgery could be used as a competition case, he would kill two birds with one stone.

In order to make up for Yang Ping's delayed time, he said: "In the name of Moliu Hospital, we contacted several authoritative professors of orthopedics and applied to the main committee, hoping to be approved."

Such cases that challenge the restricted area and demonstrate the wisdom and courage of doctors deserve the tribute and learning from doctors across the country.

The third season match happened to be the surgery for spinal and pelvic tumors, among which upper cervical spine tumors were the focus of the showdown.

Following Feng Lao's case, Yang Ping also began to think about how to simplify, standardize and popularize this difficult surgery.

The operation can be replicated on a large scale. Although it is difficult for other doctors to reach their own level, it can at least advance the surgery of tumors of the upper cervical spinal cord and brainstem to a higher level.

Among them, Yang Ping's experience in anatomy and pathophysiology is the most valuable. Without thorough anatomical research on the brainstem, there would not be such a high success rate.

Without in-depth research on the pathophysiology of the brainstem, we would not be so calm and calm in the face of several cardiac arrests.

Yang Ping decided to write a paper to study the anatomy and pathophysiology of the cervical spinal cord and brainstem. Based on these foundations, he could design more scientific and safer surgical approaches and methods, so that everyone can master their own surgical methods.

After almost finishing the meal and drinking almost the same amount of tea, Professor Zhang suggested that we call it a night.

Professor Zhang arranged for everyone to go to the ICU to see Professor Feng again.

Hong Zhigang and Han Jiangong stayed in the ICU to stay vigil overnight, taking turns to be on duty.

Wen Rentao sent Yang Ping back to the hotel. He couldn't hold it anymore, so he went back to the hotel to rest.

In the past few days, Professor Zhang has suffered from backache and backache due to being tortured by his old man. He is exhausted. If he does not rest, he is afraid that he will have to endure the ICU.


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