Munich Orthopedic Hospital Harlaching, the red-roofed and white-walled building looks simple and elegant.
The green of the pointed roof and the spire of the bell tower is like emerald dotted between the red, eliminating the impetuousness that red brings to people. This combination gives people a dual psychological hint of positivity and calmness.
The window in the doctor's office is open, and the sunlight shines in obliquely, but it does not affect the clarity of the screen.
Several top professors of spinal surgery in Germany were immersed in hand-drawings. The expressive power of hand-drawings was better than any language, and the anatomical details of hand-drawn drawings were better than any anatomical atlas they had ever seen.
After playing dozens of pictures, they started from the beginning again, playing in a slow loop, and the details of the entire operation were very clear.
Some professors also asked Marcus to play back the pictures, and everyone savored them carefully and took pictures of the missed pictures.
Those exquisite pictures are like works of art, leaving a deep impression on everyone.
Using pictures to explain everything has become Yang Ping's usual method.
Yang Ping was a man of few words. He sat at the conference table without saying a word. He tapped his fingers lightly on the table without making any sound. Of course, he did not know Peking Opera and could only knock out some popular songs.
"Professor Yang, how confident are you about this operation?" Professor Rimbaud couldn't help but ask.
August translated, Yang Ping stopped moving his fingers and said solemnly: "Eighty percent!"
80%, that is, an 80% success rate. For this kind of ultra-difficult and ultra-high-risk surgery, 80% is a very high success rate. In Chinese terms, this matter is stable.
Eighty percent success rate?
Everyone was surprised again and exchanged glances with each other. Just now, everyone thought that emergency orthopedic surgery was a helpless move and an adventure in a moment of crisis. They didn't expect that the certainty was so high.
In fact, every time someone asks how safe the operation is, Yang Ping is a bit embarrassed. If he says it is too high, he will easily turn into a quack doctor. If he says it is too low, it will scare people, and others will think that he is taking human life lightly and treating life as a child's play.
.
Therefore, the answer 80% is the most appropriate. The patient can rest assured and will not be suspected of making a promise.
Most German bosses think they heard it wrong, and it should be 80% sure.
So Professor William once again asked for confirmation on behalf of everyone: "August, how sure are you that Professor Yang is a master just now?"
"Eighty percent!" August reiterated, speaking deliberately and clearly.
"Eighty percent?"
"Yes, eighty percent!"
Professor William took a deep breath, and the German Spine Surgery Department collectively entered the Ice Age.
Even if it's 50%, if you gamble on luck, these big guys won't be ashamed.
All the big guys have worked together for more than ten years, and some have been working hard for more than twenty years. They have also received strong support from other European countries and North American colleagues, but they are still unable to do anything about this case, let alone be sure.
Now this young-looking Chinese doctor said that he was 80% sure. His words were like an avalanche in the Alps, which made all the bosses feel cold and cold, and they couldn't answer the question for a long time.
"I saw in the surgery diagram that the spine undergoes a three-dimensional major correction, from bending to straightening on the x-axis and y-axis, and a large rotation on the z-axis, which will cause great traction and compression to the spinal cord.
Twisting not only damages the fragile spinal cord itself, but also twists and pulls the blood vessels, causing the blood supply vessels to bend or spasm, thereby forming an embolism and causing ischemic damage to the spinal cord. "Professor Lloyd was the first to thaw and raise his concerns. p>
August's translation was very timely, and Yang Ping replied: "Don't worry about this. I have done a lot of research in this area. During spinal correction, I have clearly summarized and explained the correlation between spinal cord and blood supply and correction."
The osteotomy and osteotomy have been governed by these rules, which will minimize the negative effects and prevent the spinal cord injury you are worried about."
Chinese professors are really quiet and don't talk much. Eighty percent of what they say comes out of their mouths lightly, which has already shocked all the bosses.
Now, it will not cause spinal cord injury. This sentence is said so confidently and plainly.
Regardless of the more than ten years of research in the field of spinal surgery in the United States or Europe, no way to predict spinal cord injury has been concluded, and they can only rely on somatosensory evoked potential monitoring.
However, somatosensory evoked potential monitoring is often an afterthought. When abnormal signals are detected, the spinal cord has sometimes been damaged.
Why did Professor Lloyd have the illusion that the person he was talking to was not a peer from the same world?
There is another person whom Professor Lloyd feels this way when talking to him, and that is Maninstein of Charité Medical College.
This god-like guy, as a surgeon, has made outstanding achievements in many fields such as trauma surgery, oncology surgery, neurosurgery, cardiac surgery, hepatobiliary surgery, and plastic surgery. More importantly, he is a Nobel Prize winner in medicine.
When talking to that guy, his eyes always have a look of contempt for everything, as if no matter how difficult a question others find, he always says, oh, this question is easy.
Now Lloyd felt that the Chinese man's eyes did not look down upon everything, but ignored everything.
What a wonderful scene it would be if these two people were allowed to talk. Lloyd had a strange idea.
"Professor Yang must have spent a lot of time researching this artificial thorax to design it so exquisitely?" Constantine paid most attention to the illustrations of the heart and the outside of the chest.
Because the design of the artificial thorax is very exquisite, it is combined with the skin expander. After implantation, it first obtains a certain space to ensure the decompression of the heart, and then gradually and automatically expands slightly with breathing, and slowly expands to the normal thorax volume. In this process,
The skin also expands and extends, thus solving the problem of insufficient skin coverage.
This is not enough. In order to protect the blood supply, the artificial thorax is implanted in bulk without damaging the blood supply at all. The skin is cut, the rib periosteum is cut, and then subperiosteal dissection is performed to remove the ribs one by one.
Then the artificial ribs are implanted, the periosteum is sutured to wrap the artificial ribs, and then the artificial ribs are connected to each other, to the sternum, and to the remaining posterior ribs.
It is difficult to design such a sophisticated prosthesis in less than three to five years.
Constantine concluded that Chinese professors have accumulated experience in this area for three to five years.
"My original plan was not to do this, but to use new technology, using external fixator technology combined with Ilizarov's theory, to correct the spine and thorax at the same time. However, the patient had an accident and needed emergency correction. The fatal weakness of the new technology is the correction.
The process is slow, so we have no choice but to use backup plans. These were all improvised methods a week ago, and some were decisions made before getting on the plane." Yang Ping still spoke calmly.
Constantine didn't know how to continue asking. As a cardiac surgeon, he had participated in the design of artificial hearts and was very familiar with the technical content and development difficulty of this set of thoracic prostheses.
The two exchanges of questions brought the atmosphere to freezing point again. The surrounding temperature seemed to have suddenly dropped, and people began to feel that asking questions was a heavy matter.
"Gotenberg's father has been waiting outside for a long time. He hopes to meet the professor from China."
A doctor came in and whispered in August's ear.
August asked Yang Ping as soon as he got off the plane, he went straight to the ward, and then there were pre-operative discussions, forgetting to meet the Duke.
Leaving the bosses in the office in a daze, August took his mentor and met the old Duke in the interview room next to the doctor's office.
The old Duke handed the cane to the butler, across the rectangular table, and solemnly held Yang Ping's hand with both hands: "Dear professor, please, thank you!"
Ever since August told the Duke this exciting news, the Duke had dreamed of meeting this Chinese doctor, and now he was standing in front of him, so young.
Yang Ping looked at the old man, and it was difficult to tell that this thin old man was the head of a European super consortium. He was clearly a retired university professor.
"You're welcome, it's our duty to treat illnesses and save people." Yang Ping said modestly, our duty is our bounden duty.
Yang Ping always likes to use this sentence to respond to the gratitude of patients or family members.
"Mr. Maninstein predicted that my poor child would not live to be thirty years old. Over the years, his condition developed exactly according to Maninstein's prediction. Just as he said, his heart finally collapsed. This happened twice, twice.
Everything has been saved. I'm afraid there is really nothing we can do this time, but God loves us and allows us to meet you." The old Duke sat down with tears streaming down his face, wiping his tears with a handkerchief from time to time.
"My friend, you don't need to be too sad. The person sitting in front of you is the best doctor in the world. Being sad will only make you lose your ability to make decisions. Let us discuss together how to help the child overcome this difficulty. We are
I need your support and confidence." August comforted his friend.
"I will do my best to support you. My child will be left to you. Friends, take out the signed agreement. Everything is God's arrangement. No matter what, please, respected Chinese professor, I represent the entire family.
Please, save him." The old Duke was a little incoherent and reached for the cane with trembling hands.
"I will do my best." Yang Ping said firmly.
The old Duke nodded: "Please forgive me, I'm a little rude, because I love this child too much. He lost his mother when he was a teenager. I failed to fulfill my responsibility as a father. I thought I could help him, but nothing happened.
, watching him panting in a wheelchair, made my heart beat like a knife. If possible, I would be willing to suffer for him. Now he relies on several tubes to maintain his life. It is really pitiful-"
"Friends, take care of yourself and keep your brain clear. There are still many decisions we need to make together, such as signing for emergency surgery." August told his friend seriously that he must stay in shape.
August saw that his friend's condition was not bad. In fact, August knew his friend very well. He was heartbroken and had a clear mind, so he asked Marcus to bring the signature document and signed it in person. The old Duke put away his handkerchief, began to regain his composure, habitually read the signed document carefully, and then solemnly signed his name.
"Mr. Maninstein should be here at this time, but he is on vacation in Iceland."
Because Mannstein's name was mentioned many times, August explained this legendary figure to his tutor.
This crazy Frankenstein is now concentrating on studying the connection between the spinal cord and nerve tracts, that is, after cutting the spinal cord and nerves, they are connected to restore function.
No one knows why he loves this field. Since focusing on this field, the weirdo has given up all other research.
Mannstein is not only an academician of the German Academy of Sciences, but also an academician of many European countries, including the Royal Swedish Academy of Sciences. He is a legendary figure in Europe. However, this man has a shortcoming, that is, he is very lustful and his private life is very messy. Now he is probably holding a young model.
Iceland Beach Vacation.
"He was the one who judged that the heart would age prematurely in a squeezed state. Through calculations, he came to the conclusion that the young Duke would exhaust the potential of his heart before the age of thirty and face a life-threatening danger. Moreover, he judged that spinal correction would cause high
Paraplegia, leading to paralysis of the ventilator, the palliative treatment is to perform thoracic correction to expand the space of the heart, but he cannot determine whether the heart will stop beating due to overconsumption after decompression, so there is no further plan." After the old Duke left.
, August took the opportunity to introduce this legendary figure in detail.
"The plan he later gave was to correct the thorax and replace the original heart with an artificial heart. This can avoid post-operative overuse, and then replace it with an allogeneic heart. However, he was obsessed with research on the connection of spinal cord nerve injuries.
After giving the plan, he did not come up with a specific surgical plan." August knew that that guy often forgets things.
Promise a good thing today, but you may forget it tomorrow.
Yang Ping had long heard of this great figure from Charité Hospital, and also knew some tidbits about him. After practicing in various specialties, he wrote a lot of books, published a lot of papers, and won a Nobel Prize by the way.
,
He is a legend in the medical field.
——
After the doctor's order for emergency surgery was issued, the ward and operating room became busy. August accompanied Yang Ping to rest in the office, and it was not too late to enter the operating room when he was waiting to pick up the patient.
Other professors also quietly accompanied Yang Ping, waiting for the patient to be admitted to the operating room.
The whole office seemed very quiet, no one spoke or whispered to each other in private.
In order to ensure the safety of the operation, ecmo's team also follows up in the operating room to assist the anesthesiologist in managing the patient's vital signs.
Moreover, all the customized instruments are sterilized and packaged, and are ready in the operating room.
German doctors use their equipment more carefully than doctors from any other country.
For an operation, several instrument tables are often prepared. Sometimes an operation may only require a few instruments, but they may prepare dozens or hundreds of instruments just in case.
"Marcus, the equipment nurse prepares two." August was afraid that Marcus would forget, so he warned again.
"I've prepared two, don't worry." Marcus is very reliable.
August has performed so many surgeries in China. With the speed of the professor's surgeries, I am afraid that one instrument nurse cannot handle it, unless he has a special instrument nurse.
The two of them should be able to keep up with the professor.
