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"Can we do radical surgery?"
Academician Wang had just picked up the teacup. When Yang Ping said this, he put the teacup down again.
"There is no other way except radical surgery. All the original surgeries must be dismantled and then reconstructed one by one. The project is relatively large and complex and will take a long time." Yang Ping pointed to the images on the screen.
"This case is much more difficult than Maizijing. Everything needs to be reconstructed. The surgical design must be very delicate and interconnected, just like a precision aerospace engine. Each part must be precise and coordinate with other parts.
"
Li Zehui also participated in the discussion. He recently visited Sanbo Hospital twice and saw two surgeries, which made him suddenly enlightened.
Some surgeries that were originally thought to be inoperable can actually be done here; some surgeries that were originally thought to be done in that way can be done here.
Li Zehui's understanding and vision of cardiac surgery were opened up.
"If there is a flaw in one link, everything may collapse, and every step will be like walking on thin ice."
Professor Chen is still very scared about this case.
Yang Ping's fingers tapped gently and rhythmically on the table, but it was just a movement and no sound was made: "Yes, eight deformities need to be corrected and all of them must be functional. It is very difficult, but this is the only way. Fontan surgery
The diversion effect is now close to collapse, and reconstruction is the only way out."
"The position of the great blood vessels is malformed, with the aorta deviating forward and the pulmonary artery posteriorly; the valve orifice is severely narrowed, only the thickness of a pencil lead, and is completely a small hole; the bivalvular malformation requires complete repair of the septum, and the single atrium requires reconstruction of the interatrial septum.
There are two atria, the interventricular septum needs to be repaired, and the connection between the left ventricle and the aorta needs to be rebuilt. They are too far apart now. Normally there are two groups of atrioventricular valves. Now they are one group. We need to separate the two groups.
---The mitral and tricuspid valves must neither be stenotic nor incompetent; the pulmonary veins, vena cava and hepatic veins must be separated above the atrium, endocardial cushion defects must be repaired, and the aorta must be widened
, the pulmonary valve needs to be formed, and the area below the pulmonary valve also needs to be widened---"
Yang Ping pointed at the image on the screen with the eraser end of the pencil and explained one part at a time.
Director He was sitting next to him, not daring to express his anger. Just listening to this string of nouns and verbs made his scalp numb. Now for Yang Ping to see these things come true, it would be harder than climbing to the sky.
"It seems that we need to make a good plan for the operation. Professor Yang, let's see what help we need." Seeing Yang Ping's confidence, Academician Wang decided to give it a try.
"Xia Shu is here to take care of this patient. Our young doctors are inexperienced. In addition, it is best to transfer an experienced doctor from your cardiac surgery intensive care unit to lead the postoperative management." Yang Ping had no unnecessary words.
Sanbo Hospital does not have a dedicated cardiac surgery intensive care unit, but makes do with the coronary heart disease intensive care unit. This case is special and cannot be used improvised after surgery. There are too many indicators to observe and it is too complicated. A doctor with a heart surgery critical care unit must be arranged.
Doctors with intensive care unit experience.
"Yue Liang, go arrange the manpower immediately and fly over as quickly as possible." Academician Wang ordered Professor Chen.
"Is there anything else you need our assistance with?"
Academician Wang asked, licking his dry lips and feeling a little excited.
Yang Ping thought for a while and couldn't think of any other help he needed, so he said no.
"I asked someone to make a digital model, and then used the digital model to simulate the preoperative pathological anatomy of the heart, the surgical process and the postoperative effects, which is more intuitive."
Yang Ping thought about it.
"The surgeries in our general surgery department started off like hell. I just browsed through other cases and there are almost no ordinary surgeries." Xia Shu sighed after seeing this case.
I just came to work in our general surgery department, and I feel very immersed in it.
Academician Wang also said: "This surgery is also hellish."
Yang Ping said in embarrassment: "There is no way. From the time when I opened the Department of General Surgery to now, I have been living in hell every day. Life is miserable! I'm used to it!"
Academician Wang had a look of astonishment on his face, and the young man exclaimed, "Life is hard!"
However, Academician Wang likes this kind of confident young man. He is not only confident, but also has the capital to be confident. Among the three surgeries recommended during this period, none of them were hellish.
Digital technology is used to simulate the current heart, surgical process and postoperative heart, just to let everyone intuitively understand the entire surgical process.
In the Digital Medicine Laboratory of Nandu Medical University, the new generation digital human project is progressing smoothly. In order to support the digital human project, Yang Ping plans to use scientific research funds to purchase a supercomputer for them.
At present, the construction of a digital muscle has been completed, and Professor He's team has also written a paper and submitted it to the journal Nature. Of course, Yang Ping's name is also in it, but he is not the first author.
Now it is a piece of cake for this team to create a 3D animation of surgery.
"Professor Yang, how about we cooperate to build a cardiovascular surgery institute?" Academician Wang suggested.
With Yang Ping's surgical ability, combined with Fuwai's background, and the establishment of a cardiac surgery institute, Yang Ping's proposed use of dilators to treat left ventricular dysplasia can be a very successful topic.
Get on the schedule quickly.
"Or, you can establish a research institute and our two research institutes can cooperate."
Academician Wang was worried that Yang Ping was unwilling to establish a cooperative research institute, so he changed the method. In fact, it was all cooperation, but the latter method highlighted the two independent teams.
General surgery itself is a listed surgical institute, and then opening several specialist institutes is very simple. Just hang one more sign at the door, one team, and multiple signs.
Yang Ping felt that Academician Wang's proposal was very good and agreed on the spot: "If there is an opportunity, we can cooperate and carry out research on cardiovascular diseases."
"Are you planning to establish a cardiovascular surgery institute? You need to start early. It requires strong support from hospital leaders and school leaders. It also needs approval from the provincial department and a lot of information and documents need to be prepared. We can assist you and you can refer to us for many things.
"
This chapter is not finished yet, please click on the next page to continue reading the exciting content! Academician Wang was quite surprised that Yang Ping agreed so readily that it is difficult to establish a specialized research institute. Not only are there many conditions, but the process is also complicated.
Yang Ping said very relaxedly: "Don't bother me. I'll just find someone to write a sign and hang it on the door tomorrow."
Academician Wang was stunned. What does this mean? To build a research institute is to hang a sign at the gate?
Seeing the surprise on Academician Wang's face, Yang Ping explained with a smile: "My research institute is considered an internal research institute, so there is no need to go through any procedures or approvals. I will call our dean later and tell him.
It will be put up tomorrow morning, and if it goes quickly, I think it can be put up before get off work today."
Isn't this too childish?
"You want to set up an in-hospital research institute? Do you want us to help?"
Academician Wang did not say what he said later. At least one should be established at the Nandu Medical University, or at the municipal level. Of course, it can be done at the provincial level. National level would be even better.
"It doesn't have to be that complicated, as long as you have a brand and can conduct research."
Yang Ping treated it calmly. He didn't need any level at all. As long as he had a brand, he could legally conduct scientific research and facilitate communication. Everything was simple.
Academician Wang waited for Yang Ping who was very calm.
Is this the way of a genius? It doesn’t matter what level you are at, as long as it doesn’t hinder your work.
But the resources obtained at different levels are different. Why not create a higher level?
Academician Wang also wanted to persuade, but he didn't know that Yang Ping had already started calling Dean Xia and said that he wanted to put up a signboard of the Institute of Cardiac Surgery, which would facilitate patient identification and facilitate external communication, such as the current cooperation with Fuwai.
Dean Xia said: "Let me hang up a few brands for you, such as the Brain Research Institute, the Scoliosis Research Institute, the Sports Medicine Research Institute, the Cancer Research Institute---"
Forget it, forget it!
The door must not be hung with thick hangings, so Yang Ping quickly declined.
