godfather of surgery

Chapter 1180: Fighting each other
After completing the brainstem separation, Yang Ping began to separate the cervical vertebrae, easily opening them from the back. This type of surgery was the simplest for Yang Ping, who came from an orthopedic background; it was the kind of surgery he performed every day.

Opening the cervical spine from the back exposes the spinal cord. Separating the spinal cord is not necessarily easier than separating the brainstem, but the consequences of failure are relatively milder. A failed brainstem surgery results in death, while a failed cervical spine surgery results in high-level paraplegia. If the position is too high, it affects the contraction of the respiratory muscles, and the patient's final outcome is still death.

The bone tissue was opened, the meninges of the spinal cord were opened, and the spinal cord and the nerve roots on both sides were exposed. The ordinary scalpel was replaced with a laser scalpel, and the separation of the cervical spinal cord began. Now no one doubted that the surgeon could successfully separate the cervical spinal cord.

Those who previously questioned, condemned, heckled, or watched the spectacle have all fallen silent, quietly observing the surgery with reverence and a desire to learn.

The most fundamental rule in this world is the rule of power. It is the operating rule of the entire universe, and it is the core rule that governs the operation of both human society and nature.

Faced with the power demonstrated by this surgery, all words of attack are pale in comparison. It's like a giant hammer that smashes doubts to pieces, and no one dares to have any more questions.

Those scholars whom Mannstein called incompetent are now truly seen as incompetent by doctors worldwide. All the efforts of the various forces behind them have been in vain, and all their hard work has been for nothing.

The saying goes that in the face of absolute power, any conspiracy or trickery is utterly ineffective.

While separating the cervical spinal cord, Yang Ping also corrected the cervical spine. Their thoracic vertebrae below the cervical spine are separate and independent, but because the cervical vertebrae are connected together, the thoracolumbar spine is severely deformed. Yang Ping now needs to correct them at the same time.

Cervical spine correction is extremely difficult. Unlike ordinary spinal correction, it presents an insurmountable challenge: how to handle the separated bone, muscle, and skin defects. Other doctors simply cannot handle this. However, at Sanbo Hospital, local cloning technology can clone all kinds of muscles and skin, and bio-3D printing technology can print bone tissue that can perfectly fill bone defects.

Yang Ping's specialty surgery is scoliosis correction. He won the National Golden Scalpel Award for this surgery, making a name for himself and establishing his initial position in the medical field.

"Why is he still the lead surgeon? Isn't he a neurosurgeon? Shouldn't the next surgery be performed by a spinal surgeon? This surgery requires a team of top doctors from various specialties." Raymond could tell that the lead surgeon hadn't changed.

Massimo smiled faintly: "Neurosurgeon? As I said, he only occasionally dabble in neurosurgery; he's not a professional neurosurgeon. If I had to name a specialist, he's an orthopedic surgeon."

"An orthopedic surgeon performing neurosurgery?" Raymond's eyes widened, his face full of doubt.

Massimo said, "That's right, he's an all-rounder, he can do any kind of surgery, and occasionally he does interventional surgery, but his skill level is higher than mine."

Good heavens, even doing this occasionally is world-class. If you dedicate yourself to this profession, what level would you reach?
Raymond was speechless after Massimo's comments. Massimo's interventional procedures were world-class, yet he was saying they were inferior to Professor Yang. This wasn't surprising, really. Wasn't Raymond himself a world-class neurosurgeon? But his skill level still wasn't as high as Professor Yang's.

"Splitting the cervical vertebrae will cause bone, muscle, and skin defects, right? Skin defects can be repaired with flaps and skin grafts, but I see that there are quite a lot of defects. I'm afraid the muscle and bone defects can't be repaired." A spinal surgeon spoke next.

Massimo said, "Don't worry, don't you know what Professor Yang's Nobel Prize-winning research achievement is? Space-guided gene technology, also known as local cloning technology, has cloned enough skin and muscle. As for bone tissue, 3D bioprinting technology can handle it."

China is a magical country where miracles always happen.

Raymond couldn't help but sigh, this is his current understanding of China.

With the close cooperation of Song Ziming and Xu Zhiliang, Yang Ping performed the scoliosis correction surgery very quickly. After completing the scoliosis correction, the next surgery required a change in body position, from the original prone position to the supine position, and the anesthesia was changed from local anesthesia to endotracheal intubation general anesthesia.

The latter part involves separating the front of the chest and abdomen, as well as the internal organs of the chest and abdomen. Compared to the separation of the head and neck, this step is much simpler, although it is still considered a top-tier surgery for others.

Fatty Liang finally took the stage, ready to show off his skills. However, the live stream was currently off, only showing the actions performed in the technical area and not any actions taken by the audience.

They carefully turned the two sisters over and placed them in a supine position.

"How did the surgery go? Oh my god, our heads are separated, they're really separated."

Yes, we broke up.

"Quiet down, I'm going to let you sleep for a while, then I'll separate the rest of you. When you wake up, the surgery will be over, okay?" Fatty Liang said to the two sisters.

"No problem, how should we cooperate?"

"From now on, you will all be quiet. You don't need to say a word. Can you do that?"

"of course can!"

"1, 2, 3... Begin."

The two sisters didn't say a word.

After induction of anesthesia, the obese man underwent endotracheal intubation for general anesthesia.

The following surgeries were tough for thoracic surgeons and hepatobiliary and pancreatic surgeons, and these doctors were on high alert.

The separation of the brainstem and cervical spinal cord was performed with great dexterity and skill, while the spinal correction was performed with bold and decisive movements. Modern thoracic and abdominal organ surgeries combine both techniques, which is a concentrated manifestation of traditional basic surgical techniques.

Yang Ping's movements became faster and faster. His method of cutting skin was still his unique one-cut style. Each incision only required one cut, and the length and depth of the cut were completed in one stroke. This required extremely high knife skills and feel. In addition to extreme proficiency in anatomy, it also required excellent feel.

Even if you are very skilled in anatomy, the thickness of each person's skin and subcutaneous tissue is different, and it is also different in different parts of the same person. You must rely on your sense of touch to guide the scalpel while making an incision.

When the incision in the chest and abdomen is made in this way, and the assistant gently pulls the skin apart with a retractor, the observer notices that the cut goes right through the skin and subcutaneous tissue without affecting the deep fascia. This is something that may not have been noticed before, but is now apparent.

"One-cut style!" Johannesson explained, "No one has been able to learn it yet. Every cut can be made in one stroke, neither too long nor too short, neither too deep nor too shallow, just right."

"It's amazing."

Morris now felt like he was watching a magic show, not surgery; everything looked absolutely amazing.

Those who aren't surgeons might think that making such a cut is nothing special, but only experienced surgeons understand how powerful this one-cut-and-drip technique is. Maurice felt that he would never be able to master this kind of knife skill in his entire life.

Of course, surgery doesn't require such magical incision techniques. Whether the incision is completed in one cut or ten cuts, the impact on the surgical outcome is negligible.

However, this demonstrates the surgeon's superb skills and unparalleled basic abilities. Such basic abilities, when applied elsewhere, can affect the surgical outcome and sometimes even determine the patient's life or death.

"Did he just cut the skin in one stroke?" Raymond couldn't believe his eyes.

Mosimo nodded: "That's right, this is the one-cut skin incision technique that can't be replicated to this day. It's said that many surgeons are studying it, and Dr. Johannesson has been trying to imitate it, but he hasn't succeeded in doing so."

As the two were talking, they noticed that the first row was already full, with senior department heads from various departments all sitting there.

It wasn't like this when the surgery started; everyone was huddled in the back rows, ready to leave at any moment. Now, nobody intended to leave. Senior surgeons—from orthopedics, spinal surgery, cardiac surgery, pulmonary surgery, vascular surgery, hepatobiliary surgery, pancreatic surgery, and so on—were all crammed into the front row, as if afraid they wouldn't be able to see clearly. These doctors were probably cursing under their breath. Who was the fool who kept saying this surgery was impossible, unethical, experimental, and disregarded the patient's life?

Now it seems that the surgeon handled the operation with great ease, without losing control at any step, as if he were performing a surgery he had done a thousand times before.

I almost got scammed and almost lost my most valuable learning opportunity.

The skin was opened, and the fascia and muscles were opened layer by layer. The surgery maintained a clean, bloodless surgical field throughout, and there was never a single unexpected spurting or gushing of blood from small blood vessels.

Once inside the thoracic cavity, the lungs are not connected and are independent. The heart only has some adhesions in the pericardium, which is very easy to handle. However, the major blood vessels are very complex to handle. They are intertwined and even form mixed blood circulation. It is necessary to cut some connecting blood vessels and then rebuild some blood vessels. The goal is to rebuild the two independent circulatory systems.

Cardiac and vascular surgeons watched intently; they had never seen a doctor perform surgery so quickly, effortlessly resolving the intricate relationships between the major blood vessels.

The doctors at Charité Hospital were completely focused, and not a single one of them made a sound. The discipline of the Germans was on full display at this moment. Mainstein and August did not chat privately either. All communication would be reserved for after the surgery, when they would repeatedly play the video for study and research. That would be the best time for them to communicate.

Any private communication now would not only affect others' observation and learning, but would also be disrespectful to the surgeon and to the surgery itself.

The entire conference room was filled with doctors, all dressed in blue scrubs, standing tall and straight, with countless eyes fixed on the high-definition screen.

Meanwhile, in England, Mr. Milton was also observing the surgery. This former rival of August was feeling complicated. He had finally fallen behind, one step behind, and one step behind. He could no longer be compared with August; August had far surpassed him.

In the treatment of scoliosis, with new osteotomy techniques, external fixation, and precise epiphyseal control technology, August has always been ahead of the curve, using techniques that are generations ahead of his time.

Nowadays, it's a consensus in the industry that British people go to Germany to see Dr. August for scoliosis correction surgery.

In a peaceful and harmonious atmosphere, Yang Ping completed the surgery. According to the original plan, Yang Ping was only responsible for separating the brainstem and cervical spinal cord, while Song Ziming would complete all other steps. However, Yang Ping got carried away and forgot to make a substitution during the operation, completing the surgery in one go.

Song Ziming and Xu Zhiliang, as assistants, were so engrossed in cooperating that they forgot about the original plan. It wasn't until the surgery was over that they realized—what happened to the relay?

Fortunately, the remaining skin suturing work had not yet been done. Yang Ping handed it over to Song Ziming and Xu Zhiliang, who were also very enthusiastic. They agreed to each take half of the work and complete the skin suturing of the entire surgical incision.

The surgery is complete!
Morris was still engrossed in the surgery; he had been so absorbed that he had forgotten the patient was his daughter. The initial anxiety, worry, and fear gradually disappeared as he became absorbed in the procedure, replaced by a focused and attentive observation of the operation.

When the surgery ended, he didn't even realize that he should be happy and celebrate, that he should be relieved.

Johannesson reminded him, "The surgery is over. Aren't you going to wait for them outside the operating room?"

Oh dear, his wife is still outside the operating room. He's sitting inside and has completely forgotten to text her, engrossed in watching the surgery.

He immediately picked up his phone and sent a text message to his wife: "The surgery went smoothly, the children are fine, and everything is safe."

"God bless you, this is wonderful! I was so worried! Nobody told me anything about the progress. I kept calling you and texting you, but you didn't reply." His wife was overjoyed.

“Oh, I’m sorry, I… got so engrossed that I put my phone on silent. The whole surgery was amazing, truly unparalleled,” Morris said happily.

He stood up, greeted Johannesson, and wanted to go out to meet his wife so they could wait together outside the operating room for their daughters to wake up. But when he opened the door, he realized that he had been so engrossed in the surgery that his mind hadn't fully recovered and he couldn't adapt to the reality of the situation.

It's like someone watching a movie, completely immersed in the plot, and then when the movie ends and the lights come on, they're momentarily disoriented.

He stood at the door, looking lost; it was obvious he was lost.

Feeling dizzy, he turned back and said, "I'm ashamed to say, how did I end up in the family waiting area at the entrance of the operating room?"

"Wait for me, I need to catch my breath too. Let's sit together for a while, and I'll take you out in five minutes." Johannesson wasn't much better off; he also needed to clear his head.

Finally, the doctors in the demonstration room began to stir. Some were discussing the surgery, some got up to get water, and others started making phone calls, as they still had work to do after watching the surgery.

Five minutes later, Johannesson led Morris out of the demonstration room, through the corridor and several doors, to the family waiting area outside the operating room.

Maurice's wife waited there alone, feeling extremely anxious as there was no news.

The surgery went smoothly without any unexpected events, so naturally no one from the surgical team came out to communicate with the family.

When his wife saw Maurice, she immediately threw herself into his arms.

"Honey, is it true? Are they alright?"

“It’s fantastic. They’ve been separated and their spines have been corrected. Everything is so perfect.”

"It's like a dream, darling, pinch my cheek, pinch it hard."

Maurice pinched a small patch of skin on his wife's face, giving it a symbolic pinch.

"Push harder! Push harder!"

Morris hesitated for a moment, then squeezed it hard.

"Oh, darling, that hurts!"

Maurice's wife covered her bruised face, screaming in pain.

“Pinch me too!” Morris patted his face.

His wife pinched him hard too.

The couple pinched each other several times.

Johannesson left silently. It was unbelievable that the couple were actually fighting like this, and with such force. It was such a strange and affectionate habit.

"How much longer until they come out?"

"They need to wake up in about half an hour, and we will need to observe them for a while."