godfather of surgery

Chapter 342 The first person to eat crabs
Dr. Yang really intends to realize the surgery in theory?
Impossible, Takahashi remained awake enough, but Dr. Yang said in front of so many people that he was going to use such a plan.

Without full assurance, a doctor will not be so calm and calm.

Especially for established doctors like Yang Ping, there is no need to rely on false names to elevate themselves.

Then, there is only one possibility, he really wants to use this technique.

Reconstructing the anal defecation reflex with bladder mucosa and reconstructing the urethra with veins, these two operations are the attempts of some skilled experts in the reconstruction of the anus and urethra in the international academic community of repair and reconstruction surgery.

How many top gastrointestinal surgery, urology, repair and reconstruction surgeons have worked hard and all kinds of efforts are ultimately 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 a qualified thickness.

Takahashi had just reconstructed the anus from the bladder mucosa and thought of reconstructing the urethra from the veins. The surgical picture on the screen has switched to urethra reconstruction.

Yang Ping pointed to the operation picture: "The urethra can also abandon the reconstruction of the colonic mucosa, but use the venous tube to reconstruct the venous vein. There are many sources of venous material. Because of the network structure, cutting a branch will cause almost zero loss to the patient."

Reconstructing the urethra with veins? Reconstructing the urethra with veins too!

These have been proven, surgery can not be done, he proposed again and again.

Internationally, several top teams have conducted research in this area, all of which ended in failure. It has always been believed that these surgical methods are theoretically feasible, but require too high surgical skills for the surgeon.

Bladder mucous membrane reconstruction reconstruction, the main surgeon in animal experiments, exhausted methods, all kinds of nerve staining, can not find the small nerves of the bladder mucous membrane, even if sometimes lucky, find a few, there is no way to dissect out.

Vein grafts reconstruct the urethra, the blood vessels cannot be stripped in layers, and the wall is too thick, resulting in necrosis of the blood vessels after insertion. Some people use the step-by-step dilation technique to expand the diameter of the urethra while trying to thin the wall, and the final result is also necrosis.

The conclusion is that the original nutrition of blood vessels is nourished by the blood in the tubes. After transplantation, it is much more difficult to supply nutrients by permeating the fluid outside the tubes from the receiving area tissue bed than other mucosal tissues.

If the two surgeries challenged by Dr. Yang are successful, it will cause a sensation in reconstructive surgery, pushing anal reconstruction and urethral reconstruction to several steps.

"For the treatment of veins, we use the technique of delamination of the tube wall, cut out part of the tube wall, and then implant it according to the conventional method. Veins are natural fluid circulation channels, replacing the urethra, the urine flow rate will be better, and it is not easy to form strictures ; it is implanted upside down, and the venous valve is beneficial to prevent bacteria from retrograde and reduce the probability of urinary tract infection."

Yang Ping's tone was very flat, not like talking about a difficult operation at all.

What is shown on the surgical drawing is the layered anatomical structure of the blood vessel wall, where the stripping starts and which layer needs to be stripped, which is clearly expressed.

Is this really going to challenge the theory of surgery?Takahashi's heart was full of turmoil, he could only challenge one operation, but now he challenges two operations that cannot be completed.

No, it's not a challenge, look at him, but it's a plan.

From his expression and tone, it was clear that this was just a routine operation, and he didn't mention that this operation had never been successful before.

If it’s true—the excitement in Takahashi’s heart is like overflowing high-alcohol, flowing everywhere, just turn on the lighter, and the flames will rise, and you can immediately learn the surgery that was once thought to exist only in theory.

Only Song Zimo was not surprised at all, he was used to this kind of thing for a long time, he would not spend time questioning, he would only think about how Yang Ping would realize it, and at the same time hoped that he would be the second person to master the new technique.

Miyuki Fujiwara sat quietly at the side. She wasn't very interested in the discussion. Maybe the light outside the window was a bit harsh, or maybe she couldn't get used to watching the electronic screen for a long time. Ms. 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 extremely clear.

"As for the WY reconstruction mentioned by Dr. Xu just now, I think it is very necessary. Reconstruction surgery should not only pursue the function, but also the appearance. Of course, the appearance is a higher-level pursuit, and it must be after ensuring the function is sufficient."

"The reconstruction of the anal sphincter mentioned by Takahashi is based on the pectoralis minor muscle. The selection of the material is very accurate. This is a choice that can only be made after rigorous screening; the reconstruction of the YD mentioned by Song Zimo is absolutely necessary, so that the patient can behave like a normal woman. Going through slow natural aging instead of premature aging, even with only half of her body, we have reason to let her live with more dignity."

The last picture is the effect picture after the successful operation. Part of the bladder mucosa was transplanted to the lower colon, the pectoralis minor muscle replaced the function of the sphincter, and the vein cut from the abdominal cavity was inverted to reconstruct the urinary catheter.

Someone came up with an idea for these dozen or so pictures—take them for collection, maybe they can be auctioned at a high price after many years.

I finished talking about Yu Shuilian's surgery. These surgical methods are not just talk on paper, but must be carried out to the letter. In a few days, Yu Shuilian's surgery will be done according to the dozens of pictures.

Each step is clearly described in the drawings, and the combination of various lenses allows an intern to understand the whole process of the operation, similar to reading comics.

Yang Ping stood on the podium, waiting for everyone to ask questions, but no one asked questions, even a big guy like Takahashi couldn't ask questions now.

Unless you ask: "Is this operation impossible? Many people have failed, and I have also failed."

But it was decided to do so, and the stupidest surgeon would not joke about the operation.

"I didn't understand, did you understand?"

"I seem to understand a little bit."

"Then go back and tell me, and I'll treat you to dinner tonight?"

"I—I'd better go back and look through the books together."

"It's not in the book. A senior brother said it just now. Didn't you say you understood it?"

"Well, I mean, I understand a little--a class that I can't figure out in the book."

Several interns were discussing, because after Yang Ping finished his speech, everyone relaxed and began to discuss with their heads bowed.

After waiting for a few minutes, no one answered. Yang Ping planned to end the preoperative discussion, which became a small lecture.

"Dr. Yang—" Fujiwara Miyuki stood up.

"Doctor Fujiwara, is there a question?" Yang Ping was about to step off the podium.

"Model, that Japanese model doctor—"

A few students on the periphery began to squeeze around, beauties, everyone wanted to take a look, Fujiwara Miyuki couldn't hide her perfect figure even in a white coat.

The twinkling eyes, fair skin, 1.7-meter-eight figure, and that unique oriental temperament make the boys who only have contact with Japanese short video beauties brighten their eyes.

"As far as I know, the bladder mucosa reconstructs the anal defecation reflex, and the vein reconstructs the urethra. These two operations have never been successful in the world. I want to know why Dr. Yang is so confident? Why not choose the more traditional one with a higher success rate? Surgery?" Miss Fujiwara took off her sunglasses, looked at Yang Ping, raised her eyebrows slightly, and waited for Yang Ping's answer with a smile.

When she was standing, although she was just in an ordinary standing posture, she was like on a catwalk, with her gestures and gestures, full of charm.

"This operation is recognized as the best in theory. The reason for everyone's failure is that the bladder mucosa cannot be dissected to dissect the required nerves, and the veins cannot be stripped in layers to cut out the thin tube wall you want. I think this is It’s just a problem at the level of surgical operation. For me, this is not an obstacle. Such a good surgical technique should not be shelved. Someone must realize it. I am willing to be the first person to eat crabs.” Yang Ping’s explanation is not I know whether she is satisfied or not.

Fujiwara Miyuki applauded softly: "You are the person standing on the top of the mountain, I wish your operation a success!"

"Thank you!" Yang Ping stepped down from the podium.

Ms. Fujiwara went up to meet 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 pre-operative discussion is almost over, the surgical plan has been formed, and everyone is still full of ideas. This kind of meeting, I learned all the real things. When I go out to talk about this aspect of surgery in the future, I will throw out a sentence, that is to make people catch a few people. Head down.

At the end of the meeting, in order not to block the people who came out, Director Gao immediately came down and moved the chair a little away. He was worried that Yang Ping would leave the meeting room soon, so he would rush in and have a few words with Yang Ping.

But just when everyone was coming out of the meeting, Director Gao went against the current and ran into the intern just now at the door.

"What a squeeze, rushing to reincarnate," the intern said angrily, turned around and saw, damn it, it was Director Gao who was scolding.

All of a sudden, the little heart shrank tightly. Isn't this the Director Gao of the Sports Medicine Center?
This buddy is still an intern at the sports medicine center, this is the rhythm of courting death.

"Squeeze what, squeeze your head." The kid was quick to think, and for a moment, he glanced past Director Gao, pretended not to see it, glared at another student next to Director Gao, and shouted: "It was you at the beginning." Squeeze, and now squeeze again."

That classmate didn't do anything, was stunned for no reason, he hesitated and couldn't speak: "I-I-"

The intern hurriedly left the scene with sweat all over his forehead.

Fortunately, I am smart, otherwise I would be embarrassed.

(End of this chapter)