godfather of surgery

Chapter 518 Dangerous Anatomy

During this period, in order to improve his Chinese level, Robert worked hard and recited a lot of idioms, poems, and good words and sentences.

But he just memorizes these words and the scene of application mechanically, and cannot use them flexibly at all.

For example, just now Robert's original intention was to use "meeting an old friend in a foreign country" to express the scene of encountering Yang Ping in Saudi Arabia.

As a result, when I got excited, I threw out a set of sentences.

As for the idiom "Cheng Men Lixue", Robert wanted to express his teacher-student relationship with Yang Ping, and he respected Yang Ping very much.

Robert knew that the word had such a meaning, but he didn't know how to use it, so he just said it bluntly.

For his hard work in Chinese, Yang Ping gave a thumbs up.

This made Robert even happier. He had memorized so many idioms during this time, just to let himself speak Chinese with a touch of literary grace, instead of dry and simple word combinations.

"After the operation tomorrow, we will talk about it, and I happen to have a few questions that I would like to ask."

Yang Ping's encouragement made Robert more confident in the use of words.

Li Zehui on the side envied Robert very much. He could speak Chinese so well, at least not in one tone. After all, he could distinguish four tones.

Americans who can speak Chinese with four tones are really not ordinary people.

This buddy is here to be funny, listening to him speak Chinese is more exciting than hearing cross talk.

Yang Ping saw that Robert was talking more and more vigorously, and he really seemed very educated.

The meeting was disbanded so naturally. When Robert saw Yang Ping, he was naturally not interested in fencing with Dodge.

In the evening, Yang Pinghe had dinner with Li Zehui and Robert.

This time Li Zehui didn't invite anyone else to accompany him, just the three of them.

This guy Robert is more familiar with Saudi Arabia than Li Zehui. He heard that Li Zehui would organize a convoy to camp and have a picnic in the desert. He was very excited. He used to do this often, and he did something more exciting, riding a camel across the desert.

Li Zehui apologized to Yang Ping for the matter of Dodge. In fact, Yang Ping didn't care too much about it. He didn't bother to argue about meaningless things with people like Dodge. He came to Saudi Arabia just for surgery, not to compete with Dodge. We have nothing to do with each other, so he can do whatever he wants.

Robert was very familiar with Dodge, and he told Yang Ping that Dodge was actually a very good person with very high professional achievements, but he was a little narrow-minded and could not tolerate others.

After dinner, accompanied by Li Zehui and Robert, Yang Ping went back to see the Yemeni baby. His breathing became more rapid and his abdomen distended badly, which was all caused by heart failure.

This young heart may be overwhelmed at any time.

Yang Ping was glad that he didn't wait until after the Spring Festival to come back, this little guy might not be able to wait for that time.

The thin little guy was still wrapped in a blue wrap, lying on the bed, very quiet.

His father was kneeling in the corner with his eyes closed. Perhaps he was praying, hoping that God would give him more luck and make tomorrow's surgery go smoothly.

Yang Ping didn't bother the Yemeni man. With the help of the nurse, he unwrapped the bandage, checked the child, and wrapped him up again.

Sometimes Yang Ping thinks, this world is really wonderful.

If he hadn't met this child, he might have quietly left this world like the previous "mirror man".

He has only been in this world for six months, and in just six months, he left nothing behind, and left this world in a hurry before everything started.

And now, if the operation is successful, what will his future life be like?Will they grow up healthy, get married and have children?
Yang Ping found himself thinking too far, his mission is very simple --- to make him alive right now.

In the evening, Yang Ping did not go to other places.

In order to let Yang Ping rest well, Li Zehui and Robert sent him back to the hotel early without arranging any programs.

In the hotel, Yang Ping chatted with Xiao Su on WeChat, and Xiao Su repeatedly told him to drink plenty of water and go home early after the operation.

Tomorrow is New Year's Eve.

On New Year's Eve, surgery is still performed outside. This is the normal state of surgeons.

Xiao Su told Yang Ping that she would make a lot of dumplings tomorrow and wait for Yang Ping to come back to eat.

Yang Ping calculated the time, even if he had to catch a plane immediately after the operation, he would not be able to return to China until the first day of the Lunar New Year.
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The next day, Yang Ping came to the IMC hospital energetically.

The operation went according to plan. When the nurse sent the baby to the door of the operating room, the baby's thin hands scratched and started crying. He seemed to be looking for his father.

The anesthesiologist was by his side, ready to push the sedative through the needle in the scalp to sedate him.

At this time, the baby's father grabbed the little hands.

The little guy stopped crying like he was sensible.

Yang Ping asked the anesthesiologist not to push the sedative for the time being, and he wanted to perform the last cardiac auscultation before the operation.

"Give me his hand!"

Yang Ping said.

The baby's father seemed to be able to read Yang Ping's eyes, he carefully let go of his hand, and then smiled at the baby.

Yang Ping took the little guy's hand. The little guy didn't cry anymore, but just opened his eyes and stared at Yang Ping.

This is the second time Yang Ping has been stared at.

The baby's father took Yang Ping's hand and said nothing, his eyes were full of expectation.

Yang Ping patted his hand and said, "We will do our best!"

The translator passes the word on.

The father let go of his hand and took a few steps back. The nurse picked up the baby and put it on the flat trolley in the operating room to complete the handover.

Accompanied by Li Zehui and Robert, Yang Ping changed into his washing clothes when he entered the operating room.

This frail little guy was lying naked on the operating bed, and the anesthesiologist had already completed general anesthesia with endotracheal intubation.

The heart-lung machine has been displayed in the operating room. When the baby's heart is taken out, his life depends on this artificial heart-lung machine.

The perfusionist and his assistant were waiting beside the heart-lung machine, and the anesthesiologist delivered the anesthetic into the baby's lungs bit by bit.

The equipment nurse is from Australia, and she once provided Dodge with the operation of a "mirror man" in front of the stage.

Li Ze would personally disinfect the sheets, while Robert, as an outsider, sat in the corner of the operating room and watched.

Marshall is the second assistant. The young man is a little excited and has been looking forward to participating in this operation for a long time.

When Yang Ping came on stage, the little guy's body was completely covered by a blue disposable sterile sheet, exposing his chest and upper abdomen.

Under the shadowless light, the little guy is too small and too thin.

After completing the preoperative check, Yang Ping carefully cut the skin with the No. 15 round knife in his hand.

In order to reveal more fully, he uses a wide open and close central sternotomy incision.

The scalpel cut the skin of the baby's chest vertically, reaching the sternum. The thin skin was a little shiny due to edema, and there was almost no fat under the skin. The blade cut directly to the surface of the sternum.

The skin attached to the periosteum separated towards both sides, and some cool liquid leaked out, which was sucked away by the suction device in Li Zehui's hand.

The thin tissue under the knife seems to be soaked in water, which shows that the heart failure is very serious.

In the next step, you need to open the sternum from the middle and split the entire chest into two sides.

The surgical instruments are all specially used for pediatric surgery, and the micro sternum saw is very good, drawing a straight line on the mid-sternal line.

Following Salsa's voice, the mist formed by the bone marrow particles rose, and the protective glasses prevented the mist from reaching the eyes.

The sternum was stretched, and the saw was no more, no less, just enough to cut through the sternum, not more than a millimeter.

The sternum is stretched and the entire ribcage is exposed.

The pink lungs became abnormally swollen due to edema, and they were already clinging to the inner wall of the sternum. Just now, if the chainsaw went deeper than one millimeter, it would hurt the lungs.

The suction device is inserted deep into the chest cavity, and a large amount of fluid is sucked away.

The diaphragm has been lifted up, squeezing the viscera in the chest cavity. Yang Ping stabbed a small hole in the abdomen with a sharp knife, and sucked away the fluid in the abdominal cavity with a suction device. The diaphragm slowly descended and returned to its original position.

In this way, the space in the chest cavity appears larger, and the lungs, mediastinum and heart do not appear crowded.

The fragile little heart was lying on the right side of the chest, beating rhythmically. He was warm and persisted until he was able to go to the operating table.

This right-handed upside-down heart.

A large number of adhesions have been formed between the pericardium and the large blood vessels, making the existing gaps no longer exist, and everything becomes blurred and unfathomable.

Maybe it's an inflammatory reaction, maybe it's dysplasia, maybe it's other reasons, and adhesions are in front of us.

The right-sided inverted heart, deformed heart, and a large number of adhesions made the operation extremely dangerous.

Li Zehui raised his head and saw Yang Ping's confident eyes.

Seeing the scene in front of him, Li Zehui's back was already sweating, but Yang Ping was very calm.

"I'm going to separate the heart from the great vessels, cut off the great vessels, and take the heart out. Are you ready?"

Yang Ping reminded the assistant and anesthesiologist.

Next, he will continue to operate in this dangerous anatomical environment.
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This rare operation attracted a large number of doctors. Almost all the doctors in the heart surgery center gathered in the conference room to watch the operation through video.

The shadowless lamp in the operating room is equipped with a camera, which can shoot directly at the operation area.

He really wants to take out the heart, remove the tumor and correct the deformity under the condition of isolation?

The heart and great vessels in the field of vision are now full of adhesions, which is more difficult than the previous surgery.

Dodge stared at the screen and swallowed. If he was the main surgeon, he could only bite the bullet and continue.

As the world's top heart surgeon, he is actually very interested in the surgery itself, but his brain is dominated by arrogance and prejudice.

"Dude, is this guy really going to do that?"

Odorelli also saw something.

Dodge nodded: "He seems to have such a rhythm!"

"It's full of adhesions? Deformity plus adhesions, I've never seen such a dangerous anatomy."

Odorelli was terrified.

"It's like wading through a minefield in the dark."

Dodge murmured that if the last operation was like this, he might not be able to access the tumor safely.

(End of this chapter)