Surgery Godfather-Chapter 399 - 0373 Sweating while Watching Surgery_3
Chapter 399: Chapter 0373: Sweating while Watching Surgery_3
Chapter 399: Chapter 0373: Sweating while Watching Surgery_3
“Xiao Yang, don’t rush. Take it slow. If need be, we can stage it,” Director Han was gripped as if he was holding a heart in his hands.
Professor Zhang was also living on the edge. An eighty-year-old man watching this young man perform the operation. His heart would probably starve for lack of blood from fear if it wasn’t so healthy.
“Slow down, slow down–” Professor Zhang got choked up mid-sentence.
However, Yang Ping was already completely engrossed in the operation. He needed to follow his own rhythm, just like a running athlete who cannot be suddenly stopped by others.
The quicker the operation is completed, the lower the risk.
Make incision, reveal the area, first nail it, then cut the bone.
If it hadn’t been for preoperative training over the 3D model where Yang Ping led everyone, no one would be able to keep up with his pace.
Lateral mass screw of the atlas and pedicle screws of the other cervical vertebrates. This is the cervical pedicle screw! If not operated properly, it could damage the vertebral artery and blood would splatter all over the ceiling.
There are vertebral arteries around the cervical spine. The root of the vertebral arch is delicate, not as thick as the thoracic and lumbar vertebrae. The insertion of a cervical pedicle screw is a high-risk operation. You need to be top-notch to dare to do it. Most spinal surgery department directors wouldn’t dare touch it.
Now Yang Ping was inserting screws like planting beans, one by one, completely ignoring the risks.
“My Lord, could you please slow down?” Director Han stood watching the screen, his body a little restless, his legs uneasy, repeatedly praying inwardly, swallowing his saliva again and again.
Professor Zhang simply brought a stool to sit in front of the screen. Standing while watching was too draining. Watching a surgery can also be a taxing endeavor.
This speed was indeed too fast, like performing “Speed and Passion” on a crowded street. Wouldn’t anyone who saw it be scared out of their wits?
Several cameras captured the operation with different focal lengths and angles, making the view crystal clear.
Another osteotomy, using an ultrasonic water knife to cut bone, just like child’s play.
Oh my heavens! Young man, slow down, slow down, slow down. One over eighty, one over fifty, none of them had ever seen surgery performed this way. You are doing somersaults on a tightrope.
There’s no stopping you. The chief surgeon now operates according to the rhythm in his mind!
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Osteotomy is complete. Now it’s time to reassemble the cervical spine. This is the most risky step in the whole operation. A slight carelessness can damage the upper spinal cord, and the patient will die directly on the operating table.
“Song Zimo, take off your surgical gown and adjust the skull clamp. Zhang Lin Xiaowu, be mindful of the automatic ligature position. Anesthesiologist, pay attention to the patient’s vital signs.”
At this step, Yang Ping slowed down the pace.
For each step, they had practiced on the model before the surgery. Especially, this step, Yang Ping had decomposed Song Zimo’s actions into dozens of steps, how to adjust, and how much to adjust, very precise.
Song Zimo took off his surgical gown and gloves and put on a new pair of gloves. Everyone was engrossed in their work.
“Are you ready?”
“Ready!”
“1, 2, 3, start adjusting.”
Yang Ping didn’t need to see how Song Zimo adjusted it. He just needed to watch the movement of the various sections of the spine. Song Zimo adjusted the head clamp while Yang Ping started to correct the spine. They worked in perfect harmony.
The sections of the severed spine began to shift in space along the three axes. The spinal cord in the spinal canal was also affected, but Yang Ping had planned this space shift trajectory to be the best, with minimal effect on the spinal cord.
In the process of precise displacement along the preset trajectory, no one dared to slack off. Lu Gang’s life was in Yang Ping’s and Song Zimo’s hands. A tiny mistake, and Lu Gang would never leave the operating table.
“Stop!”
The correction of the cervical spine was complete. The physiological curvature was formed, secured by the rod, and the internal fixator locked firmly. The successful completion of cervical spine correction.
A big wet patch had formed on Old Han’s back. He let out the breath he had been holding in his chest.
Professor Zhang rubbed his eyes. His stool was drenched in sweat.
Breaking a sweat just by watching the operation was something neither of them had anticipated.
The correction of the cervical spine was complete, and after a brief slow down, the fast-paced operation began again.
It’s time to readjust the position and re-sterilize and re-drape.
Thoracic and lumbar spine correction: the scoliotic spine will be loosened, reshaped, and restored to the physiological curvature in the form of a double ‘S’.
At this time, not only would it affect the spinal cord but also the organs in the thoracic and abdominal cavities. Though it’s much better than correcting the cervical spine, the risk is still very high.
Professor Zhang wanted to take a break. He was too exhausted, both mentally and physically. Seeing that Director Han was also struggling and had brought a stool to sit next to him.
The two of them met each other’s gaze but didn’t say a word.
As the exposure, pedicle screws are planted like beans. Song Zimo followed Yang Ping’s rhythm. Though lagging behind, it was still considered good. If it were someone else, they most likely wouldn’t be able to keep up at all. Not even if dragged.
Several dozens of screws were inserted into the pedicle. Then another osteotomy. This time, Professor Zhang and Director Han felt much more comfortable. They were no longer on tenterhooks. After all, they had survived the most dangerous hurdle.
Again, Song Zimo assists. With every correction Yang Ping makes, Song Zimo tightens the internal fixator. They rely on the internal fixator to secure the severed spine in the new position. Step by step, not a single step redundant. A recombination of the thoracic and lumbar vertebrae had been done again.
When the last screw is tightened.
“Imaging!”
“Should we do a 3D-CT scan and reconstruction right away?” Director Han reminded.
This was the first time Yang Ping had heard Director Han speak since the operation began. Suddenly, he remembered that Director Han and Professor Zhang were beside him.
“Yes!”
Operation procedures require a postoperative C-arm or G-arm imaging in the operating room. As for CT scan, if conditions allow, it can be done in the operating room. If not, it can be done back in the ward, and later in the radiology department.
The waveform on the screen displaying the electrophysiological monitoring of the spinal cord was stable. No abnormal changes occurred.
After the imaging was done, it was time for a 3D CT scan and reconstruction.
Beautiful!
While most people pursue moderate correction, this operation has achieved the restoration of normal physiological ‘S’ curvature, pushing surgical results to its limit.
Each screw was in the best position, and the length and thickness were extremely appropriate.
“Wake-up test!”
Liang Fatty’s anesthesia dose was very precise. Yang Ping told him four hours, and it was four hours. Surgery took three hours, and several times of sterilization and draping took one hour.
Slowly, Lu Gang woke up. Preoperatively, Lu Gang had gone through repeated training in this regard.
“Move your toes. Yes, up, down, very good!”
The operation was successful, extraordinarily successful!
