Surgery Godfather-Chapter 316 - 0300 Flat Surgery

Chapter 316: Chapter 0300 Flat Surgery

Yang Ping skillfully controlled the microscopic instruments with the thumb, index finger, and middle finger, maneuvering effortlessly in a cramped space.

The instruments seemed to be adhered to his fingers by some magical force, remaining securely under control no matter how he shifted his grip.

The feeder vein had been successfully separated. However, the fistula was large, and a simple repair would lead to arterial narrowing, which could cause vascular obstruction and hinder the blood supply to the spinal cord.

The only option was to cut off the fistula and perform a vascular end-to-end anastomosis. Such complicated procedure seemed incredibly easy and straightforward in Yang Ping’s hands.

With precision, he used the microscissors to cut a small section of the artery and vein. After the fistula was removed and both ends of the vessel were slightly freed, the healthy ends could be joined together without tension.

The micro-suturing needle and thread were steadily clamped onto the needle holder. Inside the confined space, it could be tossed and turned, achieving any desired angle for needle insertion and withdrawal.

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The tweezer’s tip lifted the outer layer of the blood vessel while the needle smoothly pierced and exited, tying a beautiful surgical knot. The two instruments worked together flawlessly without interfering due to crowding.

The assistant’s micro-scissors – the third instrument – also slipped in, accurately cutting the thread. Despite three instruments within such a confined space, no collisions or obstructions occurred.

After completing the anastomosis on one side of the vessel, the assistant’s tweezers held the long threads at both ends, gently turning the vessel to expose the other side. Only after the other side is also sutured, the circle of the vessel would be considered fully sutured.

After the artery was perfectly anastomosed, the vein was precisely anastomosed in a similar manner. Regardless of whether the instruments belonged to the chief surgeon or the assistant, each appeared at the most appropriate time, disturbing the harmony between each other neither by being early nor late.

The observing medical team, witnessing such a masterful surgery, finally understood why Yang Ping refused August’s assistant application and insisted on flying his own team cross-country.

This surgery was conducted within a confined space, surrounded by variant arteries that required protection. Even the slightest off timing for the entry of the assistant’s instrument into view could result in a clash of the instruments. Even a small tear in the blood vessel from the clash could push the surgery to a dead end.

“You know why you were rejected, don’t you? If you were the assistant, you would definitely clash with the chief surgeon’s instruments, damaging either the variant arteries we need to protect or the arteriovenous fistula we need to handle.” Milton taunted August.

August smirked, “Do you think your outcome as an assistant would be better? Could the instruments work in harmony like they are now?”

Hit where it hurt, Milton couldn’t retort. He chose to ignore August’s words, pretending to watch the surgery earnestly and not hear him.

As fate would have it, Boss Cheng was seated once again with the two European experts. August glanced at Boss Cheng, and seeing his focused demeanor, curiously asked, “Do you understand the surgery?”

“Can’t I understand the surgery? Or do you think I’m staring at the screen counting sheep?” Boss Cheng muttered grumpily.

“Any insights?” August wanted to test the Chinese chef.

Boss Cheng made several comments: “Great precision in positioning. Opening the vertebral window directly revealed the arteriovenous fistula; operating within a narrow space increased the surgical difficulty, but it was a necessary move, as it was essential to protect the variant spinal cord feed arteries. The quality of vascular anastomosis was excellent – end-to-end, slightly everted, so there was no need to worry about thrombus forming at the anastomosis. It was astonishing how instruments in the surgeon’s hand seemed to have grown roots, capable of being adjusted freely. Without such flexible instrument handling capabilities, performing this surgery could have been very awkward!”

August looked at Boss Cheng skeptically, then at Milton. Milton just shrugged. The comments from the Chinese chef were quite professional and did not seem flawed.

The first arteriovenous fistula surgery was successfully completed. Using the same procedure, the second arteriovenous fistula was revealed via a window in the upper vertebra. This fistula was smaller and could be repaired directly. The entire operation was uneventful and quite ordinary.

Just like the American ‘blitzkrieg’ strategy used towards the end of World War II – bombing from the air, artillery cover followed by mechanized infantry advancing forward, crushingly dominant, without any twists or turns.

“A brilliant doctor can turn danger into safety, but a more brilliant professional creates scenarios where he never falls into danger in the first place.”

August felt that Yang Ping was in the latter category.

“Although the operation was uneventful and not very stimulating, this is exactly what I wanted. I’m glad I canceled my flight,” Milton confessed. He had bought time by suppressing his breath throughout the surgery, not seeing any of the dangers he had feared.

The surgical instruments were in and out a handful of times. Milton was afraid that a careless movement could damage the blood vessels, make the surgery more difficult. However, nothing happened. Even after the treatment of two arteriovenous fistulas and the hemostasis of the vertebral canal by double electric coagulation, there was no collision between the instruments.

“Dr. Zhou, please perform a DSA to verify if the fistula has been successfully treated,” Yang Ping gently placed the instrument back onto the curved plate. Taking care of surgical instruments is part of the professional ethics of surgeons.

Everyone moved away from the operating table to rest in the adjacent area while Dr. Zhou and his assistant, already dressed in surgical gowns, were waiting. As it was his second procedure, and he was directly targeting the blood vessel rather than surveying, he was naturally more skillful.

Quickly, Dr. Zhou completed the DSA. After a few minutes, it was clear that the contrast agents remained in their respective pathways – there was no leaking from the artery into the vein. The operation had been a great success.

They rinsed the surgical area with saline, drilled small holes around the edges of the vertebral block, and fastened it securely just like a manhole cover. Once the edges were tightened and knotted, the opening would heal naturally within three months without any complications.

Hemostasis was performed layer by layer, then sutures. The automatic hook was taken out, and the paravertebral muscles returned to their natural place. Even drainage tubes were omitted, underscoring his supreme confidence in his hemostasis techniques.

As Yang Ping and Song Zimo turned around, Zhang Lin and Little Five took their places back to back, switching places as suturing was their task.

“One layer each?” Little Five suggested.

Zhang Lin nodded: “Deal!”

As Little Five stitched the deep fascia and Zhang Lin the skin, it seemed beneath their future statuses as Director Lu and Director Zhang to bicker over such a trivial matter as stitching skin.

Both took their stitching seriously, whether it was of the deep fascia or skin, fully aware that any irregularity could be magnified on the close-up shots on the screen under the watchful eyes of over a dozen doctors.

Thankfully, they had been rigorously trained in surgical skills by Dr. Yang and Song Zimo, who often led them in practicing such skills in the department’s laboratory.

As Zhang Lin stitched the skin and Little Five cut the threads, each thread had just one centimeter left. If one measured, there wouldn’t be much error. The stitches were quite standard; the skin was matched uniformly. They didn’t even need the final counter skin and were able to attach the sterile dressing directly.

It was so smooth!

August, being an international expert in spine surgery, couldn’t escape the degeneration of his intervertebral discs and gave a slight stretch.

Luckily, the surgery didn’t take long, and after a bit of stretching, the minor pain was immediately relieved.

“Does Doctor Yang perform other spine surgeries this way?”

A miraculous thought crossed Milton’s mind. He wanted to get Yang Ping’s contact information and invite him to perform surgery in the United Kingdom. This way, he could learn a lot.

Making no signs of his thoughts, he simply said, “The surgery is over.”

He didn’t want to unintentionally remind this German about the idea or else even he might try to get Doctor Yang’s contact.

In the internet age, while Britain uses Whatsapp, he didn’t know what type of similar software Chinese people use. Milton slyly took out his phone and started Googling. WeChat! Decisively, he downloaded it, registered and researched how to use it.

When August’s gaze moved away from the screen, Milton quickly tucked away his phone like a thief, causing August to look puzzled at his reaction.

It was just using his phone, why was he so nervous?

“Arranging surgeries for next week!” Milton found an excuse to cover up.

Seeing Milton clutching his phone and appearing uncomfortable, August skeptically said, “Your expression seems off, like you’re chatting with a lover?”

“So what if I am? Doubt my stamina?” Milton played along.

August shrugged and said, “No, how could I question your stamina? Viagra is available everywhere.”

Kobayashi Takeshi was impressed by the entire surgery process, especially the microsurgical operations in such a confined space. Some of the operational angles were impossible for an ordinary person, but with Yang Ping’s skills, the instruments could easily change angles.

The words yang Ping had said during the consultation weren’t an empty boast. This surgery wasn’t something other doctors could complete smoothly if at all. Even if they could, it wouldn’t be as fast or perfect and would have definitely encountered various difficulties along the way.

Director Zhu was also in the observation area. After watching the entire surgery, he was somewhat excited. This time, Yang Ping had indeed done him a huge favor. Anning Insurance had stood out among many high-end insurance companies, demonstrating its powerful capabilities in organizing medical resources.

The surgery was over. As Old Cheng went to the restroom in the meeting room, Milton took the opportunity to approach him: “Chef, hello!”

“Hello, is there something wrong?” Being followed to the restroom is always an uncomfortable situation.

Milton pondered for a moment: “Chef, can we add each other on WeChat?”

This Brit knew how to add people on WeChat? Milton was an internationally renowned expert, and since Old Cheng owned a hospital, he thought knowing more people wouldn’t hurt.

“Shall I scan your code?” Old Cheng took out his phone.

Milton flushed a bit: “I’m still not very familiar with it, could you teach me how to add someone on WeChat or let them add me?”

Old Cheng gave a simple explanation of the social tool, and Milton seemed to get the hang of it. After adding Old Cheng on WeChat, he finally went to the restroom.

It seemed this Brit had come all the way to the restroom just to add WeChat.

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