Surgery Godfather-Chapter 361 - 0342: The First Person to Eat Crab
Chapter 361: Chapter 0342: The First Person to Eat Crab
Is Doctor Yang really planning to implement the surgery from the theory?
It’s impossible. Takahashi remained fully lucid, but Doctor Yang just announced in front of so many people that he was preparing to use such a plan.
Without absolute assurance, a doctor would never be so calm.
Especially a doctor like Yang Ping who has already established a reputation, he doesn’t need to elevate himself with fake titles.
Therefore, there’s only one possibility – he really wants to use this type of surgical procedure.
The procedures of rebuilding the bowel reflex of the anus with bladder mucosa and reconstructing the urethra with veins have been attempted by top technicians in the international field of surgical repair and reconstruction.
Many leading gastroenterology surgeons, urological surgeons, and repair and reconstruction surgeons have made various efforts in vain. They have so far failed to dissect the fine nerves connected to the bladder mucosa or to collect veins with sufficient thickness.
Takahashi had just considered anointing the bladder mucosa to rebuild bowel reflexes, and was currently reflecting on reconstructing the urethra with veins. The surgical drawings on the screen have already switched to urethral reconstruction.
Yang Ping pointed at the surgical drawings and said, “The urethra can also be reconstructed with vein grafts instead of colon mucosa. There are many sources for vein grafts and due to their web-like structure, taking one branch would result in almost zero loss to the patient.”
Reconstruct the urethra with the veins? Reconstruct the urethra with the veins again?
He brought up these surgeries, already proven impossible by surgical procedures, one after another.
Internationally, several top teams have conducted research on this and all have failed. It has always been thought that these procedures are theoretically feasible, but the surgical skills required are too high.
In transplantation of bladder mucosa to rebuild bowel reflex, the Chief Surgeon has tried all kinds of methods and nerve staining during animal experiments, but could not find the fine nerves in the bladder mucosa. Even if some were found by good fortune, it was impossible to dissect them.
Transplantation of blood vessels to reconstruct the urethra was once attempted, but the separation of the blood vessels could not be performed and the wall was too thick. Someone tried using stepwise expansion technique to expand the vessel diameter while trying to thin the wall, but all ended in necrosis.
The conclusion is that the original nutrition of blood vessels depends on the blood flow in the vessel. After transplantation, it relies on fluid seepage from the recipient area tissue bed for nutrition, which is much more difficult than with other types of mucosal tissues.
If the two operational techniques Doctor Yang is challenged with are successful, it will cause sensation in the field of surgical repair and reconstruction and bring anal and urethral reconstruction several steps forward.
“For the treatment of veins, we use the technique of separating and peeling the layers of the vascular wall. We take a part of the wall and then implant it using the regular method. Veins are natural fluid channels and using them to replace the urethra will improve the urine flow rate and reduce the chance of stenosis. When they are inverted for implantation, the vein valve can help to prevent bacteria from moving upstream, thereby reducing the probability of urinary tract infection.”
Yang Ping spoke nonchalantly, as if he wasn’t talking about a high-difficulty surgery.
The surgical diagram showed the layered anatomical structure of the vascular wall, making it clear where to start peeling and how far to peel.
Is he really going to challenge the surgery from the theory? Takahashi’s heart churned. It was fine to challenge one, but now he was challenging two surgeries previously determined impossible.
No, this is not a challenge, it looked more like he had everything under control.
From his expression and tone of voice, it seemed as if the surgery was routine, and there was no mention that no one had ever successfully performed it before.
If it was true – Takahashi’s excitement was like overflowing high-proof alcohol, leaking everywhere. Upon lighting a match, the flame would surge, and the surgical techniques once considered only theoretically possible could be learned immediately.
Song Zimo was not surprised at all; he was used to such situations. He would not waste time doubting, but rather would ponder how Yang Ping was going to implement the procedures, and also hoped he would be the second person to learn the new surgical techniques.
Fujiwara Miyuki sat quietly on one side. She didn’t show much interest in the discussion. Maybe she wasn’t used to looking at the electronic screen for a long time, or perhaps the outside light was a bit dazzling. Ms. Fujiwara took out a pair of glasses – light brown sunglasses – and put them on.
One picture after another was turned over. Simply viewing these pictures was pleasing; blood vessels, nerves, and viscera were all crystal clear. The three-dimensional sense of anatomical layers was just right, and the display of surgical details was easy to understand.
“As for the WY reconstruction that Doctor Xu mentioned just now, I think it is very necessary. In reconstructive surgery, we not only pursue function, but also the appearance. Of course, the pursuit of appearance is a higher pursuit, and it must be ensured after the function is stable.”
“The thoracodorsal muscle selected by Takahashi for rectal sphincter reconstruction is very accurate. It is a choice that can only be made after strict screening. The YD reconstruction that Song Zimo mentioned is completely necessary. We should make patients experience slow and natural aging just like normal women, rather than premature aging. Even if she only has half a body, we have every reason to let her live a more dignified life.”
The final picture showed the result after successful surgery. A portion of bladder mucosa was transplanted into the lower colon, and the function of the sphincter was replaced with thoracic muscle. The veins cut from the abdominal cavity were inverted to reconstruct the ureters.
Of these dozen or so pictures, some people wanted to take them to keep – maybe they could be sold at a high price after many years.
The discussion on Yu Shuilian’s surgery was finished. These surgical methods were not just theoretical discussion, they were going to be executed without fail. In a few days, Yu Shuilian’s surgery would be performed exactly according to these dozen or so pictures.
Each step was clearly described in the drawings, and the combination of various camera angles made it easy for even an intern to understand the entire surgical process. It was about the same as reading a comic book.
Yang Ping stood on the podium, waiting for questions, but no one asked anything. Even heavyweights like Takahashi couldn’t think of any questions now.
The only question anyone could possibly ask was: “Isn’t this surgery impossible? Many have already failed, including me.”
But if someone is determined to pursue it, even the stupidest surgeons would never joke about surgery.
“Don’t understand, do you?”
“It seems I understand a little.”
“Well, tell me about it later, I’ll buy you dinner tonight?”
“I–I’d better review some books.”
“There’s nothing in the books. A senior just mentioned it, didn’t you say you understood?”
“Ah, what I meant was, I understand a little—the kind of topics that I can’t figure out even by reviewing the books.”
The interns started discussing among themselves. Now that Yang Ping’s speech was over, everyone relaxed and began to lower their heads to chat.
After waiting a few minutes without any response, Yang Ping planned to end the pre-operation discussion, which had turned into a mini-lecture.
“Dr. Yang—” Fujiwara Miyuki stood up.
“Dr. Fujiwara, do you have a question?” Yang Ping was about to leave the podium.
“The model, that Japanese model doctor—”
The students standing around began to squeeze forward. They all wanted to catch a glimpse of the beauty hidden beneath the white gown—Fujiwara Miyuki.
Her sparkling eyes, her fair skin, her height of one meter seventy-eight, and her unique oriental charm immediately attracted the attention of the young men who were used to seeing Japanese beauties only in short videos.
“As far as I know, the reflection of bowel movements reconstructed by the bladder mucosa and the urethra reconstructed by the veins have never been successfully performed. Why are you so confident, Dr. Yang? Why not opt for a more traditional surgical approach which has a higher success rate?” Miss Fujiwara asked, taking off her sunglasses and waiting for Yang Ping’s answer with a slight smile.
Despite her ordinary standing posture, it felt as though she was on a fashion runway, shining charismatic energy with her every move.
“This surgery is theoretically the best, and the reason why everyone has failed is that they couldn’t dissect the required nerves from the bladder mucosa and couldn’t perform layered peeling on the veins to obtain their desired thin vessel wall. To me, these are not obstacles, they are just problems at the operational level. Such a good surgical approach shouldn’t be kept away. Someone should come forward to realize it, and I’m willing to be the first to try.” Yang Ping’s explanation may or may not have satisfied her.
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Fujiwara Miyuki started clapping softly: “You are the one standing at the peak, I wish you a successful surgery!”
“Thank you!” Yang Ping stepped down from the podium.
Miss Fujiwara came over and offered her hand to shake Yang Ping’s in a gesture of good luck.
Yang Ping lightly shook her hand in a symbolic gesture.
The pre-operation discussion was more or less over, the surgical plan had taken shape, and everyone was still intrigued. In such a meeting, they had learnt valuable knowledge. In future when discussing this kind of surgery, casually dropping keywords would certainly make people scratch their heads.
