Surgery Godfather
Chapter 1013 - 842 European Spinal Surgery Annual Meeting

Chapter 1013: Chapter 842 European Spinal Surgery Annual Meeting

After the inferior vena cava artificial vascular transplantation and the autotransplantation of five organs, Yang Ping stopped the surgery to observe the patient’s condition for a while. Nie Shun’e’s vital signs were stable, the transplanted organs appeared healthy in color, and he saw no obvious bleeding.

Yang Ping still meticulously conducted a final inspection to prevent any missed bleeding points. Confidence is good, but it cannot replace rigorous work procedures, so he repeated the necessary procedures.

The removed tumor was a large cluster that included parts of the liver, gallbladder, pancreas, spleen, stomach, inferior vena cava, the entire duodenum, and the left kidney, along with the attached connective tissues. This large cluster, placed in a large metal sterile basin, was substantial in weight. These were prepared to be sent to the pathology department for pathological examination, as the ultimate gold standard for any tumor was still the pathological examination.

After observing for a full half-hour with no evident bleeding and normal vital signs,

"Close the abdomen!"

Yang Ping put the forceps he was holding into the curved plate, leaving the final task of closing the abdomen to Song Zimo and Xu Zhiliang.

"How about you guys take a break, and let me and Old Fang close the abdomen?"

Director Shi had always wanted to experience being on the operating table, but since the surgery had already ended, there was no chance until now. It was likely the first case of its kind in the world, and being directly involved on the table was not the same as merely observing from below.

Being on the operating table made one a participant; being below made one an observer, a fundamental difference in roles.

Director Fang immediately got the hint, "Professor Yang, let us close the abdomen, you all have worked hard."

They’re closing the abdomen?

Usually, during surgeries, senior doctors like him delegate the task of closing the abdomen to junior doctors. If senior doctors were to actually close the abdomen, they might be rusty, Song Zimo hesitated, concerned that improper closure might lead to issues like incision dehiscence or future abdominal hernias.

"Thank you, Director Shi and Director Fang. That’s very kind of you." Yang Ping had already sat down on a nearby stool.

Yang Ping consented, and Song Zimo acted accordingly, but he and Xu Zhiliang still stayed on the operating table to help by retracting and cutting sutures, essentially acting as supervisors.

Directors Shi and Fang, being mentor and mentee, immediately scrubbed their hands and stepped up to the table. In fact, Director Shi was very meticulous when conducting surgeries, a cut above the average senior consultant, usually taking on the task of closing the abdomen himself in complex major surgeries.

Professor Yang was greatly respected; high-skilled and humble, he remembered that Shi had not yet had the experience, and gave him the opportunity. Director Shi initially had a good impression of Professor Yang.

"Xiao Chen, take some photos for me, several of them, and make them clear,"

Director Fang instructed his graduate student, who was clever enough to have already taken a good vantage point with phone ready.

The graduate student’s thoughts were quite simple: if his mentor prospered, so would he, so he protected and wholeheartedly supported his mentor.

This time, Director Fang voluntarily took the first assistant’s spot, letting his mentor handle the chief’s role since he himself had already had the experience, and his mentor had not yet had that opportunity.

"Is it a continuous suture or interrupted suture inside?"

Director Shi asked Yang Ping, and even for closing the abdomen, Director Shi was thorough, as surgery allowed no room for carelessness.

Closure of the surgical incision was layered, sewn anatomically one layer at a time, and could not just combine several layers haphazardly.

From the innermost peritoneum to the outer skin, including the fascial and muscle layers, whether to adhere to continuous suturing for convenience and speed or to opt for interrupted suturing, which was more cumbersome but secure with each stitch tied off independently, although more time-consuming, depended on the surgeon’s preference. Should any single suture loosen in interrupted suturing, it did not affect the entire incision’s integrity.

"Interrupted suturing!" Yang Ping answered.

"Are you using skin staples or silk sutures for the skin?"

"Non-damage nylon line!"

Skin staplers were fast and elicited less tissue reaction, but resulted in coarser closure; silk sutures were manually sewn slower with more noticeable tissue reaction, yet provided finer closure; non-damage nylon lines were used for skin suturing, offering high-quality closure with minimal tissue reaction.

Director Shi clarified the chief surgeon’s intention before proceeding, though he guessed Yang Ping likely preferred manual suture over stapling as the recent stomach to jejunum anastomosis had been done manually, not with an anastomosis device, and Yang’s manual suturing quality was evidently superior.

Though closing the abdomen was a task typically performed by junior surgeons, Director Shi took it seriously and was meticulous.

Director Fang, having not done this in a while, was somewhat rusty, but as an assistant, his role did not significantly impact the surgery.

Director Shi also frequently operated at Sanbo Hospital, and whenever Director Fang encountered challenging cases of pancreatic cancer, he consulted Director Shi, inviting him to lead the surgery. This not only solved the problem but also offered his mentor a lucrative opportunity. Afterwards, the two mentors could sit down for a meal and chat, a prospect agreeable to both.

The mentors coordinated well and quickly completed closing the abdomen.

After closing the abdomen, they observed the patient for half an hour. Once the patient’s vital signs remained stable, they transferred her to the ICU. Such major surgeries were prone to various complications postoperatively, and monitoring in the ICU was safer.

That evening, Director Fang kept his promise, treating the doctors and nurses who participated and observed the surgery to dinner, and the location was left up to their choice. Several graduate students clamored to eat seafood.

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