Surgery Godfather
Chapter 1064 - 873: Light in the Heart

Chapter 1064: Chapter 873: Light in the Heart

To perform cerebellar artery bypass surgery, one must have a thorough understanding of the cerebellar arteries that supply blood to the cerebellum.

The cerebellar arteries mainly originate from the basilar artery and the vertebral artery and are divided into the superior cerebellar artery, the anterior inferior cerebellar artery, and the posterior inferior cerebellar artery.

The superior cerebellar artery, a branch of the basilar artery, primarily nourishes the upper part of the cerebellum, supplying the upper surface of the cerebellar hemispheres, the upper part of the cerebellar vermis, and the anterior medullary velum.

The anterior inferior cerebellar artery mainly nourishes the front part of the lower cerebellum. Ninety-nine percent arise from the basilar artery, but the specific origin might sometimes vary.

The posterior inferior cerebellar artery, a branch of the vertebral artery, primarily nourishes the back part of the lower cerebellum, which includes the cerebellar vermis and the lower part of the cerebellar hemispheres.

If one were simply researching the diagnosis or treatment of cerebellar infarction, mastering this knowledge of the blood vessels would be sufficient. However, the current treatment targets hereditary cerebellar ataxia, so this knowledge is far from adequate.

It is necessary to follow the branching of the superior cerebellar artery, the anterior inferior cerebellar artery, and the posterior inferior cerebellar artery to identify their precise areas of influence.

In order to study the cerebellar blood vessels more comprehensively, Yang Ping created tens of thousands of angiographic images of the cerebellum in System Space, then analyzed the range supplied by each blood vessel, which includes both exclusive and overlapping areas of supply.

These angiography images resemble tree branches and spider webs, interconnected and forming a three-dimensional network.

The human body’s circulatory supply is incredibly complex and amazing. Some blood supplies form a network, so the blockage of a single blood vessel does not greatly affect the overall supply. However, some blood vessels supply blood singly, such as those to the femoral head. Once blocked or injured, blood supply to that region ceases, resulting in ischemic necrosis of the organ or tissue within the supply area. This is why femoral head fractures can easily lead to ischemic necrosis of the femoral head.

In fact, any research work may seem exceedingly tedious to the average person. Without a deep interest in their research, it is difficult for researchers to continue their work. Yang Ping has a profound interest in medical research, even a sense of dedication that transcends the ordinary. He is currently engrossed in these dry images with great relish.

Sometimes Yang Ping would also draw diagrams to help study the distribution of blood vessels. Once some understanding has been gained through research, he could then make use of the "computer," the System Panel.

With the help of the panel, the analysis of tens of thousands of angiographic images of blood vessels was quickly completed, drawing a detailed map of the cerebellum’s blood flow distribution.

With this raw data and by comparing it to Lan Xueping’s head MR diffusion images, it was very easy to clearly understand the distribution of the blood vessels.

Which blood vessel was causing the poor blood flow in specific regions and how to construct the bypass became crystal clear in Yang Ping’s mind.

However, Lan Xueping’s cerebellar atrophy involves not only issues with blood supply and pressure but also problems with the nerve cells themselves. The issues with the nerve cells themselves could not be solved for now, so the exact effect of the surgery remained an unknown. Nevertheless, it would definitely have an effect.

No matter the problem with the nerve cells, by relieving pressure and improving blood circulation, at least the living environment for the remaining healthy nerve cells in the cerebellum would be improved, allowing them to function more effectively and thus alleviating symptoms.

This is the theoretical basis that Yang Ping firmly believes in for the effectiveness of the surgery. His every decision was based on solid scientific evidence, not whimsy.

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After gaining confidence, Lan Xueping’s mental state was completely different from before.

Especially after hearing that a healthy baby could be conceived using scientific methods, she felt even more that life was full of hope and wonder.

They had inquired at Sanbo Hospital’s reproductive center, where a combination of genetic screening and assisted reproductive technologies could ensure through rigorous selection that healthy eggs and sperm would be combined. A healthy fertilized egg could be artificially cultured into an embryo outside of the body and then implanted into Lan Xueping’s uterus, which could result in a confirmed healthy fetus.

Of course, this method of assisted reproduction doesn’t guarantee success one hundred percent of the time; there is still the possibility of failure, such as miscarriage along the way. But to Lan Xueping, this risk was negligible; she was completely willing to accept it.

So, Fang Liu and Lan Xueping decided to get married after returning from their trip, and start planning for a baby right after their wedding. Lan Xueping’s faith became firmer and firmer. To live, to live well, things weren’t as bad as she had imagined. One day, she could even have her own healthy baby.

Fang Liu was unaware that his brothers had already bought him a second-hand RV. According to his own plan, he would drive a tricycle, taking Lan Xueping and the dog she had raised, and together they would travel all over China, exploring the outside world.

Fang Liu, with an elated Lan Xueping, returned from the reproductive medicine center and visited Yang Ping’s office once more, where Yang Ping was about to have another talk with them.

On the whiteboard in Yang Ping’s office hung a pencil-drawn cerebellar blood flow diagram.

"This is your cerebellar blood flow diagram! I have been studying your illness, and I now have a better method than when we started—Cerebellar Vascular Bypass Surgery."

"You see, the red is the arterial supply network of the cerebellum, the black is the small arteries that are already blocked, and the green next to it is the bypass I am planning to perform. You need four bypasses."

"As I said, things aren’t as bad as you think."

"I’ve conducted a precise analysis of your current symptoms, and at least half of the normal neurons in the cerebellum are still there."

"In this disease, the pathological changes in cerebellar neurons include neuron loss and gliosis, with mutant proteins containing polyglutamine depositing in the cell nucleus to form nuclear inclusions."

"This means that there are still about half of the neurons without these pathological changes. Our surgery aims to improve the blood supply for this half of the neurons, relieving the pressure on them and allowing them to regain the vitality they should have, to better perform their functions."

Lan Xueping only knew that the diagram was exquisitely drawn; she didn’t understand the other medical knowledge too well, but she could vaguely grasp the logic behind Yang Ping’s words.

She nodded, "Professor Yang, we will follow your arrangements; whatever the result, we will accept it."

"So, Professor Yang, definitely don’t have any concerns or worries, we’ve made comprehensive mental preparations," Fang Liu added.

Their united front alleviated any worries in Yang Ping’s heart. He decided to give it his all according to his own plan, confident that the preoperative theoretical analysis was bound to be effective. Even if there were ineffective results or other issues post-surgery, Yang Ping would be able to quickly identify the cause and improve the surgery.

In short, with their complete trust, Yang Ping could truly give it his all.

"I will give it my all; rest assured!"

Yang Ping took Lan Xueping’s