Surgery Godfather
Chapter 1108 - 895: Snatching the Spoils

Chapter 1108: Chapter 895: Snatching the Spoils

The European Spinal Surgery Academic Conference was already into its third day.

Song Zimo and August began to perform surgery, scheduled in the operating room of Frankfurt University Hospital.

The director of spinal surgery here was very familiar with August, being classmates and good friends.

The first of these three surgeries was a high-difficulty spinal scoliosis surgery; if it were in the past, no doctor in all of Europe would have dared to be the chief surgeon.

When the patient’s full spine X-rays were enlarged on the huge electronic screen at the conference, more than six thousand doctors were extremely surprised and shivered in fear. How could such a spinal deformity be operated on? It was nearly predictable that paralysis would occur post-surgery.

A few doctors at the conference had experience in this area and had once mustered the courage to tackle high-difficulty surgeries. The curvature they attempted to correct wasn’t as severe as the one in the current surgery, yet the outcomes were all failures, with the patient either suffering paralysis during surgery or afterwards.

Without innovation in surgical philosophy and methods, these doctors believed that some spinal scoliosis could not be treated surgically, as surgery would lead to paralysis, a loss outweighing any potential gains.

Song Zimo now demonstrated the effectiveness of Yang-style osteotomy, which he had spoken about during his lecture, with the actual surgery.

The surgical knife on the screen began to make the incision, its movement extremely smooth, slicing open the skin in one stroke, precisely cutting through the entire length of the epidermis and dermis of the surgical incision. This marked the signature One-Stroke Flow, now displayed in front of doctors from around the world.

All the surgeons present, experienced in spinal surgery, admired such a skin-cutting technique. This seemingly simple level of incision was something not many could achieve.

In the high-definition video, the doctors could even see that the edges of the incision were neat and even—that throughout the process, the surgical knife was perpendicular to the skin and very stable, without any deviation. The depth of the cut was just right, cutting through precisely but stopping at the subcutaneous fat, causing no damage whatsoever.

After the skin came the fascia, and then the muscles were separated from the spinous processes to the sides. Gradually, the doctors noticed something strange—the Chinese surgeon’s operation seemed bloodless. How could that be?

Logically, such spine surgeries would bleed, no matter how skilled the surgery; it was only a question of how much blood. Gauze used for packing was inevitably soaked through. Yet now, this Chinese doctor, with an electric knife or bipolar electrocoagulation in hand, was flexible and precise, eliminating all bleeding points at their inception.

The gauze used for packing not only didn’t need changing but also appeared to have absorbed only a minimal amount of blood.

Hemostasis is a problem every surgeon must face, and the skill of controlling bleeding is a fundamental aspect of surgical operations.

Today, all the doctors witnessed a different kind of surgery, unlike any they had performed or known of in their experience.

The muscles were pushed away from the spinous processes using subperiosteal dissection, revealing the spinous processes, vertebrae plates, and superior and inferior articular processes—now came the third surprise for the doctors of the world.

Song Zimo took less than ten minutes to insert a full twenty pedicle screws, which amounted to implanting one screw in less than half a minute. His skillful technique and rapid movements astonished all the surgeons at the conference.

The intraoperative G-Arm Machine imaging displayed on the screen show that the twenty pedicle screws, in terms of their position, angle, or depth, were beyond reproach.

Milton watched Song Zimo perform the surgery, feeling as if a stone pressed against his chest. If he were to do it, even with advanced navigation systems, it would take at least an hour to place those twenty pedicle screws, and they would not be positioned as perfectly, since ultimately the machine relies on a person’s experience for operation.

After placing the screws, the next step was osteotomy. Song Zimo already had a clear understanding of the osteotomy site; following the principles of Yang-style osteotomy, he used a mathematical formula to estimate the site of the osteotomy, then confirmed the location, direction, and depth of the osteotomy.

Frankfurt University Hospital is equipped with a navigation system, but in order to demonstrate that such a surgical method could also be completed under rudimentary conditions, Song Zimo did not use the navigation system. He completed all the steps manually.

Yang-style osteotomy is based on extensive data research. It investigates thoroughly the relationships between spinal cord deformation and paralysis, spinal straightening and spinal cord deformation, osteotomy sites, and spinal straightening. It establishes an application formula, linking the osteotomy site with spinal paralysis.

This way, the entire operation is no longer about luck. In the past, although monitoring via spinal cord-evoked potentials was used to monitor spinal cord injury, monitoring was all it did—if there were waveform abnormalities, the damage had already occurred.

Yang Ping’s surgical method now directly linked the osteotomy site with spinal cord injury.

If a doctor plans to perform surgery on a patient with spinal scoliosis, they would mark out the determined osteotomy sites in advance. How many osteotomy points are there, at what location to perform the osteotomy, how much to cut, and then applying Yang Ping’s function formula, one could derive a function value, which is a score. This score is compared against reference values.

Any score below a certain number is certain to lead to paralysis, any score above it is safe, clear at a glance.

Moreover, if the site, number, and extent of osteotomies are determined based on calculations from this formula, paralysis will certainly not occur.

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