Surgery Godfather
Chapter 1120 - 900: Fortunately, Following the Doctor’s Advice_2

Chapter 1120: Chapter 900: Fortunately, Following the Doctor’s Advice_2

Li Ni is Xixi’s mother, who is on her way back.

"No, we can’t delay this. Doctor, please arrange the surgery quickly. Listen to me, I’m the good child’s father, I am the child’s legal guardian. Don’t listen to the elders; they don’t understand anything," Wang ChengPei said determinedly.

Usually, Wang ChengPei would be very docile in front of his in-laws, as if he didn’t have any opinions on matters and would always listen to the elders, but how could he be vague on such a major issue.

What is this attitude? How can anyone speak like this?

The mother-in-law was angry and wanted to take charge of the matter, but the father-in-law held her back: "Let the child decide, what do you know?"

Because they both had some fertility issues, this girl was only conceived after several attempts at in vitro fertilization; moreover, they were both 51 years old, meaning they had their daughter at 49.

Now that their daughter suddenly exhibited symptoms of hemiplegia, how could they not be anxious?

"Doctor, please help us, save Xixi," Wang ChengPei pleaded desperately.

His wife, Li Ni, is the headteacher of a senior high school graduating class and is extremely busy at work. She had just received the news and was rushing to the hospital.

"Don’t worry. Look, Wang Xixi has Moyamoya disease, which is a type of congenital cerebrovascular malformation. It has been present since birth, and it’s only just manifesting now. Look, these are the malformed blood vessels; they look like a puff of smoke, hence the name Moyamoya disease."

"These ’smokes’ are malformed blood vessels. They’re much thinner than normal blood vessels, which is why they look like smoke. These very thin blood vessels have difficulty passing blood through, so the downstream vessels are very prone to blockage. What we have now is a blockage, simply put, a stroke."

Wang ChengPei didn’t understand Moyamoya disease, but he definitely understood what a stroke was.

"Now we must take action and perform surgery to restore blood supply to the area affected by the infarction. If blood supply is promptly restored, the limbs affected by the left-side hemiplegia may return to normal."

"If the blood supply isn’t restored in time, the area of infarction will become a permanent dead zone, and the left-side hemiplegia will become permanent."

"That’s why we need to perform emergency surgery."

Zhang Lin spoke with the presence of a leading professor, full of authority, at a medium pace, articulating each word clearly.

Wang ChengPei now understood the gist of what Zhang Lin was saying.

In fact, Wang ChengPei bought the property near the hospital because he found abnormalities in his electrocardiogram during a health examination but had never identified the cause. He was consistently worried about his own health. He had heard that owning property here was like buying a health insurance policy. He heard about a Southeast Asian businessman who purchased an entire property complex to seek medical treatment.

He never expected that he wouldn’t use this "insurance," but his two-year-old daughter would.

"Doctor, please do your utmost to help. We must have Professor Yang Ping perform the main surgery. We bought this property to be close to Professor Yang Ping. You know Guo Peihua, he was saved by you guys; I used to be his colleague," Wang ChengPei implored.

It was hearing about Guo Peihua’s case that Wang ChengPei decided to buy the property here and had only moved in recently.

"My name is Zhang Lin; I am the attending physician in Professor Yang Ping’s team."

Zhang Lin said confidently, then handed over a surgical informed consent form. Anesthesiologist Liang Fatty, hearing Zhang Lin’s call, had already rushed back. Fatty was preparing to go out for dinner and a movie with a flight attendant when he heard about the emergency surgery and had to hurry back, with flight attendant Liao Yiyi following behind him.

Fatty immediately printed out an anesthesia informed consent for Wang ChengPei to sign.

Xixi’s pre-surgery preparations were ready, and she was about to be taken to the operating room. Preparation was typically Little Five’s job and he was ready too, able to perform the surgery at any time.

Wang ChengPei didn’t think too much. Before leaving, he signed the surgery consent forms. At this moment, he didn’t want to waste any more time reviewing the consent for surgery. Entrusting the child to the doctors was the best option. It was just that his wife was still on her way back. Hearing that the child had misled him on his left side, she was so anxious she couldn’t even speak.

Fatty’s movements were deft. When Xixi was in the emergency department, she wouldn’t cry or fuss due to Fatty’s skilled handling of the documentation necessary to transfer her to the operating room. The operating room was ready, but the surgery was quite complex. If it were just a skin graft, Zhang Lin could complete it. However, a skin graft wouldn’t solve the problem; a coronary artery bypass was necessary. For a two-year-old child with a coronary artery vapour lock syndrome, if waterworks needed to be increased significantly, many bridges had to be built. It was essential not only to ensure the quality of the bridges but also to select their positions with extreme precision. This was beyond Zhang Lin and Little Five’s assistance.

However, under Professor Yang Ping’s guidance, telling them where to construct the bypasses, they should be able to complete the surgery. In such surgery, time was of the essence. It was crucial to minimize the time spent and quickly restore the waterworks, saving the brain tissue on the verge of necrosis.

Zhang Lin and Little Five could manage the surgery, but their speed wouldn’t come close to matching Yang Ping’s, who could complete the surgery within half an hour to an hour.

Hearing that there was an emergency surgery, Dr. Jin and Dr. Wen hurriedly finished their dinner and made their way to the operating room. They were newcomers and hadn’t yet found their footing or fully immersed themselves in the work. They were eager to quickly integrate into the team and find their place.

Hearing that Professor Yang would be performing the surgery, they were keen to come learn.

Professor Chen JianLiang, who was responsible for the consultation, also hurriedly finished dinner in the cafeteria and rushed to the operating room. He wanted to see how Professor Yang Ping conducted surgery, as in Professor Chen’s understanding, Yang Ping always managed to perform surgery more skillfully than others. Even a conventional surgery could be elevated to a higher level under his hands.

Fatty arranged Liao Yiyi in the ward of the Surgical Research Institute and let her rest in the doctor’s office, while he went to administer the anesthesia.

Fatty moved quickly, swiftly completing the tracheal intubation and general anesthesia. In the emergency department, the nurses had already shaved Xixi’s head. Li Guodong, accompanied by a standardized training student, began sterilizing the patient.

The first step of the surgery. Yang Ping planned to perform several arterial bypasses? Because these blood vessel bypasses could have an immediate effect. Once the bypasses succeeded, the areas lacking blood supply could immediately receive blood flow, thus maximally preventing brain tissue death.

Yang Ping left this for the second step. Because this surgery didn’t require racing against the clock. Its effect would manifest in three to six months.

On Xixi’s scalp, Yang Ping removed several blood vessels for backup. These blood vessels would later be used for bridging. Their diameter was a few tenths of a millimeter.

Incision: align with the course of the superficial temporal artery (STA).

Further determination of STA location and course using Doppler ultrasonography before surgery.

Craniotome to create a bone flap beneath the course of the STA.

Open the dura mater to find a suitable recipient vessel from the middle cerebral artery (diameter greater than 1 mm).

Choose between direct and indirect bypass according to the suitability of the blood vessel diameter.

With the head tilted to one side, under the microscope, separate the frontal and parietal branches of the superficial temporal artery for standby, and meticulously flush the blood vessels to prevent clots. Sometimes the success of a surgery is the accumulation of many details; one mistake in these details can lead to the failure of the entire operation.

Then, open the temporalis muscle and skull to reveal a very distinct bone flap. Further opening the dura mater to find the arachnoid membrane, then suture the donor artery onto the arachnoid.

With the head tilted to one side, under the microscope, separate the frontal and parietal branches of the superficial temporal artery for standby, and meticulously flush the blood vessels to prevent clots. Sometimes the success of a surgery is the accumulation of many details; one mistake in these details can lead to the failure of the entire operation.

Then, open the temporalis muscle and skull to reveal a very distinct bone flap. Further opening the dura mater to find the arachnoid membrane, then suture the donor artery onto the arachnoid.

With the head tilted to one side, under the microscope, separate the frontal and parietal branches of the superficial temporal artery for standby, and meticulously flush the blood vessels to prevent clots. Sometimes the success of a surgery is the accumulation of many details; one mistake in these details can lead to the failure of the entire operation.

Then, open the temporalis muscle and skull to reveal a very distinct bone flap. Further opening the dura mater to find the arachnoid membrane, then suture the donor artery onto the arachnoid.

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