Surgery Godfather
Chapter 1362 - 1033: The Final Battle at Sanbo Hotel

Chapter 1362: Chapter 1033: The Final Battle at Sanbo Hotel

"If these internal fixations have no effect inside the body, why do they need to be removed after surgery? Isn’t this an unnecessary action? From an economic perspective, isn’t this a huge waste?" Brian was already immersed in his own thoughts.

Yang Ping adjusted his posture, since he had asked so many questions, he decided to engage in the discussion, lest Brian would toss and turn at night over these issues: "From the perspective of Orthopedics, generally internal fixations in the upper limbs can be left in place, whereas internal fixations in the lower limbs usually need to be removed. This is because there’s an issue of stress shielding involved; the internal fixation in the lower limbs is meant to bear some weight, which would normally be supported by the bones of the lower limbs. With part of the load carried away by the internal fixation, the bones might experience relative bone demineralization due to reduced stress, leading to lowered strength, which makes them more prone to fractures. Therefore, the effects of leaving the internal fixation in the body are far more extensive than I just mentioned, and must be considered from physical, chemical, biological, economic, psychological, and other aspects."

"For example, your spinal internal fixation, if everything goes normally, we would definitely advise its removal post-operatively. Aside from sharing the load, it also restricts the movement of the lumbar spine, and there’s a risk of screw displacement. However, if a screw breaks inside a vertebra, and the remaining part is in a safe location, leaving it in place won’t have an impact because it’s no longer bearing weight, and the risk of displacement is low. If the removal would be very troublesome and the risk-benefit ratio is too low, we won’t remove it. But if it’s easy to remove, of course it should be taken out. So there exists a risk-benefit ratio, like for example with a posterior humeral plate. When placing the plate, the anatomical structures are clear, but when removing the plate, scarring can make the anatomy unclear, which increases the risk of damaging the radial nerve. There’s a consensus among orthopedic doctors that such plates should not be removed post-operatively; otherwise, in case the radial nerve is damaged, the loss would outweigh the gain, and not removing it would pose no problems. Once damaged during removal, the regret would be inescapable."

"If there were no factors like the risk-benefit ratio, of course it would be best to remove all internal fixations."

Yang Ping said a lot, unsure whether Brian had understood.

"I got a little bit of it," Brian nodded.

Next, Brian wanted to ask some questions about medical implant materials, but Manstein immediately stopped him. It was not possible to let him waste Professor Yang’s time like that; Professor Yang was very busy, and continuing this clueless conversation would seem impolite, and making a good impression on Professor Yang was still important.

"Good that you understand, let’s go, go back to rest," Manstein signalled the attendant with a glance.

The attendant boy was quite alert and quickly helped Brian up, Zimo also immediately reminded Yang Ping that they needed to hurry up and review the other surgeries. Brian originally wanted to ask more questions, but seeing that everyone was busy, he didn’t have the heart to continue and hesitantly returned to the ward with the help of the attendant.

After all, Brian was a patient, so he certainly had some psychological traits common to patients, wanting to ask clearly about everything in one go when seeing the doctor. But doctors don’t just have one patient; how could they keep talking to him non-stop.

However, in Sweden, it would be completely fine, since a doctor might see only three to five patients in an entire morning, having ample time to communicate with patients. Of course, this requires either paying high fees or the patient having spent six months or even a year or two waiting for the opportunity.

After Brian left, Yang Ping and the team reviewed the rest of the day’s surgeries, in fact, reviewing the surgery did not take much time. No matter how late it was after the day’s surgeries, everyone would gather to review, which was mainly to clear up confusion for expert-level doctors like Zimo, Xu Zhiliang, Xia Shu, and Dr. Jin. As for some basic problems, they would leave those to be explained to their team’s younger doctors when they had free time, otherwise, they wouldn’t have enough time to review a single surgery all afternoon.

After reviewing the surgeries, Yang Ping glanced at the time and rushed to the ICU to see Aisha. Apart from electrocardiogram monitoring, all sorts of tubes and wires on Aisha had already been removed, and she was now very awake. According to the ICU doctors’ report, Aisha’s vital signs had been stable after surgery, and at the time of changing the dressing, Aisha’s incision was found to be very clean, without any signs of redness, exudation, or infection. The ICU doctors asked Yang Ping if she could be transferred back to the regular ward, and seeing that Aisha’s indices were good, he agreed to the transfer as ICU beds were also in high demand.

After finishing these tasks, Yang Ping went to the "staff home" in the Sanbo Hotel to check things out, as a major event was to be held there three days later: the century battle between Su Butong and Zhang Zongshun, two senior Professors, and Yang Ping was appointed as the chief medical officer.

The two eighty-year-old old men were to have a true showdown, and the audience would be retired bigwigs from the medical community. It was heard that in addition to the bigwigs from the Nandu Medical University system, many bigwigs from other provinces also rushed over after hearing the news.

One was a neurosurgery tycoon and the other an orthopedics tycoon; the faceoff related to the reputation of the two specialties, so both had prepared extensively and can be said to have made all-round preparations. The "staff home" in the Sanbo Hotel is actually a recreational place set up for Sanbo Hospital staff. Inside, there are indoor basketball courts, badminton courts, tennis courts, table tennis rooms, chess and card rooms, gyms, and so on.

Now, the inside basketball court had been transformed into a combat arena, adding a temporary boxing ring in the middle of the original basketball court just for the showdown in three days.

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