Surgery Godfather
Chapter 674 - 605: Where Others Stop

Chapter 674: Chapter 605: Where Others Stop

The so-called titanium mesh is actually not a mesh, to be accurate, it is a raised plate made of titanium alloy -- there are no meshed holes on it but it does have rib-like protrusions on the surface.

Besides the titanium plate, there are also screws used to fix it.

Because the blueprint was incredibly detailed, the engineers in Harald Orthopedic Hospital’s 3D printing laboratory were quickly able to print out this titanium plate and matching screws based on the blueprint.

As one of the world-class orthopedic hospitals, this lab often uses titanium to print various internal fixations.

The titanium plate is sent to the sterilization room for sterilization, and then it is packaged and delivered to the operating room.

To Constantin, the procedure of surgically removing the rib and installing the titanium plate was not a difficult task.

It’s like copying an article isn’t difficult, writing one is.

This cardiac surgeon is prepared to perform an emergency surgery for the young duke; to remove the rib, install the titanium plate and use it as a shield to provide an artificial space where the human heart can freely beat.

With the support of ECMO, surgery is no longer a contraindication, so Constantin decides to put this idea into action.

The young duke is taken to the operating room where Constantin is set to perform a creative surgery on him.

In order to relieve the pressure on the heart by reducing the ribs, Constantin decided to remove all the anterior ribs, leaving only five centimeters of the posterior ribs for the fixation of the titanium plate.

He carefully carries out the procedure according to this plan and removes the ribs successfully.

Then, he sites the titanium plate properly, forming a spacious space for the heart, in the same way a protective cover would.

The artificial titanium mesh mimicking a regular chest cage has one side fixed to the sternum and the other side fixed to the remnants of the ribs. The artificial space is very relaxed, the heart is free, and the vicious circle will terminate.

Constantin is pleased with the surgery. The silver shield adds a hint of science fiction to the young duke’s uniform presence.

"Close the chest!"

But Constantin almost immediately encounters a problem. The skin cannot cover the titanium plate. He tried to adjust the skin, but it could only cover a part of the titanium plate, leaving the majority exposed.

Because before the ribs were cut off, the skin was just able to accommodate the narrow chest cavity. Now that the titanium plate expands to a regular chest cavity, there is nowhere near enough skin.

As a cardiac surgeon, he never had to worry about skin coverage. That is a job for trauma orthopedics.

Constantin, standing by the operating table, looks at the exposed titanium and suddenly recalls - isn’t this an orthopedics hospital? Why is there still a fear of skin coverage issue?

"May I ask for the assistance of a trauma orthopedic surgeon? Covering exposed titanium is needed."

Constantin asks that of the patrol nurse, who then puts his surgery on halt.

In less than ten minutes, the trauma orthopedic surgeon arrives in the operating room. After carefully asking the cardiac surgeon on the problems faced, the surgeon finds out that the issue is resolving skin defects. This task is right up his alley for the trauma orthopedic surgeon.

Whether it is skin grafting or flap construction, it is a routine procedure for them.

The trauma orthopedic surgeon examines the deficiency- different flaps could be used to cover and repair this area.

The philosophy behind skin flap surgery is to break the east wall to repair the west wall. The damage is generally quite significant. If this is the final surgery, then it wouldn’t be a problem. However, if it’s temporary, that would require consideration.

If you break down the east wall to repair the west wall, but decide to rebuild most of walls soon after, weighing the pros and cons of whether or not to tear down the east wall is necessary.

The trauma orthopedic surgeon recalled hearing that this is a temporary surgery, used just to alleviate the heart pressure issue.

"What’s the subsequent treatment plan?" the trauma orthopedic surgeon asks.

What’s next?

Heart replacement?

Maybe not so soon.

This method wasn’t proposed by Constantin, he was merely a cardiac surgeon.

The operating room falls into silence, every pair of eyes looking around.

"Mr. August said that he and his mentor are already aboard a plane, the next step is to perform spinal scoliosis correction surgery with ECMO." Markus barrels along with another piece of awe-inspiring news on the quiet stage.

To perform spinal correction with ECMO in play requires immense courage. Just who is this mentor? He truly does have a unique mindset.

"Is there skin coverage required for this procedure?" Constantin asks Markus.

"The small holes on the top are used to sew the skin, as long as the surrounding area is sewn, the central part can be left exposed." Markus guided on behalf of the leading surgeon.

Fortunately, they hadn’t rushed to prepare. Otherwise, the skin flap transferred from the back would have to be disassembled. Even if this wouldn’t affect the blood circulation of the skin flap, it would still cause issues during the operation.

The skin is then sewn onto the titanium plate, covering only the surrounding areas.

——

Ning Qi’s private plane is an Airbus ACJ350, under the management of Nandu Airlines. It’s one of the few planes of its kind in the world, with only a handful in China.

The 270 square meter cabin of the plane is incredibly luxurious and spacious, replete with meeting rooms, kitchen, dining room, bedroom, and a leisure and entertainment area.

The purser on the plane knows that today’s flight is to take President Ning’s best friend, Professor Yang, to Germany.

President Ning himself had ordered that in order for Professor Yang to rest well and ensure good sleep, the luxurious master bedroom would be opened for Professor Yang’s use and the other bedrooms would be left for his assistants to use.

The purser knows that the master bedroom is a private space reserved for President Ning and it is never opened to anyone else. This time, however, President Ning has broken the rule for Professor Yang, which showed how much President Ning respected him.

The comfort of the master bedroom is incomparable to any other room.

It holds a king-sized bed and a walk-in wardrobe, with underfloor heating installed in the changing room.

On the wall opposite the bed, there is a giant television.

Through the changing room is the master bathroom. It also has a heated marble floor, a marble sink, and a towel warmer, with a large shower area.

It’s a ten-hour flight and there’s major surgery to be performed after landing. Yang Ping needs to rest well on the plane. So, Ning Qi specifically instructs the purser to open his master bedroom to Professor Yang and requested that no other passengers are allowed to enter the master bedroom.

Consequently, the flight attendant hangs a temporary notice in the master bedroom: Reserved for Professor Yang. Others, keep out.

Due to the critical situation, Yang Ping didn’t bring Robert and Takahashi with him, only August came with him.

So, the only one who had to keep out was August.

August had thought that only people like dukes would have such luxurious private planes, but he didn’t expect that his professor’s friend also had one.

It turns out his Chinese mentor is not only extraordinarily skilled in medicine, but also his social circle is exceptional; he is a man of substance.

Yang Ping and August rest in the private theater while making use of the multimedia system to review the young duke’s medical imaging files.

"Professor Yang, this is your favorite Longjing tea."

The flight attendant serves two cups of fragrant tea.

Yang Ping’s favorite drink is tea; he is not interested in other beverages.

This must also have been instructed by President Ning.

"This friend of yours is quite thoughtful." August follows his example to taste the tea.

He continues to ponder the implications of the word "friend".

The two of them review the case file of the young duke. Overwhelmed by sleep, Yang Ping decides to take a shower and rest, as there is still a major operation to be done after landing.

The flight attendant leads Yang Ping to the master bedroom. August stops. It seems that on this plane, the only place where August can’t go is here.