Surgery Godfather
Chapter 733 - 653: Take It Slow

Chapter 733: Chapter 653: Take It Slow

After the anesthesia, Jing Yunsong was naked, lying prone on the spine frame.

The G-arm X-ray machine was on standby, but it would only be used when inserting the pedicle screws.

Director Hu, along with Song Yun and Kong Weiquan, began to sterilize and prep the operation site, while Qiu Ruo took her position, the instrument table was already set, and she began to arrange the instruments with her dexterous hands.

Patrolling Nurse was examining the fluids on the infusion stand, and Head Nurse sat in the corner, ready to provide necessary support at any time.

The other two Doctors stood by the G-arm machine so that they could stay and assist by moving the G-arm machine occasionally, participating in the surgery was also an honor.

The aseptic packed artificial spinal prosthesis, ready to use, was put separately on a second trolley, and it could be opened for use at any time.

Yang Ping was putting on his surgical gown and gloves in a spacious corner while wearing protective goggles, and then stood aside, waiting for Director Hu to finish sterilizing and draping.

Once everything was prepared, Yang Ping stepped onto the surgery platform, standing in the Chief Surgeon’s position.

After a serious preoperative double-check, Qiu Ruo handed him the surgical knife.

Yang Ping took the surgical knife, drew a vertical line on Jing Yunsong’s back, cutting through the skin and subcutaneous tissue in one go, and fat granules immediately popped out as the skin split open.

Most of the entire operation was done with the laser knife, the surgical knife was only used for skin incisions, Yang Ping returned the surgical knife to the instrument nurse.

Qiu Ruo was stunned for a moment, then she took the surgical knife with a curved tray, and put it on the ground with forceps.

The starting move was a bit hurried, Qiu Ruo was not at all prepared for Yang Ping’s manner of incising the skin in a single stroke.

Who incises the skin like that? Normally, the skin is slowly opened along the incision line, then gradually deepened, cut open many times before the skin can be fully incised, forming the entire surgical incision.

The surgical knife had just been handed over, and within three seconds, the skin incision was completed, Qiu Ruo didn’t have time to react.

However, Qiu Ruo learned from this incident, she would not be careless anymore. The young professor was indeed very fast, and carelessness could lead to loss of rhythm.

The laser knife moved very quickly in Yang Ping’s hands, first hemostasis, then the fascia of the back was incised, exposing the muscles of the back.

The instruments currently in use were relatively few, and the instrument changes were not very frequent, so Qiu Ruo could handle them easily.

Yang Ping began from the midline, using forceps and a laser knife to separate the muscles from the spinous process, stripping the muscles from the spinous process and lamina on both sides and pushing them to the sides. The process was both quick and steady, with almost no blood visible in the surgical area.

To be able to so cleanly strip the soft tissue from the lamina through the posterior approach and without bleeding, this surgical skill was truly extraordinary.

The lamina is actually a complex structure with an uneven surface. When the laser knife was separating it, there was barely any pause – a sign of great expertise.

It was as if the muscles, tendons, and ligaments were glued to the surface of the bone, and now Yang Ping was carefully lifting them up.

The lamina, spinous process, transverse process, superior and inferior articular processes, these complex protruded structures, weren’t obstacles for Yang Ping at all. When the muscles were separated from the spinous process and lamina, they were still attached to the intact periosteum, making the anatomy layer very clear.

"The preoperative image showed that only the lamina of L2 was intact, not invaded by the tumor. I’ll start from there,"

While explaining to his assistants, Yang Ping continued with the operation. The prior explanation allowed the assistants to understand the intention of the Chief Surgeon.

The energy of the laser knife was raised to a level capable of cutting bone.

With the concentrated laser gradually cutting, a square piece of the normal lamina was removed from behind, and then taken out.

As the annular vertebra was opened from the back, if the entire tumor could be separated along its border, this bone piece could also be removed together with the tumor.

The posterior side of L2 was easily separated and completed. Next would be the posterior side of L3, Yang Ping would demonstrate dividing the tumor at the pedicle and intervertebral foramen.

----

Seeing how efficiently Yang Ping started the surgery left Professor Chene incapable of acceptance.

As a world-leading expert in spinal tumors, he could clearly understand the level of the surgery being demonstrated.

Firstly, this method of separation was very innovative. The excellent use of the laser knife given its advantage was more advanced in concept than what Chene was using.

Secondly, the Chief Surgeon was very familiar with the anatomy of the spine and the tumor. He knew where the natural boundaries of the tumor were located and therefore he was always separating along the tumor’s boundary, maintaining some distance to the nearby normal tissue.

Moreover, the level of the Chief Surgeon’s surgical operation was indeed superb. For example, when separating soft tissues from the spinous process and lamina, the entire periosteum remained intact. After the separation, the operative lamina appeared completely smooth, with no soft tissue adhesion at all.

A tumor is not like a potato in the mud, with clear and natural boundaries between it and the surrounding environment.

Tumors grow aggressively into surrounding tissue, intertwining with it until the boundaries become blurred, making it difficult to decipher the transitioning boundary and capsule.

However, the Chief Surgeon was able to easily find it, suggesting that he had cultivated extensive research in this type of tumor and was familiar with its boundaries.

Lastly, there was almost no blood throughout the surgery.

Tightly watching the surgical operation on the big screen, Chene felt high tension, not because of other reasons, but from some oppressive force that made him out of breath.

---

Vascular clamp!

Vascular clamp with thread!

Suture needle!

Thread scissors!

Toothed forceps!

As the surgery continues, the number of tools required increases, and the rate at which instruments are being swapped out gets higher and higher.

Yang Ping throws himself completely into the surgery, not thinking about whether others can keep up with his pace.

He has reached out for a while, but no instruments have been passed to him.

Yang Ping looks back, and the instrument nurse with timid eyes looks at him, belatedly placing the instrument into his hand.

Because Xiao Su is an instrument nurse, Yang Ping has always been especially kind to instrument nurses.

Some professors perform surgeries rashly, often losing their temper at assistants and nurses, but Yang Ping never does this.

Yang Ping immediately realizes his speed is too fast, the nurse couldn’t keep up with the rhythm. Slowing down a little is acceptable, it won’t affect the surgery— so he decides to slow down.

Yang Ping notices Director Hu and Song Yun are also struggling to keep up with the pace.

Slow down then!

Yang Ping takes the instrument passed by Qiu Ruo, then deliberately slows down his pace.

Qiu Ruo hadn’t been able to keep up with the speed just now. Usually, she’s very quick in both response and action, never finding herself unable to keep up.

However, Professor Yang’s speed is indeed too fast, beyond Qiu Ruo’s comprehension. She had never seen anyone perform surgery so fast.

And this is spinal tumor removal, shouldn’t it be done carefully?

Some professors take it one step at a time, but Professor Yang is going at high speed throughout.

After Qiu Ruo completely lost her rhythm just now, she was afraid of being scolded. However, from Yang Ping’s gaze, she didn’t feel criticised but comforted. When he later slowed down, he was clearly accommodating her. Qiu Ruo’s heart warmed, she didn’t expect Professor Yang to be so considerate.

Even though Yang Ping deliberately slowed his pace, his speed was still quite fast.

Head Nurse Xin watched the entire scene on the side. This young professor’s surgery speed was unbelievably fast, Qiu Ruo couldn’t keep up at all. If it weren’t for him being considerate, she would have had to arrange for a replacement instrument nurse on standby, which would have been rather embarrassing.

Luckily, this young man was considerate, and could slow down his pace to match that of the nurses on stage.

Head Nurse Xin felt very grateful. If an additional nurse had to be added, she would have to admit she made an error in arrangement. Both the doctor and Professor Yang had warned her about this beforehand, but she had rejected their advice.

If this were brought up by Professor Liang, she’d inevitably get scolded.

Qiu Ruo felt inadequate in her work and looked at Head Nurse Xin, who didn’t say anything. This put her heart at ease.

---

As the surgery progresses, Professor Chene’s attention becomes increasingly focused.

This surgery technique, both in concept and operation, is more advanced than his own method. How could this be possible?

They were just asking to learn my new technique, how could they surpass me so easily?

The Chinese-style full vertebrae removal technique completely surpasses my own, truly achieving removal along the boundary!

Chene faintly feels that the surgeon is currently only circling the vertebrae from the posterior approach and separating the tumor. Later, from the anterior approach, three vertebrae along with the tumor will be removed all at once, not in three parts like he does.

Watching this, Chene is almost certain that the chief surgeon’s goal is to remove the tumor and three vertebrae all at once from the anterior approach.

A posterior approach to circle, then separate, and then an anterior approach to remove the tumor, followed by posterior fixation.

In just three steps, this complex tumor is removed clearly and in its entirety.

Isn’t this hard to achieve?

No, it’s not just hard, it’s nearly impossible.

"Professor Hu! Is the plan to circle from the posterior approach, separate from the posterior, and then separate and extract the entire tumor and three vertebrae all at once from the anterior approach?" Chene can’t help but ask Professor Hu beside him.

Professor Hu nods his head: "Watch carefully, you’ll learn a lot."

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