Surgery Godfather
Chapter 856 - 761 Micro Manipulation God

Chapter 856: 761 Micro Manipulation God

In the operating room, Yang Ping instructed two instrumental nurses on how to cooperate: one was to specifically prepare the instruments for the next step, placing the required instruments for the next step in the most priority position. Yang Ping would inform her in advance to be ready, and she must listen attentively.

The other nurse was responsible for delivering instruments, taking the needed instruments from the priority position and delivering them as quickly as possible.

With the two working together in this way, the speed could be increased.

Once everything was ready, Yang Ping began to enter the cranium through the operation window in the eye socket, using the safety window to separate the tumor.

The round laser knife and the pointed laser knife had different power levels, one suitable for coagulating blood vessels and the other for cutting. They performed to their maximum potential in Yang Ping’s hands. When the round knife in the left hand was not activated with energy, it acted as a cold-mode auxiliary tool to the right hand’s laser knife for stripping. It was like the tip of a pair of tweezers, capable of scraping, blocking, and separating, while the right hand’s knife head was always sharp with energy for a Ruixing separation.

When a small artery was exposed, the right hand’s knife head cut through the artery, and instantly, the left hand’s knife head, energized, took over, coagulating the cut blood vessel: proximal end first, then distal, even the sequence was so perfect, making the whole operation very delicate.

At this speed, small arteries had no time to bleed before being sealed by the laser knife’s hemostatic function.

John Ansen’s neck began to sweat from watching, such skill, such precision, such stability required how many surgeries to attain.

Even if John Ansen’s current volume of surgeries were increased tenfold, he would not be able to reach this level of proficiency.

John Ansen kept dripping ice-salt water into the surgical area to reduce the thermal damage from the laser knife. Although this type of contact laser knife caused very minimal thermal damage, it was still present. Using ice-salt water continuously during the surgery could eliminate thermal injury and also contract the arteries to some extent, serving as a hemostatic.

However, the dripping of ice-salt water had to be intermittent so as not to interfere with the chief surgeon’s operation.

"Continue, don’t stop with the ice-salt water."

Yang Ping commanded John Ansen, his tone still calm as ever.

John Ansen had no choice but to follow the order, keeping the impact of ice-salt water on the surgical area uninterrupted, which did not affect Yang Ping’s operation in the slightest, as if his operation could not be disturbed by anything.

Yang Ping seemed to be familiar with the boundaries of the tumor; his operations were always carried out in the space between the tumor and brain tissue, which theoretically exists but is actually very hard to find.

John Ansen focused intently on the surgery, not understanding how Yang Ping could be so clear about the tumor boundaries.

For any tumor surgery, if the doctor can clearly discern the tumor boundaries during the operation, the safety and effect of the surgery would increase manifold. Yet in most cases, let alone find the exact boundaries of a malignant tumor, the boundaries of some benign tumors also can’t be discerned during surgery.

Soon, the tumor was removed, and Yang Ping tossed it into a curved plate. Up to now, whether it was the surgical area or the surface of the tumor, there was surprisingly no blood to be seen, and this was a vascular-rich tumor.

Yang Ping waited for about five minutes, there was no bleeding in the surgical area, and there wasn’t even a need to repeat the hemostasis step; he simply rinsed the surgical area with ice-salt water, and the cavity left by the original position of the tumor was clean.

"Let’s replant the eyeball!" Yang Ping decided against taking a mid-surgery break.

The two ophthalmic instrument nurses who were on standby immediately scrubbed in to join the procedure. Taking a lesson from before, the ophthalmologist made no hesitation, promptly prepared two instrumental nurses, and to err on the side of caution, he called two colleagues over as a reserve team. In case additional assistance was needed, the reserve team could step in at any moment. It seems the ophthalmologist had obviously developed a fear of falling behind in speed.

The assistant shifted from John Ansen to the ophthalmologist—Claus, a distinguished doctor who graduated from Harvard. Claus’s specialty training was completed at the Bascom Palmer Eye Institute, where he was researching eyeball transplantation and had conducted numerous animal experiments with both exciting and disappointing results.

After removing and replanting the eyes of mice, allowing them some time to recover, the mice’s pupils could react to light, indicating that some of the newly grown nerve axons had reached the brain’s visual center after the replanting.

This was an exciting outcome; even if a few nerves grew into the brain’s visual center, it made the concept theoretically viable.

When otologists were researching artificial electronic cochleae, they thought thousands of electrodes stimulating thousands of nerves were necessary to produce acceptable hearing, but later practice proved that only 16 electrodes stimulating auditory nerves were enough to help patients regain hearing.

Furthermore, a patient with half of their brain could use that half to carry out all normal brain functions.

Many facts convinced Claus that even with relatively scarce input data or weak signals, the brain could make the most of that information to fulfill its tasks.

So theoretically, as long as a sufficient number of optic nerves could grow into the visual center, it was possible to restore sight.

The eye has over a million retinal ganglion cells forming the retinal layer of the eyeball, with each cell connected to the brain by a nerve fiber known as an axon.

However, after all of them are severed, no one knows just how many connections need to be restored to meet the standard.

In order to recover as many connections as possible, microsurgical vascular anastomosis techniques become key before any new medical breakthroughs.

Although the patient’s optic nerve wasn’t severed, only the blood vessels were, the anastomosis of the eye’s arteries and veins still tests the operating technique under the microscope. He wanted to see what a real eye replanting surgery was like.

Claus perked up, "Shall we begin?"

John Ansen didn’t ask again if elbow support was necessary. When performing vascular anastomosis under a long-handled microscope, it was absolutely impossible to operate with arms suspended in mid-air, so there was no need to remind Yang Ping. He would surely choose elbow support.

But once more, to John Ansen’s surprise and also to Claus’s surprise.

Yang Ping said nothing and began anastomosing the eye’s arteries and veins with his arms hanging in the air through the tiny window. His arms were steadier than Da Vinci’s robotic arms, with not the slightest shake or tremor.

Claus followed with his assistant’s eyepiece, clearly seeing under his view, the instrument’s tip performing the most skilled micro-manipulations.

Whether it was the anastomosis of the eye’s arteries or veins, there were no difficulties. Each stitch was not only accurately placed in one attempt but also maintained a consistent rhythm throughout, with even spacing between stitches and edges. It looked as precise as a machine, yet exhibited the artistry of hand-sewn craftsmanship.

This was not a person but a superhuman surgical machine, this was Claus’s assessment of Yang Ping.

John Ansen watched intently through the second assistant’s eyepiece. This was his first time operating with Yang Ping, watching his surgery from such close proximity.

The skill level of his mentor was godlike, naturally evoking a sense of inexplicable admiration and awe in him. No wonder Robert was willing to follow around his mentor, enduring all hardships without complaint.

No wonder they spared no effort in learning Chinese, it was all to follow their mentor, to be able to communicate face-to-face with him.

Soon the eye’s arteries and accompanying veins were anastomosed, and several muscles were also joined. The eyeball returned to its place.

"Is it over?" Claus asked.

It seemed like it was only a short while ago that he had said, "Shall we begin?" Now he was asking, "Is it over?"

Yang Ping nodded and carefully placed the instruments in the curved plate.

"Postoperative routine includes the use of morphine to prevent spasms of the small arteries, an absolute ban on smoking. Other than that, there are no special requirements; just follow the routine postoperative care for small blood vessel anastomosis."

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The video frame also stayed on the last moment of the surgery, with the eyeball completely repositioned.

A group of proud Mayo men had never seen such "clean-freak" surgery; from start to finish, there was hardly any bleeding.

Perhaps this was the legendary bloodless surgery.

The king of micro-maneuvers, muscular Ming Ge, sat in his seat, stunned. He just witnessed what true micro-maneuvers were. Whether it was the resection of tumors or the anastomosis of blood vessels, the operation was godlike. This level of micro-maneuvering was something he had always strived for but could never achieve.

The white-haired Theodore understood the mindset of muscular Ming Ge at that moment and said, "You’re the king of micro-maneuvers, but he is the god of micro-maneuvers. No wonder he is John Ansen’s mentor. The Chinese, they truly are capable of anything."

"Yes, it seems like they can accomplish anything."

"With such a vast country, with so many people, among them are many of extreme intelligence."

"No wonder he could operate with his arms suspended earlier. The second half of the surgery must have been completed with elbow support," Ming Ge no longer needed to wonder; the latter part of the surgery was surely done with elbow support.

The video started to replay the eye transplant surgery, but a small window also began playing alongside the main video.

This small window had remained off until now and was only supplementary. This video wasn’t from the microscope’s view but was shot from the camera on top of the Surgical Light, which allowed viewing the entire upper body of the surgery members.

"His arms were suspended the entire time?" exclaimed white-haired Theodore in surprise.

Ming Ge’s eyes widened as he watched the video. There must have been a mistake; the video in the small window and the main video couldn’t possibly be in sync.

How could such a procedure be completed with the arms continuously suspended?