Surgery Godfather
Chapter 876 - 775 Myocardial Reduction Surgery_3

Chapter 876: Chapter 775 Myocardial Reduction Surgery_3

Yang Ping didn’t give up; he continued to refine the surgical instruments—surgery—improvement—another surgery—further improvement—

until he was satisfied with the surgical instruments. On an experimental subject with severe hypertrophic obstructive cardiomyopathy, he successfully removed 30g of myocardium, all taken out of the body without causing any debris, and the experimental subject also recovered well postoperatively.

Unfortunately, real objects in the System space couldn’t be brought out; otherwise, he would have directly used them. To solve this, he memorized the final set of complete blueprints in his brain.

Once out of the System space, he hand-drew them and handed them over to Sharpeness Company to manufacture.

Realizing his ideas with the fastest speed was also the reason why Yang Ping needed his own medical equipment company.

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Professor Cao had doubts about whether Yang Ping could perform the "myocardial weight reduction" surgery, so he paid extra attention to Teng Xinmei’s treatment plan. This patient was one he had personally admitted, and he couldn’t allow any complications.

Clinical medicine is completely a practical science, especially surgery, which requires consistent and rigorous training to master cutting-edge techniques. A young man like Yang Ping, without specialized training, couldn’t be related to the surgery, even if he published a hundred papers in CNS.

But Professor Zhang Zongshun said that Yang Ping would definitely succeed, and Sanbo Hospital also unconditionally supported Yang Ping’s cross-disciplinary actions.

Therefore, Professor Cao couldn’t openly comment, but it was essential to secretly follow up on the case to intervene in time should any troubling signs emerge.

"Professor Yang, how is it, how do you plan on performing this myocardial weight reduction surgery? It doesn’t seem too straightforward."

Professor Cao approached Yang Ping for a chat, sitting down with him. He visited the ward daily, keeping a constant eye on the treatment progress.

Yang Ping understood that it was reasonable for Professor Cao, a former expert from Emperor’s Capital Fuwai, representing the national top level, to harbor some doubts.

"Open surgery is indeed not easy to perform; I am planning to take a minimally invasive approach," Yang Ping replied truthfully, unable to ignore the old professor’s concerns.

"Minimally invasive? Radiofrequency ablation or chemical ablation? That’s unlikely to be adequate, right?"

As a top expert, Professor Cao was well aware that neither radiofrequency ablation nor chemical ablation would work for such severe cases. If these two methods were used, it would be akin to skimming over the patient’s issues.

If that were the case, he would rather refer the patient to the Emperor’s Capital Fuwai Hospital to avoid delaying the child’s treatment.

Otherwise, if the money was spent and the illness remained unimproved, Professor Cao couldn’t explain himself.

Radiofrequency ablation and chemical ablation were relatively new methods. With radiofrequency ablation, a few hospitals could perform it under electrocardiogram monitoring, using electrophysiology to ablate the thickened myocardium through radiofrequency, aiming to restore it to normal thickness.

Chemical ablation, commonly known as alcohol ablation, mainly used anhydrous alcohol. By performing coronary angiography to locate the blood vessels supplying the thickened myocardium, anhydrous alcohol was injected into those vessels to ablate and necrose the hypertrophic myocardium. Gradually, the surrounding myocardium thinned out, returning to a normal state. This method was akin to "dieting" the hypertrophic myocardium to achieve a "weight loss" effect.

Both methods had common drawbacks: the effects were uncertain, and the amount of reduction couldn’t be precisely controlled.

"Professor Yang, please be cautious. With the case being so severe, the two minimally invasive methods might not work. The left ventricle and interventricular septum are thickened, several times that of normal individuals. Look, the ventricular outflow tract pressure gradient is as high as 190 mmHg, extremely dangerous, and there’s always the possibility of sudden death. It hasn’t been easy for this child to get to this point."

Professor Cao solemnly cautioned, for when it came to technical expertise, there were no niceties to be spared, and as an elder, he felt responsible to warn Yang Ping.

Yang Ping knew what Professor Cao was worried about, so he explained, "The new method I plan to use is not radiofrequency ablation or chemical ablation, but transapical myocardial coring technique, which involves a mechanical resection with a dynamic blade, entering through the apex of the heart, directly removing the hypertrophic myocardium from inside and then taking it out of the body, thus thinning the myocardium."

"Transapical myocardial coring technique? I’ve never heard of it. Which country’s technology is it?"

It was the first time Professor Cao heard of this technique, and he was a big shot at Fuwai with disciples now leading the field of cardiac surgery nationwide.

"Professor Cao, to be honest, this is a technique I created myself," Yang Ping disclosed candidly.

Professor Cao felt a tremor in his heart upon hearing this: "Your own creation of a new technique? Has it been clinically tested?"

"Not yet, but we can start with animal experiments before surgery. When the time comes, Professor Cao, you can come to evaluate. If it meets the criteria, we could then proceed with human surgery," Yang Ping hoped to persuade Professor Cao.

Professor Cao was certainly not approving of Yang Ping’s approach: "Professor Yang, isn’t that inappropriate? Both of us are surgeons; we ought to know that a clinical technique, especially a surgical procedure, must go through extensive experimentation to mature. This case involves heart surgery, how can we be so rash as to allow an entirely new surgical approach to enter clinical practice right away?"

Indeed, from a conventional standpoint, Professor Cao’s point was entirely valid.

"Professor Cao, this technique has actually undergone clinical evaluation. Firstly, entering from the apex is completely problem-free; radiofrequency ablation already makes an entrance from the apex. As for the coring technique, it comes down to two issues: controlling the amount of resection so as not to perforate the heart, which can be avoided under the guidance of surface ultrasound, and ensuring that the resected myocardial tissue is completely removed from the body without leaving debris that could form an embolus. If these issues are resolved, wouldn’t that be an excellent technique?"

Professor Cao pondered, theorizing was one thing, but practice was practice, and theory was theory. If everything from theory could be achieved, that would be too good to be true.

"If it really is the first case, you must test it on animals before surgery, and call me to have a look then," Professor Cao decided, determining that he must oversee this surgery.

"Rest assured, Professor Cao, the instruments will arrive tomorrow. We plan to experiment with pigs. Only after you give the nod will I apply it clinically. We still need your approval on the ethics committee side," Yang Ping said confidently.

"Hmm!" Professor Cao gave his provisional approval.

Leaving the Comprehensive Surgery Department, Professor Cao put aside concerns about offending anyone. For safety’s sake, he decided to invite one of his students from Fuwai Hospital, a department head in cardiac surgery, who was extremely skilled in operating on hypertrophic obstructive cardiomyopathy.

Officially, it was to observe Yang Ping’s new technique; in reality, it was Professor Cao’s backup plan.

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