Surgery Godfather
Chapter 928 - 804: A Genius Is Either Mad, Crazy, or Both!_2

Chapter 928: Chapter 804: A Genius Is Either Mad, Crazy, or Both!_2

In general surgery, one cannot get by without a broad and deep knowledge base, so even Zhang Lin and Little Five are now desperately reading and studying.

"Is it really that terrifying?" Little Five found it hard to imagine what it was like during surgery.

At this moment, Yang Ping spoke up, "It’s exactly that terrifying! If these blood vessels are cut and anastomosed without extremely superior vascular anastomosis skills, just one stitch causing uneven stress distribution or a blood leak can lead to a tear under the high pressure of the blood flow, and the patient will immediately suffer massive bleeding and die."

"Has Director He performed a Fontan Surgery?" Yang Ping turned his head to ask Director He Xiangjun, who had been silent.

Director He was also a Doctor in cardiac surgery, and he had studied for his doctorate at the Cardiac Surgery Department of Nandu Provincial People’s Hospital, which ranked among the top five cardiac institutions in the country.

However, Anzhen and Fuwai were in a league of their own. The rest could only be considered second-tier; there was no denying it, reality was stark, and to surpass the cardiovascular specialists at Anzhen and Fuwai, those ranked third and below had a long way to go. As Academician Wang had said, establishing a specialty required the efforts of several generations.

The cardiac surgery field is probably the most challenging to advance in, which is why many provincial hospitals’ cardiac surgery departments could only perform routine surgeries, and of course, these standard operations, as long as they involve the heart, were top-notch.

Therefore, Sanbo Hospital was relatively the most outdated, especially in cardiac surgery, which didn’t even have a dedicated cardiac surgery department but was referred to as the Thoracic Surgery Department, combining heart, lung, esophagus, and trachea surgeries.

Director He, somewhat embarrassed, admitted, "I haven’t performed it personally, only assisted my mentor with it. Such cases are rare and are generally only carried out in Beijing."

"Right, the hospitals where Fontan Surgery can be developed are extremely rare. Performing this surgery well isn’t just about mimicking others; it involves many factors. Thus, a good Fontan Surgery not only tests a doctor’s surgical skills but also their cognitive abilities. Song Zimo, why don’t you give everyone an overview of the history of Fontan Surgery? I plan to handle this patient here to let everyone familiarize themselves with Fontan Surgery first."

"For any surgery, I always insist that everyone must be familiar with its history. Only by understanding its origins can you grasp its background, the challenges it faced, and how it developed step by step. Only then can you truly understand the essence of the surgery. Understanding the essence is necessary to perform the surgery well. We surgeons cannot be content just being simple operators."

"Learning about Fontan Surgery, we need to study all of it: its past, present, and future, its pros and cons—"

Doctor Li Guodong ceaselessly took notes, as if every word from Professor Yang were golden rules. He recorded everything, then planned to research and comprehend it in his own time.

At this moment, Song Zimo walked onto the podium, hands in his pockets, his white gown open and flaring out at the sides, making him look exceptionally dashing.

He didn’t use a PowerPoint presentation and had not prepared anything, relying entirely on his regular accumulation of knowledge to teach this class.

"Fontan Surgery—the stroke of genius in cardiac surgery, the last lifesaving straw for children with congenital heart disease!"

Song Zimo wrote this statement on the blackboard as a summary of Fontan Surgery; indeed, if all cardiac surgery techniques were listed and evaluated for brilliance, Fontan Surgery was unparalleled for its bold imagination and meticulous thought.

"Talking about Fontan Surgery, we have to mention the French doctor, Francis Fontan—the inventor of Fontan Surgery, who lived a long life, dying at the age of 89."

"In April 1968, a 39-year-old Dr. Fontan encountered a special case, a 12-year-old girl, who was breathless even when talking. When she was six months old, her face and limbs had turned blue. At six years old, she had developed exercise-induced dyspnea and clubbed fingers. As she grew up, her cyanosis and breathing difficulties worsened dramatically, her heartbeat was very fast, and her red blood cell count and hematocrit were far above normal levels. We know this abnormal increase is a compensatory phenomenon."

"Fontan performed a cardiac catheterization and angiography on this little girl, discovering that the valve between the right atrium and right ventricle was completely closed. We know this valve should act as a one-way valve allowing blood to flow from the atrium to the ventricle and not vice versa. However, now this valve was completely impermeable."

"Tricuspid valve atresia?" someone exclaimed.

"Exactly! Tricuspid valve atresia!"

Song Zimo confirmed.

"At that time, the only treatment for this condition was a heart transplant, and the prognosis was very poor."

"Was there heart transplantation at that time?" a student curiously asked.

Song Zimo, one hand in his pocket, the other holding a stylus, wrote on the electronic blackboard, "In December 1967, Doctor Christian Barnard in Cape Town, South Africa, successfully performed the first human heart transplant, and Dr. Fontan in France saw this patient in April 1968, only four months later."

"Wow—just four months later, they were aware of heart transplantation. The spread of technology is so fast."

"That’s why it’s crucial for doctors to have the most advanced technologies. Journals and textbooks are outdated, so we need to keep in close contact with global peers to capture important information in real-time."

A female student sneakily raised her phone to take a photo of the podium, while another girl turned to look at her.

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