Surgery Godfather
Chapter 938 - 808: Just Hang Up a Sign?_2

Chapter 938: Chapter 808: Just Hang Up a Sign?_2

Yang Ping did not answer immediately; instead, he slightly narrowed his eyes, tapping lightly on the desk with his fingers.

A short while later, he asked, "There are no other contraindications, right?"

Professor Chen replied, "We haven’t found any for now."

"Then we can proceed," Yang Ping said without hesitation.

All of them were surgeons, so of course, they had to inquire about any surgical contraindications. If absolute contraindications were present, no matter how skilled the surgery, it would be in vain.

The primary goal was to perform the surgery correctly; only then should they focus on performing it well. This principle could not be violated.

For instance, with Fontan Surgery, if the issue of pulmonary hypertension isn’t addressed, no matter how beautifully done the procedure is, the result would be zero, or it might even be negative.

"Can it be done? A radical surgery?"

Academician Wang had just picked up his teacup, but upon hearing what Yang Ping had said, he set the cup back down before reaching his mouth.

"Apart from radical surgery, there’s no other way. We need to dismantle the original surgery completely and then reconstruct everything one by one. It’s a large and complex undertaking that will take a long time," Yang Ping said, pointing at the image on the screen.

"This case is much more difficult than Mai Zijing’s. Everything needs to be rebuilt, and the surgical design must be very meticulous, fitting together seamlessly like a precision aircraft engine, where every component has to be precise and compatible with the others."

Li Zehui also joined the discussion; his recent back-to-back visits to Sanbo Hospital to observe two surgeries had been eye-opening.

Some surgeries that he thought couldn’t be done could actually be performed here; others that he believed should be done one way could, in this place, be done in another.

Li Zehui’s understanding and horizons of cardiac surgery were expanded.

"A flaw in one link could bring the whole thing crashing down; we must tread on thin ice with every step."

Professor Chen was still very apprehensive about this case.

Yang Ping lightly tapped his fingers on the desk rhythmically without making a sound, "Right, eight anomalies need to be corrected, all functions must be restored—it’s very difficult, but it’s the only way. The diversion effect of the Fontan Surgery is already on the brink of collapse; only reconstruction offers a way out."

"The major vascular positioning is anomalous, with the aorta anteriorly situated and the pulmonary artery behind. The valve orifices are severely narrowed, only as thick as a pencil lead, basically just a pinhole. With the condition of bicuspidization, we need to completely repair the septum. A single atrium needs to reconstruct the interatrial septum to form two atria, the interventricular septum needs patching, and we have to reconstruct the connection between the left ventricle and the aorta, which are currently too far apart. There should normally be two sets of atrioventricular valves, but now there’s only one, which we need to separate into two — the mitral valve and the tricuspid valve, ensuring neither stenosis nor insufficiency. The pulmonary veins, vena cava, and hepatic veins must be separated above the atrium; the endocardial cushion defect also needs repair; the aorta must be widened; the pulmonary valve needs reformation, and the area below the pulmonary valve also needs to be expanded—"

Yang Ping explained, pointing at the various parts on the image with the eraser end of a pencil.

Director He sat beside him, not daring to breathe a word, feeling tingles on his scalp just listening to the string of nouns and verbs. Now that Yang Ping was discussing making these things a reality, it seemed harder than reaching the heavens.

"It seems we need to carefully plan out the surgery. Professor Yang, can you see what else we can provide to help?" Academician Wang saw Yang Ping’s confidence and decided to take the plunge.

"Xia Shu will take over this patient’s care. Our young doctors lack experience. Also, it would be best if you could assign an experienced doctor from your cardiac surgery ICU to take charge of the postoperative management," Yang Ping said straightforwardly.

Sanbo Hospital does not have a dedicated cardiac surgery ICU; instead, they make do with a coronary heart disease ICU. This particular case is special and cannot be handled idly after the surgery. There are too many complex indicators to observe, so a doctor with experience in the cardiac surgery ICU must be arranged.

"Yue Liang, go arrange for the staff to be flown over as quickly as possible," Academician Wang instructed Professor Chen.

"Is there anything else we can assist with?"

Academician Wang asked, licking his dry lips slightly excited.

Yang Ping thought momentarily and couldn’t think of anything else they might need, so he said no.

"I will get someone to make a digital model. We can then use the digital model to simulate the preoperative pathological anatomy of the heart, the surgical process, and the postoperative effects. It would be more intuitive this way," he remembered.

"Our general surgery starts off at a hellish level. I just glanced at the other cases, and there are almost no ’routine’ surgeries," Xia Shu lamented upon seeing this case.

He had just started working, and it was at our general surgery department, the sense of immersion was very strong.

Academician Wang also commented, "This surgery is hellish level as well."

Yang Ping spoke with some difficulty, "No choice; from the time the general surgery department was established until now, it’s been nothing but hellish level cases every day. Tough luck! I’m used to it."

Academician Wang showed a look of astonishment. The young man’s remark, ’tough luck!’, was said with such ease.

Yet, Academician Wang liked this kind of confident young man. He wasn’t just confident, but he had the skills to back it up; every one of the three surgeries he had recommended recently was hellish level.

Using digital technology to simulate the current state of the heart, the surgical procedure, and the postoperative heart was merely a way to visually convey the entire surgical process to everyone.

At Nandu Medical University’s Digital Medical Laboratory, the new generation Digital Human project was progressing smoothly. To support the Digital Human project, Yang Ping planned to use research funds to purchase a supercomputer for them.