Surgery Godfather

Chapter 83: Chapter 0081: The Real Show

“Ding Dong! Mission: Battle For Dignity, complete a ultra-difficult pelvis surgery. If the surgery is flawless, successfully maintaining the team’s dignity, reward is ten thousand points, along with admiration to varying degrees.”

The system’s task was triggered during hand washing.

The automated door slowly opened. Yang Ping stood at the entrance.

His disinfected hands were raised to his chest, from shoulder to waist. His eyes were sharp.

Seeing Yang Ping at the door, Song Zimo and Little Five, felt a sense of relief as their savior had arrived!

They were aware that the “high-level” doctors from the neighboring room had made a decision after observing their progress.

When Su Yixuan saw Yang Ping come in, her lonely and helpless gaze instantly lit up brightly.

In her eyes, at that moment, Yang Ping seemed to walk on a seven-color auspicious cloud.

As soon as Yang Ping opened the door, he heard Dr. Zhong’s rebuke. Seeing Su Yixuan’s pitiful look, he felt a surge of anger in his chest, as if he could hear the sizzling sound of roaring flames.

The contest unfolded among the younger generation.

Dressing in surgical gowns, putting on gloves.

He pulled up the fastening belt from the waist of the surgical gown, handed it to Su Yixuan, turned around, took back the belt from Su Yixuan and tied up a neat knot, exchanging brief eye contact.

Go on stage!

“Dr. Zhong, please move aside. The difficulty level of the surgery is high, Director Han asked me to take over.” His tone was calm, resolute, and beyond doubt.

Dr. Zhong hesitated for a moment before moving aside, but he had no intentions of leaving the stage.

Zhang Lin, who had quietly entered at some point, was there ready to help move the C-arm X-ray machine. He brought a stool over and pointed to the screen: “You can sit here to watch the screen, it’s clearer than the view on stage.”

Dr. Zhong, who was still reeling from the overpowering aura that Yang Ping had just demonstrated, responded, “I’ll watch from the stage.”

Unwillingly, he decided to stay and see how the surgery would proceed. The screen didn’t compare to the live scene.

Little Five made room, Song Zimo remained motionless, and Dr. Zhong stood in the assistant’s position.

“Senior Brother, the adhesions are too severe, the anatomy is totally unclear, the blood vessels and nerves have been displaced.”, Song Zimo warned, cleaning off the burnt tissues from the tip of the electric knife and placing it where Yang Ping can easily reach.

The instruments on the stage were rearranged, the bipolar electrocoagulation machine was brought up, the cables of the electric knife, bipolar electrocoagulation machine, and aspirator were sorted out, the wrinkles on the green surgical drape were smoothed out.

The gauze on the table was replaced, a clean white piece was brought over.

They worked in flawless harmony.

Scalpel! Non-toothed forceps!

Yang Ping did not speak, but as soon as he stretched out his hand, the handle of the scalpel was already in his hand. Immediately after, the non-toothed forceps were passed to him.

Even though Su Yixuan was assisting in Yang Ping’s pelvis surgery for the first time, from her previous experience, she was familiar with his need for a scalpel and non-toothed forceps for a precision sharp dissection at this stage.

The exposure was excellent, Song Zimo’s assistance was impeccable.

With his left hand holding the non-toothed forceps and scalpel in his right, the sharp dissection began.

The experience of dissecting over a hundred times, training on three thousand pelvis surgeries, and hundreds of bizarre pelvis surgeries, was enough to create an overwhelming dominance in his technique.

Yang Ping used his finger to lightly touch and began the dissection. Tough and brittle scars were everywhere in the view, it seemed like the entire surgical area was made up of scar tissues and no other structures.

With the non-toothed forceps, the scar tissue was held steady, with no need to worry about slipping due to the lack of teeth.

The tip of the scalpel, both agile and precise, was used to slowly open up the scars’ adhesions. As the white scars’ surfaces were revealed, the surgeon seemed to know the exact positioning and distribution of all the blood vessels. Even tiny vessels would be cauterized in advance with bipolar electrocoagulation.

The scalpel perfectly sliced through scars without damaging the blood vessels. The bipolar electrocoagulation was switched to stop the bleeding, then continued. The scalpel and the bipolar went on in turns while the electric knife was left aside.

The dead artery buried in the scar had no place to hide under the knife, it gradually emerged, was clamped by two vascular clamps, cut off, and sutured.

The previously pristine gauze hadn’t been used yet. The contours of the external iliac artery and vein slowly began to appear, enveloped in their intact adventitia.

The femoral nerve and lateral femoral cutaneous nerve were up next. At this stage, most people use an electric knife for dissection, which can simultaneously stop bleeding by cauterization. However, the thermal injury caused by the electric knife is relatively large, which might cause some tissue damage.

Yang Ping preferred the combination of a scalpel and bipolar electrocoagulation, a stark contrast akin to the difference in scale between a cannon and a precision-guided missile.

Just like a dancer on the tip of a knife, the adhesions were meticulously picked out bit by bit.

It was like an archaeologist’s brush gently removing sand, slowly revealing a priceless antique.

The nervy structures, appearing like strips, clearly surfaced. They were accompanied by intact adventitia and faintly visible blood vessels that run on the ventral side. The assistant’s vascular clamp timely and skillfully passed under the nerves, gently lifting them.

Yang Ping reached out his hand and the surgical nurse passed him a beautiful moist rubber band. Neither early nor late, both hands reaching out at the same moment, meeting each other, the rubber band in Yang Ping’s hand.

The vascular clamp on this side had its mouth open, the rubber band was fed in, clamping, pulling, aligning the end parts. The clamp held both ends of the rubber band, pulling it to one side.

The lateral femoral cutaneous nerve, completely buried in scar tissues, was also separated, pulled open and protected.

“Senior Brother’s pelvis surgery is so good?”

A heartfelt compliment inevitably slipped out from under stage.

“This adhesion is severe, it’s hard to perform, there will be a lot of bleeding.”

“Look, the operating table is very clean, there’s no bleeding.”

“The legendary bloodless operation!”

“So amazing.”

“Much better than the doctor from Fuer.”

Discussions were unavoidable.

Dr. Zhong’s throat was very dry; he swallowed his saliva. This method of separation surpassed his abilities, it was far beyond his reach.

Sometimes coordinating left and right, sometimes crossing both hands, the left and right hands were equally proficient, with no difference in ability. There was no slipping when holding scar tissue with a toothless forceps, and the scalpel and bipolar electrocoagulation worked together seamlessly, rendering the entire surgery almost bloodless.

Critical strike! A definite strike above thirty thousand! Dr. Zhong was somewhat dazed.

Up to this point in the surgery, the surgeon had not said a single word.

“Focus! Pay attention to the exposure!” Yang Ping’s voice was extremely stern, like a professor scolding his own student.

Dr. Zhong came to his senses and realized he was being talked to. Since he was the second assistant, he quickly adjusted the retractor. As a professional, he should not give people any reason to doubt him.

The separation of the spermatic cord was not very satisfactory, so Yang Ping went back to it and performed a better exposure on the spermatic cord already separated by Dr. Zhong. After all, scar tissue is not elastic, and if it is pulled a little too hard, it can easily damage the spermatic cord, causing complications after surgery.

After completing the three windows, they continued to operate deeper in. Old clotted blood surged out, immediately neutralized by the suction tube placed by the assistant in advance. The dark red blood was quickly sucked into the sealed bottle below the table.

Fresh blood surged out as the ruptured and retracted small artery was awakened by the operation and broke through the self-coagulated thrombus, ready to spray out.

There was no opportunity to spray as Yang Ping’s vascular clamp, two of them, one in each hand, had already clamped the two severed ends of the artery.

Without a second delay, Song Zimo tied a knot to stop the bleeding.

Repeat the process and another severed end was ligated.

Then, they handled the blood vessels around the fracture, whether they were retracted or not, they were all easily located and dealt with. Even if they were retracted into the bone fragments, they were filled with bone wax, leaving the surgical area clean.

That piece of gauze hadn’t been used at all. They had kept the surgical area absolutely clean by using only the suction device and a bipolar electrocoagulation device.

“Ready to rinse! Pay attention, this is surgery!”

With an unsatisfied tone, Yang Ping reprimanded, and banged Dr. Zhong’s hand with the vascular clamp, causing him pain but his hand was holding a retractor.

There was nothing he could do. He had been distracted again and the position of the retractor was incorrect, making the exposure poor.

Shame was weighing heavily on him, and Dr. Zhong became dizzy and had trouble concentrating. Luckily, he was just the second assistant and his distraction wouldn’t heavily impact the surgery. However, stepping off the platform now would seem petty, so he chose to grit his teeth and stay.

From the beginning of the operation up to this point, Yang Ping had only spoken three sentences, and all three were directed at Dr. Zhong.

Ice salt water was passed over and Yang Ping began to rinse.

“Seven holes, reconstruction, arc–” Yang Ping reported several plate models in one breath. Su Yixuan heard this and her hands moved almost simultaneously, picking out all the required plate types and their neighboring types and placing them in the appropriate position.

Next, Su Yixuan made sure the drill bit was set properly and double-checked that there were no issues, even inspecting the drill bit rotation lock. She laid out the three-step tools used to drill holes, measure depth, and tap screw threads. Even though they were using a locking plate and there was no need to tap screw threads, Su Yixuan still prepared the tools just in case.

“Such an impressive young man. How old is he? An attending physician?” Tan Boyun had no previous impression of Yang Ping.

The people he currently knew and could remember were Director Han, Director Tian, and a few team directors. He also remembered Song Zimo because of his standout appearance, but he had no memory of this young man.

“Ah, a twenty-something-year-old young man, just promoted to attending physician. Young people lack experience, they need to be given more opportunities.” Director Han said indifferently.

No wonder Tian Yuan was so confident to let him perform the surgery, Director Han thought. He had been busy and perhaps his training progress had been slow. He didn’t let Yang Ping do pelvis surgery, and at most made him the first assistant. It seemed that Yang Ping had had a lot of practice doing pelvis surgeries with Tian Yuan, and Tian Yuan was very familiar with his abilities.

Director Han felt a bit guilty for paying so little attention to his young subordinates. Truth be told, he had been very busy recently, with the Orthopedics Institute and minimally invasive trauma orthopedics, there was too much to do. He was always short on time and often dreamed of making the orthopedic department top-notch nationally within a few days.

During this period, he had mostly ignored Yang Ping, Song Zimo and the others. Fortunately, Tian Yuan was able to take his place and guide these young people.

This kind of pelvic fracture was at the peak of a level four surgery, and widespread scar tissue adhesions further complicated it. Even seasoned experts would feel at a loss, yet this young man confidently performed the operation on stage. This level of proficiency could not be achieved without hundreds of surgeries under his belt.

The swift and precise separation of the adhesions and dealing with retracted blood vessels left people speechless. This young man, Tian Yuan, hadn’t even gone up on stage, yet an attending physician was already so skilled.

He had always had a deep impression of Tian Yuan. When they went to Japan and the United States, they were in the same group. This young man was more than a decade younger than him, yet his skill level was not inferior in any way.

Diligence, high ability, perseverance, no weaknesses in surgery, theory, or research, he remembered being intimidated by Tian Yuan before he was transferred. But when he heard that Tian Yuan had joined Director Han in the newly opened department, he was relieved.

“Sanbo is really full of hidden talents, eh? Brother Tian!” Tan Boyun didn’t know how to continue the conversation.

Director Tian replied nonchalantly, “Oh, we don’t have as many high-end, complex surgeries here as at Fuer. We just perform these routine surgeries more often. As long as these youngsters are willing to learn, Director Han is usually willing to teach.”

Damn, he thought, they call this surgery routine? What then are your high-end surgeries? Head transplants?

But he was helpless and could only listen. After all, the attending physician on stage now was performing the surgery so smoothly. If this was at Fuer, he would be someone who could strut around confidently.

His self-esteem and pride were severely damaged.

Similarly, a critical strike over thirty thousand!