Chapter 312: Chapter 0296 VR Dissection Imaging
Guo Jingyao was wheeled out of the operating room to the family waiting area, where his wife and children ca up to express their concerns.
Dr. Huang briefly introduced Guo Jingyao’s condition to his family, asking them to wait in the conference area of the orthopedics ward. Dr. Huang would explain Guo Jingyao’s current condition in more detail later, with the intention to arrange surgery as soon as possible.
Guo Jingyao was pushed back to his room, and the team of doctors who had consulted returned to the eting room to discuss the surgical plan.
“Doctor Yang, could you perform this surgery for us, please? What preparations do I need to make?” Doctor Lin requested Yang Ping on their way back to the conference room.
The diagnosis was now very clear, consistent with Yang Ping’s diagnosis during the consultation eting.
Only Yang Ping could perform this surgery, because if it failed, there will no longer be an opportunity to redy.
...
“I need to bring my team over. They just got back to work after the spring festival. It would be difficult to make arrangents. I’ll try my best.” Yang Ping was not sure, as the team had just resud work. If the whole team left, the hospital would be understaffed.
If necessary, he would bring Song Zimo alone. Having a good assistant would make the surgery a lot easier.
Unknowingly, it was already evening in Kuala Lumpur.
He had breakfast in China in the morning, and now he was discussing a case in Kuala Lumpur. He didn’t feel uneasy about the sharp changes in ti and space.
Yang Ping reported the situation to Director Han. Director Han imdiately replied, asking him to stay in Malaysia. The entire orthopedics team would rush to Malaysia as soon as possible. The hospital office would arrange for soone to manage the team. He reassured Yang Ping that everything at ho is taken care of and that he had arranged enough staff.
Director Zhu also reported to the company’s headquarters. Anning Insurance imdiately contacted Sanbo Hospital to jointly organize a team to rush to Malaysia.
In order for Yang Ping to perform the surgery in Malaysia, he needed a temporary dical license of Malaysia. That way, he could legally go to the operating table. Otherwise, the surgery could not take place.
Yingge Hospital’s administration departnt also initiated procedures to apply for a temporary dical license and spinal surgery permissions for Yang Ping and the arriving team from Kuala Lumpur Health Bureau.
When everything was in place, Yang Ping realized he hadn’t checked scores of WeChat ssages from Xiao Su, most of which were reminding him to take care of his health.
Suddenly, he rembered that since the whole team was coming over, Xiao Su would definitely be dispatched as well. His parents, left alone at ho, shouldn’t have any problems. They were familiar with the vendors in the community.
His father often taught him to prioritize the patient’s condition. He should be able to understand him. Thinking of this, Yang Ping imdiately called Xiao Su. Although they had only been apart for a day, it seed like a long ti.
“I am packing up already!”
“Yes! You have worked hard.”
“Don’t worry about mom and dad, they’re very familiar with the community and the surrounding environnt.”
“I will give them a call and chat.”
Everyone is busy, Yang Ping was about to participate in a surgical discussion, and Xiao Su was packing luggage. They didn’t have ti for romance, everything was unsaid.
Yang Ping called his parents, who told him to focus on the patient and not to worry about things at ho. They were very familiar with the surroundings of the community, so he didn’t need to worry.
None of the doctors who participated in Guo Jingyao’s DSA, including Yang Ping, had als. Dr. Huang had fast food delivered to the eting room while they were waiting for the VR images from Singapore Central Hospital.
The other doctors, who were waiting outside during the operation, also had fast food.
The fast food was simple and high-calorie, like KFC burgers and chicken legs.
“August—” Milton wanted to ask him a question.
But August was focused on eating his burger, having finished almost three layers of it as well as most of a chicken leg.
Is this old coot trying to show off that he has better appetite and stamina than himself? Milton grabbed a drumstick and started gnawing on it with big bites.
“Wasting food is disgraceful—”
August finished his last French fry, wiped his hands, cleaned up the trash, and threw it into the large bucket in the corner specially for fast food waste.
Milton belched twice but continued to stuff his mouth, thinking: Whatever those Germans can do, he can do too.
Pre-surgery discussions, a system that exists in every hospital, gathers collective wisdom to prevent discrepancies in so major surgeries.
The Virtual Reality (VR) image reconstruction of Singapore Central Hospital has been completed. Everyone was wearing Google VR glasses. The 3D image of Guo Jingyao’s thoracic vertebrae appeared in the air, very clear. It would be convenient for Yang Ping to explain the surgery using this image.
“Gentlen, look, this is the local anatomy of the patient’s thoracic vertebrae. We enter the spinal canal from the rear dian entry, cutting layer by layer, straight to the back of the spinal canal—the lamina. We create a window on lamina to enter the vertebral canal. Our surgical target is the blood vessels outside the dura of the spinal cord. We’ll remove all the exterior structures, leaving only the spinal cord and blood vessels to facilitate observation.”
Everyone imdiately reached out, removing the skin, fascia, and muscles from the hovering 3D anatomical image, then extracting all thoracic vertebral skeleton, leaving only the spinal cord and surrounding blood vessels for more intuitive observation.
This basic Virtual Reality technology only demonstrates anatomy. Another team from the United States has developed a VR technology that can simulate the anatomy and physiology of an organ. With the help of virtual haptic feedback, surgeons can operate on the virtual organ. When a part is cut open, it bleeds; if a crucial part is injured, it ceases life activities. It closely resembles real surgery.
“These few arteries must be severed and ligated, or they would interfere with the operation. Normally, these few blood vessels are unimportant and can be fully ligated. We would do so without hesitation, revealing the location of the dural arteriovenous fistula,” Yang Ping pointed out the few flickering arteries.
Indeed, these arteries blocked the surgical approach, hiding the surgical target. The only way to reveal it was to sever and ligate them. If the function of these blood vessels was not clarified beforehand, any spine surgeon probably wouldn’t hesitate to sever and ligate these vessels.
All the doctors present broke out in a cold sweat, including Dr. Huang. He had perford the surgery on Guo Jingyao’s thoracic spinal canal cyst. Luckily, the cyst wasn’t in this segnt, otherwise the blood supply to the spinal cord would have already been compromised, losing the opportunity for further surgeries.
“These arteries can’t be pulled aside. If we don’t cut them, there won’t be enough space to operate. How do we treat the arteriovenous fistula?” a doctor asked.
Yang Ping’s indicator showed up on the 3D image: “We can only operate through the gaps in the arteries. That’s the only operation space.”
“The gap is too small and it’s under a microscope. It’s practically impossible,” another physician thought it was too challenging.
Kobayashi Takeshi chid in: “The surgical window indeed seems too small. Can we bypass it?”
“We can’t! There’s only one operation gap and we can’t expose the arteriovenous fistula site from elsewhere,” Milton was very sure.
“If not for seeing it with my own eyes, it would be hard to believe. They seem naturally designed to obstruct our surgery. Could we sever the blood vessels, treat the arteriovenous fistula, and then rejoin these arteries?” August proposed with so imagination.
Yang Ping affird his idea: “Possible, but not necessary. We can finish the operation within the gap.”
“So, it is my team who will perform this surgery!” Yang Ping emphasized again.”
“I can be your assistant—” August volunteered.
“No, the surgery is too difficult and the operating table is too precise. Even a careless movent can cause disastrous trouble for the surgery,” Yang Ping blurted out.
A master of European spine surgery was rejected on the spot in front of so many doctors for an assistant position.
Milton was about to volunteer but imdiately swallowed his words…
Luckily everyone was wearing VR glasses, so no one could see the embarrassnt on August’s face.
“After separating the arteriovenous fistula, the artery cannot be repaired, only severed, then doing a vascular bridge anastomosis. Performing this operation within the small space between the arteries is extrely difficult, probably beyond any of your capabilities.” Yang Ping explained.
Milton dared not contest further; indeed, if the surgery needed to be perford this way, he lacked the confidence to be an assistant.
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