Surgery Godfather-Chapter 631 - 573: My Professor is Really Steady - Part 2

Xu Zhiliang was sitting in the last row of the teaching room, with a laptop in front of him, a bottle of mineral water on the side, and a bag of big buns, at least six or seven by visual estimation.

He was in charge of the forum’s live connection. He placed the video window on the left side of the computer screen, and on the right side was the chat window to facilitate communication.

Zhang Lin maintained order in the teaching room, and Little Five helped operate the miscellany of network computer sound equipment and microphones.

Song Zimo was the host of the venue. Dressed in a shirt and tie today, he appeared very formal and carried an academic conference style.

Despite being a Saturday, many young doctors were present.

Even a few female students who normally had no interest in lectures were quietly pushing to the back, their gazes fixated on Song Zimo.

"Everyone, please remain quiet. Those who haven’t had breakfast can eat while listening. But things like durian, stinky tofu, pickled vegetables should be consumed outside before entering," Zhang Lin stood in front and shouted.

Little Five was testing the quality of Yang Ping’s microphone.

Director Gao, who worked in sports medicine, also came to listen to the specialized spine course and sat next to Xu Zhiliang.

His morning work had delayed him and he hadn’t eaten breakfast yet. Seeing a few big northern buns in front of Xu Zhiliang, he thought, you can’t possibly eat all these, can you?

"Old Xu?"

Everyone called him that, so Director Gao followed suit.

Xu Zhiliang operated his laptop while reaching for a bun, taking big bites without choking.

"Your buns are still hot and they look good. Northeastern buns? May I try one?" Director Gao reached out.

Xu Zhiliang focused on his computer screen, oblivious to who was reaching for his buns.

With a smack, he slapped Director Gao’s hand away.

"I eat eight in one go for breakfast. Today, the last six buns from the cafeteria were all taken by me, and I’m supposed to share them with you?"

Eating eight in one go?

Is that true or a joke?

He had heard from Xiong Sihai that the stuttering man from their department ate eight big buns for breakfast--he didn’t think it was true.

Watching Xu Zhiliang enjoying his meal, finishing an entire bun in a few bites without even drinking water, he couldn’t help admiring.

That’s freaking impressive!

Director Gao swallowed a gulp of saliva and said nothing more. He took out his notebook and prepared to listen to the lecture.

---

"Is Oreo online?"

"I’m here!"

"You are energetic!"

"Not really."

It was after 2am in Germany.

"Regarding the choice of osteotomy location and the depth of osteotomy, I have never fully understood it. Today, I have to pay close attention to the professor’s lecture."

"The professor’s principle of osteotomy is that each vertebra involved in scoliosis participates in the osteotomy while retaining some stability."

"The external fixator is elastically fixated, and if a segment loses stability due to osteotomy, it increases the risk."

"Why does each segment need osteotomy? This is a big difference from traditional orthopedics."

"The theoretical basis is different. In the professor’s words, this is the zipper principle."

"What is the zipper principle?"

"When a bag is filled up and you try to close it, the zipper cannot be closed. After great effort, you finally zip it up, but you find that the zipper seems to have borne no tension at all, very slack, as if all the force has disappeared."

"The stress is dispersed to each segment of the zipper. Similarly, the professor’s goal is to distribute the deformity to each vertebra, each segment, thus dispersing the major into minor, spreading the deformity so that each place undergoes the least deformation. Therefore, the risk is minimized and the distance of the bone move is reduced to the shortest, shortening the orthopedic time as much as possible."

"Hold on a minute, I need to make some coffee to stay awake."

Woodhead spoke.

"I’m not interested in coffee now."

Robert used to be very fond of coffee.

"What are you drinking?"

"West Lake Longjing tea!"

"Oreo, is your trip to China confirmed?"

August didn’t respond.

"Oreo? Have you fallen asleep?"

"Actually, Oreo needs to stay most alert. It’s after 2am there."

"I’ve already had a bottle of dark beer. Don’t worry everyone, I’m in good shape right now."

---

Nine o’clock, the lecture officially begins.

Xu Zhiliang thus operates the computer while gobbling down buns.

Six buns are consumed, leaving not even a crumb behind.

Having finished all his tasks on the computer, he can finally take a rest. Xu Zhiliang picks up a bottle of mineral water, ready to twist off the cap and take a few sips.

He feels slightly uneasy as he sees Director Gao next to him, staring intently.

"Director Gao? Do you have some free time today?"

Unable to resist, Director Gao swallows and replies, "Yes, I’m free. I came to listen to Professor Yang’s lecture."

Then he turns his attention back to the class, no longer engaging in idle chatter with Xu Zhiliang.

The live-streamed teaching on the Internet runs parallel to the in-person lecture.

Yang Ping first revisits the theory of Ilizarov, then outlines its application in limb correction surgery.

In doing so, everyone develops a basic understanding of the application of Ilizarov’s theory in deformity correction.

He then briefly touches on the history of spine correction, and outlines the challenges in applying the Ilizarov technique to spinal correction.

The main threads of the lecture are clearly defined, logically arranged, and seamlessly connected. freeweɓnovel.cѳm

After laying out the problems, he addresses how to approach each challenge, and how these approaches can be translated into practical techniques.

Only after this groundwork does he explain the principle of spinal external fixation, the selections of surgical indications, the control of surgical contraindications, perioperative management, and the details of surgical operations.

How to calculate the deductions for osteotomy is the pivotal part of this technique; the rest is following a set pattern.

How to design each osteotomy so as to ensure the stability of the spinal segments throughout the treatment process, and yet ensure that osteogenesis can occur at the osteotomy site.

Only by maintaining stability can the shortcomings of the external fixation frame be avoided.

And only by ensuring osteogenesis at the osteotomy sites could deformity correction using osteogenesis be achieved.

To maintain stability, Yang Ping innovatively creates several lines and angles.

Based on these lines and angles, the planning of the osteotomy can be achieved in a formulaic manner.

If assisted by a computer, this task becomes even simpler. The computer can perform precise planning, further simplifying the design of surgical procedures and lowering the threshold of the surgery.

The lower the threshold for a surgical procedure, the wider its applicability, and the higher its safety.

The animal testing was a huge success. All forty cases in the first-phase clinical trial achieved successful deformity correction. The second and third-phase clinical trials are underway.

The classic case of Cui Shukai is projected onto the screen. He had a C-type scoliosis with a preoperative Cobb angle of 176 degrees. After three months, the correction procedure was completely successful with no complications, and the functionality of each spinal segment was fully preserved.

The preoperative, intraoperative, and postoperative X-rays are displayed in sequence, along with the videos showing Cui before, during, and after his surgery.

In particular, the videos showing Cui bending down to tie his shoelaces after recovering from surgery indicate that his spine functions extremely well.

Yang Ping’s image of reliability and steadiness has deeply impressed all the doctors, and the success of this experiment makes his image shine even brighter.

Many stories about Yang Ping circulate in the Sanbo Hospital – how he saves the day at conferences, takes charge in the face of adversity on the academic conference stage, cleans up after international experts, and rapidly completes Folding Man surgeries (who were recipients of Golden Knife Awards).

It seems that Yang Ping can complete all types of surgeries and cases with a smooth and steady hand.

When Cui bends over, a round of enthusiastic applause breaks out in the audience.

---

At the same time, the forum’s chat box fills with emojis celebrating the achievement!

"Incredible!"

"A complete correction!"

"The spine looks almost normal when looking at the X-ray in a straight position."

"Has the patient been discharged from the hospital?"

"Not yet, he won’t be discharged anytime soon."

Xu Zhiliang responds to the questions.

"Great, I want to see this patient in person. Out of forty cases, other than one mild infection at the puncture site, there were no other complications. Isn’t it too perfect?"

August expresses disbelief, finding it hard to believe that a clinical trial of a spinal device could be so mature.

"This is Professor Yang’s style - steady! Each of his works is extremely mature. Nobody can do better than him. You can check out another masterwork by him, the Folding Man spinal correction. At that time, the new technology was not yet fully developed, so traditional surgery was used for the correction. Watching the entire operation is more thrilling than a roller coaster ride. After watching that surgery, you’ll know that our professor is meticulous and top-performance when he starts on something. Let me see, how to describe the professor."

Robert still clearly remembers the operation on the Folding Man.

No wonder, Yang Ping’s spinal external fixation technique had been tested and refined in the System Laboratory until it reached its present maturity.

"Our professor is really so steady!"

Takahashi types out a row of words.

Robert feels a chill. It seems that there’s a slim hope of snatching the position of chief moderator of the Trauma Orthopedic Forum from the Japanese.

PS: There’s only one Chapter today, but it has more than four thousand words. So, it’s substantial!