Surgery Godfather-Chapter 607 - 553: Remote Control Toys

A completely new case, a one-of-a-kind surgical plan, this is the true test of a doctor’s skills.

Otherwise, why would the name "Surgical Research Institute" be displayed? The high prestige of this signboard is certainly not something an ordinary department can compete with.

In order to perform the osteotomy more precisely, Yang Ping still planned to use the Tianji surgical robot, as a good tool is the guarantee of surgical outcomes.

However, as of now, the robot for the Surgical Research Institute is yet to be delivered. Approval procedures always take time.

Yang Ping had no choice but to vie for the machine with the Orthopedics department. Of course, whether it was Director Tan or the other sections of Orthopedics, they were more than willing.

Borrowing the machine once means acquiring one more opportunity to observe and learn. Why not grab the opportunity?

The level at which Yang Ping operates the surgical robot can be regarded as the perfect unity of man and machine.

If the proficiency levels of operating a surgical robot were divided into tiers, Yang Ping would be the greatest champion, the one with the most stars to his name.

Watching Yang Ping perform surgery with a robot at close quarters provides a gaming-like firsthand experience that is highly enjoyable.

Although the Surgical Research Institute’s plaque hasn’t been up for long, they certainly aren’t short on money. Even excluding Ruixing Company, it can’t be said that they lack surgical robots.

Certain big shots would never be stingy with money - donating a robot or the like is just a matter of signing their names on a check for tens of millions.

For instance, Ning Qi, the CEO of Anning Group, hopes that Yang Ping can provide a list. Her wording is very precise; not just a robot, but a list. Whatever equipment is needed, just write it down and she will provide it. The process would be through donation.

As long as Yang Ping is willing, her donating a building, a hospital, wouldn’t be difficult.

With the robot that Dean Xia applied to procure already on the way, Yang Ping decided to have a little more patience; waiting a while doesn’t hurt.

Yasmeen, dressed in Sanbo Hospital’s patient clothes, sat in a wheelchair and was pushed into the operating room by a nurse.

Dr. Fida also followed Yang Ping into the operating room for a visit. His curious gaze scanned everywhere; thirty operating rooms starting work at the same time, nearly two hundred surgeries per day - these grand scales were unforgettable for Dr. Fida.

What does it mean to concentrate half the surgeries in their country to one floor?

"Is this the biggest hospital in China?" Dr. Fida couldn’t help but ask.

With the help of the Arabic translator, Little Five told him, "We are not the biggest. The biggest hospital in China performs about 300,000 surgeries per year, and the daily number of surgeries is close to a thousand."

A thousand surgeries per day! Three hundred thousand surgeries per year!

Dr. Fida was shocked. He had no definitive understanding of what it meant to be a big country. At this moment, as a doctor, in the operating room, he was feeling the momentum of a big country.

His previous exposure was limited. Most of his time was spent learning English. He once went to a hospital in Britain for further study, but that hospital only had a hundred beds. During a short-term two-week progression, he only saw a few surgeries.

He must learn Chinese well and definitely come to China for further study.

Dr. Fida made a silent vow.

Once again, Tan Boyun gave up his chance for the robot. Director Qin of spinal surgery was quite annoyed. Two opportunities to concede the robot were snatched away in a row. He felt Tan Boyun was a bit aggressive, but there was nothing he could do as he was one step too late on both counts.

Light music began to play in the operating room, the Guzheng Version of "High Mountain Flowing Waters". It sounded quite pleasant and soothing.

When Yang Ping performed surgeries, he liked to listen to this kind of calming guzheng music. Although the piano was also good, he just felt that the guzheng had more charm.

Huang Jiahui was still personally following the table, all tools were spread out on the side, varied and splendid. Each one was custom-made for this surgery.

Chen Zhi, the chief engineer from Ruixing, also came to the scene of the surgery with Huang Jiahui. He needed to see the surgery process with his own eyes. Only by understanding the surgical process could he design better tools in the future.

Dr. Fida watched the scene in a dazzled state. When he was studying in Britain, he had never seen such a spectacle.

Moreover, the impact of the British professor was still a bit inferior to Professor Yang’s. As to exactly how much inferior, Dr. Fida was still not clear in his mind.

Tan Boyun applied to be an assistant on stage, but Yang Ping refused.

Just because he used your robot doesn’t mean you have to be allowed on stage. In fact, this is not strange.

With any surgery, Yang Ping would always make careful calculations in his mind, striving for the greatest success rate and the best outcome.

Tan Boyun was not as well-prepared for this surgery as Song Zimo and Xu Zhiliang. If Yang Ping agreed to let Tan Boyun be an assistant, it would add unnecessary risks to the surgery.

Director Tan knew Yang Ping very well. When it came to surgery, he showed no mercy.

So he didn’t feel upset. There would be plenty of opportunities in the future. Standing by the side and watching could also be very educational.

The Arabic translator was also dressed in visitor clothing, wearing a sterile hat and mask, standing by to provide translation services at any time.

Body language is the most universal language in the world.

Liang Fatty’s gestures were very good. Yasmeen understood Fatty’s meaning, that she was to be given general anesthesia, and then to sleep.

However, when Fatty mimicked the action of sleeping, his intentional snoring was a bit uncouth.

On the surface, this surgery was nothing more than the replacement of four major joints - bilateral hip joints and bilateral knee joints. But this surgery was totally different from ordinary artificial joint replacement.

Due to severe developmental issues, Yasmeen’s bilateral hip joints had long been fixed in a dislocated state.

The original shallow acetabulum, whether in terms of position or depth, was of no use for this surgery.

Yang Ping needed to grind out a new artificial acetabulum on the hipbone, and then put in a biological acetabulum prosthesis.

The position and direction of this artificial acetabulum had no standard to follow, and had to be designed individually based on Yasmeen’s situation.

This would take into full consideration the orthopedic status of the hip joint, knee joint, ankle joint, foot arch, and the muscles surrounding the hip joint after the procedure.

If he were to only rely on experience, even if it were very extensive, he wouldn’t be able to carve an excellent acetabulum.

The computer simulation easily determines the position and direction of the hip joints based on the target force line with great precision.

Similarly, the reversal of the knee joint’s anatomy makes it more complex to restore, with high precision required for the osteotomy.

The ankle and foot arch also need to be reshaped to accommodate upright walking in the future.

Sterilization, preoperative verification, then officially starting.

Song Zimo and Xu Zhiliang are on the table, and Yang Ping operates the surgical robot from the control platform.

Yang Ping’s sequence of choice progresses from nearby to distant, first performing bilateral hip replacement, and finally dealing with the ankle and foot arch.

Only when the hip joint achieves good mobility, can the knee replacement achieve a good operative angle.

Dr. Fida stands beside, watching the operating video on the screen, considering himself as a fellow doctor now.

Yang Ping uses a lateral approach to the hip joint, making successive incisions to expose the hip joint, and carries out moderate dislocation of the surrounding muscles, tendons, and ligaments to achieve desired balance. frёewebnoѵel.ƈo๓

This balance is a new balance, a balance to adapt to upright walking.

The stable structure of the human joint is divided into two parts, one is the dynamic stability structure: the muscle-tendon system; the other is the static stability structure: the joint capsule and the ligament.

Their relative balance allows the joint to remain stable while providing some flexibility.

Therefore, this surgery requires a high level of skill in achieving balance.

After the soft tissue has been loosened, Yang Ping uses the robot’s accurate positioning to grind a man-made hip socket out of the hip bone, then inserts a biological artificial hip socket.

There are generally two methods of fixing the hip prosthesis, the cement type and the biological type.

The main ingredient of bone cement is polymethyl methacrylate, which is suitable for older patients with poor bone quality. In these patients, prosthetics and bone are fixed using bone cement during hip replacement.

It is named so because it is like using cement to fix bricks and other building materials during construction.

The biological type, unlike bone cement, is suitable for young patients with good bone quality.

This type of artificial joint prosthesis does not require the addition of bone cement as a fixing agent. For example, the handle of the femoral head prosthesis is inserted into the marrow cavity of the proximal femur, and the initial stability is obtained by squeezing the handle and the marrow cavity. Because the surface of the handle of this type of prosthesis is porous and has a coating that induces bone growth, over time, the bone tissue in the marrow cavity will grow into the void in the handle, forming a so-called biological fixation.

It’s like building a house, where no cement is needed to fix the bricks, the bricks will grow and penetrate each other, and finally be firmly connected.

The cooperation of Song Zimo and Xu Zhiliang is very good, and the speed of switching equipment is also very fast.

The robotic arm of Tianji Surgical Robot is quite flexible. Whether it’s for cupping the hip socket or amputating the proximal femur, it’s both fast and precise.

Soon, Yang Ping completes the bilateral artificial hip replacement.

Then they start the bilateral knee replacement.

After the hip joint is replaced, it has a good range of motion, and there is much freedom in placing the lower limbs, providing a good operative angle for knee replacement.

With the help of the robot’s navigation equipment, osteotomy and prosthetic implantation are done in one go.

The knee prosthesis also adopts the biological type. At present, there’s no such biological knee prosthesis on the market. The prosthesis that Yang Ping uses is completely printed using a 3D printer.

Like the hip joint prosthesis, this new type of prosthesis, compared to the traditional bone cement prosthesis, promotes bone tissue growth into the prosthesis through the close contact of the prosthesis-bone interface, thereby improving the bond strength between the prosthesis and the marrow cavity, and achieving long-term stability of the prosthesis.

Huaxi Hospital had once completed the world’s first biological knee joint prosthesis replacement surgery. The artificial joint prosthesis used at the time was also printed out with a 3D printer. Yang Ping’s replacement is possibly the world’s second.

Operating the surgical robot in Yang Ping’s hands really feels like playing a video game. The bilateral knee joint replacements are completed.

Finally, they deal with the ankle and foot arch. To adapt to upright walking, the ankle and foot arch must be orthopedically adjusted simultaneously.

After all the steps are completed, Yang Ping leaves the control platform and goes over to the operation table. Song Zimo starts measuring the force line of the lower limb -- it’s perfect!

The whole operation does not seem like an operation, but more like a video game.

From start to finish, each step is both quick and accurate, with very little bleeding, almost negligible.

The single robotic arm of the Tianji robot is absolutely not enough. It simply can’t keep up with Yang Ping’s pace, and many steps require human assistance.

The improved robot of the future should be able to complete all steps under the chief surgeon’s control, and equipment switches should also be done automatically. The equipment should be placed on the instrument table, with the robotic arm able to automatically install and uninstall the equipment.

The assistant should be on standby in case of sudden machine failure, and should not participate in the operation.

So, there’s still a lot of room for improvement for the Tianji robot.

At present, it’s not the surgical robot catching up with Yang Ping’s speed, and many functions cannot be realized. People have to help unload and load the equipment.

"Chen Zhi, surgical robots represent the future direction of surgery, and you should make a contribution."

Yang Ping said to the engineer Chen Zhi.

This is consistent with Chen Zhi’s thinking. He has always had this idea to develop surgical robots, so he came to watch the robot’s surgery this time.

Designing those instruments is just a small matter. If there is ample funding, Chen Zhi really wants to design such large things.

However, it requires a huge amount of capital and a large team.

The robot must have more than three mechanical arms. The mechanical arm must be flexible and rigid. The mechanical arm must completely replace the human hand. The mechanical arm must be able to perform the entire surgical process, such as laying sheets, incisions, etc.

Otherwise, it’s not a qualified remote-controlled toy.

Chen Zhi thought to himself, he will definitely design such a qualified remote-controlled toy.

Finally, he thought, the surgical robot must be connected to the supercomputer network and can combine with the Digital Human for real-time modeling during surgery.