Surgery Godfather

After the surgical checklist was completed, the surgery officially began, and the Chief Surgeon Yang Ping started to inject local anesthetic into the scalps of the two patients.

He would perform awake craniotomy under layered local anesthesia, applying it layer by layer to the scalp, periosteum, and membranes of the brain tissue. The brain tissue does not require anesthesia because it has no sensory nerves and therefore doesn't sense pain.

Even in the prone position, the sisters couldn't stop chatting away. They were discussing how to celebrate after the surgery, what each would do independently afterward, sometimes quarreling a bit, but mostly planning a beautiful life after the surgery.

The nine-year-old girls clearly have no awareness of the surgical risks; their minds are filled with beautiful thoughts. Concepts like danger and failure don't exist in their heads.

Local anesthesia? Awake craniotomy, and it's a brain stem surgery.

Some neurosurgeons already saw that the surgery was intended to be completed under local anesthesia. Their anger was immediately ignited, claiming the Chief Surgeon was ignorant, arrogant, and lacked basic respect for life.

Some doctors, having been educated by Manstein, initially supported Yang Ping but now due to the anesthesia method, began to criticize and switched to the opposing camp.

How could this surgery possibly be done under local anesthesia? Can local anesthesia complete such a high-risk surgery? Can it achieve the precision required for such a surgery? Even if it could, how long does local anesthesia last? With such a large surgical scope and lengthy time, how many doses of local anesthetic are needed? Can the patient endure it? Won't there be a risk of local anesthetic toxicity?

It's utterly ridiculous; no one in the world would dare to use local anesthesia for such a surgery unless they're insane and don't consider the patient's life or death.

The surgery had just begun, and the method of anesthesia had already stirred up a storm among neurosurgeons worldwide.

Some even started checking literature temporarily, unable to find any paper discussing brain stem surgeries under local anesthesia, not even a single sentence.

In the Teaching Room of the Institute's Operating Room, everyone stared at the large, soft, high-definition screen where a pair of extremely deft hands held a syringe to perform local anesthesia on the scalp. It was just simple local anesthesia, and for now, they couldn't tell the Chief Surgeon's surgical skills.

"He really intends to use local anesthesia for this; he's not just saying it." Morris muttered to himself, worried about whether his daughters could tolerate it.

Thinking of this, Morris' heart skipped a beat, like a doctor cutting into his head without anesthesia. The imagined blunt pain spread quickly through his body.

"Don't worry, Professor Yang's local anesthesia isn't what you imagine." John Ansen said.

Local anesthesia is just local anesthesia; there's nothing like advanced or basic. Morris smiled bitterly inside. John Ansen's worship of Professor Yang has reached the point of losing reason. What technical content could a simple local anesthesia have? Injecting a circle of local anesthetic subcutaneously around the scalp, theoretically blocking any nerves entering this area from all directions.

In fact, broadly speaking, anesthesia is only divided into general and local anesthesia. General anesthesia makes people lose consciousness, equivalent to central nervous system being anesthetized. Broadly defined local anesthesia includes narrowly defined local anesthesia, nerve blocks, spinal anesthesia, epidural block, etc., because these anesthetic methods all target peripheral nerves. Narrowly defined local anesthesia is using a general method to inject anesthetic subcutaneously hoping to block small branches or terminal nerves, while nerve block uses relatively accurate ways to block surrounding nerve trunks. Spinal and epidural anesthesia block spinal nerve roots.

So, apart from general anesthesia, all anesthesia follows one principle—nerve block, targeting peripheral nerves, making them all types of local anesthesia, just with different "local" scopes.

Careful Morris noticed indeed Yang Ping's method of local anesthesia is different. He doesn't inject around a circle but randomly injects several small points. Does this work? Will it be effective?

"Shall I introduce Professor Yang's local anesthesia to you? Actually, for Professor Yang, he can almost use local anesthesia for all surgeries. His local anesthesia isn't simple; it's precise blocking upstream nerves in the surgical area. Even when anesthetizing the scalp, he's not injecting randomly but is highly familiar with the nerve distribution in the scalp. These few injections have completely blocked the area with no pain." John Ansen reluctantly acted as the commentator, or else Morris wouldn't understand and was merely watching for fun.

"The nerve distribution of the scalp, such tiny nerves, everyone's distribution varies significantly, right? How can precise blocking be done?" Morris was quite skeptical.

John Ansen smiled and said: "You haven't taken specialized scalp nerve anatomy classes, or learned to use CT, MRI, or Surface Ultrasound to understand scalp nerve distribution, have you? This is the basis for achieving extreme local anesthesia on the scalp."

This kind of course exists? Isn't it just the scalp? There's actually so much knowledge about its nerve distribution?

Morris turned to look at John Ansen: "No, I didn't even know there were specialized courses like this."

"So, you don't understand the technical content of this local anesthesia." John Ansen shook his head and said.