Surgery Godfather

Yang Ping turned his head to observe the angiography image on the screen for a while. He analyzed the state of the guide wire in the blood vessels and its relationship to the scaffold, constructing a three-dimensional image in his mind.

Actually, there are only three possibilities now. If the entanglement between the guide wire and the scaffold can be resolved, it would be better.

If their entanglement cannot be resolved, they can only be removed together.

If they cannot be removed, they can only be left inside, which constitutes a medical accident and will have dire consequences for the patient.

Director Ji was pondering which method Yang Ping might choose.

Anyway, the first two methods are both difficult. Interventional surgery is not like open surgery; the instruments available for interventional procedures are limited, and the operations that can be performed with those instruments are also limited. If the entanglement between the guide wire and the scaffold is truly complex, it may not even be possible to untangle it directly by hand, let alone using these less capable interventional instruments.

Why say this? To remove the fractured guide wire, operations can only be performed inside the blood vessel using the guide wire and a loop, which is akin to having a knotted rope that you cannot untie by hand. I give you a thin elastic wire, and you can only use this wire to untie the knot. If you are given two wires to resolve the issue, these two wires can only be tightly adjacent in length, so the likelihood of untying the knot is very low.

"I will first remove the thrombus for a better view, then untangle them, and finally remove the three guide wires. The position of the scaffold is quite favorable, so let it stay and continue to be effective."

Yang Ping had formulated his plan. He intended to first remove the thrombus from this area, then slowly unlock the entangled guide wire, and finally extract the guide wire.

"Untangle the entanglement?" Director Ji thought he heard wrong. How could it be possible?

Whether using the loop or utilizing the inserted guide wire for entanglement, the method involves grabbing the tail of the guide wire and then using some force to pull it back. This relies on a condition: the entanglement between the guide wire and the scaffold must be very simple, allowing them to separate with a pull.

However, Director Ji had already tried, but couldn't move it at all, which indicates that the entanglement must be very complicated, and excessive force might cause problems.

Director Ji was still pondering the feasibility while Yang Ping began the thrombosis removal operation. Whether using a thrombectomy scaffold or an aspiration catheter, the instruments seemed to have a soul in his hands, moving lightly, quickly, and precisely, looking as smooth as a flowing dragon, extremely comfortable.

Director Ji was not watching Yang Ping perform interventional surgery for the first time. Each time he watched Yang Ping perform surgery, his most unforgettable impression was that the end of the instrument seemed to have autonomous consciousness, capable of operating on its own. Sometimes he wondered if he was watching surgery or a magic trick.

After each surgery, Director Ji would privately try out discarded catheters and guide wires, emulating Yang Ping's guide wire operation, but could never achieve it.

Soon, Yang Ping removed all the thrombus, and throughout the process, there was never an instance of the instrument touching the vessel wall, nor any missed operations. This level of operation can't be described simply as skillful, as Director Ji temporarily couldn't find a suitable word to describe it.

Director Guan was also watching in amazement, knowing that some things are beyond control when heaven blesses a person with talent. He was familiar with Yang Ping, who was engaged in orthopedics at the City People's Hospital, moving to Sanbo Hospital still doing orthopedics, later establishing a comprehensive surgery department, and then the department becoming an institute. The entire process had nothing to do with interventional procedures, but this man's interventional surgeries are done so well; only talent can explain it.

After removing the thrombus, on the fluoroscopic screen, based on the angiographic image, one can see one end of a guide wire in contact with the scaffold. Undoubtedly, this guide wire and the scaffold formed an entanglement, and the other two guide wires also entangled with it. Given that this location is exactly where the blood vessel bends, the inability to remove the three guide wires can be explained.

If the chief surgeon had reported to the superior doctor in time when the first guide wire fractured, it might not have resulted in the current passive situation. These entanglements are generally caused by repeated attempts and failures, becoming more and more complex, eventually turning into a deadlock.

Although the guide wire and the scaffold can be seen in contact, it is impossible to clearly see the details of their contact points. An angiographic image is unlike a photograph; it can only see black-and-white outlines. Yang Ping contemplated the scaffold details and then deduced precisely how the guide wire and scaffold entangled.

Then, he could use the guide wire in his hand, utilizing its tip to touch the entangled part, using these subtle touches to understand the details, requiring an exceptionally strong sense of feel, which both Director Ji and Director Guan couldn't achieve.

After several touches, Yang Ping roughly understood the details, gaining clarity.

Director Zhao stood in the operating room for a while, aware that the success of the surgery was highly assured. He then strolled outside, standing at the operating room door to communicate with the patient's family, informing them of the surgery's progress.

"Just now, our two directors also worked hard, but it was really difficult to remove, with high difficulty because it's at a normal turning point of a blood vessel. This place easily fractures the guide wire, and once fractured, it's tough to remove. However, you don't need to worry too much. We've already invited Professor Yang from our hospital to step in. He was about to attend an academic conference in Beijing, already almost boarding the plane, but upon hearing that help was needed to solve the problem, he returned without hesitation and is now working hard on the operating table."