Surgery Godfather-Chapter 435 - 401 Curved Drilling

Chapter 435: Chapter 401: Curved Drilling

Chapter 435: Chapter 401: Curved Drilling

With Robert’s assistance, Huang Jiacai visited several medical device companies in the United States.

Old Cheng conducted his research on the spot at a specialty orthopedic hospital in New York. Accompanied by an administrative staff member from the hospital, he conducted an in-depth study of the hospital’s culture, management, and structure.

Once Robert confirmed that Yang Ping was not affected by the recent incident, he proceeded with the surgery as originally planned, with little Andrew’s surgery being the first.

Robert had planned the surgery for two years, but had never proceeded due to uncertainty.

Uncertainty meant waiting; once a surgery started, there was no turning back. If something went wrong, a secondary reparative surgery would not only be difficult but also less effective.

Therefore, Robert had been conducting research, hoping to develop a new surgical method to address multiple ligament reconstruction in children’s knees.

Existing surgical methods were not even adequate for simple anterior and posterior cruciate ligament reconstruction, let alone multisystem ligament reconstruction.

For two years, Robert hadn’t made a breakthrough despite diligent thinking, until he met Yang Ping and saw hope.

Everyone was eagerly waiting to see how Yang Ping was going to perform the surgery, and exactly how skilled Robert’s mentor really was.

The New York Specialty Orthopedic Hospital has long been at the forefront of world orthopedics. The doctors were accustomed to being the best, teaching others, and having never seen their hospital hire an external surgeon during their careers.

Now, everyone was anxiously looking forward to and curious about the Chinese professor Robert invited to perform surgery.

In children, the presence of growth plates means that adult methods can’t be used. Suggestions have been made to delay surgery until adulthood, though some people have designed ways for external fixation, but this alters ligamentous anatomy and does not result in a solid tendon-bone healing, thus it remains an act of desperation.

In short, performing surgery in the same way as in adults requires drilling into the bone. But as soon as bone tunnels are opened, the growth plates suffer damage that could lead to bone deformation while growing and, in severe cases, it could even lead to the closure of the growth plate, halting growth.

Performing multiple ligament reconstruction in the knee joint is already very difficult in adults, not to mention in children—it is challenging upon challenging.

For the sake of observing the surgery, except for doctors on-duty, all the doctors in the Department of Sports Medicine took the day off, and no other surgeries were scheduled for that day.

Several practitioners from other departments also showed up. Professor Rongge, a specialist in knee replacement, also carved out time to observe Yang Ping’s surgery.

As sports medicine and joint replacement are both a part of orthopedics, many hospitals don’t distinctly separate these areas, and a single doctor may perform both knee replacement and knee arthroscopy.

The reason for Professor Rongge’s deep interest in Yang Ping’s arthroscopic surgery was because one of the critical techniques in knee replacement—balancing of the ligaments—was even more challenging than balancing of soft tissues in knee replacement. They were simply not on the same level.

Professor Rongge was curious to see how this Chinese doctor, Robert’s mentor, could manage to balance such a multitude of ligaments.

Engineers from OrthoPediatrics also rushed over. They wanted to observe how the equipment was used to perform the surgery, especially the drill bit that could create curved holes.

This drill bit was made by OrthoPediatrics, using designs provided by Yang Ping. However, they didn’t fully understand how or where to use it since they weren’t surgeons.

Little Andrew was the first to have surgery, with Robert assisting in setting up the patient’s position with Barel.

Yang Ping washed his hands, put on his surgical gown, gloves, and took up his role as the Chief Surgeon.

The first and second assistant surgeons, along with the scrub nurse, were already in place. At least ten instrument trays were set up around the operation table, ensuring that every instrument was available if needed.

Yang Ping had toured the hospital’s supply room, likely the most complex and advanced one in the world. It operated like a factory assembly line, managing over a hundred surgeries a day, each requiring about ten instrument trays. Each surgeon had their unique tray of surgical instruments due to their personal preferences.

Handling over a thousand instrument trays daily, they managed to clean, collect, inspect, repair, replace, sterilize, and pack each one after every procedure, with a computer system tracking and monitoring the entire process.

He noticed that they took the inspection of the instruments very seriously. Each instrument had to pass a standard procedure check, with any damaged instruments immediately identified and replaced. The efficiency level was extremely high.

Any instrument that the hospital did not have in stock and required restocking from the supplier would have to be included before the packing of the surgical instruments. This way, they could ensure that all surgeries the following day would not be delayed due to lack of instruments or instruments having minor faults.

He was meticulous with each tool needed for the surgery, especially those he designed, going over all of them and ensuring that none of them were missing before formally starting the operation.

Glass protector barriers were installed around the operating table, separating it from the surrounding area to ensure the utmost safety within the surgical zone.

Before starting, they checked everything, made an incision, and inserted the probe to commence the inspection of every anatomical structure within the knee joint.

The probe moved smoothly within the child’s knee joint, always staying in the gap, without any collisions with cartilage.

Each time the position of the knee joint was changed, there was no need to wait—the movement of the probe was almost synchronized with the change in the knee joint’s position. The two operations worked perfectly together.

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The latest model of Stryker’s Arthroscope, with its 3D imaging, was extremely useful. The images displayed on the screen were in clear, 3-dimensional view instead of the usual 2D plane.