godfather of surgery

Chapter 272 Survival Instinct
"Look at the umbilical cord. Is the umbilical cord leaking? It is very likely that the umbilical cord is wrapped around the amniotic membrane."

Professor Zhang gently picked up the little guy's hand, holding the umbilical cord in his hand, just like touching the neck at the beginning.

Professor Zhang checked the umbilical cord very carefully and delicately.

"Come on, Xiao Yang, check the umbilical cord."

After receiving the order from Professor Zhang, Yang Ping began to check the umbilical cord, bit by bit, and found that there was no problem on the surface. Yang Ping touched the umbilical cord lightly with his hands.

It is true that there is something wrong with the umbilical cord, Yang Ping is going to open the outer membrane to have a look.

"Micro scissors!"

Yang Ping wanted to use micro scissors to gently cut a part of the umbilical cord, but Director Mei stopped him: "Don't move, the umbilical cord cannot be moved!"

The umbilical cord is the source of oxygen and nutrition for the fetus, so how can you move it casually, let alone an orthopedic doctor, if you move the umbilical cord, Director Mei's movements are very light, blocking Yang Ping's hand.

Yang Ping was quite embarrassed. Looking at Professor Zhang, Professor Zhang looked down at the umbilical cord, and then reached out and touched it again: "There is a hidden narrowing ring here, let him open it for you to see."

With Professor Zhang on the platform, Director Mei still couldn't believe it. He withdrew his hand, and Yang Ping gently cut the surface of the umbilical cord longitudinally a little, and gently separated it. Yes, there is a narrowing ring inside.

"That's the problem!" Professor Zhang pointed to Director Mei and Director Ke.

The two directors took turns to look at the assistant's eyepiece and were stunned. Not only was there a constricted ring inside, but also the umbilical cord was partially necrotic, which may not have reached the blood vessel, so the blood vessel can still transport blood smoothly.

After the constricted ring is cut in, the gap is very small, and the tissues at both ends are fused, so it looks exactly the same as normal on the surface.

Just like an apple, if you give it a hoop, the apple grows, and the hoop sinks into the flesh. The hoop creates a gap, which slowly disappears at the level of the apple skin. It cannot be seen from the outside, but there is a hoop inside.

"To cut off this part and re-anastomize the umbilical cord, first loosen the narrowing ring." Professor Zhang told Yang Ping.

Yang Ping loosened the constricted ring, and the blood vessels inside were a little necrotic. Professor Zhang came over and looked at the microscope.

"You touch the fetal heart!"

Director Mei touched it, and saw immediate results. Sure enough, the fetal heart rate went up. This old man is really amazing. He is not in obstetrics and gynecology. How did he know that the problem was the umbilical cord.

"There are still patients waiting in my outpatient clinic. Do it, cut off all the necrotic sections, and then re-anasthetize. If you keep them, the necrosis will expand, and the umbilical cord blood vessels will be necrotic and embolized."

Professor Zhang began to take off his clothes and gloves. Before he left, Director Mei hurriedly asked, "Professor Zhang, how did you know that the problem was the umbilical cord?"

"The mysteries of human beings are far more complicated than we imagined. This behavior is the self-protection instinct of the human body. You didn't see that his hand is always at the umbilical cord, to grasp the umbilical cord. People, whether after birth or in the mother's belly Here, when he is in a desperate situation or is isolated and helpless, his latent instincts will be stimulated, and he will perform some incomprehensible behaviors. He is saving himself, he wants to live, and you have not dealt with the key issues for him, so you have to shut down the uterus. How can he agree? .”

After Professor Zhang finished speaking, he left in a hurry, leaving Director Mei who didn't know much about it. Director Ke wanted to ask a few questions, but he didn't catch up.

Everyone in the room was in a daze, would such a small fetus save itself?What theory, tell a bedtime story.

"I don't understand, it's the same as a supernatural event." The anesthesiologist said.

Director Mei came back to his senses: "There is such a thing. There was such a case in the United States, which caused a sensation in the United States at that time. There are many human codes that medicine can't solve for the time being. Let's continue the operation."

"The old man is a god?" Director Ke exclaimed.

"Otherwise, why is he the leader of the expert team?" Director Mei also admired him.

Experience is something that sometimes has to be accepted. Older and more knowledgeable, you think about things for a long time, and others solve them in a few minutes.

Yang Ping exposed the whole necrosis of the umbilical cord, not much, about one centimeter, but the fetus is only [-] centimeters long, which is quite a lot. He touched other parts carefully, and it should be fine.

"It's complicated to cut off the umbilical cord and then reattach it. Please communicate with the family members."

This time it was Director Mei's turn to go out to communicate. Today's operation is complicated.

Zhong Mingfang stood guard outside, heartbroken, looking at the door of the operating room from time to time, hoping his wife would push it out, every time he pushed one, he rushed up, no!
Some family members thought that he had some malicious intentions. Other family members pushed him forward, and he rushed forward, especially the woman who had a cesarean section in the obstetrics and gynecology department. He rushed forward faster than her husband, and was almost beaten up.

Both Zhong Mingfang and his wife graduated from Southwest Politics and Law. When he graduated, he wanted to continue his studies, but his family conditions did not permit him. His wife gave up her postgraduate studies to work. With her support, Zhong Mingfang went to graduate school. Later, he and his wife started a law firm. So, in G city is also a party figure.

The biggest regret in life is that both of them have infertility, and it took a lot of effort to artificially inseminate a child with their own sperm and his wife's egg, but now they are facing this situation again.

Hey, I can't help but miss this in my life.

The door finally opened: "He Liru's family!"

Zhong Mingfang went over immediately: "Yes, Director Mei!"

Listening to the voice this time, he recognized that it was Director Mei.

"Now there is a new situation. Your child's umbilical cord also has a hidden narrowing ring, and it is necrotic. Now it needs to be removed and re-anastomized."

"Are you alright, sir?" Zhong Mingfang was very nervous.

"The adult is stable for the time being, and can tolerate continuing the operation. If you don't do this step, the fetus will be tantamount to giving up. It will take an hour to do this step. Are you willing to continue? The patient is still stable, and there are risks, but you can work hard."

Now I can only decide on my own, as long as the adults are free, let’s do it, my wife is determined to want this child, and I want it too, the matter has come to this point, my wife’s wish has been fulfilled, and I have to fight for my life.

"Okay! Thank you for your hard work."

"Sure, wait for the doctor in bed to ask you to re-sign an informed consent. We will do the operation without delay."

Things were full of twists and turns, Zhong Mingfang finally realized now how helpless a person is when he is sick, how strong his sense of dependence on the doctor is, his mood is conflicted, he does not want his wife to have an accident, but he also wants a child.

If he chooses one of the two, he chooses his wife; if he can choose both, that's great, but I don't know if God will give him this chance.

Now I heard that the wife is still stable, but the child is in difficulty. The doctor is working hard to cut off the umbilical cord and connect it. My head hurts just thinking about it.

A young female doctor came out and asked Zhong Mingfang to sign the informed consent form for the operation, because the umbilical cord had to be cut and re-anastomized before it was considered.

Changing or adding surgical procedures requires recommunication and signature, otherwise doctors dare not do anything, except for saving lives.

These doctors seemed to be focusing on his wife's affairs all the time, and they hadn't had lunch yet, so he asked cautiously, "You haven't had lunch yet, have you?"

"Oh, no, your wife's matter is urgent, and the director said to eat after finishing." The young doctor said casually.

It was really hard work, Zhong Ming felt a little ashamed at ease, if he invited the doctor to dinner, he didn't know if he would go, but he didn't have time, so he wanted to accompany his wife later, anyway, he was in a mess.

I usually have quick thinking and clear logic, but now my mind is full of porridge, which is still boiling.

Director Mei returned to the operating room: "Cut it off and re-stitch it."

This small umbilical cord is similar to the tail of a small white mouse, but for Yang Ping, it is very easy.

Director Ke is fortunate that he has brought his brother from the orthopedics department to the stage. Otherwise, in today's situation, he would close his abdomen after the operation and go back. The fetus will die in the uterus in a few days, and there may be an intrauterine infection. Scared.

"Cut?" Yang Ping confirmed again.

Your patients, if you don't open your mouth, the knife dare not go down.

Director Mei agreed: "Cut it!"

Cut off the necrotic part, re-anastomize the umbilical arterial vein under the microscope, the fetus has a strong healing ability, which is not comparable to that of an adult. After the anastomosis, there is almost no need to care about the blood vessels, and there is almost no vascular crisis.

Otherwise, once a vascular crisis occurs and the fetus is in the uterus, it needs to be dealt with, and the uterus must be opened for reoperation.

Anastomosis of blood vessels is a starting method, and with just two blood vessels, it can be done in a few strokes.

"Fixed?"

"All right!"

There is no shortage of people under the reputation, and Dr. Yang, a doctor of orthopedics, is really good. As expected, he is an old driver when he gets in the car.

Director Mei touched the fetal heart rate, and it was fine. The fetal heart rate was normal, indicating that the blood flow was good. After observing for a few minutes, Director Mei was relieved: "Close the uterus."

"Artificial amniotic fluid!"

Because part of the amniotic fluid is lost when the uterus is opened, artificial amniotic fluid must be added to ensure the correct amount of amniotic fluid. Otherwise, the fetus will be in danger again due to oligohydramnios after surgery.

Director Mei observed the reaction of the fetus while suturing, and already had a psychological shadow.

Really, the little guy is not restless.

Is the survival instinct of the fetus that Professor Zhang Zongshun said true?

Director Mei felt that it was necessary to check the information carefully, ask classmates and friends, and make a formal question to study.

After all, this kind of thing is too esoteric, and everyone sees it as an interesting thing, and won't go into it.

Director Mei saw Professor Zhang's burning words, it didn't seem like a joke, and he also found the problem and solved it.

Didn't the fetus touch its neck with its hands before? Is it the same reaction?

Whether this reaction was unconscious or conscious, Director Mei became more and more interested.

He decided to pay a visit to Professor Zhang when he had time, to find out and ask.

The little guy no longer protested violently, and before he knew it, the uterus closed.

Started to shut up, Director Ke is still pondering: "Lao Mei, is what the old man said true? You have a lot of experience in this field."

"I want to have more experience, so I don't have to bother the old man. When we are free, let's go and ask together." Director Mei's hands are quite clever.

Layer by layer, from the inside to the outside, the abdominal skin was also sutured.

The vital signs of the pregnant woman were normal, and nothing happened.

After being on the operating table, you can get off the operating table with confidence. This is not a high requirement.

Director Mei stretched his waist.

(End of this chapter)