Chapter 118 Obstetrics and Gynecology Consultation, Aortic Inversion

The operation started,

Qin Feng took the scalpel, took a midline incision in the upper abdomen, and opened it layer by layer.

Then use the abdominal cavity retractor to pull open the abdominal wall and enter the abdominal cavity to begin exploration.

“Electric knife.”

Snapped!

Qin Feng took the instrument, incised the gastrocolonic ligament, removed the excess organs, and exposed the pancreas.

Very fast!

Even Sun Sheng and Cheng Hongwu around him didn’t have time to react, and the surgical field of vision had been opened for most.

Director Zhang Tong’s pancreatic cancer is located in the head of the pancreas, which is relatively good.

If it is the tail of the pancreas, it is impossible to determine whether the cancer has spread to the duodenum. Once this happens, it is not a good thing for the patient.

Because the duodenum is an important digestive organ in the human body, food is generally digested and absorbed along the stomach, duodenum, small intestine, and large intestine.

Once part of the duodenum is removed and the way of food digestion changes, symptoms of abdominal pain and discomfort will appear.

The impact on the body is not small, and it is impossible to determine whether the cancer cells will continue to spread!

The risk is too great!

Although they are all malignant pancreatitis, in the early stage, pancreatic head disease has a greater advantage than pancreatic tail disease.

Now start to drift away.

Qin Feng picked up the scalpel and quickly freed the lymphatic tissue around the pancreas.

This is one of the most prone areas for cancer cells to spread, and you can’t feel it at all.

When the human body perceives something abnormal, it cannot be controlled by medical means.

Therefore, as far as possible to free the surrounding lymphatic tissues, the residual cancer cells can be avoided as much as possible.

It is also very helpful to the later chemotherapy.

But Qin Feng didn’t plan to let Dean Zhang Tong accept the later chemotherapy.

“System, maximize super vision!”

Qin Feng said silently in his heart.

Next second,

The field of vision in front of him instantly changed, and the dark pupils turned into two thin lines, and then gradually shortened, like two sesame seeds.

At this moment, Qin Feng’s eyes appeared on the edge of the pancreas like flowers.

cell!

That’s right!

He saw the edge of the cell!

Qin Feng only felt a faint in his brain, as if he had fainted.

“Are you OK?”

Seeing him stop, Sun Sheng next to him hurriedly asked in a low voice.

“I’m fine, go ahead.”

Qin Feng didn’t move when he heard the words, but just said a little, then slowly descended with the scalpel and dived into it.

At this moment, he has found normal cells and cancer cells!

But there is not much time, only two hours!

This is the physiological limit that the system tells him. After two hours, his mental and physical strength will exceed the physical load.

If it is not stopped in time, it may even cause irreversible visual damage.

It doesn’t matter if the skill is abandoned, it may be lost!

Qin Feng didn’t have much time, and the pupil in one eye began to enlarge slowly, knowing that the edge of the pancreas appeared.

At this time, one eye is a microscope and the other is a magnifying glass.

With the scalpel in his hand, like a butterfly, it swam away all the surrounding lymph.

But what makes everyone strange is that every time Qin Feng dissociates a part of the tissue, he has to take a close look at the incision.

Moreover, he often takes the knife again to move the tissue deeper!

“What’s happening here?”

In the observation room outside the operating room,

Several directors of other departments are sitting in it. After all, they know that the person in the operating room is Zhang Tong, so how can they not care?

But seeing Qin Feng’s movements, he couldn’t help showing a questioning look.

Not only them, but even Sun Sheng and Cheng Hongwu, who stood by their sides, looked blank.

What’s the situation with Qin Feng?

Why do you want to move away repeatedly?

Half an hour…

One hour……

Fine sweat appeared on Qin Feng’s forehead, and both his mental and physical strength felt a significant drop.

This is a side effect of [Super Vision], consumption is accelerated!

But he couldn’t stop, all the lymphoid tissues carrying cancer cells had been swam away.

The next step is to remove the cancerous pancreatic head!

This step determines whether Zhang Tong will relapse and how long he can live.

“Huh~”

He sighed slightly, raised the head of his pancreas, and raised the knife in his hand.

呲~

The sharp blade passed, the head of the pancreas was cut off, and blood overflowed.

“Hemostatic forceps.”

Qin Feng took the hemostat and temporarily blocked it, and the aspirator quickly sucked the blood away to ensure his vision.

“Line 1.”

Then began to suture the blood vessels while observing whether the spilled blood cells contained cancer cells.

One and a half hours…

Qin Feng felt that his physical fitness was declining rapidly, and his pupils clearly showed uncontrollable fluctuations.

Fortunately, I can still see clearly.

He knew that he was going to speed up, and the progress of stitching on his hands was even more flying.

Sun Sheng on the side also kept cutting the sutures for him. This stitching technique and speed completely exceeded everyone’s imagination.

too fast!

There was a burst of exclamation in the observation room.

Dangling~

With a clear sound of placing the plate, Qin Feng immediately stopped [Super Vision].

There was a flower in front of her, and her feet couldn’t help shaking.

“Are you OK.”

Upon seeing this, Sun Sheng hurriedly reached out and put his arm behind him, and asked with concern.

“I’m okay, come on, shut up.”

“good.”

Hearing Qin Feng’s words, Sun Sheng immediately looked at the visiting nurse next to him and helped Qin Feng down.

After cleaning, Qin Feng left the operating room and let out a long sigh of relief.

The operation was successful!

He completely removed all the cancerous tissues!

Thinking of this, Qin Feng couldn’t help but raise a satisfied smile.

This is the first time that he has completely removed all the lesions of a cancer patient, that is to say.

cure!

This [King of Cancer], who has been talking about it in front of the whole world, was truly wiped out during surgery for the first time!

If this operation case is published, it is estimated that it will be able to shock the eyes of medical experts all over the world!

And all the credit behind this is the power of his own system.

Beyond the power of human technology!

……

After this operation,

It was only then that Zhang Tong had pancreatitis spread, and the operation was completed perfectly and the recovery was also very good.

After Qin Feng had the operation, he called Liu Yan’er and asked her to take herself home and had a good night’s sleep.

This night, Qin Feng slept exceptionally soundly, on the one hand he was too tired.

On the other hand, he did it too!

Completely eliminate all the possibilities of pancreatitis cancer!

This is simply unrealistic!

Half a month later,

Zhang Tong was discharged smoothly and returned to his post.

And in multiple inspections, no abnormalities were found.

In other words, if nothing happens, his survival time is at least 5-10 years.

Of course, this is estimated based on currently available world data.

Only Qin Feng knew that there was absolutely no possibility of relapse.

……

In the obstetrics and gynecology department,

A man outside the delivery room was waiting anxiously. The attending doctor Xu Yingying was delivering a baby.

The mother fell over accidentally at home, causing the amniotic fluid to rupture and rushed over.

Fortunately, I have been pregnant for 9 months, not premature delivery, but somewhat dangerous.

“Remove the fetus and send it to the monitoring center.”

Xu Yingying gently lifted the baby covered in blood and amniotic fluid and handed it to the nurse next to her.

Immediately begin to suture the wound and close the abdomen.

Everything is going smooth!

When she took off the mask and sterile gown and walked out of the operating room, the man hurried forward.

“Doctor, how are my wife and children? Is there anything wrong?”

“Don’t worry, mother and child are safe.”

Xu Yingying smiled and shook her head and said.

“That’s great!”

Hearing this, the man’s eyes suddenly burst into ecstasy.

Then the pregnant woman was pushed out of the operating room, and the man ran forward, his face full of distress and guilt.

All of this was his fault, his negligence, he didn’t put the anti-skid pad back in place, so that his wife accidentally slipped.

“My wife, you have worked so hard. I’m sorry, it’s all my fault.”

Subsequently, the woman was pushed into the ward, while the child was cleaned and sent to the monitoring center for examination.

After all, it was a fall, to prevent the fetus from being affected, all examinations must be done.

When all the blood tests and other results came out, the baby’s physical signs were normal, there was no problem, and he was very healthy.

Xu Yingying looked at the report and nodded in satisfaction.

A 9-month-old baby is not born prematurely, and the position of the fall is lateral. This situation generally does not affect the fetus.

“Let’s do an ECG monitoring again and pay attention to it 24 hours a day.”

She said to the nurse and began to write the case.

“OK.”

Just as she was holding the report and was going to find the child’s father, suddenly the office door was pushed open.

The nurse from the monitoring center rushed in anxiously.”Doctor Xu! It’s not good!”

“What’s wrong?”

When Xu Yingying saw this, she felt a thump in her heart and asked quickly.

“The child is not breathing right! Go and see!”

Upon hearing this, Xu Yingying took the report and ran to the nurse immediately.

When I came to the intensive care center, I saw that the child’s ECG was obviously wrong, and his breathing became very rapid, appearing bluish-purple.

Cyanosis!

Physiological indicators fluctuate abnormally and continue to decline!

not good!

Congenital heart disease!

“Quick, ECG!”

Xu Yingying’s face changed slightly, and she looked at the nurse.

“here.”



The nurse hurriedly took the electrocardiogram, the fluctuation was obviously not a normal heartbeat.

She walked to the baby, took out the stethoscope and placed it on the baby’s heart, listening carefully.

About ten seconds later, Xu Yingying’s eyelids twitched and she straightened up like lightning, her expression becoming a little weird and nervous.

The second heart sound!

How could this be?

“Hurry up and find Director Wang, and also notify Director Zhang and Deputy Director Cao who are out of your heart to come for a consultation!”

Xu Yingying did not dare to delay a second, and immediately shouted to the nurse.

The nurse rushed out after raising her leg!

“Arrange bedside ultrasound right away, hurry up!”

Xu Yingying looked at the baby in front of her, her face gradually becoming a little ugly.

This is in trouble!

It may be a complete reversal of the great arteries!

Complete transposition of the great arteries (TGA) is the most common cyanotic congenital heart disease in the neonatal period, with an incidence of 0.2‰-0.3‰.

This disease accounts for about 5% to 7% of the total number of congenital heart diseases, ranking second in cyanotic congenital heart diseases.

Simply put, the large arteries on the heart are reversed!

The heart of a normal person is divided into a left heart and a right heart by the spacer tissue, and the right heart outputs blood to the lungs through the pulmonary artery that grows on it.

The inhaled oxygen is “mixed” into the blood through the lungs, and the oxygen-containing blood then flows back to the left heart through the pulmonary veins.

The transposition of the great arteries of the heart means that the pulmonary arteries and the aorta on the heart have reversed their positions.

In this way, the blood that is output through the aorta to the arterial network and finally reaches the whole body will no longer be “mixed” with oxygen through the lungs, resulting in anaerobic blood, and eventually all organs will die due to “hypoxia asphyxiation.”

The mortality rate of newborns suffering from this disease is very high, reaching more than 80%, and the remaining 20% ​​rarely live beyond 3 years of age without surgery.

But this kind of disease can usually be found by ultrasound examination during pregnancy. Why does this pregnant woman show nothing?

The operation must be done as soon as possible, otherwise the child will soon be unable to hold it!

5 minutes later,

Wang Yue, director of the obstetrics and gynecology department, and several attending doctors, Zhang Fan and Cao Ke, who are out of their hearts, are here.

Looking at the ultrasound image on the projection screen, I was shocked.

Cao Ke, deputy director of the heart, frowned and said in a deep voice.

“Congenital aorta reversal, this is a problem!”

And Zhang Fan looked astonished beside him, he was so familiar with this disease!

Because there was the same case in the last Pearl River seminar, neonatal congenital aortic reversal surgery.

He was a little surprised when he saw it at that time!

The chief surgeon was the director and deputy dean of the 325 Military Hospital of Beijing, who was also a well-known surgeon in cardiothoracic surgery across the country!

Unexpectedly, he would have encountered it this time!

It’s just… fate!

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