The Godfather of Surgery

With Xiao Su picking up his parents, Yang Ping was relieved.

The operation time is still to be determined, all the test results of the pregnant woman have come out, and there are serious problems with the coagulation function. Once the operation is performed, it is easy to cause heavy bleeding.

Amniotic fluid embolism is still a matter of probability. Bleeding in this operation is a sure thing, and the usual large-vessel occlusion technique cannot be used here at all.

Two major risks are in front of them, and the pregnant woman is not afraid at all, and insists on surgery.

The amniotic band on the limbs and neck of the fetus is already type III, which seriously affects the blood supply at the distal end. The hands and feet, and several fingers and toes are still fused together.

If it develops further, it is type 4. Type 4 is the most serious. If it occurs in the limbs, the limbs beyond the constriction ring will disappear, which is intrauterine amputation.

If it occurs in the neck, ischemia and hypoxia in the head, the fetus will eventually die.

The pregnant woman did not eat breakfast or drink water, and she was ready for surgery at any time.

Obstetricians and gynecologists have been monitoring pregnant women. Before the fetal movement, there was still agitation, but now it has been significantly reduced. This is a manifestation of hypoxia in the head. If there is no operation, I am afraid it will be delayed.

The obstetrician and gynecologist immediately reported the situation to Director Mei and Director Ke, who felt that the situation had worsened.

Less fetal movement? Director Mei was very sensitive.

Twelve hours, only eight times!

Twelve hours or less than ten times is dangerous, very dangerous, and if it drags on, it will lead to stillbirth.

I thought I could wait until the coagulation dysfunction problem was resolved before surgery.

There is no way to wait in this situation now. This operation is either not done or hurry up. For the fetus, it is now a life-saving operation.

Director Mei and Director Ke told the pregnant woman about the latest condition. The pregnant woman was very calm: Doctor, give me an operation quickly, I want to save this child!

She grabbed her husband's hand: Husband, I beg you once, give me a chance, okay? Let me have an operation to keep the baby.

She turned her head to the doctor and said, Director Mei, Director Ke, I know that the operation is very risky, but it is not an absolute contraindication in medicine. Before the operation, I can record a video and am willing to take all the risks of this operation.

Ming Fang! Promise me, support me, okay? If I don't work hard now, I won't be at ease in my life! The pregnant woman shook her husband's hand and urged anxiously.

The pregnant woman was very determined and unafraid, and her husband was walking around the bed, unable to decide.

He gritted his teeth, stopped, sat on the edge of the bed, and wiped the sweat from his wife's forehead: Doctor, I agree, please, is the risk really high?

This operation is a plane taking off in bad weather, but we will do our best. If there is an accident in the middle of the operation, such as heavy bleeding or amniotic fluid embolism, we will give up the fetus at any time and try to save the mother as much as possible. Director Ke is completely objective without guidance.

Husband and wife looked at each other and nodded: In the event of an emergency, do all you can to rescue adults and give up children.

Let's record a video in front of the doctor!

The pregnant woman and her husband took a selfie with their mobile phones and recorded a video of reading the informed consent for the operation, and then sent it to Director Mei and Director Ke.

She wanted the doctor not to entangle the internal conflicts of their family and go all out for the operation.

Yang Ping has been waiting for the operation in Keli. Director Ke explained that he is on call at any time, because the condition of the fetus may deteriorate at any time. Once the patient's family has a unified opinion, emergency surgery will be arranged, and the preparations for the surgery are ready.

When he entered the system space, the waterfall became more and more majestic, the trees became bigger and bigger, and the sky appeared clear and magnificent.

He spent another 30,000 cents on purchasing 300 fetal surgeries. The later the surgeries are performed, the easier it will be to master the surgical techniques. The accumulation of all previous surgeries is the foundation for later surgeries.

Fetal surgery, the more difficult thing is that most of the fetus should be immersed in amniotic fluid to maintain his body temperature, and the local part of the operation is exposed.

Moreover, the fetus is relatively small, and all the structures are small. If you operate it carefully, you may cut off any organs with a shake of your hand.

Specifically for this pregnant woman, the coagulation function is still impaired, it is difficult to stop bleeding, and the risk of major bleeding is high.

Therefore, the hemostasis during the operation should be careful and thorough, and the operation speed should be faster to reduce the bleeding time.

Another risk is amniotic fluid embolism, which requires the incision of the uterus not to be submerged in amniotic fluid, which prevents the amniotic fluid from entering the venous vessels from open sinuses.

These details must be grasped well. If one detail is not paid attention to, there may be danger.

As for the method of liberating the narrowing ring, the Z-shape modification is a commonly used plastic surgery method in orthopaedics.

It can change the direction of the narrowing ring, such as the scar contracture of the tiger's mouth on the hand. It can be reshaped to move the position of the scar outside the tiger's mouth, turning the linear scar into a zigzag, and completely loosen the contracture.

The constriction ring of the amniotic band syndrome also needs to use this Z-shape modification, loosen the ring-shaped tightening cuff, change their direction, move to the side in an oblique direction, and the entire surgical incision becomes serrated.

In this way, the narrowing ring is eliminated, just like a steep slope, when you ride a bicycle, it is difficult to ride directly up, but it is much easier to go up and down in a zigzag pattern.

After the operation, Yang Ping rested in the space. He now likes this feeling more and more. He does the operation alone in the space, quietly, allowing time to pass, but no matter how long, it is only a moment in reality and does not occupy reality. any time.

This gave him time to think and prepare calmly in the face of any intractable disease.

Now the system no longer publishes single tasks, but only stage tasks. Every operation is a single task, and points can be obtained, and stage tasks can get huge points.

In this way, the points accumulated in each stage are used to participate in surgical training, read books in the library, and prepare for the tasks of the next stage.

Director Ke of Pediatric Surgery told Yang Ping to go to Pediatric Surgery immediately to prepare for surgery.

There is Song Zimo in Corey, don't worry, Yang Ping rushed to the pediatric surgery to see what special explanations Director Ke had before the operation.

Several doctors on the operating table have to communicate with each other again to ensure the safety of the operation.

Xiao Yang, the situation has changed, it's more urgent. Director Ke sullenly.

The fetal movement has decreased, which is very dangerous. After a long time, there will be stillbirth. Even if it is barely saved, the brain will be underdeveloped, and it will cause severe dementia and disability. Director Mei was a little anxious.

The operation needs to be resolved within an hour. It's very difficult. Let's try our best. Director Ke was a little overwhelmed.

This kind of surgery is all meticulous work. It takes only half an hour to prepare for anesthesia, and there is only half an hour left. Within half an hour, the constriction ring of the neck must be solved and the blood supply to the head must be improved.

Director Ke knew that Yang Ping's microsurgery was very good, but replantation of severed fingers and fetal surgery were two different things, and he couldn't get up quickly if he wanted to.

Do your best, Director Ke led everyone and hurried to the operating room.