The Godfather of Surgery

Look at the umbilical cord. Is the umbilical cord missing? It is very likely that the umbilical cord is entangled by the amniotic cord.

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

Professor Zhang was careful and delicate, and checked the umbilical cord.

Come on, Xiao Yang, check the umbilical cord.

Yang Ping received Professor Zhang's order and began to probe the umbilical cord. Looking at it little by little, there was no problem on the surface. Yang Ping gently touched the umbilical cord with his hand.

There was indeed something wrong with the umbilical cord, and Yang Ping was going to open the outer membrane to take a look.

Microscissors!

Yang Ping used microscissors to gently cut a part of the umbilical cord, but Director Mei stopped him: Don't move, the umbilical cord can't be moved!

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

Yang Ping was very embarrassed. Looking at Professor Zhang, Professor Zhang looked down at the umbilical cord, and 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 retracted his hand, Yang Ping gently cut the surface of the umbilical cord a little longitudinally, and gently separated it, yes, there was 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 constriction ring in it, but the umbilical cord was also partially necrotic, and it was possible that the necrosis did not reach the blood vessels, so the blood vessels could still transport blood smoothly.

After the narrowing ring is inserted, the gap is very small, and the tissues at both ends are fused, so the surface is exactly the same as normal.

Just like an apple, give it a hoop, the apple grows, the hoop sinks into the pulp, and the hoop creates a circle of gaps. This gap slowly disappears at the level of the apple's skin. It cannot be seen from the outside, but there is a hoop inside.

To cut off this part, to re-anastomize the umbilical cord, first loosen the constriction ring to see. Professor Zhang told Yang Ping.

Yang Ping loosened the constriction ring, and the blood vessels inside were also necrotic. Professor Zhang came over and glanced 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 could he know that the problem lies in the umbilical cord.

There are still patients waiting in my outpatient clinic. You can do it. Cut off all the necrotic parts, and then reanastomize them. 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, and Director Mei hurriedly asked before he left, Professor Zhang, how can you see that the problem lies in the umbilical cord?

The mystery of human beings is far more complicated than we think. This behavior is the self-protection instinct of the human body. You don't see that his hand is always on the umbilical cord, and he has to grasp the umbilical cord. People, whether it is after birth, or in the mother's belly When he is in a desperate situation or is helpless, he will stimulate his latent instinct and make some incomprehensible behaviors. He is saving himself. .

After Professor Zhang finished speaking, he left in a hurry, leaving behind the half-informed Director Mei, and Director Ke wanted to ask a few more questions, but didn't catch up.

A room full of people is in a daze, how can such a small fetus save itself? What theory, tell a bedtime story.

I don't understand, it's like a supernatural event, said the anesthesiologist.

Director Mei came back to his senses: There is such a thing. There was such a case in the United States. At that time, it was a sensation in the United States. There are many human codes that cannot be solved by medicine for the time being. Continue the operation.

The old man is a genius? Director Ke exclaimed.

Otherwise, how can he be the leader of the expert group? Director Mei also admired.

When you experience this thing, sometimes you have to accept it. You are older and have more knowledge. What you think about for a long time can be solved in a few minutes.

Yang Ping revealed the necrosis of the entire umbilical cord, not much, about one centimeter, but the fetus is only thirty centimeters long, which is quite a centimeter, and he carefully touched other parts, it should be no problem.

It's complicated to cut the umbilical cord and then re-sit the umbilical cord. Let's talk to the family.

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

Zhong Mingfang stood guard outside, his heart was on fire, and he looked at the door of the operating room from time to time, hoping that his wife would come out. Every time he pushed one, he rushed up, no!

Some family members thought he was malicious. When other family members pushed him out, he rushed up, especially the woman who had a cesarean section in the obstetrics and gynecology department.

Zhong Mingfang and his wife both graduated from Southwest Politics and Law. When he graduated, he wanted to continue his studies, but his family conditions did not allow him to do so. His wife gave up his postgraduate studies and joined the job. With his wife's funding, Zhong Mingfang went to graduate school and later opened a law firm with his wife. Therefore, in G City is also a character.

The biggest regret in life is that both of them are infertile. It took a lot of effort to artificially inseminate a child with his own sperm and his wife's egg, but now they are facing such a situation.

Hey, this is missing in my life, I can't help it.

The door finally opened: He Liru's family!

Zhong Mingfang immediately went over: Yes, Director Mei!

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

Now there is a new situation. Your child's umbilical cord also has a hidden constriction ring on it, and it is necrotic. Now it needs to be excised and re-stapled.

Is your lord okay? Zhong Mingfang was very nervous.

The adults are temporarily stable and can tolerate continuing the operation. If you don't do this step, the fetus will give up. It will take another hour to do this step. Will you continue to do it? The patient is still stable and there are risks, but you can try harder.

Now I can only decide by myself. As long as the adults are fine, just do it. The wife is determined to want this child, and she wants it too. This is the end of the matter.

Okay! Thank you for your hard work.

Yes, wait for the doctor in charge of the bed to come and ask you to sign a new informed consent. We will perform the operation without delay.

Things are really twists and turns. Now Zhong Mingfang finally realizes how helpless a person is when he is sick, how strong his dependence on the doctor is, his mood is contradictory, he doesn't want his wife to have an accident, but he wants children.

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

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

A young female doctor came out and asked Zhong Mingfang to sign the informed consent form for the operation, because the operation of cutting the umbilical cord and re-stapling it was not considered before.

To change or increase the operation, you need to re-communicate and sign, otherwise the doctor will not dare to do it, except for saving lives.

These doctors seem to have been revolving around his wife's affairs. They haven't had lunch yet. He asked carefully, You haven't had lunch yet, have you?

Oh, no, your wife's business is urgent. The director said that you can eat it after finishing it. The young doctor said casually.

It was really hard work, and Zhong Ming felt a little ashamed. If he asked the doctor to go to dinner, he didn't know whether he would go or not, but he didn't have the time. He wanted to accompany his wife later, anyway, he was in a mess.

Usually quick thinking and clear logic, now there is a pot of porridge in my mind, or a boiling porridge.

Director Mei returned to the operating room: Cut it off and anastomosis again.

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

Director Ke is fortunate that he is lucky to have his brother in the orthopaedic department come to power. Otherwise, in today's situation, after the operation, he will go back directly with his abdomen closed. The fetus will die in the womb in a few days, and maybe there will be an intrauterine infection. Think about it. afraid.

Cut? Yang Ping confirmed again.

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

Director Mei gave permission: Cut it!

After cutting off the necrotic part and reanastomizing the umbilical-driven vein under the microscope, the fetus has a strong healing ability, which is not comparable to that of an adult. After anastomosis, the blood vessels are almost ignored, and there is almost no vascular crisis.

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

Anastomosis of blood vessels is the method of starting, and there are only two blood vessels, and it can be done in a few times.

It fits?

All right!

Under his reputation, there is no vacuous person. Dr. Yang's level of orthopedics is really strong. As expected, he is an old driver when he gets on the bus.

Director Mei touched the fetal heart rate. It was very good. The fetal heart rate was normal, indicating that the blood flow was good. After observing for a few minutes, Director Mei was relieved: Turn off the uterus.

Artificial amniotic fluid!

Because opening the uterus will lose part of the amniotic fluid, artificial amniotic fluid must be added to maintain the amount of amniotic fluid. Otherwise, the fetus will be in danger due to low amniotic fluid after surgery.

Director Mei observed the fetal reaction while suturing, and there was already 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, ask classmates and friends, and make a formal question to study it.

After all, this kind of thing is too esoteric, everyone sees it, it is also an interesting thing, and will not go into depth.

Director Mei saw that Professor Zhang's words were eloquent, not like a joke, and he also found the problem and solved it.

Didn't the fetus touch the neck with his hand before? Is it the same reaction?

Whether this reaction is unconscious or conscious, Director Mei is getting more and more interested.

He decided to visit Professor Zhang when he had time, to find out what happened and to understand.

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

After the belly was closed, Director Ke was still thinking about it: Lao Mei, is the old man's words true? You have a lot of experience in this area.

If I have more experience, I don't need to bother the old man. When I'm free, let's go and ask. Director Mei is very clever.

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

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

Once you get on the operating table, you can rest assured that you can go down to the operating table. This is really not a high requirement.

Director Mei moved his waist.