Chapter 2052 I want to stream the surgery
“Zheng Ren, are you confident?” Director Yan asked seriously.
Department Director Kong sat by the side with a long face.
Director Zhang Lin from the cardiology department also had the same expression. They were unfamiliar with ectopic transplantation and did not have any ideas about it.
“Ding dong~”
A mission notification sounded in Zheng Ren’s ears.
[Urgent mission: the new life that might be abandoned.
[Mission details: successfully complete an ectopic transplantation.]
[Mission time: 12 hours]
[Quest reward: 100000 experience points, 20000 skill points, Grandmaster-level skill book X1, Luck +2]
It was another mission that could increase one’s luck! Zheng Ren was slightly excited.
Compared to his luck value, Zheng Ren was more looking forward to the success of the ectopic transplantation.
A brand new surgical method, the safety of the mother and child, and the system’s verification also meant that he could do surgery training after purchasing surgery training time from the system.
Under such circ.u.mstances, Zheng Ren did not have to worry about the system’s operating theater being empty after he entered.
He lowered his head slightly, pretended to think, and went directly to the system s.p.a.ce. He opened the system store and clicked to purchase surgery training time.
The system’s operating theater rose from the ground, and Zheng Ren went in directly.
The surgery was not performed under an X-ray, but under the guidance of an ultrasound. Zheng Ren was very good at ultrasound.
At least, director Qi from 912 had acknowledged Zheng Ren.
After the surgery began, Zheng Ren noticed a problem. It was the same problem as when the PICC tube fell into the heart. Wanwan was all by herself without an a.s.sistant.
MD! ‘Big pig trotter doesn’t even know how to get himself an a.s.sistant,’ Zheng Ren thought to himself.
However, although it was difficult, it was not like the previous surgery, which required an a.s.sistant to constantly cooperate with the injection of medicine. The patient’s heart would stop beating if he relaxed even a little.
Moreover, Zheng Ren’s skill with both hands was very high. It was a little difficult to do it alone, but it was not a problem.
The ultrasound was placed on the experimental body’s stomach, and it began to look for the connection between the fetus and the experimental body to build up the umbilical cord blood vessels.
At thirty-two weeks of pregnancy, the umbilical cord blood vessel should be about three to four mm.
However, for some unknown reason, the umbilical cord blood vessels in the connection between the pregnant woman and the child were very thin. Zheng Ren repeatedly measured it and found that it was only about 1.8mm.
The diameter was almost narrowed by half, which increased the difficulty of the operation again. It was almost impossible to succeed in one puncture.
However, to Zheng Ren, who was at his peak, it was nothing much.
Waiting for the fetus to flip over and change its position took a long time.
Zheng Ren wasn’t in a hurry either. He knew that he had to wait.
They could find the most ideal position as soon as they came up, which was for adult surgery, and definitely not for ectopic transplantation.
After 23 ‘ 12 “, the patient finally changed to a position that Zheng Ren was satisfied with. He directly pierced through it, hitting the nail on the head.
After that, Zheng Ren began to use sedatives to stop the fetus from moving.
In an ectopic pregnancy surgery, if the fetus kept moving, there was basically no chance of success. Even if it was successful, it would depend on luck to see if the child would move during the surgery.
Therefore, it was necessary to stop the fetus.
On the left side of the fetus, the abdominal wall, uterus, and left ventricle effused into a smooth pa.s.sage. Zheng Ren started to insert the wire.
The position was determined by the B-scan. The guide wire and the balloon were brought to the point of the congenitally narrow, and Zheng Ren began to expand the balloon.
They were used to adult surgery, and the surgery would be declared a failure after the balloon was expanded once.
When the pressure was too great, the child’s fragile blood vessels would burst.
Zheng Ren knew that he had been too careless. Perhaps it was because he was in the operating theater of the system.
This was not a good thing. Zheng Ren immediately reflected on himself.
‘This can’t happen. If I don’t consider all aspects when I perform surgery outside in the future, and I come up here all of a sudden …’
Zheng Ren’s back was drenched in sweat when he thought of this.
He started the surgery again and waited for the fetus to be shifted to the left. Puncture and guide wire insertion.
To Zheng Ren, the difficulties faced by the others were nothing.
The level of B-mode ultrasound was at the master level, and it could transform images into X-ray images or even three-dimensional images.
This advantage was unparalleled.
This was especially true during ectopic transplantation. Compared to other doctors, Zheng Ren was only one step away from the finish line when he started the race.
For boss Zheng, the only difficulty was to adapt to the anatomical structure of the fetus, the hardness and elasticity of the wall of the tube.
The second surgery went smoothly. The patient used a balloon to slowly expand the location of the aortic valve narrow. The transverse velocity of the fetus’s aortic valve was reduced to 3 m/s, and the pressure difference was reduced to 36 mmHg.
This meant that the patient’s serious aortic valve breadth had been reduced to a mild level.
At this moment, the surgery completion rate given by the big pork trotter was 96%.
There wouldn’t be any problem if he stopped now.
The child could wait for natural delivery in the mother’s body. Although there would be some minor problems after birth, it was possible for him to have an aortic valve surgery after he grew up.
Even so, Zheng Ren was still not satisfied.
He continued to expand the narrow aorta with a slight movement, but things did not go as he wished.
Surgery time was an obstacle that could not be overcome.
The earlier the surgery ended, the fewer complications there would be. If the patient insisted on making the aortic valve narrow into a mild one, the surgery would take too long, and the woman’s uterus would contract once, causing the surgery to fail completely.
The precision required for this type of surgery was so high that the margin for error was extremely small.
Zheng Ren sighed and repeated the surgery a few more times. This time, he didn’t pursue perfection, but stopped while he was ahead.
A surgery completion rate of 96% was completely acceptable.
The guide wire and balloon were pulled out, and the amniocentesis showed that there was no blood substance, which meant that there was no bleeding in the pregnant woman and child.
The operation was a success!
Zheng Ren smiled.
For him, the difficulty of this surgery was not as high as the surgery where he took out the punk who was holding the pric catheter at the cancer hospital.
However, the significance of ectopic surgery was extraordinary!
This gave children with congenital heart disease a chance for early treatment!
From the time of implantation to the eighth week of pregnancy, the heart development of the fetus was basically fixed. Whether the fetus ‘heart was normal, whether it would have congenital heart disease, and what problems it would have were all fixed.
During the 11th to 13th week of pregnancy, signs of congenital heart disease would show. “China report on the prevention and treatment of birth defects (2012)” mentioned that there were 130000 cases of children with congenital heart disease every year, and this was the data from 2012.
One had to know that at that time, second children were not available.
And now, this number would definitely increase further. Hundreds of thousands of fetuses needed treatment, but the clinicians were helpless.
The fact that an interventional surgery could be used to treat a child’s uterus had extraordinary significance. No matter how difficult it was, at the very least, it would give the clinicians an idea and not make them give up immediately.
Zheng Ren came out of the system s.p.a.ce, raised his head, and looked directly into director Yan’s eyes.”Director, I only have one request. Wanwan’s surgery can be done, but it has to be a live broadcast.”