godfather of surgery

Chapter 268
With Xiaosu taking care of his parents, Yang Ping felt relieved.

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

Amniotic fluid embolism is still a matter of probability. This surgical bleeding is a certainty, and the usual large blood vessel blocking technology cannot be used here.

Faced with two major risks, the pregnant woman was not afraid at all and insisted on surgery.

The amniotic bands on the limbs and neck of the fetus are already type III, which seriously affects the blood supply to the distal end. The hands and feet are still fused together.

If it develops further, it will be type [-], and type [-] is the most serious. If it occurs in the limbs, the limbs far away from the constriction ring will disappear. This is intrauterine amputation.

If it occurs in the neck, the head is hypoxic and ischemic, and the fetus eventually dies.

The pregnant woman didn't eat breakfast or drink water. She was ready for surgery at any time.

The obstetrician and gynecologist have been monitoring the pregnant woman. The fetal movement was still restless before, but now it has decreased significantly. 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 deteriorated.

"Fetal movement less?" Director Mei was very sensitive.

"Twelve hours, only eight times!"

If it is less than ten times in twelve hours, it is dangerous, very dangerous, and if it continues like this, it will cause stillbirth.

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

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

Director Mei and Director Ke told the pregnant woman the latest condition, and the pregnant woman was very calm: "Doctor, please operate on me quickly, I want to keep this child!"

She grabbed her husband's hand: "Husband, I beg you once, give me a chance, okay? Let me operate and keep the baby."

She turned 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 I am willing to bear all the risks of this operation."

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

The pregnant woman is very determined and unafraid, and the husband walks up and down by the bed, having difficulty making up his mind.

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

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

The husband and his wife looked at each other and nodded: "Once there is an emergency, do your best to rescue the adults and give up the 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 form for the operation, and then sent it to Director Mei and Director Ke.

She wanted the doctor not to worry about the conflicts in their family and to go all out for the operation.

Yang Ping has been waiting for surgery in the department. Director Ke told him to be on call at any time, because the condition of the fetus may deteriorate at any time. Once the patient's family agrees, emergency surgery will be arranged, and the surgery preparations are ready.

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

He spent another [-] points to purchase [-] fetal surgeries. The later the surgeries were performed, the easier it would be for him to master the surgeries.

The more difficult part of fetal surgery is that most of the fetus must be soaked in amniotic fluid to maintain its body temperature, and the part of the operation is exposed.

Moreover, the fetus is relatively small, and all the structures are small. When operating it carefully, some organs may be cut off with a shake of the hand.

Specifically for this pregnant woman, the blood coagulation function is still impaired, it is not easy to stop bleeding, and the risk of massive bleeding is very high.

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

Another risk is amniotic fluid embolism, which requires that the uterine incision not be soaked in amniotic fluid to prevent amniotic fluid from entering the venous vessels from the open sinus.

These details must be well grasped. Failure to pay attention to a detail may lead to danger.

As for the method of releasing the narrowing ring - Z-shaped modification, it is a commonly used plastic surgery method in orthopedics.

It can change the direction of the narrowing ring, such as the scar contracture of the tiger's mouth in the hand. Through reshaping, the position of the scar can be moved outside the tiger's mouth, and the linear scar can be changed into a zigzag shape to completely loosen the contracture.

The narrowing rings of amniotic band syndrome also need to use this Z-shaped modification. The rings are loosened, their direction is changed, and they are moved to the side to form an oblique direction, and the entire surgical incision becomes zigzag.

In this way, the narrowing ring is eliminated. It is like a steep slope. It is very difficult for you to ride a bicycle directly up, but it is much easier to zigzag and zigzag up.

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

This allows him to have time to think and prepare calmly in the face of any difficult and miscellaneous diseases.

Now the system no longer releases individual tasks, but only stage tasks. Every operation is a single task, and you can get points, and stage tasks can get a huge amount of points.

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

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

There is Song Zimo in the department, so there is no need to worry. Yang Ping rushed to the Pediatric Surgery Department to see what special instructions 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, and it's urgent." Director Ke said with a sullen face.

"The fetal movement has decreased, which is very dangerous. After a long time, the fetus will still be stillborn. Even if it is barely revived, the brain will be stunted and severely demented and disabled." Director Mei is a little anxious.

"The surgery needs to be done within an hour. It's very difficult. Let's try our best." Director Ke was a little helpless.

This kind of operation is delicate work. It takes half an hour to prepare for anesthesia, and there is only half an hour left. Within half an hour, the constriction of the neck needs to be resolved and the blood supply to the head should be improved.

Director Ke knew that Yang Ping was good at microsurgery, but replantation of amputated fingers and fetal surgery were two different things, and he couldn't think about it sooner.

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

(End of this chapter)