Excellent hand and heart doctor

Chapter 834 I want to give it a try (please subscribe)
Fast forward to Monday.

At nearly nine o'clock in the morning, Lin Jie and An Kexin came to the affiliated hospital together, and arrived at the operating room floor of the inpatient building.

Before the operation preparation room, Lin Jie met Jiang Hao, Qi Xingfen, Cheng Xingguang, the director of the orphanage who was with Ling Mengjiao, and Liu Wenyan, a classmate of Lin Miao's class for the blind.

What Lin Jie performed today was a simple exploratory craniotomy.

This case of exploratory surgery decided the fate of the pair of conjoined twins, and also determined many follow-up work arrangements of the orphanage, the university affiliated hospital and the Anlin Charity Foundation.

Lin Jie scanned everyone's faces with different expressions one by one, and said, "The operation will be over in as little as half an hour, and as long as an hour. Please wait patiently."

After saying this, he entered the operating room with Jiang Hao and Qi Xingfen.

After changing their clothes, several people entered the disinfection room again. After scrubbing and disinfecting their hands, they entered the operating room.

Tian Xiangyu and Huo Guangheng, who came in earlier, have already prepared for the surgery on conjoined twins.

At the moment, Lin Jie didn't talk nonsense.

Seeing that the physical examination data of the pair of babies were normal, Tian Xiangyu also reported that the operation could be performed at any time. Lin Jie reached out, took the marker pen from the nurse, and drew a three-centimeter-diameter hole at the junction of the conjoined twins' brains. oval.

After the painting was finished, Lin Jie gave up the operating position, and Tian Xiangyu was in charge of cutting the scalp of the conjoined twins and cutting the skull.

Soon, there was the sound of a chainsaw in the operating room...

Jiang Hao approached Lin Jie a little bit, and said softly: "Expert Lin, from the angiography, there are five cranial blood vessels with a diameter of more than one millimeter in common, and two blood vessels with a diameter of [-] and [-] millimeters are shared. of."

"Surgical separation, just the truncation and reconstruction of the cranial blood vessels, is a tedious and dangerous job."

Lin Jie nodded slightly, and said, "Although the truncation and reconstruction of blood vessels are cumbersome and dangerous, there are ways to solve them. I hope this craniotomy will have a good result."

Hearing what Lin Jie said, Jiang Hao stopped talking.

His original intention was to persuade Lin Jie to keep one.

The malformed conjoined twins that appear in the world are mostly crotch or spine connections. The possibility of surgical separation and the survival of both babies is quite small.

Because of this connection, it often involves sharing one or several viscera.

As for the brain-connected conjoined twins, because of the complexity of the brain, the possibility of successful separation is quite small, and it is considered a major victory to successfully keep one.

For the pair of conjoined twins in front of the brain, because the three cerebral cortex functional areas are closely integrated, the possibility of their separation is almost impossible in Jiang Hao's view.

From the comprehensive consideration of the current inspection information, there is still a possibility of success in discarding one and keeping one.

However, Jiang Hao could tell that Lin Jie had a big appetite and wanted to keep both of them.

He hoped that Lin Jie would choose a safe plan, but deep down in his heart, he also secretly hoped that Lin Jie would be able to create another miracle and be able to do what others could not...

At this time, the whistling sound of the motor reverberating in the operating room suddenly disappeared.

Tian Xiangyu removed the cut oval skull, cleaned up the operating window, pulled the long-arm operating microscope, adjusted its position, and moved out of the operating position.

Lin Jie stood in the operating position again, reaching out to take the scalpel and forceps...

The opened surgical window is facing the visceral cortex of the brain functional area.

Whether this area can be successfully separated is related to the life and death of the two babies, and it can be said to be a control node of the separation operation.

Jiang Hao and Qi Xingfen turned their gazes to the big screen on the wall, and Lin Jie's view through the microsurgical mirror was projected on this screen in real time.

The two of them saw that the scalpel cut open the light gray cerebral cortex gently and flexibly, exposing the slightly whiter gray matter inside the brain...

The gray matter in the human brain is actually softer than tender tofu.

Take out a person's fresh brain intact and put it on the table, it will soon become deformed and limp due to its own weight.

The kind of brains that are fixed and can even be sliced ​​into pieces as seen in TV movies are actually soaked in potion for no less than [-] hours, and have been specially treated.

At this time, Lin Jie's hand was replaced with a special long and thin soft pick, carefully flipping the gray matter of the brain...

"what……"

Qi Xingfen suddenly made a sound in surprise.

She saw that the soft pick gently picked up a layer of gray matter in the brain, and this layer of gray matter in the brain seemed to have no connection with the next layer.

It's like a piece of tender tofu with a knife cut in the middle. The seemingly intact piece of tofu is actually two separate entities.

Lin Jie, who detected this, was also moved in his heart, and immediately said: "Wake up the two babies, I need to do a test."

The anesthesiologist, who had been closely monitoring the baby's body values, heard the order, and immediately injected a small amount of awakening medicine into the two babies.

This kind of medicine can restore the consciousness of the two babies, but the body muscles are still in an uncontrolled state of anesthesia.

"Micro current needle!"

As soon as Lin Jie stretched out his hand, the nurse handed him a slender metal needle connected with a wire.

With this metal needle, he lightly touched the upper gray matter of the brain.

"The baby on the left had obvious fluctuations in viscera activity, but the baby on the right had no obvious changes."

At this moment, Lin Jie felt that the slightly dull voice of the anesthesiologist was as pleasant as the sound of nature.

He touched the gray matter of the lower layer of the brain with a metal needle again, and heard again: "The baby on the right has obvious visceral activity fluctuations, but the baby on the left has no obvious changes."

Lin Jie withdrew the microcurrent needle, and said to Tian Xiangyu who was standing aside: "The craniotomy is over, let's treat the wound."

After giving the order, he came to Jiang Hao and Qi Xingfen and asked, "What do you think?"

Qi Xingfen said in a deep voice: "The functional areas of the cerebral cortex of the two babies are not intertwined and mixed together, but are so distinctly and closely superimposed together, which really helps to separate them."

"It's just, Expert Lin, this is not scooping up tofu flowers. It doesn't matter if you scoop up more or less. Once it's broken or injured, it's irreparable."

"This difficulty..."

Qi Xingfen thought he couldn't do it, so he looked at Jiang Hao.

Jiang Hao said slowly: "Expert Lin, to be honest, I'd rather the craniotomy be a terrible result."

"And now the result is confusing."

He took a deep breath and said: "I personally think that the results of this investigation seem to give us hope of success, but from the perspective of the actual difficulty of the operation, the possibility of completion is very low."

"Expert Lin, I solemnly suggest that you keep one."

"Expert Lin, my suggestion is to keep one!" Qi Xingfen also expressed her opinion.

Lin Jie turned his head and looked at the two small quiet figures lying side by side on the operating table...

After a while of silence, he said: "Frankly speaking, I'm not sure about the situation of the conjoined twins."

"Even if I just choose to keep one, I don't know whether I can succeed in the end."

"But seeing the results of this investigation, I know that there is hope for these two little guys to survive."

"We can determine which one to keep and which one to give up through various conditions such as the success rate and the physical examination value!"

Lin Jie looked at Jiang Hao and Qi Xingfen again, and asked, "But, is this choice reasonable?"

"They came into this world together and suffered misfortune together, but because of our choice, one of them is doomed to die?"

Lin Jie shook his head slowly, and decided: "Since there is a possibility of both being successful, Dr. Jiang and Dr. Qi, I want to give it a try!"

"This time, I'm really not sure, but I really want to give it a try!"

Jiang Hao and Qi Xingfen looked at each other, they both sensed Lin Jie's determination.

"Expert Lin, I will do what you say, and I will do my best to cooperate with you." Qi Xingfen said.

Jiang Hao also said in a deep voice: "Expert Lin, you once commented on me as being too conservative in my choices."

"And this time, I will follow you and challenge the impossible..."

The three of them left the operating room together.

Seeing Cheng Xingguang, An Kexin, the director of the orphanage, Liu Wenyan and others coming forward, Lin Jie said, "The results of the craniotomy are relatively better than our expectations."

"In the next step, the two little guys will undergo further inspections."

"At the same time, I will form a surgical team with experts from brain surgery, orthopedics, pediatrics, plastic surgery and nursing to discuss the surgical plan together."

"The goal of our surgical team..."

Lin Jie raised his volume and announced, "Do your best to keep the two little guys alive."

Before he finished speaking, Cheng Xingguang and the head of the orphanage were all surprised.

They have their own ideas, and they know how much social attraction and influence this operation can cause.

This is a great publicity opportunity...

Lin Jie himself didn't hate this kind of use.

Through publicity, his reputation will be further improved, the Anlin Charity Fund will get greater exposure opportunities, the disabled children in the orphanage will receive greater social attention, and the university affiliated hospital will receive a wave of publicity.

This can be regarded as one stroke, and all parties can benefit...

After seeing off An Kexin, Lin Jie returned to the office floor, and saw a young man hovering outside his office door.

Lin Jie noticed that the young man was holding two books in his hands.

One of them looks very familiar, it should be one of the series of medical books written by myself.

"I found it here and asked me to sign it!"

Lin Jie, who thought so, was still somewhat complacent, and prepared to take the book from the young man who had strode forward.

Unexpectedly, the young man raised the book in his hand and said with a proud face: "Mr. Lin, I once wanted to tell you about a mistake in class, but you ignored me."

"As I expected, you brought this mistake into the book..."

Hearing what he said, the slightly youthful face with a proud expression gave Lin Jie a sense of familiarity.

Lin Jie smiled and said, "So, you came here this time to look for it, and you specifically told me I was wrong?"

The young man raised his chin, hummed, and said, "I know that your book series sells very well. In order not to mislead others, I decided to tell you the mistake."

"You'd better post a correction note."

Lin Jie nodded and said, "If the error you found is true, I will send this correction note."

"At the same time, I will also show that this mistake was pointed out by you..."

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(End of this chapter)