"director."
"I'm in the ward."
"Okay, I'll wait for you."
Zheng Ren hung up Director Kong's call and immediately entered the system operating room.
That guy Su Yun was not here, he went to give lectures to the doctors sent by Lan Ke, but few people asked why.
Entering the system operating room, Zheng Ren saw a pair of conjoined twins lying on the operating table.
Both infants had congenital heart disease, resulting in poor myocardial reserve function, and both were hospitalized with upper respiratory tract infections. There is a blood-red mark on the system panel - cardiac insufficiency (level II).
Zheng Ren was not in a hurry, but recalled the surgical introductions he had seen before.
Conjoined twins whose chest and abdomen are united are not the most difficult, but those whose heads are united are the most troublesome.
The livers of the conjoined twins in front of us have many connected parts.
The left hemi-liver of the two children completely overlapped and fused, with a circumference of about 25 cm. The biliary tract and arteriovenous system were separated, and other digestive systems were separated. During the separation, it was also found that two thick blood vessels with a diameter of about 0.2 cm were connected at the liver junction.
For Zheng Ren, who is at the peak of his general surgical skills, the separation of the liver is nothing, and he does it heartily.
This was the first operation after the general surgical skills reached their peak, and it was completely successful.
The liver was separated, bleeding was stopped, and anastomosis was performed. With the sound of the ultrasonic scalpel snapping, it only took more than 30 minutes to complete this section of the operation.
After finishing it, Zheng Ren felt comfortable all over.
This is the feeling. When Big Pig Hoof first arrived, he was given 3 minutes of peak experience time.
It feels exactly the same, no deviation at all.
Zheng Ren put his hand on the child's liver, and through the sterile gloves, he could clearly feel the texture of the liver. I know clearly how much force I should use and what I should do.
It is a kind of self-confidence. There is no operation that I cannot perform, no matter how difficult it is, I can complete it smoothly.
Even without a Zeiss microscope, Zheng Ren can complete microscopic anastomosis. However…
After starting to open the chest and preparing to separate the heart, Zheng Ren finally knew what the trouble was.
The two hearts came together, twisted and deformed.
This is not the biggest trouble for Zheng Ren. Zheng Ren didn't think it was an insurmountable obstacle in the eyes of the expert team at the Children's Hospital of Philadelphia and Director Han of the Women's and Children's Hospital.
The difficulty lies in the fact that the heart beat frequencies of the two children are different, which has a great impact on the operation.
After several experiments, Zheng Ren couldn't find a particularly good method.
He let out a sigh of relief. The big pig's hooves were going to be used as an assistant. Was they prepared for this operation? It should be true that the system is quite user-friendly at this point.
Although Zheng Ren didn't know what impact having an assistant would have on the operation, he could only give it a try. Follow the tips of the big pig’s hooves and make further attempts.
Clicking on the assistant mode, Zheng Ren found that the assistant also consumed the same surgical training time as himself.
And now I am using it in advance without getting any rewards, so the surgical training time consumption is ×2.
In other words, one surgery requires the training time of three surgeries.
Zheng Ren was a little helpless, but he had no choice but to click on the assistant function. After clicking, Zheng Ren immediately discovered that there were a series of options at the back. It seemed that there could be multiple assistants.
It would be nice if the surgical training time was too much to use up, Zheng Ren thought to himself.
Of course he won't waste it that much. Every surgical training is quite precious. After clicking on an assistant, Zheng Ren saw the image of an experimental subject appearing in front of him. The figure should undoubtedly be that of Su Yun.
After trying a few more surgeries, Zheng Ren had an idea of the whole process. Even with an assistant, the operation could not be completed at all.
The heart rates of the two hearts are different, one is about 160 beats/min and the other is 130 beats/min.
It is too difficult to completely separate the twisted and deformed myocardium on the basis of the beating of the heart.
The child's heart function is very poor, and the heart must be severed as quickly as possible and repaired with a patch to make the operation successful and allow both children to survive.
If the operation was carried out according to the current method, it would be impossible to complete it. Zheng Ren had made preliminary predictions after several failures.
Zheng Ren did not rush out, but carefully observed the hearts of the two children.
The diaphragm, mediastinum, and pleura are partially connected, the two babies share the pericardium, and the great vessels at the base of the heart are completely separated and have no communication. The atria are connected and share a heart muscle. The apex of the heart is connected near the diaphragm. There is a small tubular connection between the two hearts with a diameter of 3 mm. Most of the other parts of the two hearts are membranous connections.
Thinking back to the operation of conjoined twins, although this situation is not considered conjoined twins with only one heart, it can be regarded as a primary conjoined twin with a shared heart.
The surgery was much more difficult than I imagined.
The flowers were blooming and had beautiful names, but Zheng Ren was not sure how to perform the surgery.
Coming out of the system space in desperation, Zheng Ren went to meet Director Kong.
Soon, Director Kong walked back quickly.
"Boss Zheng, Vice President Yuan is working on-site at the Department of Respiratory Medicine. I asked you if we can perform surgery on conjoined twins. They seem to be on the same page. There is a patient in the Women's and Children's Hospital who cannot be operated on."
"I've never done it... I'm not sure." Zheng Ren sighed and said.
Director Kong knows that this is the case. The occurrence rate of conjoined twins is not high. The entire imperial capital can handle 3-5 cases a year, which is considered too many.
And it's not very heavy.
Surgery that cannot be performed by the Women's and Children's Hospital is probably going to be extremely difficult.
"Boss Zheng, if you can't finish it, we won't force you to do it. Just finish the Nobel Prize project properly. This aspect is important." Director Kong whispered.
"I know, director." Zheng Ren nodded and said, "Let's take a look at the patient's condition first."
"I just called the Women's and Children's Hospital, saying that this time the Women's and Children's Hospital is serious." Seeing Zheng Ren's calmness, Director Kong felt much more at ease and began to gossip.
"oh?"
"They found a team of experts from the Children's Hospital of Philadelphia for guidance, and also used 3D printing and a surgical navigation system to create a simulator for preoperative simulation surgery."
"..." Zheng Ren was stunned for a moment.
If there is a simulated surgery, if we run in twice more, I and Su Yun should be able to cooperate tacitly
Zheng Ren couldn't tell. Who would know if you don't try this kind of thing.
Just like conjoined twins, you don't have to choose the person with the highest surgical skills, but you have to choose the doctor who has the highest technical level and is the most familiar with the surgery together.
Only in this way can the child's atria be completely separated in the shortest possible time.
The Women's and Children's Hospital has really spent a lot of money on just the surgical navigation system and the way of 3D printing to simulate children before surgery.
There is no successful precedent in the world for heart-connected conjoined twins.
Is it really possible