Zheng Ren, are you confident? "Chief Yan asked very seriously.
Chief Kong sat at the side with a frown.
Chief Zhang Lin of the Department of Circulation also had the same expression. They were very unfamiliar with intrauterine interventional surgery and did not have any ideas.
"Ding dong ~"
A mission notification sounded in Zheng Ren's ears.
[Urgent Mission: A new life that may have been abandoned.
Mission Content: Successfully complete an intrauterine interventional surgery.
Mission Time: 12 hours.
Mission Reward: 100,000 experience points, 20,000 skill points, Master level skill book x 1, luck value + 2.]
Another mission that added luck value! Zheng Ren was a little excited.
Compared to luck value, Zheng Ren was more looking forward to the success of the intrauterine interventional surgery.
A brand new surgical method, the safety of the mother and child, and the System's stamp verification meant that he could do surgery training after buying surgery training time from the System.
Under such circumstances, Zheng Ren did not have to worry that the operating theater would be empty after he entered. There would be nothing there.
He lowered his head slightly, pretended to think, and went straight to the System space. He opened the System Shop and clicked to buy surgery training time.
The operating theater rose from the ground, and Zheng Ren went straight in.
The surgery was not done under X-rays, but under the guidance of ultrasound. Zheng Ren's level of ultrasound was very high.
At least Chief Qi of the 912 recognized Zheng Ren.
After the surgery began, Zheng Ren discovered a problem. It was the same problem as when the PICC tube fell into the heart — he was alone without an assistant.
MD！ The System did not know to give him an assistant. Zheng Ren cursed in his heart.
However, although it was difficult, it was not like the previous surgery. He had to continuously cooperate with the injection of medicine. If he relaxed even a little, the patient's heart would stop beating.
Moreover, the level of Zheng Ren's left and right hands operating at the same time was very high. It was only a little difficult to do it alone, but it was not a problem.
The ultrasound was placed on the simulation mannequin's stomach and began to look for the connection between the fetus and the simulation mannequin — the umbilical cord blood vessels.
At 32 weeks of pregnancy, the umbilical cord blood vessels should be about 3-4mm.
However, for some reason, the connection between the pregnant woman and the child in front of him was very thin. Zheng Ren repeatedly measured it, and it was only about 1.8mm.
The diameter had almost shrunk by half, which made the difficulty of the surgery increase again. It was almost impossible to succeed in one puncture.
However, for Zheng Ren, who was at the peak, it was not a big deal.
It took a long time to wait for the fetus to turn over and change its position.
Zheng Ren was not in a hurry. He knew that he had to wait.
He was able to find the most ideal position as soon as he arrived. That was an adult surgery, not an intrauterine surgery.
After 23 ′ 12 ″, the patient finally shifted to a position that satisfied him. He directly pierced through and hit the nail on the head.
Then, Zheng Ren began to use sedatives to stop the fetus from moving for the time being.
If the fetus kept moving around during intrauterine surgery, there was basically no chance of success. Even if it was successful, it still depended on luck. It depended on whether the child moved during the surgery.
Therefore, it was necessary to immobilize the fetus.
The fetus was on the left side. The fetal abdominal wall, uterus, and left ventricular outflow tract formed a smooth pathway. Zheng Ren began to guide the guide wire in.
After determining the location of the ultrasound, the guide wire and balloon arrived at the point of congenital stenosis, and Zheng Ren began to expand the balloon.
Accustomed to adult surgeries, the balloon was only expanded once before the surgery was declared a failure.
The pressure was too great, and the child's fragile blood vessels directly burst.
He knew he had been careless. Perhaps it was because he was in the System's operating theater.
This was not good. Zheng Ren immediately did a self-reflection.
He absolutely could not let this happen. If he were to perform surgeries outside in the future, he would not consider all aspects and come up with this …
When Zheng Ren thought of this, his back broke out in cold sweat.
He began the surgery again and waited for the fetus to change to the left side position. The puncture and guide wire entered.
In Zheng Ren's opinion, the difficulties of other people were not difficult at all.
The level of the ultrasound was at the Legend-level. Moreover, it could convert images from ultrasound to X-ray images or even three-dimensional reconstruction images.
This advantage was unparalleled.
This was especially true when it came to intrauterine surgery. Compared to other doctors, Zheng Ren was already one step away from the finish line at the same time he started.
For Boss Zheng, the only difficulty was to adapt to the anatomical structure of the fetus and the hardness and elasticity of the wall.
The second surgery went very smoothly. The aortic stenosis was slowly expanded with the balloon. The ultrasound showed that the fetus' aortic transvalvular flow rate had dropped to 3m/s, and the pressure difference had dropped to 36mmHg.
This meant that the child's severe aortic stenosis had dropped to moderate to mild.
At this moment, the surgery completion rate given by the System was 96%.
If he stopped now, there would be no problem.
The child could wait for natural delivery in the mother's body. Although there would still be a little problem after birth, it could be expected that the aortic valve surgery would be performed after he grew up.
Even so, Zheng Ren was still a little dissatisfied.
He continued to use slight movements to dilate the narrow aortic valve, but it backfired.
The surgery time was a hurdle that had to be crossed.
The earlier it ended, the fewer complications there would be. If he insisted on turning the aortic stenosis into a mild stenosis, it would take too long. The pregnant woman's uterine cavity would contract once, causing the surgery to fail completely.
The precision required for this kind of surgery was too high, so the error tolerance was extremely small.
Zheng Ren sighed and repeated the surgery a few more times. This time, he did not pursue perfection. Instead, he stopped when he was ahead.
The surgery completion rate of 96% was completely acceptable.
He pulled out the guide wire and balloon. The amniocentesis showed that there was no bloody substance, which meant that the pregnant woman and the child did not bleed.
The surgery was a success!
Zheng Ren smiled slightly.
To him, the difficulty of this surgery was not as high as the surgery to remove the PICC catheter at the cancer hospital.
However, the significance of intrauterine surgery was extraordinary!
This gave children with congenital heart disease a chance to be treated early!
From the moment of implantation to the eighth week of pregnancy, the fetal heart development was basically set. Whether the fetal heart was normal, whether congenital heart disease would occur, and what problems it would be were all set.
By the 11th to 13th week of pregnancy, congenital heart disease would show signs. The 'China Birth Defects Prevention and Control Report (2012)' mentioned that there were 130,000 children with congenital heart disease every year. This was the data for 2012.
One had to know that at that time, there was no second child policy.
And now, this number was sure to increase further. Hundreds of thousands of fetuses needed to be treated, but clinicians were helpless.
It was extraordinary to be able to use interventional surgery to treat children in the uterus. No matter how difficult it was, at least it could give clinicians an idea and not give up at the beginning.
Zheng Ren came out of the System space, raised his head, and looked straight into Director Yan's eyes. "Director, I only have one request — the surgery can be done, but it must be broadcast live."
Remember the mobile version of the website:
You've already exceeded your reading limit for today. If you want to read more, please log in.
Login
Select text and click 'Report' to let us know about any bad translation.
