“Chief.”
“I’m in the ward area. “
“Alright, I’ll be waiting.”
Zheng Ren hung up Department Director Kong’s call and immediately entered the operating theater.
Su Yun was not around. She had gone to give a lecture to the doctors sent over by Lanke, so fewer people asked why.
After entering the system operating room, Zheng Ren saw a pair of conjoined twins lying on the operating table.
The two babies had congenital heart disease, which caused poor cardiac muscle storage function and upper respiratory tract infection. The blood-red Label on the system panel indicated that Wufu’s heart was not functioning properly (Xun-level).
Zheng Ren was not in a hurry. Instead, he recalled the surgery introduction he had read before.
Siamese twins with a chest and abdomen joint were not the most difficult. The most troublesome was the head joint.
The two conjoined twins in front of him had more connected parts to their livers.
The left half of the liver was completely overlapped and fused, with a diameter of about 25 cm. The biliary and arboid system were separated, and the other digestive systems were separated. During the separation, two thick blood vessels with a diameter of about 0.2 cm were found to be connected at the liver junction.
For Zheng Ren, who was at the peak of general surgery, separating the liver was nothing, and he did it to his heart’s content.
This was the first surgery after the General Surgery Department reached their peak, and it was a complete success.
Liver separation, bleeding control, and anastomosis … With the sound of the ultrasonic knife, this part of the surgery was completed in just over thirty minutes.
After he was done, Zheng Ren felt comfortable all over.
This was the feeling. When the big pig trotter first came, he gave him three minutes of peak experience time.
The feeling was exactly the same, there was no difference at all.
Zheng Ren’s hand was placed on the child’s liver. Through the sterile gloves, he could clearly feel the texture of the liver. He knew clearly in his heart how much strength he should use and what he should do.
It was a kind of self-confidence. There was no surgery that he could not perform on his own. No matter how difficult it was, he would be able to complete it smoothly.
Even without the Zeith microscope, Zheng Ren could still complete microscopic anastomosis. However …
After opening his chest and preparing to separate the heart, Zheng Ren finally knew what the trouble was.
The two hearts came together and were twisted.
This was not the biggest problem for Zheng Ren. Zheng Ren did not think much of the insurmountable obstacle in the eyes of the specialist team at Philadelphia Children’s Hospital and director han of the Women’s Hospital.
However, the difficulty lay in the difference in the heart rate between the two children, which had a great impact on the surgery.
After a few attempts, Zheng Ren did not have any particularly good ideas.
He let out a long breath. Did the big pig trotter give him an assistant function in preparation for this surgery? It should be. The system was still quite humane in this aspect.
Although Zheng Ren did not know what kind of impact it would have on the surgery if he had an assistant, he could only give it a try. He followed the big pig’s trotter’s instructions and tried further.
After clicking on assistant mode, Zheng Ren realized that assistants also had to spend surgery training time like him.
Moreover, he had used it in advance without getting a reward, and the surgery training time had been used up X2.
In other words, one surgery would cost the training time of three surgeries.
Zheng Ren felt helpless, but he did not choose. He could only click on the assistant function. After he clicked on it, Zheng Ren immediately realized that there was a series of options behind it. It seemed like he could have more assistants.
‘It would be great if the surgery training time is so long that we can’t finish it,’ Zheng Ren thought to himself.
Of course, he would not be so wasteful. Every surgery training was quite precious. After selecting an assistant, Zheng Ren saw the image of an experimental body appear in front of him. The figure and outline should be Su Yun without a doubt.
After trying out a few more operations, Zheng Ren had an idea of the entire process. Even with an assistant, the surgery could not be completed.
The heart rates of the two hearts were different. One was about 160 beats per minute, while the other was 130 beats per minute.
It was too difficult to completely separate the twisted and deformed heart muscle on the basis of the heartbeat.
The child’s heart was in poor condition, and the torn heart needed to be repaired in the shortest time possible with a patch in order for the surgery to be successful and for both children to survive.
If the surgery were to be carried out according to the current method, it would be impossible to complete. Zheng Ren had a preliminary estimate of this after a few failures.
Zheng Ren was not in a hurry to go out. Instead, he carefully observed the hearts of the two children.
The diaphragm, diaphragm, and pleura were connected. The two babies shared the pericardium, and the large blood vessels at the bottom of the heart were completely separated without any communication. The atriums were connected to each other and shared a piece of the heart muscle. The tip of the heart was connected to the diaphragm, and the two hearts were connected by a small tube with a diameter of 3 mm. The other parts of the two hearts were connected by membranes.
Thinking back to the surgery of conjoined twins, although this situation was not considered to be a conjoined twin with only one heart, it was still a primary level of conjoined twins.
The difficulty of the surgery was much higher than he had imagined.
The name was beautiful, but Zheng Ren had no idea how to perform the surgery.
Zheng Ren came out of the system space helplessly and went to welcome Department Director Kong.
Very soon, Department Director Kong walked back quickly.
“Boss Zheng, Associate Hospital director Yuan is working in the Respiratory Medicine Department. He said that he wanted to ask if you could do conjoined twins surgery here, and it seemed to be of one heart. There’s a patient at the Women’s and Children’s Hospital who can’t be taken down for surgery. “
“I’ve never done it before … I’m not confident. ” Zheng Ren sighed and said.
Department Director Kong knew that the occurrence rate of conjoined twins was not high to begin with, and it was considered a lot if three to five cases were performed in the entire imperial capital a year.
And it wasn’t very heavy.
A surgery that women’s and children’s hospitals could not handle would probably be as difficult as the sky.
“Boss Zheng, if you can’t do it, then don’t force it. Just finish the Nobel Prize project well. This is the main thing.” Department Director Kong whispered.
“I know, director.” “Let’s take a look at the patient’s condition first,”Zheng Ren said as he nodded.
“I just called the Women’s and Children’s Hospital and said that they’re serious about this.” When Department Director Kong saw that Zheng Ren was calm, he felt much more at ease, and he began to gossip.
“Oh?”
“They went to Philadelphia Children’s Hospital for guidance from a team of experts. They even used 3D printing and surgery navigation systems to create human simulations for the surgery.”
Zheng Ren was stunned.
‘If there’s a simulation surgery, I should be able to work well with Su Yun after two more practice sessions.’
Zheng Ren could not say for sure. If he did not try this, who would know?
Just like conjoined twins, they did not have to choose the person with the highest surgical level. Instead, they had to choose the doctor with the right technical level and the doctor they were most familiar with to perform the surgery with.
This was the only way to completely separate the child’s atrium in the shortest time possible.
The Women’s and Children’s Hospital had actually used the surgical navigation system and printed 3D images to simulate the child’s condition for the training.
There had been no successful precedent for conjoined twins with hearts connected to each other.
Would it really work?
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“Chief.”
“I’m in the ward area. “
“Alright, I’ll be waiting.”
Zheng Ren hung up Department Director Kong’s call and immediately entered the operating theater.
Su Yun was not around. She had gone to give a lecture to the doctors sent over by Lanke, so fewer people asked why.
After entering the system operating room, Zheng Ren saw a pair of conjoined twins lying on the operating table.
The two babies had congenital heart disease, which caused poor cardiac muscle storage function and upper respiratory tract infection. The blood-red Label on the system panel indicated that Wufu’s heart was not functioning properly (Xun-level).
Zheng Ren was not in a hurry. Instead, he recalled the surgery introduction he had read before.
Siamese twins with a chest and abdomen joint were not the most difficult. The most troublesome was the head joint.
The two conjoined twins in front of him had more connected parts to their livers.
The left half of the liver was completely overlapped and fused, with a diameter of about 25 cm. The biliary and arboid system were separated, and the other digestive systems were separated. During the separation, two thick blood vessels with a diameter of about 0.2 cm were found to be connected at the liver junction.
For Zheng Ren, who was at the peak of general surgery, separating the liver was nothing, and he did it to his heart’s content.
This was the first surgery after the General Surgery Department reached their peak, and it was a complete success.
Liver separation, bleeding control, and anastomosis … With the sound of the ultrasonic knife, this part of the surgery was completed in just over thirty minutes.
After he was done, Zheng Ren felt comfortable all over.
This was the feeling. When the big pig trotter first came, he gave him three minutes of peak experience time.
The feeling was exactly the same, there was no difference at all.
Zheng Ren’s hand was placed on the child’s liver. Through the sterile gloves, he could clearly feel the texture of the liver. He knew clearly in his heart how much strength he should use and what he should do.
It was a kind of self-confidence. There was no surgery that he could not perform on his own. No matter how difficult it was, he would be able to complete it smoothly.
Even without the Zeith microscope, Zheng Ren could still complete microscopic anastomosis. However …
After opening his chest and preparing to separate the heart, Zheng Ren finally knew what the trouble was.
The two hearts came together and were twisted.
This was not the biggest problem for Zheng Ren. Zheng Ren did not think much of the insurmountable obstacle in the eyes of the specialist team at Philadelphia Children’s Hospital and director han of the Women’s Hospital.
However, the difficulty lay in the difference in the heart rate between the two children, which had a great impact on the surgery.
After a few attempts, Zheng Ren did not have any particularly good ideas.
He let out a long breath. Did the big pig trotter give him an assistant function in preparation for this surgery? It should be. The system was still quite humane in this aspect.
Although Zheng Ren did not know what kind of impact it would have on the surgery if he had an assistant, he could only give it a try. He followed the big pig’s trotter’s instructions and tried further.
After clicking on assistant mode, Zheng Ren realized that assistants also had to spend surgery training time like him.
Moreover, he had used it in advance without getting a reward, and the surgery training time had been used up X2.
In other words, one surgery would cost the training time of three surgeries.
Zheng Ren felt helpless, but he did not choose. He could only click on the assistant function. After he clicked on it, Zheng Ren immediately realized that there was a series of options behind it. It seemed like he could have more assistants.
‘It would be great if the surgery training time is so long that we can’t finish it,’ Zheng Ren thought to himself.
Of course, he would not be so wasteful. Every surgery training was quite precious. After selecting an assistant, Zheng Ren saw the image of an experimental body appear in front of him. The figure and outline should be Su Yun without a doubt.
After trying out a few more operations, Zheng Ren had an idea of the entire process. Even with an assistant, the surgery could not be completed.
The heart rates of the two hearts were different. One was about 160 beats per minute, while the other was 130 beats per minute.
It was too difficult to completely separate the twisted and deformed heart muscle on the basis of the heartbeat.
The child’s heart was in poor condition, and the torn heart needed to be repaired in the shortest time possible with a patch in order for the surgery to be successful and for both children to survive.
If the surgery were to be carried out according to the current method, it would be impossible to complete. Zheng Ren had a preliminary estimate of this after a few failures.
Zheng Ren was not in a hurry to go out. Instead, he carefully observed the hearts of the two children.
The diaphragm, diaphragm, and pleura were connected. The two babies shared the pericardium, and the large blood vessels at the bottom of the heart were completely separated without any communication. The atriums were connected to each other and shared a piece of the heart muscle. The tip of the heart was connected to the diaphragm, and the two hearts were connected by a small tube with a diameter of 3 mm. The other parts of the two hearts were connected by membranes.
Thinking back to the surgery of conjoined twins, although this situation was not considered to be a conjoined twin with only one heart, it was still a primary level of conjoined twins.
The difficulty of the surgery was much higher than he had imagined.
The name was beautiful, but Zheng Ren had no idea how to perform the surgery.
Zheng Ren came out of the system space helplessly and went to welcome Department Director Kong.
Very soon, Department Director Kong walked back quickly.
“Boss Zheng, Associate Hospital director Yuan is working in the Respiratory Medicine Department. He said that he wanted to ask if you could do conjoined twins surgery here, and it seemed to be of one heart. There’s a patient at the Women’s and Children’s Hospital who can’t be taken down for surgery. “
“I’ve never done it before … I’m not confident. ” Zheng Ren sighed and said.
Department Director Kong knew that the occurrence rate of conjoined twins was not high to begin with, and it was considered a lot if three to five cases were performed in the entire imperial capital a year.
And it wasn’t very heavy.
A surgery that women’s and children’s hospitals could not handle would probably be as difficult as the sky.
“Boss Zheng, if you can’t do it, then don’t force it. Just finish the Nobel Prize project well. This is the main thing.” Department Director Kong whispered.
“I know, director.” “Let’s take a look at the patient’s condition first,”Zheng Ren said as he nodded.
“I just called the Women’s and Children’s Hospital and said that they’re serious about this.” When Department Director Kong saw that Zheng Ren was calm, he felt much more at ease, and he began to gossip.
“Oh?”
“They went to Philadelphia Children’s Hospital for guidance from a team of experts. They even used 3D printing and surgery navigation systems to create human simulations for the surgery.”
Zheng Ren was stunned.
‘If there’s a simulation surgery, I should be able to work well with Su Yun after two more practice sessions.’
Zheng Ren could not say for sure. If he did not try this, who would know?
Just like conjoined twins, they did not have to choose the person with the highest surgical level. Instead, they had to choose the doctor with the right technical level and the doctor they were most familiar with to perform the surgery with.
This was the only way to completely separate the child’s atrium in the shortest time possible.
The Women’s and Children’s Hospital had actually used the surgical navigation system and printed 3D images to simulate the child’s condition for the training.
There had been no successful precedent for conjoined twins with hearts connected to each other.
Would it really work?
If you find any errors ( broken links, non-standard content, etc.. ), Please let us know so we can fix it as soon as possible.
Tip: You can use left, right, A and D keyboard keys to browse between chapters.
