godfather of surgery

Chapter 271 Supernatural Events
Yang Ping put away the microscopic instruments, and the amniotic band syndrome operation was completed.

"Let me take a look, little guy, be good, don't be afraid, the operation is over."

Director Mei reached out to feel the fetal heart rate, and after a few minutes said disappointedly, "No, it's still slow."

"Just liberating the blood vessels in the neck, there should be improvement." Director Mei frowned.

This kind of operation should have immediate results, especially if the fetal heart rate slows down and the fetal movement decreases for a short time, the operation is also very timely.

Either there is still a problem, or the operation failed?
"Wait, let's observe. The anesthetist will report the vital signs, and the roving nurse will report the amount of blood loss and urine output." Director Ke said please be safe and don't worry.

This operation is like replanting a severed finger. After the operation, the finger is still white and has not turned red. If you want to find out the reason, you can't get off the operating table easily, otherwise it is very likely to rework.

Surgical rework is extremely troublesome for surgeons.

"I'll check again." Director Mei gently supported the fetus with one hand, and began to check with the other hand.

The head, neck, chest, abdomen, back, and limbs were all checked carefully. Director Mei planned to check the umbilical cord as well. Sometimes the umbilical cord is strangled by the amniotic cord, which will cause blood and oxygen supply disorders.

The little guy is funny, he holds the umbilical cord in his hand, because he is afraid that others will take it, Director Mei carefully pushes the baby's little hand away.

The entire length of the umbilical cord was probed, and no problems were found in the umbilical cord.

"It's all right?" Director Mei is confident that the investigation is still careful.

Director Ke couldn't think of the reason for a while, it didn't make sense, he just saw with his own eyes that the blood vessels in the neck were loosened, and the tubes were well filled, so there would be no problem.

He was worried, and checked again, but there was still no problem: "Is it neck vasospasm? Wait a minute! Give the patient an intramuscular injection of 30mg of papaverine."

Director Mei asked the nurse to prescribe a sterile electronic thermometer to measure the temperature of the amniotic fluid, which was also normal.

Everyone had to wait and observe, and observed for another 10 minutes, but there was still no improvement. Waiting this way is not an option. Although double-click electrocoagulation is more thorough to stop the bleeding, there is still bleeding to some extent. The fetus is so open, and it is not good for a long time.

Director Ke intends to communicate with the husband of the pregnant woman that there is a certain risk in closing the uterus, but the reason cannot be found now.

In the family waiting area, the pregnant woman's husband, Zhong Mingfang, was waiting anxiously. He was fidgeting. Although it was only over an hour, it seemed like a year to him.

Director Ke took off his surgical gown, left the operating room, opened the door of the operating room, and yelled at the family waiting area: "He Liru's husband!"

Zhong Ming jumped up like a spring, and ran over: "Doctor, what's the matter, Mr. Bao, the child is gone!"

Director Ke was dumbfounded by his extreme reaction: "The operation is over, and the pregnant woman is now stable."

"Thank you!" Zhong Mingfang's forehead was covered with sweat.

I was so scared just now, thinking that there was something dangerous about the operation.

"Now there is such a situation. Your child's operation is done, and it is very good, but after the operation, the fetal heart rate is still slow. We also checked and found no other problems. We are going to shut down the abdomen. If the operation cannot be relieved for a long time, I'm afraid the fetus will not survive."

"Understood, doctor, close your abdomen and put adults first." Zhong Mingfang was relieved.

My wife is fine, but if something goes wrong, I will live in guilt for the rest of my life.As for the child, this thing is really fate, don't force it.

"Well, it's decided."

Director Ke returned to the operating room, washed his hands again and went on stage: "Shut up!"

Director Mei adjusted the position of the fetus so that he was naturally comfortable in the womb and conformed to the normal posture.

After adjusting, he took the needle and thread from the nurse and began to close the uterus. Just as the needle was pricked, the fetus suddenly became restless, and Director Mei immediately stopped the needle and thread in his hand.

"Anaesthetist, what's going on, the fetus is restless!"

The anesthesiologist also couldn't figure it out: "The dosage of the anesthesia is normal and cannot be increased. The depth of anesthesia for pregnant women is just right, and the vital signs are normal."

Director Mei stopped, and the fetus did not move again. After observing for a while, Director Mei felt that it was all right, and began to suture the uterus again.

My dear, this little guy is restless again, not giving any face.

Director Mei wondered, this is not letting me sew, isn't it so magical?
He stopped the needle and thread in his hand, and the fetus stopped moving again. Director Mei and Director Ke looked at each other: "What's the matter? This kid doesn't want to stay in it anymore? Give up on himself?"

"That can't be done. It's too early. Be patient. Don't disappoint your mother's expectations, and don't disappoint our efforts. If you persevere, I'll pick you up in person. How about you, please show me some face?" Mei The director told the fetus that the tone seemed to be understood by the fetus.

"Shut it up! Lao Mei!" Director Ke urged.

But when the needle tip pricked, the fetus became restless again. Director Mei tried to stop, but he didn't move again.

Could it be that the needle tip pierced the uterus, causing him pain?Or what kind of nerve reflex does it cause?Then he didn't respond when he started to cut the uterus?

So weird, really, as magical as a supernatural event.

"What's going on?" Lao Han saw that it was a bit weird here, so he came over and asked.

Director Mei smiled wryly: "This guy won't let me close the womb, and he becomes restless every time a needle is stitched. Is this a protest?"

Everyone who studies medicine is a materialist, and everything is explained by scientific knowledge. If it cannot be explained, they will draw a conclusion: the mechanism is not clear.

Forced to wait for a while, Director Mei bowed his head: "I still don't believe it!"

He started to sew again, and every time he sewed, the fetus must be agitated, and sometimes he kicked his feet, and when he stopped the sew, he became quiet, as Director Mei had tried several times.

"Weird!"

He has been a doctor for more than 20 years and has never seen such a thing. He asked Director Ke: "How to solve it?"

"You ask me? Don't you deal with these little guys every day?" Director Ke didn't understand either.

Although no logical connection can be found, there is obviously a sequential connection in time.There must be a connection between stitches and fetal movement, not necessarily a causal relationship.

"Sew!"

Director Mei decided to forcibly suture, but still didn't believe this evil, took a needle holder and forceps with teeth, and started to suture.

The fetus was not ambiguous at all, and immediately became agitated. He forcibly sewed it up, ignoring the little guy, and stitched it up three times in a row. The little guy became more and more restless, as if he was going to run away.

It may be because of the increased oxygen consumption and insufficient blood and oxygen supply, the color of the fetus' face turns blue and purple, which is very dangerous.

Director Mei didn't dare to sew, so he stopped immediately, was forced to surrender, and put the needle holder in the turning plate: "Forget it, observe for a while, and don't sew for now."

But it’s not a problem to just observe like this. You can’t keep observing, you have to find the reason. Director Mei thought of calling for help: “Invite Director Deng.”

Director Deng is not the director of the department, but she is the oldest in the Department of Obstetrics and Gynecology. After retirement, she was re-employed as an outpatient clinic. Older age means rich experience. Let's see if she can find out the reason.

The itinerant nurse helped to call the outpatient clinic to find Director Deng. Director Deng was a woman in her 60s, a thin old lady.

After she came up, she also washed her hands and dressed, removed the stitches, and inspected the fetus in the womb, but found nothing abnormal. She shook her head, but she didn't know.

I haven't encountered a similar thing before, it's a bit strange, but I don't know where the problem lies.

what should I do now?Can't help it?
Just waiting on the operating table like this, I have to find a solution. Lao Han has been by the side, but he can't figure it out. He helped out with an idea: "Call Professor Zhang Zongshun to have a look."

Professor Zhang, he is in orthopedics, what is the use of asking him for obstetrics, gynecology and pediatric surgery, but Director Han recommended it, so I can't refute my face.

"Okay, then please trouble Director Han and ask Professor Zhang to come over."

It's not that Professor Zhang is proficient in obstetrics, gynecology and pediatric surgery, but that Professor Zhang always likes to study in depth, has a wide range of knowledge, and often raises the research questions to the philosophical level.

For example, orthopedic plastic surgery, for the correction of some congenital deformities, he published a book, starting from the evolution of human beings, and made the theoretical basis clear. He has a very solid grasp of some basic sciences, not to mention anatomy, an inflammatory response , he spoke better than the pathology book.

Everyone was waiting on the stage. Professor Zhang had a lot of outpatients. He had to settle the patients well. The blood pressure of the pregnant woman was fine. Director Han told Professor Zhang about the situation, and he arrived in the operating room within ten minutes.

"professor Zhang--"

Everywhere he passed, as long as there was someone, he would respectfully call out to Professor Zhang, and Mr. Zhang just responded with a hand gesture. When he entered the operating room, he asked, "What operation?" '

"Amniotic band syndrome, there are constricted rings in the neck and limbs. Now that the operation is over, the uterus cannot be closed. Once sutured, the fetus is restless. The number of fetal movements is still reduced, and there are symptoms of hypoxia." Director Mei introduced the condition. .

"It moves when there is a seam, and stops when it is not stitched. I just got three stitches, and I was very restless. I almost punched and kicked, and my face turned blue." Director Ke added.

"Would you like to get some stitches?" Professor Zhang was near the operating bed, and the roving nurse moved a foot pedal, and he stepped on it.

Because you can't get too close to the operating table, put a foot on it, stand high, have a good view, and see more clearly.

Director Mei demonstrated it again, and sure enough, he would move as long as he was suturing, and stop if he was not suturing, but the movement was not so violent now, and he probably lost his strength.

"The blood vessels in the neck have been explored clearly, are they not blocked?" Professor Zhang asked.

Regarding Yang Ping’s operation, he replied: “The constriction ring was unblocked after the constriction ring was released. After careful exploration, there is no problem.”

"The fetal heart rate slowed down before the operation?"

"Yes, slow down!"

"Has the fetal heart rate improved after the operation?"

"no!"

He just asked without answering. He walked around the operating table, looked at the monitoring data of pregnant women, and asked the anesthesiologist some questions. Director Han moved a stool for him to sit on.

He didn't want to sit down: "I'll take a look on stage."

Professor Zhang swiped his hands on the stage, and he told everyone not to move. Director Mei and Director Ke helped to pull the hook to reveal.

Professor Zhang stretched out his hand to investigate, his serious eyes seemed to relax, did he find the problem?
(End of this chapter)