2057 Almond-sized heart
“Did the fetus stop moving after the anesthesia?” Xie ning asked.
“We haven’t started the anesthesia yet. The fetus can move on its own in the womb, such as turning over and changing positions.” Old he explained,”when the fetus is transferred to a position that boss Zheng is satisfied with, the anesthetist will start to give the medicine and fix the position of the fetus in the womb.”
“How long will it take?”
“Not necessarily.” Old he said,”when we do a four-dimensional ultrasound for the fetus, sometimes it takes one to two hours to wait for the fetus to turn over. If he didn’t make a comeback, he would have to wait for the next time. There’s a certain probability here, but it’s hard to say when the surgery can start. “
Just as old he had said, when the ultrasound probe was pressed on a certain position, it no longer moved greatly. Instead, it only made small adjustments.
When the doctors in the B-scan room performed four-dimensional ultrasound for pregnant women, the serious and responsible doctors would wait for a long time. They would even let the pregnant woman move around in the middle.
However, most of the pregnant women and their family members did not understand what it meant. Some even thought that the doctor Who could finish it with a few strokes was better.
This made people not know whether to laugh or cry.
“This is the heart of the fetus. Right now, the fetus” heart is only slightly bigger than an almond. ” Old he made an analogy. He held a laser pen in his right hand and showed Xie ning the size of an almond with his left hand.
“This is not the space for the surgery yet. Boss Zheng needs to use the thinnest guide wire to find the location of the aortic valve, and then use the vesicle to open up the narrow position.”
With this analogy, the seemingly boring ultrasound image became more three-dimensional and vivid.
The heart was like an almond, and everything had to be done carefully. This was not hard to understand.
The difficulty of the surgery and the required skill level were clear at a glance under old he’s explanation.
There were countless comments. Some raised questions, while others tried to answer. Old he took advantage of this time to continue explaining the difficulties of ectopic transplantation to Xie ning.
It was previously mentioned that only about two hundred cases of this surgery had been successful in the world, so the difficulty could be imagined.
Then, old he began to introduce how many similar fetuses in the country needed treatment in a year.
Because this surgery was still in the exploration stage internationally, many doctors in China did not even know of its existence.
If they encountered similar pregnant women or children, they could only suggest induced labor.
He didn’t even have the chance to try.
Whether it was from a medical point of view or a commercial point of view, the development and promotion of this surgical method was of great significance.
Old he himself had a deep theoretical foundation, especially his high level in ultrasound. He was able to make a lot of sense by quoting classics.
He had said that the quality of B-scans could be used to look at the chest.
This was a hard line. Many doctors did not even know that B-scans could tell the chest. Only the highest-ranking tertiary Grade A hospitals had this kind of business, and only an anesthetist like old he was proficient in this kind of business that seemed to be unrelated to anesthesia.
Suddenly, the fetus moved in the womb. Old he looked at the time. 34 ‘ 34 “had passed since the live broadcast of the surgery.
He didn’t move the entire time just for this moment.
But fortunately, although it took a long time, the moment still came.
The so-called quiet as a Virgin was like this.
Seeing boss Zheng holding the ultrasound probe in his left hand and making a gesture with his right hand, old he was full of envy, jealousy, and hatred.
The anesthetist from the Women’s and Children’s Hospital was to administer anesthesia. The surgery was about to officially begin.
After the anesthesia was completed, Su Yun took over the ultrasound probe while Zheng Ren began to operate on the patient meticulously.
A needle as thin as a hair appeared on the screen under the guidance of an ultrasound.
The needle was so thin that if one didn’t look carefully or had bad eyesight, they would miss it.
The blood would flow through the abdominal wall, the uterus wall, the amniotic cavity, the fetal chest wall, and other tissue structures to reach the left chamber and the aortic valve of the fetal heart.
“Uncle ning, this is the key point of the operation.” Old he explained it step by step. When he saw Xie ning’s serious expression, he knew that Xie ning had really understood.
If they weren’t family, they wouldn’t enter the same house.
Boss Zheng’s father-in-law was not an ordinary person. For such a difficult surgery, his explanation was more academic, but a layman actually understood it!
Old he sighed in his heart. Then, he saw boss Zheng send the capsule in.
The balloon was inserted into the balloon and expanded to open the narrow aorta.
Old he’s heart started to beat faster when he saw the balloon begin to expand.
This was the most crucial step, and he found the relevant reports. Every report only mentioned successful cases, and there was no mention of failed operations.
However, some case reports would mention that the balloon expansion was the most important step. Because there was no relevant standard, there was no fixed speed of growth in the womb.
Therefore, there was no theoretical basis or data support for how much force should be used and to what extent the bag should expand. He could only rely on boss Zheng’s rich experience to complete the surgery.
Old he stared intently at the LED screen. At that moment, he forgot about his mission and was completely immersed in the intense surgery process.
The B-scan showed that the balloon valve had already reached the aortic valve where the fetus was suffering from fetal anastomosis.
Then, the balloon expanded slightly, and old he immediately felt that his chest was stuffy and short of breath, as if a balloon had opened up at the position of his aortic valve.
The entire fetus ‘heart was the size of an almond, and the rate at which the balloon opened was not fast. It was very fine, very slow, very slow. If it wasn’t for the high quality of the ultrasound, old he wouldn’t have been able to determine what boss Zheng was doing.
How precise was the operation?
Old he sighed in his heart and glanced at the ultrasound data of the fetus.
The pressure difference between the aortic valve and the patient’s heart began to decrease from the peak of 88 mm HCG. Old he held the laser pen in his right hand and made a squeaking sound.
But he didn’t notice.
At this moment, old he had already crossed through time and space. He was used to “standing” at the side of the patient’s head on the operating table and staring at the data of the ventilator and monitor.
While he was observing the countless numbers, he had been watching Boss Zheng’s operation and thinking about what he should do next to perfectly cooperate with boss Zheng’s surgery.
As the pressure difference between the fetus ‘aorta decreased, old he saw boss Zheng continue to expand the balloon.
88mmHg……83mmHg……81mmHg……
The operation was the most dangerous at this moment.
Once there was uterine contractions or the fetus could not bear balloon dilation and the fetal heart stopped beating, a C-section surgery would be required.
75mmHg……64mmHg……
Old he’s heart was in his throat while boss Zheng was still expanding the bag.
He was thinking that if he were Yingluo, he would probably stop expanding the balloon at this time and stop while he was ahead.
After all, it was the first case of ectopic transplantation in Asia. Even if the fetus had some minor problems, it could still grow.
There was still time for him to undergo thoracotomy after he was five years old. Even if she were to undergo surgery a few months after she was born, the risk would be much lower.
However, boss Zheng was unmoved. He was still expanding the bag steadily at a speed that was hard to distinguish with the naked eye.
53mmHg……49mmHg……