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2258 Can't do it

"director."

“I’m in the ward.”

"Okay, I'll wait for you."

Zheng Ren hung up Director Kong's phone number and immediately entered the system operating room.

Su Yun was not here, so he went to give lectures to the doctors who sent Lan Ke, but fewer people asked why.

When he entered the system operating room, Zheng Ren saw a pair of conjoined babies lying on the operating table.

Both babies were associated with congenital heart disease, resulting in poor myocardial reserve function and upper respiratory tract infections in the hospital. The blood-red and blood-red signs on the system panel are marked with cardiac insufficiency (level 2).

Zheng Ren was not in a hurry, but recalled the introduction of the surgery he had seen before.

Conjoined babies with chest and abdomen are not the most difficult ones. If they have head combination, they are the most troublesome.

There are more liver connections between the heart-conjoined babies in front of me.

The left hepatic hepatic in the two children was completely overlapped and fused, with a circumference diameter of about 25m, the biliary tract and arteriovenous system were separated, and other digestive systems were separated. During the separation, it was also found that the liver junction was connected with a diameter of about 0.2m.

For Zheng Ren, who is able to achieve the peak of general surgery technology, the separation of the liver is nothing, he did it very happily.

This is the first surgery after General Wai Technology has reached its peak and it is completely successful.

The liver was separated, stopped bleeding, anastomosis, and the ultrasonic knife was used to complete this operation in just over 30 minutes.

After finishing, Zheng Ren felt comfortable all over.

It’s this feeling. When the big pig’s hooves came, they gave them 3 minutes of peak experience time.

It feels exactly the same, with no deviation at all.

Zheng Ren's hand was placed on the child's liver, and through the sterile gloves, he could clearly feel the texture of the liver. How much power should be used and how to do it clearly is in his heart.

It is a kind of confidence. There is no surgery that you can't do on your own. No matter how difficult it is, it can be completed smoothly.

Even without wearing Zeiss' microscope, Zheng Ren can complete microscope. However...

After starting to open the chest cavity and preparing to separate the heart, Zheng Ren finally knew where the trouble was.

Two hearts gather together and are twisted and deformed.

This is not the biggest trouble for Zheng Ren. In the expert team of Philadelphia Children's Hospital, Director Han of the Women and Children's Hospital, Zheng Ren didn't think anything was insurmountable.

But the difficulty lies in the different frequency of heart beats in the two children, which has a great impact on the surgery.

After experimenting several times, Zheng Ren had no particularly good solution.

He let out a sigh of relief. Is the big pig's hooves preparing for this operation? It should be that the system is quite humane.

Although Zheng Ren didn't know what impact he would have on the surgery with an assistant, he could only give it a try. Follow the tips of the big pig's hoof and make further attempts.

Clicking on the assistant mode, Zheng Ren found that the assistant also consumes surgical training time like himself.

And now I use it in advance without getting a reward, and the surgical training time consumes x2.

In other words, one operation requires training time of 3 operations.

Zheng Ren was a little helpless, but he had no choice but to click on the assistant function. After clicking on the selection, Zheng Ren immediately found that there were a series of options behind it, and it seemed that the assistant could also have more people.

It would be great if the surgical training time was too long, Zheng Ren thought to himself.

Of course he wouldn't waste it so much. Every surgical training is very valuable. After selecting an assistant, Zheng Ren saw an image of an experimental subject appearing in front of him, and his figure should undoubtedly be Su Yun.

After trying several more surgeries, Zheng Ren was aware of the whole process. Even with an assistant, the operation could not be completed at all.

The heart rate of the two hearts is different, one is about 160 beats/minute, and the other is 130 beats/minute.

It is too difficult to completely separate the distorted and deformed myocardium, based on the beating of the heart.

The child's heart function is very poor. It takes the shortest time to repair the broken heart and use patches to repair the operation so that both children can survive.

If the operation is carried out in the existing way, it will be impossible to complete. Zheng Ren has a preliminary prediction after several failures.

Zheng Ren did not rush to go out, but carefully observed the heart parts of the two children.

The diaphragm, mediastinum, and pleura are connected. The two babies share the pericardium, and the large blood vessels at the bottom of the heart are completely separated and there is no communication. The atrium is connected, and a piece of myocardium is shared. The apical part is connected near the diaphragm, and the two hearts have a small tubular connection, with a diameter of 3mm. Most of the other two hearts are membranously connected.

Looking back at the surgery of conjoined babies, although this situation is not a conjoined baby with only one heart, it is also a primary conjoined baby.

The difficulty of the operation is much higher than I thought.

The flowers bloom and the stems are beautiful, but Zheng Ren is not sure about how to do surgery.

Helplessly, he came out of the system space and Zheng Ren went to welcome Director Kong.

Soon, Director Kong walked back quickly.

"Boss Zheng and Vice President Yuan are working on the on-site office of the respiratory department. He said that if you can have a conjoined baby surgery on this side, it seems that it is a consensus. There is a patient in the Women and Children's Hospital, and the surgery cannot be taken down."

"I haven't done it before...I'm not sure." Zheng Ren sighed and said.

Director Kong knew that this was the case. The incidence of conjoined babies was not high, and it was considered too many to be able to do 3-5 cases a year in the entire imperial capital.

And it's not very heavy.

The operation that cannot be obtained by the Women and Children's Hospital is probably difficult to fly straight to the sky.

"Boss Zheng, if you can't do it, we won't be able to do it. Just finish the Nobel Prize project well. This is the main aspect." Director Kong whispered.

"I know, director." Zheng Ren nodded and said, "Look at the patient's condition first."

"I just called the Women and Children's Hospital and said that the Women and Children's Hospital was really active this time." Director Kong felt much more at ease when he saw Zheng Ren calm and began to gossip.

"oh?"

"They found a team of experts from the Children's Hospital in Philadelphia for guidance, and also used 3D printing and surgical navigation systems to perform preoperative simulation surgery."

"..." Zheng Ren was stunned for a moment.

If there is a simulated surgery, if you run in twice more, should you and Su Yun be able to cooperate with each other?

Zheng Ren couldn't say it well, who would know if he didn't try such a thing?

Just like a conjoined baby, you should not choose the person with the highest level of surgery, but choose the doctor who meets the technical level and the most familiar surgery together.

This is the only way to completely separate the atrium of the child in the shortest time.

It’s just a surgical navigation system, preoperative 3D printing to simulate the child, and the women and children’s hospital really invested a lot.

There is no successful precedent in the world of heart-connected conjoined infant surgery.
Chapter completed!
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