Chapter 832 I Want to Give It a Try (Ask for Subscription)
It's Monday.
At nearly nine o'clock in the morning, Lin Jie and An Kexin came to the affiliated hospital together and came to the operating room floor of the inpatient building.
In front of the operation preparation room, Lin Jie met Jiang Hao, Qi Xingfen, Cheng Xingguang, the director of the welfare home with Ling Mengjiao, and Liu Wenyan, a classmate of Lin Miao's blind class.
What Lin Jie performed today was a simple craniotomy and exploration operation.
This exploratory operation decided the fate of the conjoined baby, and also determined the follow-up work arrangements of the welfare institute, the university affiliated hospital and the Anlin Charity Foundation.
Lin Jie swept over everyone's faces with different expressions one by one, and said, "It will be as short as half an hour, or as long as an hour, and the operation will be over, so let's wait patiently." ”
After saying this, he entered the operating preparation room with Jiang Hao and Qi Xingfen.
After changing their clothes, several people entered the disinfection room again, brushed their hands and disinfected, and entered the operating room.
Tian Xiangyu and Huo Guangheng, who came in earlier, have already prepared for surgery for conjoined babies.
At the moment, Lin Jie didn't talk nonsense.
Seeing that the body test data of a pair of babies was normal, Tian Xiangyu also reported that he could operate at any time, Lin Jie stretched out his hand, took the symbol pen from the nurse's hand, and drew an ellipse with a diameter of three centimeters at the cranial junction of the conjoined baby.
After the painting, Lin Jie gave up the operating position, and Tian Xiangyu was responsible for cutting the scalp of the conjoined baby and cutting the skull.
Soon, the sound of a chainsaw sounded in the operating room......
Jiang Hao approached Lin Jie a little and said softly: "Expert Lin, judging from the angiography, there are five cranial and cerebrocerebral blood vessels with a diameter of more than one millimeter that are common, and two blood vessels with a diameter of two .five and three millimeters are shared. ”
"Performing surgical separation, amputation and reconstruction of this cranial and cerebrovascular vessels alone is a tedious and dangerous task. ”
Lin Jie nodded slightly and said, "Although the amputation and reconstruction of blood vessels are cumbersome and dangerous, there is a way to solve them. I hope that this craniotomy can have a good result. ”
Hearing Lin Jie say this, Jiang Hao didn't say anything more.
His original intention was to persuade Lin Jie to keep one.
Most of the deformed conjoined babies in the world are connected to the crotch or the spine, and the possibility of surviving both babies through surgical separation is quite small.
Because this connection mostly involves sharing one or several viscera.
Because of the complexity of the brain, the possibility of successful separation is quite small, and it is a major victory to successfully save one.
The opposite cranial conjoined baby in front of him, because the three functional areas of the cerebral cortex are closely combined, the possibility of their separation is almost impossible in Jiang Hao's opinion.
From the current inspection information, it is still possible to abandon one and keep one successful.
It's just that Jiang Hao can see that Lin Jie has a great appetite and wants to keep both.
He hoped that Lin Jie would choose a safe plan, but deep down, he also vaguely hoped that Lin Jie could create a miracle again, which others could not ......
At this time, the sound of the motor echoing in the operating room suddenly disappeared.
Tian Xiangyu took off the cut oval skull, cleaned up the operating window, pulled the long-arm operating microscope, put it in the right position, and made way for the operating position.
Lin Jie stood in the operating position again, reached out and took the scalpel and surgical forceps......
The surgical window is directed at the visceral cortex of the functional area of the brain.
Whether this area can be successfully separated is related to the life and death of the two babies, and it can be said to be a control node of separation surgery.
Jiang Hao and Qi Xingfen moved their eyes to the big screen on the wall, and the field of vision that Lin Jie saw through the microsurgical scope was projected on this screen in real time.
The two of them saw that the scalpel gently and flexibly cut through the light gray cerebral cortex, revealing the slightly whiter gray matter inside......
The gray matter in the human brain is actually softer than soft tofu.
Take out a person's fresh brain intact and put it on the table, and it will soon be deformed and paralyzed by its own weight.
The kind of brains that are seen in TV movies, fixed and shaped, and can even be cut into slices, are actually soaked in potions for no less than twelve hours and specially treated.
At this time, Lin Jie's hand was replaced by a special slender soft paddle, carefully turning the gray matter of his brain......
"Huh......"
Qi Xingfen suddenly let out a voice in surprise.
She saw that the soft paddle gently lifted up a layer of gray matter in the brain, and this layer of gray matter seemed to have little to do with the next layer.
It's like a piece of tender tofu cut in the middle, and a piece of tofu that seems to be intact is two separate individuals.
Lin Jie, who detected this, was also moved in his heart, and immediately said: "Wake up the two babies, I need to do a test." ”
The anesthesiologist, who had been closely monitoring the baby's body values, heard the order and immediately injected a small amount of awake medicine into the two babies.
This agent can bring the two babies back to consciousness, but the muscles of the body are still in an uncontrolled state of anesthesia.
"Microcurrent needle!"
As soon as Lin Jie stretched out his hand, the nurse handed him a slender metal needle connected to a wire.
He used the metal needle to gently touch the gray matter of the upper layer of the brain.
"The left baby showed significant fluctuations in visceral activity, while the right baby did not notice any significant changes. ”
At this moment, Lin Jie felt that the slightly dull voice of the anesthesiologist was as good.
He touched the gray matter of the lower layer of the brain with a metal needle, and heard again: "The baby on the right has obvious fluctuations in visceral activity, and the baby on the left has no obvious changes." ”
Lin Jie withdrew the microcurrent needle and said to Tian Xiangyu who was standing aside: "The craniotomy is over, let's deal with the wound." ”
After giving the order, he came to Jiang Hao and Qi Xingfen and asked, "What do you think?"
Qi Xingfen said in a deep voice: "The functional areas of the cerebral cortex of the two babies are not intertwined and mixed together, but are closely superimposed together in such a clear way, which is indeed conducive to separation. ”
"It's just, Expert Lin, this is not scooping tofu flowers, it's okay to scoop more and less, once it is broken and injured, it will be irreparable. ”
"This difficulty ......"
Qi Xingfen thought that he couldn't do it, and looked at Jiang Hao.
Jiang Hao said slowly: "Expert Lin, to be honest, I would rather this craniotomy be a terrible result. ”
"And now this result is confusing. ”
He exhaled deeply and said, "I personally think that the results of this exploration seem to give us hope for success, but from the perspective of actual operational difficulty, the possibility of completion is very low. ”
"Expert Lin, I solemnly suggest that you keep one. ”
"Expert Lin, my suggestion is to keep one!" Qi Xingfen also expressed his opinion.
Lin Jie turned his head and looked at two small quiet figures lying side by side on the operating table......
There was silence for a while before he spoke: "This is the case of conjoined babies, frankly, I'm not sure. ”
"Even if I just choose to keep one, I don't know if I can succeed in the end. ”
"But seeing the results of this investigation, I know that there is hope for these two little ones to survive. ”
"We can determine which one to keep and which one to give up through various conditions such as the success rate and the physical examination value!"
Lin Jie looked at Jiang Hao and Qi Xingfen again and asked, "But, is this choice reasonable?"
"They came into this world together, suffered misfortune together, but one of them was destined to die because of our choice?"
Lin Jie shook his head slowly, and decided: "Since there are two possibilities of success, Doctor Jiang, Doctor Qi, I want to give it a try!"
"This time, I'm really not sure, but I really want to give it a try!"
Jiang Hao and Qi Xingfen glanced at each other, and they both sensed Lin Jie's determination.
"Expert Lin, whatever you say, I will do what I do, and I will do my best to cooperate with you. Qi Xingfen said.
Jiang Hao also said in a deep voice: "Expert Lin, you once commented on me, you are too conservative in your choice. ”
"And this time, I will follow you and challenge the impossible ......"
The three of them walked out of the operating room together.
Seeing Cheng Xingguang, An Kexin, the director of the welfare institute, Liu Wenyan and others who came up, Lin Jie said: "The results of craniotomy are relatively better than we expected. ”
"In the next step, the two little ones will be examined further. ”
"At the same time, I will assemble a surgical team that brings together experts from various departments such as brain surgery, orthopedics, pediatrics, plastic surgery, and nursing to discuss the surgical plan. ”
"The goal of our surgical team is ......"
Lin Jie raised his voice and announced, "Do your best to let the two little ones survive." ”
Before his words landed, Cheng Xingguang and the directors of the welfare institute had a look of surprise in their eyes.
With their own ideas, they know how much social appeal and impact this surgery can cause.
It's a great opportunity to get the word out......
Lin Jie himself didn't hate this kind of exploitation.
Through publicity, one's reputation will be further enhanced, the Anlin Charity Foundation will be able to gain greater exposure, the disabled children in the welfare home will receive greater social attention, and the university hospital will receive a wave of publicity.
This is a matter of all parties benefiting......
Seeing off An Kexin, Lin Jie returned to the office floor and saw a young man hovering outside his office door.
Lin Jie noticed that the young man was holding two books in his hands.
One of them, which looks very familiar, should be one of the medical books I wrote.
"I found this place, let me sign it!"
Lin Jie, who thought so, was still a little complacent, so he was ready to take over the book in the hands of this young man who came in stride.
Who knows, the young man raised the book in his hand and said proudly: "Teacher Lin, I once wanted to tell you a mistake in class, but you ignored me. ”
"As I expected, you brought this mistake into the book......"
Hearing him say this, the slightly green face in front of him with a proud expression gave Lin Jie some familiarity.
Lin Jie smiled and said, "So, you came here to find it this time, did you specifically tell me that it was wrong?"
The young man raised his chin, snorted, and said, "I know that your book series is selling very well, so in order not to mislead others, I decided to tell you the mistake." ”
"You would better publish a correction. ”
Lin Jie nodded his head and said: "If the error you find is true, I will send this correction note." ”
"At the same time, I will also show that this mistake was pointed out by you......"