Chapter 212: Extremely high risk! Extremely difficult! Many surprises!
"The operation begins."
Xu Qiu spoke at the right time when her condition was at its best.
Following the words, there was also a scalpel.
Step 1 – Isolate the arteries in the head that the twins share!
Start by opening the connected skull bones.
This step requires a high-speed brain surgical drill to get closer to the surgical area millimeter by millimeter.
Sizzling——
The sound of an electric drill grinding bones resounded throughout the operating room.
Xu Qiu's hand was very steady.
The speed of the craniotomy was always such that he could stop it at any time.
"So fast!"
"Can this speed really be controlled?"
"Isn't it a bit too hasty? For an operation of this level, such a complex complete fusion, it is normal for the craniotomy to take ten hours."
Everyone was shocked.
There have been doctors abroad who have performed cranial separation surgery, but those patients were not as difficult as they were. Even so, it still took them twelve hours to finally succeed in the craniotomy!
But Xu Qiu's current speed is a bit desperate.
However, in the face of everyone's doubts, Xu Qiu remained unmoved and continued to maintain his speed.
Seven hours later.
The connected skulls were finally opened.
When everyone saw the operation area, they felt frightened.
If you grind even 0.1 mm further, the blood vessel below may be broken!
The rupture of cerebral blood vessels may cause stroke or paralysis in the patient, or directly lead to the death of the patient in the worst case!
…
"microscope."
Xu Qiu's expression did not change at all. He abandoned the commonly used surgical magnifying glass and chose a microscope with a higher magnification.
Everything is developing as expected.
On the tenth hour of the operation, Xu Qiu looked up from the microscope's field of view and picked up the artery clamp in his hand.
"The anesthesia team is ready."
Hearing this, all the anesthesiologists tensed up.
The most critical time has come - to clamp and then separate the cerebral arteries.
This operation may cause brain damage to the twins. If they cannot be rescued in time, the weak patient No. 2 Sian will die on the stage.
"Ready!" the anesthesia director said solemnly.
Xu Qiu nodded, and with perfect experience in blood vessel palpation, he chose the most suitable point and closed the artery clamp.
boom.
The blood flow silently hit the closed artery, and the pulsating cerebral artery also stopped.
Everyone stared at the monitor nervously.
Five minutes later, a few drops of cold sweat flowed from the anesthesia director's forehead. He breathed a sigh of relief: "Dr. Xu, it's safe!"
The atmosphere in the operating room immediately relaxed, and every doctor was gasping for air.
Xu Qiu ignored it, just looked up and continued to plunge into the microscope: "Continue."
Separating arteries is a step back from the brink time and time again.
Every artery has to face a test of life and death. If Xu Qiu pulls the rope, he can survive. If he doesn't pull the rope, he will fall off the cliff and be doomed.
"The second one, get ready." Xu Qiu said concisely.
The duration of surgery is measured in hours.
However, everyone was still sighing at Xu Qiu's courage and swiftness.
"The third one."
"The fourth root."
Xu Qiu clamped the arteries one by one.
The moods of the two anesthesia groups also constantly switched between crisis and relaxation.
Next, Xu Qiu separated the clamped artery.
During the process, a soft medical plastic film will be used to separate the separated brain tissue.
This is done to avoid intraoperative rewiring of the brain.
On the thirteenth hour of the operation, all shared arteries were separated!
Xu Qiu was extremely tired, put down the scalpel, and shouted in a low voice: "Take care of it, we will continue tomorrow."
Brain separation surgery is by no means an overnight success.
Instead, it is divided into multiple surgeries and completed in multiple phases.
The most dangerous arterial separation has passed, and the subsequent finishing work can be left to Director Lin and others.
Xu Qiu's arm lost strength, and with the help of the circulating nurse, she changed out of her surgical gown and left the operating room.
It was already past eleven o'clock at night. Looking through the window, it was dusk outside, with only noisy traffic and intertwined neon lights.
Xu Qiu didn't have the energy to pay attention to this, so she reached the lounge in a daze. Within ten seconds of lying down, she had already fallen into a deep sleep.
The unfinished difficult tasks are still on - after receiving them, Xu Qiu will have three days to complete the tasks if he does not give up on his own initiative.
…
When I woke up again, it was already past seven o'clock the next day.
There was a pile of bread placed on the table in the lounge at some point, and a snack tower was set up next to it.
Xu Qiu glanced at it and saw that there were many notes on it.
"Dr. Xu, please pay attention to rest!"
"Dr. Xu, I covered you with a blanket. I prepared the biscuits here. You can eat whatever you want!"
"A lot of money for a child: XXX"
"..."
The doctors at Jinghai People's Hospital have worked here for decades and have never seen such a battle.
On the first day Xu Qiu arrived, she single-handedly built snack towers while sleeping...
Even several male doctors from our hospital wanted to come in and take a rest, but they were all chased away by the nurse holding the door handle.
"Hey, are you awake?"
At the entrance of the hospital, the yawning nurse was surprised and looked at Xu Qiu blankly.
Seeing the chocolate in the other person's hand, the little nurse became even happier.
"Yeah, I won, so he will definitely eat what I give first! You guys will share my next few night shifts equally!"
"hateful!"
The young nurse touched her colleague's head, smiled at Xu Qiu, and said, "Doctor Xu, go eat first. There is a chef in the cafeteria who has reserved food for you. Of course, you can order takeout!"
"Thank you."
Xu Qiu turned and walked towards the cafeteria.
At this time, Li Xue, Director Lin and others also came and accompanied Xu Qiu to eat.
When they arrived at the cafeteria, more than 30 people had gathered here, most of whom were in the cranial brain separation surgery team. They needed to seize every moment and follow Xu Qiu's ideas and requirements to complete each step.
"The artery is separated, and the vein is next."
"Pay attention to the cardiac surgery and cervical surgery departments to see if there are blood clots in the neck veins of the two patients."
"In addition, do not remove the isolation plastic film in advance-the blood flow may be diverted instantly when it is removed. Without me and the two anesthesia teams, the plastic film cannot be moved."
"The most important thing is the heart rate..."
Xu Qiu did not look like a person who had consumed his physical energy for thirteen hours but only rested for eight hours.
His mind was unusually clear.
Every sentence was extremely rigorous, and every step mentioned details that most doctors would overlook.
At this time, even Gao Denggui put aside other thoughts and began to admire Xu Qiu unconsciously in his heart.
…
It was ten o'clock again.
The second operation, the separation of the vein began.
When removing the separating plastic film, even if Xu Qiu's movements were as slight as possible, for the small and sensitive cerebral blood vessels, any slight change was like a flood.
As Xu Qiu expected, a large amount of blood flowed from the weak patient No. 2 under the sudden pressure and rushed into the brain of patient No. 1, causing the blood pressure of patient No. 1 to soar.
The anesthesia team had already made preparations.
They did not panic, because everything was the same as Xu Qiu's rehearsal, even the changes in their blood pressure, the rise and fall, were extremely accurate!
In three minutes, the blood pressure of patient No. 1 was corrected.
In five minutes, the low blood pressure of the weaker patient No. 2 also rose.
In the third hour of the operation, a new problem appeared.
Patient No. 2's performance during the operation was much worse than expected. Obviously, Patient No. 2's physical condition was not good. Coupled with the devastation of hypotension, the survival rate might not be too high.
At the moment, there happened to be a group of shared veins in the operation area.
There were three veins in total.
The previous plan was to give one vein to Patient No. 1 and two veins to Patient No. 2.
But now I'm afraid I have to reconsider...
If these three veins were given to Patient No. 2, her survival rate would be much higher.
However, for Patient No. 1, although losing the only vein would not lead to death, her brain development might be affected.
How to choose?
On the operating table, Xu Qiu was also thinking.
No matter how thorough the preoperative preparation was, it could not withstand the ever-changing situation on the operating table.
Even he had to choose between these two options at this moment.
"Is there any other way?" Xu Qiu murmured.
If all three veins were given to Patient No. 2, Patient No. 1 would grow up, but his intelligence level might not be too high.
As a doctor, Xu Qiu not only has to consider how to keep the patients alive, but also needs to let them live well and with dignity...
Beep beep!
However, at this moment, a rapid alarm suddenly rang out.
Everyone in the operating room changed their faces and hurriedly looked at the anesthesia director, only to see that the anesthesia director's face was completely pale!
At this moment, Xu Qiu's eyes fell on the operating area alertly.
When he saw the situation in the operating area, a trace of confusion flashed in his eyes-
How could this happen!
