Chapter 866: Far Ahead

It is no exaggeration to say that one can change one's destiny against the will of heaven.

"The meaning of medicine is probably at this moment..." Li Xue, who had no sense of presence from the beginning to the end, was inexplicably moved.

Shi Lian and Yang Yuen were also deeply touched.

The insertion of this needle saved a girl's life.

…

A few hours later, the surgical records were uploaded to the medical forum by moderators.

It is worth mentioning that on the clinical side, the person responsible for contacting the National Medical Forum is not the network department, but Wang Fan from the emergency department.

This little suturing genius wears many hats, and now he has mastered the bridge between clinical medicine and medical forums, and has gradually become a deputy director.

Wang Fan:

"The operation process has been uploaded to the first floor. Currently, the fetal signs are stable and the total cardiac output has decreased to 66%. It is foreseeable that the fetus will not require cardiovascular support and postpartum embolization treatment after being exempted.

"The most important thing is that his intelligence level will not be affected. This unfortunate child was lucky enough to meet Dr. Xu Qiu..."

Seeing the operation records, all the doctors and people who were paying attention to the matter were surprised.

Especially the fact that "it does not affect the intelligence level" shocked everyone!

Expert comment area.

Director of the Neonatal Intensive Care Unit Qiu Wanjun:

“It’s unbelievable, I call Dr. Xu inhumane!

Laymen may not understand the significance of this technology, nor the risks and difficulty of minimally invasive intrauterine interventional treatment!

Let me just say a few words...

In the field of pediatric neurosurgery, there are currently only two diseases requiring intrauterine treatment.

One is intrauterine fetal progressive hydrocephalus.

If you want to treat this disease, you can basically only do drainage.

In the past, intrauterine drainage was performed clinically. Although the survival rate of intrauterine drainage surgery was 83%, the disability rate was frighteningly high!

Of the 83% of fetuses that survived, more than half had severe neurological disorders, and the rest also had mild or severe disabilities. Only less than 30% of the fetuses could develop normally!

Because of this, intrauterine drainage surgery was stopped.

It is replaced by hysterotomy-intrauterine ventriculoamniotic shunt.

This surgery solves the problem of severe disability rate, but three-quarters of the cases are secondary to infection. Although the ventricles of the fetus become smaller after surgery, the prognosis is not good, such as shunt infection, sepsis, developmental delay, etc. Problems arise again and again...

Therefore, so far, modern medicine still has no good way to deal with progressive hydrocephalus in intrauterine fetuses.

Another disease that requires intrauterine treatment is fetal open myelomeningocele.

The natural solution to this disease is intrauterine bulge repair.

There are not so many bells and whistles about this surgery. Currently, medicine has only developed the technology of "direct repair of dural defects."

After treatment, the proportion of children with hydrocephalus and Chiari malformation in later stages was reduced, and the cognitive and lower limb motor functions of the fetus were improved after birth, but the effect was effective.

Moreover, after the operation, pregnant women developed a series of problems, including but not limited to oligohydramnios, chorionic membrane separation, placental abruption, pulmonary edema, etc. Due to various factors, the probability of premature delivery of the fetus reached an incredible level. , almost all pregnant women who underwent this surgery suffered from premature birth!

It can be said that whether it is intrauterine fetal hydrocephalus or fetal myelomeningocele, our exploration of intrauterine treatment is still in its infancy.

There is no historical experience for reference!

Dr. Xu’s first minimally invasive interventional treatment of Galenic vein malformation may rewrite the history of intrauterine treatment!

I have a hunch that this will be one of the future directions.

It is also the best solution to save severely deformed newborns!

All in all...the first in the world, far ahead! "

…

Of course, in addition to touting, many experts also see the difficulties of this technology.

Wei Teng, director of pediatrics at Tiandu Children's Hospital, Tiandu Medical University Affiliated Hospital, also expressed his views.

The Children's Hospital of Tiandu Medical University is considered the leader in pediatrics and neonatology. It has been leading the development of pediatrics for more than 20 years and has an international scientific research cooperation base for major childhood diseases.

Wetten: "There is no doubt that we are far ahead, but I want to pour some cold water on it.

"It is not easy to identify venous malformation of Galen in the uterus. This time, the Maternity and Children's Hospital in Shanghai discovered the heart enlargement, and then searched for the cause in reverse. It took nearly a month to find the cause...

Pregnant women spent nearly 50,000 yuan on examination fees.

Let me ask you, how many clinical people are willing to spend this money to bet on whether an enlarged heart means a serious disease? Not to mention that venous malformations are very rare. Among 10,000 enlarged hearts, there may be even a vein of Galen. There are no deformities.

Even if the disease has been locked, many arteriovenous malformations may be high-flow fistulas supplied by multiple arteries, and must be embolized multiple times through the arterial route... Using Dr. Xu's method, how many doctors in China can match his operating skills?

In a simple word, the significance of this technology is greater than its actual value.

This is an ultra-difficult surgery that only Dr. Xu can perform!

Perhaps the overall difficulty is not as high as the combined heart, liver, and lung transplant he once performed, but intrauterine minimally invasive interventional treatment is also a field that almost no one can set foot in except him!

What I am looking forward to more is the operating techniques, key points derived from this surgery, and the inspiration it brings to other intrauterine surgeries!

I only hope that the next issue of "Linhai Doctor" will provide a detailed analysis of this operation! "

…

Compared with the rigorous analysis and opinions of experts in the comment area, the general comment area is much more harmonious.

"Fuck you, Niubi!"

"Six six six!"

"Although I can't understand the operation records, it sounds so cool to have an operation before the baby was born. Has our medical level developed to this point?"

"Correction! It's not that our medical level has evolved, it's Dr. Xu who has evolved!"

"It feels like we have slowed down Dr. Xu's evolution..."

"How can we say we are a drag? He is clearly the one who has raised the average of human medicine!"

"Doctor Xu said that I am so tired that I can't carry him anymore!"

"..."

In the office.

Shi Lian, who had just come back from another operation, was swiping the screen of his mobile phone with great joy.

"Netizens are all talented people... You can't help them... it's so funny!" Shi Lian showed this comment to Xu Qiu.

The latter glanced at it, shook his head and said, "Nothing."

"Well, I think we are holding you back a bit, teacher!"

"I mean, there's no such thing as 'I'm so tired.'"

Isn't surgery the secret to keeping your body and mind happy? How can you say that you are exhausted?