Is The Nurse’s Girlfriend Cute? She Stabs People And Avoids Vital Points

Although the four operations were performed at the same time, they were certainly not performed simultaneously.

Because Shen Ruicong's heart removal surgery must be completed first before heart transplants can be performed on Chu Wenjie and Ding Fengjuan.

Shi Chunlin's heart transplant surgery can only begin after Ding Fengjuan removes the original heart.

So the order is, Shen Ruicong goes first, Chu Wenjie and Ding Fengjuan go together, and Shi Chunlin is the last one.

Moreover, Shi Chunlin still needs to transport the heart there.

Operating room.

Lu Ming is already sitting in front of the operating console of the "Huatuo" machine.

He put on the equipment and waited for the anesthesiologist to give Shen Ruicong anesthesia.

And at a certain window in the operating room, a group of people were gathering here.

This is an observation room.

They are experts from all over the world.

This surgery is very meaningful to observe.

These people also put in a lot of effort to be able to go to the scene and observe.

After all, the space was limited, and some people almost started fighting over a position.

Although this operation will definitely be recorded throughout, it is a unique case after all.

But watching a videotape is always not as clear as watching it live.

[It’s been five minutes since I went in. Has the operation started? 】

[I’m afraid I’ve just reached the stage of injecting anesthesia. 】

【Ah ah ah! I really want to see the operation process! 】

[Forget it, the surgical process cannot be made public, at least not for now, but it may become a case in a lesson plan in the future. 】

[This operation will take at least an hour, right?]

[One hour? I’m afraid you have no idea about heart surgeries! It’s normal for complex surgeries like this involving the heart to take five or six hours! 】

[Blind guess, by the time I finish dinner, the surgery may not be over. 】

[I hope all four operations will go smoothly!]

In Li Xuejing's live broadcast room, netizens could only complain because they could no longer see the follow-up process.

But they still silently prayed for Shen Ruicong and others, hoping that they would all be safe.

Operating room.

The anesthesiologist prepared the amount of anesthesia.

He raised his head and glanced at Lu Ming. After seeing Lu Ming nodded slightly to him, he immediately began to inject Shen Ruicong with anesthetic.

This type of surgery must be done under general anesthesia.

Lu Ming watched the anesthetic injected into Shen Ruicong's body and took a slow breath.

Shen Ruicong now is like a heart donor. 197

The heart removal surgery he performed also involved removing the donor heart.

Conventional donor heart removal involves making an incision in the middle of the sternum.

The veins, pulmonary artery and aorta in the upper and lower cavities are freed.

Heparin also needs to be injected into the vein to act as an anticoagulant, which means to prevent blood clotting.

The next step is to perfuse cold myocardial paralysis solution into the aorta.

Then it's time to cut off the tissue.

First, the superior vena cava is cut off 4 cm above the right atrium.

Then the inferior vena veins were cut off at their roots, and the right atrium was cut upwards.

The next step is to cut off the posterior wall of the left atrium from the opening of the pulmonary vein to form a square opening.

Then the aorta should be transected at the beginning of the brachiocephalic trunk, which is where the innominate artery begins.

The innominate artery is a special artery that only exists on the right side.

Finally, cut the pulmonary artery at the bifurcation.

The entire heart removal process is over.

At this point, the whole life of the heart donor, that is, the heart donor, will come to an end.

However.

This is just the normal process of removing a donor heart.

Obviously, Shen Ruicong's heart was removed from an abnormal donor.

None of the theoretical processes above apply!

The two hearts are not located in the chest, and the veins and arteries are not in the right places, so it is very difficult to remove them.

*******

"Don't worry about the normal heart in your chest."

"The heart between the lungs and liver is suitable for Chu Wenjie.

"The heart between the spleen and left kidney is more mature and larger, so it is suitable for Ding Fengjuan.

Lu Ming considered which heart to start with.

The most basic thing for heart transplantation is HLA matching, which is also the leukocyte antigen matching.

Only when this match is achieved can it be considered half the battle.

The next one is the weight requirement in kilograms.

The human chest has a certain size, and the size of the heart that can be accommodated is also limited.

It's too big, it won't work, and it won't work if it's too small.

The difference cannot exceed 15%.

This is why it is relatively rare to transplant an adult's heart to a child, or a child's heart to an adult.

Because there is a huge difference in heart size.

The main reason why Ding Fengjuan's transplant failed was also due to this.

The transplanted heart she received reached the threshold of 15% body size difference!

In other words, the transplanted heart is too large.

But this oversized heart is just right for (ccei) Shi Chunlin, and the size difference is less than 2%.

The heart that grows faster in Shen Ruicong's body, that is, the heart between the spleen and left kidney, is just right for Ding Fengjuan, with a size difference of less than 5%.

The heart between the lungs and liver was just right for Chu Wenjie, and the difference in body shape was basically negligible.

So, eventually everyone can get a suitable heart.

The only problem that needs to be faced now is the surgical process.

"Start with the heart, between the lungs and liver."

After careful consideration, Lu Ming decided to start with the heart.

at this time.

The anesthetic has also taken effect.

With the cooperation of Lu Ming and several assistants, the micro-robotic arm entered Shen Ruicong's body through the incision.

The situation inside Shen Ruicong's body was clearly visible to Lu Ming through the probe attached to the robotic arm.

Lu Ming seemed to be personally inside Shen Ruicong's body.

Tissues such as blood vessels are clearly visible.

Lu Ming carefully peeled off part of the blood vessels. There was also a connected aorta to the redundant heart.

Lu Ming has already considered this before, and found that the vein can be cut 4 centimeters away from the extra heart.

As for other arteries, the resection locations will be somewhat different.

But this is not a problem for Lu Ming.

"Artificial Heart Preparation."

Lu Ming said.

After the extra heart is removed, an artificial heart needs to be inserted immediately.

"The artificial heart is ready!"

the assistant responded.

Lu Ming took a deep breath and began to cut off the veins and arteries!

Crack!

The first vein is severed.

Then the second one, and the third one.

Crack!

The robotic arm severed another artery.

Immediately afterwards the second artery was severed.

The process was surprisingly smooth!

Lu Ming worked hard to remove the heart and began to insert an artificial heart at the same time.

This is a specially customized artificial heart, which is expected to be removed after Shen Ruicong uses it for two years.

The same is true for the other artificial heart that has not yet been implanted and is also expected to be removed in two years.

When the time comes, all he needs is a healthy heart to survive.

"The artificial heart has been implanted and is already functioning.

the assistant said.

Outside the glass window, everyone in the medical field watching the operation clasped their hands and cheered secretly.

This first step is a very good one!

I hope the removal process of the second heart can go as smoothly!

"Send your heart to the next door."

Lu Ming said to an assistant.

The assistant nodded and carefully put the removed heart into a special box.

Then he picked up the box and rushed to the operating room next door.

This also means.

Chu Wenjie's surgery is about to begin!

When the heart was sent to the operating room where Chu Wenjie was, the medical staff who had been waiting for a long time immediately took action.

The first heart transplant operation begins!

Lu Ming's side.

He took a deep breath and adjusted himself.

At this time, his pressure increased sharply.

The process of removing this second heart is probably several times more difficult than the first one.

That's because the first heart that was removed grew close to the normal heart, so basically the arteries and veins connecting the heart didn't deviate too much.

The arteries and veins connected to this second heart looked like crooked tree branches, which made Lu Ming feel helpless.

Lu Ming repeated the previous steps, first peeling off some tissue near the second heart.

After the clearly visible arteries and veins were exposed, Lu Ming began to think about where to cut them off.

He felt like a "bomb disposal expert."

Right now I am thinking about whether I should cut the “red line” or the “blue line”!

If you cut the wrong "color".

It is very likely that there will be a "bang" sound and the "bomb" will explode.

"Considering the location of this second heart, its participation in blood circulation is also at the end.

"It should be cut roughly at 5 centimeters."

Time passed minute by minute, but Lu Ming was still thinking.

More than an hour has passed since the operation started.

More than ten minutes have passed since the first heart was removed.

The experts outside the glass window were all staring at Lu Ming nervously, wanting to know his next move.

"Cut it."

Lu Ming took a deep breath and cheered herself up.

Finally, at 5 centimeters, the first vein was cut off.

After cutting off, Lu Ming observed carefully for a while, and then he breathed a sigh of relief after confirming that there was nothing abnormal.

This small step towards success also gave him the confidence to take the next steps.

He severed two more veins in succession.

Immediately, he began to operate the robotic arm and cut off the first artery.

After cutting off this time, he still paused and observed for a while.

Still no problem.

So go ahead.

After a while.

As long as the next artery is cut off, the removal of the heart is complete.

The last artery was severed!

"Take the heart!"

Lu Ming let out a sigh of relief.

it's over.

The extraction process finally ended successfully.

As long as the second artificial heart is clicked on, Shen Ruicong's operation will be successfully completed.

"marvelous!"

"Well done!"

"Doctor Lu can do it!"

The doctors and experts in the observation room were all cheering for Lu Ming.

However.

The corners of Lu Ming's raised lips suddenly dropped.

"etc!"

He quickly spoke out to stop the assistant who wanted to take out the heart.

The assistant was startled, "Dr. Lu, what's wrong?"

Lu Ming squinted and saw the picture displayed on the machine's screen.

He vaguely saw that there was a vein connected to the heart!

"Damn it! What's going on?"

"Is this a hidden mission?"

Lu Ming suddenly looked puzzled.

This is like during the bomb disposal process, between the red line and the blue line, it is correct to cut the red line.

And the red thread has been successfully cut.

But suddenly.

Another green line popped up!

What about fun?!

Lu Ming immediately began to observe where this vein came from.

I didn't notice the existence of this vein in the films I took before.

Lu Ming controls the robotic arm and traces the origin of the island.

Finally, I was surprised to find that this vein extended from the tumor discovered earlier!

A tumor was also discovered in Shen Ruicong's body through previous X-rays.

It grows on the left side of the chest, just below the heart.

But because it was later confirmed that the tumor was benign, we left it alone.

It is theoretically possible for tumors to grow blood vessels.

Because tumors are essentially alienated human cells.

It will induce blood vessels to grow on its own body, and then absorb nutrients from the human body through the blood vessels to strengthen itself.

"wrong!"

"This blood vessel has no source!"

Lu Ming took a closer look and was shocked to find that this blood vessel came from the tumor!

These are not blood vessels induced from Shen Ruicong!

In other words, this tumor "developed" on its own!

Countless pictures began to flash through Lu Ming's mind, starting from the Big Bang, and many arithmetic formulas appeared, a lot of chaos.

After letting his thoughts wander for a moment, he finally came to a result.

This tumor may be a parasitic fetus!

Parasitic pregnancy is a rare congenital disease.

Also known as "the fetus within the fetus".

It refers to a certain part of the complete carcass that is parasitized by another or several incomplete carcasses.

To put it simply, the mother may have been pregnant with twins or multiples.

But for some reason, one of the fetuses "lost the other fetus."

If it cannot be "digested" completely, the "eaten" fetus will become parasitic in the intact fetal body in some form.

Then there will be many possibilities, or it will be absorbed in the subsequent growth process.

Either form a tumor-like existence.

It may cause harm to the body, or it may not have any effect.

Obviously.

The parasitic fetus in Shen Ruicong's body has a certain degree of functionality and has developed a blood vessel connected to the redundant heart.

but......

Is it possible that this heart originally came from this parasitic fetus?

Lu Ming had reason to suspect that Shen Ruicong's two extra hearts developed from parasitic fetuses.

In other words, Shen Ruicong's mother Luo Sanmei might have been triplets!

But because of financial constraints, I may have never had a physical examination during the pregnancy, so I didn't know about the triplets.

Later, perhaps due to some accidents, two of the fetuses were "eaten" by another fetus.

In other words, she was "eaten" by Shen Ruicong.

However, it was not completely digested and a part of the functional carcass was left.

These fetuses slowly developed into two hearts with the supply of nutrients from Shen Ruicong's body.

Therefore, these two hearts may not belong to Shen Ruicong, but from his two brothers and sisters who were "unborn"!

Lu Ming fell into deep thought.

Don't tell me, it's really possible!

Although the possibility is extremely small, as long as the probability is not zero, even if it is only one in 100 million, it proves that it is possible!

"If you explain it this way, it makes sense why you have three hearts!"

Lu Ming thinks.

I may have discovered the reason why Shen Ruicong grew three hearts at the same time!