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Let the parents choose which child has a better chance of development. No matter what they choose, they will both feel guilty when facing the other child with developmental delay in the future.

After a long time, the patient's father raised his head and said,"Doctor, do we really have to choose?……"

Xiao Xuebao sighed:"We haven't opened the skull yet, so we can't be sure whether the sagittal sinus can be well distributed. But according to previous head separation surgeries of conjoined twins, once the sagittal sinus is shared, one will be divided more and the other less."

""Doctor, I beg you!"

The patient's mother knelt down and begged.

Xiao Xuebao looked embarrassed and looked at Zhou Yuan with a look of help.

Zhou Yuan came over, helped the patient's mother up, and said:"I promise you, even if there is no equal distribution, the IQ of the other child will not be affected!"

Hearing this, the patient's parents looked much more relaxed.

"If it really doesn't work, then please make the decision, doctor! Give it to whoever is safest!" The patient's father gritted his teeth.

Zhou Yuan nodded, and after comforting the family, he began to prepare for the operation.

An external traction device was placed at the site where the skulls of the conjoined twins were connected. This device will pull the skull at a rate of 2.1mm per day. The purpose is to stimulate the growth of the skull and soft tissue, which can reduce the difficulty of the separation operation.

In addition, subcutaneous soft tissue expanders also need to be placed in advance to stretch and relax the skin.

During these two processes, the conjoined twins will not feel much.

Two weeks later, everything was ready and all the preparations were completed.

The day before the operation, Zhou Yuan had another talk with the patient's family.

Generally speaking, this link will be handed over to the assistant, and the main surgeon will not be involved, but this operation is very difficult, and Zhou Yuan must be present.

Zhou Yuan informed the patient's family in detail about the operation. The risks of brain surgery are too great and must be explained one by one.

There are many postoperative complications, such as amnesia, blindness, visual field loss, etc., and even personality changes, decreased IQ, etc.

Every complication has happened before and is a bloody lesson.

Soon, the patient's parents signed the consent form for surgery, the treatment plan selection form, the consent form for the use of special materials, etc.

The next afternoon, the conjoined twins' physical indicators reached the best condition and were pushed into the operating room by the nurses. The team of fifteen people including Zhou Yuan was ready. In the operating room, fifteen people were squeezed into the space that was originally for six people.

Zhou Yuan was in the main operating position, the neurosurgeon cooperated with the anesthesiologist, and the plastic surgeon was waiting for the later grinding of the skull and plastic surgery of the separated skull of the newborn.

""Let's start the anesthesia." Zhou Yuan said.

The dosage of anesthesia for newborns should be paid special attention to. After discussion, the anesthesia scheme chosen was intravenous and inhalation combined anesthesia.

The use of intravenous and inhalation combined anesthesia can avoid the pain of simple intramuscular injection or venous puncture. Similarly, it can also avoid large doses of anesthetic gas that can cause respiratory depression, dryness of the mouth and nose, and even mental trauma.

"Anesthesia is complete." The anesthesiologist's voice sounded.

Zhou Yuan nodded,"Start counting the instruments.

The instrument nurse was counting carefully beside him:"One, two, three..."

Because the patient was a newborn, Wei Jing and the other two doctors who were good at dealing with newborns were also in the operating room.

At this moment, they also helped count.

"The inventory is complete."The equipment nurse said

""Okay, let's start the operation." Zhou Yuan said.

The atmosphere in the operating room suddenly became heavy, with only the sound of the instruments and everyone's breathing.

"Lateral position."

Because the patient was a newborn, the operating table could accommodate both of them.

After positioning them, Zhou Yuan drew an incision line at the connection between their skulls.

""Prepare for minimally invasive chest surgery."

This step was taken by Lu Chenxi and another director of the Department of Thoracic Surgery.

The two of them went to the conjoined twins and prepared to perform minimally invasive chest surgery.

If excessive blood loss occurred during the operation, they would immediately temporarily stop the heart function and stop the blood supply to the body.

""We are ready."

Lu Chenxi and the director of thoracic surgery made a small incision on the two conjoined twins and then reported:

""Scalpel."

Zhou Yuan took the scalpel and slowly cut the scalp along the previously drawn incision line.

"Hemostatic forceps!"

Zhou Yuan moved quickly and immediately started to stop the bleeding after cutting the scalp.

The most dangerous thing about this operation is excessive blood loss, so the less bleeding, the better.

After stopping the bleeding, Zhou Yuan cut open the subcutaneous tissue and muscle tissue layer by layer, and finally turned over the skin flap to expose the skull underneath.

"Electric drill."

The instrument nurse handed over a medical electric drill.

Zhou Yuan took it and carefully made a small incision in the skull.

""

It was already agreed that the operation would use a manual milling cutter.

Electric milling cutters are not easy to control the strength and are not as precise as manual milling cutters.

Of course, this is for Zhou Yuan.

Most people don't know how to use manual milling cutters. On the one hand, it is tiring to use, on the other hand, the speed is very slow, and of course, the most important point is that their own strength and skills are not up to standard. In order to maximize the success rate of the operation and reduce the risk, Zhou Yuan chose a manual milling cutter.

Not long after, the skull was cut open, and the underlying dura mater was exposed in the surgical field.

""The first step is to remove half of the skull strip and then remove the soft tissue." Zhou Yuan said.

As he spoke, he slowly cut open the hard dura mater, exposing the brain inside the skull.

It can be clearly seen that the two brains grow adjacent to each other, but are not connected together, and there is a possibility of separation.

Zhou Yuan carefully separated the surrounding brain tissue - this step is relatively easy, but because it is inside the skull, it requires extremely delicate operation. Once other structures are accidentally touched, it is likely to cause irreparable trauma.

After a long time, Zhou Yuan breathed a sigh of relief, put the tissue scissors on the table, and said:"The soft tissue is completed."

After asking the nurse to wipe his sweat, Zhou Yuan took a deep breath.

Now it was time to separate the brain hemispheres.

This was the longest step in the operation. Although the brains of the conjoined twins were not connected together, it still took five or six hours to separate one side of the brain hemisphere.

Zhou Yuan put on his glasses and separated them carefully.

Everyone held their breath.

No one dared to disturb Zhou Yuan at this time. If the force was a little greater, the fragile brain tissue might be damaged, and brain damage was almost irreversible.

Just after the operation went smoothly for more than three hours, the anesthesiologist who had been monitoring the baby's vital signs suddenly changed his face.

"Doctor Zhou, too much blood loss!"

Zhou Yuan's face changed and he immediately raised his head.

"Quick! Blood transfusion!"The director of thoracic surgery said hastily.

"No, don't give me a blood transfusion yet!" Zhou Yuan stopped him.

"Why?!"

At this moment, everyone was stunned.

He lost too much blood but didn't give a blood transfusion. What did Zhou Yuan want to do?!_

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