Chapter 2125: 2052 I Want to Livestream Surgery (Alliance Leader GZ86LG Bonus Chapter 4)

"Zheng Ren, are you confident?" Director Yan asked solemnly.

Director Kong sat to one side, frowning.

And Zhang Lin, the director of the cardiology department, had the same expression; they were completely unfamiliar with intracardiac intervention surgery and had no idea.

"Ding—"

Zheng Ren heard a task notification sound in his ear.

【Emergency Task: A possibly abandoned new life.

Task Content: Successfully complete one intracardiac intervention surgery.

Task Time: 12 hours.

Task Reward: 100,000 Experience Points, 20,000 Skill Points, Grandmaster Level Skill Book ×1, Luck Value +2.】

Another task that adds Luck Value! Zheng Ren felt a bit excited.

Compared to Luck Value, Zheng Ren looked forward more to the success of the intracardiac intervention surgery.

The novel technique, the safety of mother and child, system seal certification—this meant that after going to the system to buy Surgical Training Time, he could do Surgical Training.

In this situation, Zheng Ren didn't need to worry that after entering, the System Operating Room would be empty, with nothing inside.

He lowered his head slightly, pretended to think, then went straight to the System Space. He opened the System Mall and clicked to purchase Surgical Training Time.

The System Operating Room rose up from the ground, and Zheng Ren dove right in.

Shou Bing is not done under X-ray but completed under ultrasound guidance. Ultrasound—Zheng Ren's level is very high.

At least Director Qi of 912 acknowledged Zheng Ren.

After starting the Shou Bing, Zheng Ren discovered a problem, the same as a PICC catheter falling into the heart—he was alone, with no assistant.

MD! Big Pig Trotter didn't even know to give him an assistant; Zheng Ren cursed inwardly.

Although the difficulty was great, it wasn't like the previous Shou Bing, which required an assistant to constantly cooperate in pushing medication; a slight lapse would cause the patient's heart to stop beating.

Moreover, Zheng Ren's ability to operate with both hands simultaneously was very high; doing it alone was only somewhat difficult, but not a problem.

The ultrasound was placed on the experiment subject's belly, beginning to search for the connection between the fetus and the experiment subject—the umbilical blood vessel.

At 32 weeks of pregnancy, the umbilical blood vessel should be about 3-4 mm.

But for some unknown reason, the umbilical blood vessel between the pregnant woman and the patient before him was very thin; after repeated measurement, Zheng Ren found it to be about 1.8 mm.

The diameter had almost been halved, which increased the difficulty of the Shou Bing once again. To succeed in a single puncture was nearly impossible.

But for Zheng Ren, who was ever higher after reaching the peak, it was just that.

Waiting for the fetus to turn and change position consumed a long time.

Zheng Ren was not in a rush either, knowing that waiting was necessary.

If you could find the ideal position right away, that would be for adult Shou Bing, absolutely not for intracardiac intervention surgery.

After 23 minutes and 12 seconds, the patient finally shifted to a position satisfactory to Zheng Ren. He punctured directly and hit the mark.

Afterwards Zheng Ren began using sedative drugs, making the fetus temporarily still, stopping fetal movement.

In intracardiac intervention surgery, if the fetus keeps moving wildly, success is basically impossible. Even if successful, it's a matter of luck, depending on whether the child moves during the procedure.

Therefore, fixing the fetus in place is necessary.

With the fetus in the left lateral position, the fetal abdominal wall, uterus, and left ventricular outflow tract formed a smooth passage; Zheng Ren began to guide the guidewire in.

B-ultrasound determined the position; the guidewire and balloon arrived at the congenital stenosis point, and Zheng Ren began to inflate the balloon.

Accustomed to adult Shou Bing, he inflated the balloon only once, and the Shou Bing was declared a failure.

The pressure was too high, and the patient's fragile blood vessel burst directly.

Zheng Ren knew it was his own carelessness, perhaps because he was in the System Operating Room.

This was quite bad; Zheng Ren immediately conducted a self‑critique.

This absolutely cannot happen; if in future external Shou Bing he didn't consider all aspects and just rushed in like that……

Thinking of this, Zheng Ren broke out in a sweat on his back.

He started the Shou Bing again, waiting again for the fetus to shift to the left lateral position. Puncture, guidewire entry.

In Zheng Ren's view, the difficulties others faced were not difficulties at all.

The ultrasound level was Master‑level, and it could also switch images, reconstructing from B‑ultrasound to X‑ray images or even three‑dimensional reconstructions.

This advantage was unparalleled.

Especially in intracardiac intervention surgery, compared to other doctors, Zheng Ren was already just one step from the finish line at the start.

For Zheng Lao Ban, the only difficulty was adapting to the fetus's anatomical structure and the hardness and elasticity of the vessel wall.

The second Shou Bing went smoothly; using the balloon to slightly expand the narrowed aortic valve position, ultrasound showed: the fetus's trans‑valvular aortic flow velocity dropped to 3 m/s, pressure gradient dropped to 36 mmHg.

This meant the patient's severe aortic valve stenosis had been reduced to mild‑moderate.

At this point, Big Pig Trotter gave the Shou Bing a completion rate of 96%.

If he stopped now, there would be no problem.

The fetus could wait in the mother for natural delivery. Although there would be a few minor issues after birth, waiting until adulthood to perform aortic valve surgery would be feasible.

Although that was the case, Zheng Ren was still somewhat dissatisfied.

He continued with slight motions to expand the narrowed aortic valve, but the result was contrary to his wishes.

Shou Bing time was a hurdle to step over.

The earlier it ended, the fewer complications. If he insisted on making the aortic valve stenosis merely mild, the time consumed would be too long; a single uterine contraction of the pregnant woman would cause the Shou Bing to fail completely.

This Shou Bing demanded such high precision that the margin for error was extremely small.

Zheng Ren sighed, then repeated the Shou Bing several more times. This time he did not pursue perfection, but stopped when the result was good enough.

A Shou Bing completion rate of 96% was completely acceptable.

After withdrawing the guidewire and balloon, amniotic fluid aspiration showed no bloody substance, meaning neither the pregnant woman nor the child had any bleeding.

Shou Bing success!

Zheng Ren smiled slightly.

For him, the difficulty of this Shou Bing is not comparable to the previous Shou Bing to remove the PICC catheter done at the Tumor Hospital.

But the significance of intrauterine Shou Bing is nevertheless extraordinary!

This gives congenital heart disease patients an early treatment Opportunity.

Starting from implantation, by the eighth week of pregnancy, the fetus's heart development is basically set. Whether the fetus's heart is normal, whether congenital heart disease will occur, and what problems it will have are already determined.

By weeks 11—13 of pregnancy, congenital heart disease begins to show signs. The 'China Birth Defect Prevention and Treatment Report (2012)' mentions that there are 130,000 cases of congenital heart disease per year, which is still the 2012 data.

You have to know, back then the second-child policy was not open.

And now, it is certain that this number will further increase. Hundreds of thousands of fetuses need treatment, but clinical doctors are helpless.

Using Interventional surgery to treat patients intrauterinely is of extraordinary significance. Regardless of difficulty, at the very least it can give clinical doctors a direction, rather than giving up outright.

Zheng Ren came out of the System Space, raised his head, and looked directly into Director Yan's eyes, 'Director, I have only one request—the Shou Bing can be performed, but it must be livestreamed.'