Chapter 2426: 2342 Abdominal Organs Outside the Abdominal Cavity

【They said to quickly write a love song……】

「Hey, Director Lin. 」

「Seeing red? Okay, I'll come right away. 」

He only said two sentences, Zheng Ren hung up the phone and stood up with a "Hu."

「Yi Ren, get ready for surgery. 」 Zheng Ren said in a low voice.

「What patient? 」 Su Yun asked, raising her head.

「Triplets, the pregnant woman is showing red, and one fetus has a giant congenital umbilical protrusion. 」 After Zheng Ren finished stating the main points, he hurried to change shoes, 「Yi Ren, take it easy, your side isn't urgent. 」.

Xie Yiren threw the pillow onto the sofa, already prepared to go back and change clothes, she responded with a sound, and in her haste didn't say anything else.

「You drink it yourself. 」 Su Yun said to Chang Yue with some regret.

「You've been drinking, you can't go on stage, don't go. 」 Zheng Ren said.

「You can't keep up. 」 Su Yun, feeling lost, stroked Heizi's head, got up and they changed shoes together, 「During placental-supported delivery, fetal surgery, do you know how to position the body? 」.

Zheng Ren couldn't be bothered with Su Yun, the two changed shoes and went downstairs, running all the way to the hospital.

On the way, Lin Ge called again, saying the relevant information was sent to WeChat.

Zheng Ren didn't go to the Emergency Department, but ran to the Inpatient Department, took out his phone and glanced at it.

The pregnant woman was sent to the obstetrics department, the obstetrics and pediatrics department heads were rushing from home, and Director Wang of the Women and Children's Hospital and related personnel were also coming from home.

Upon entering the Inpatient Department, Zheng Ren heard a clear "ding-dong~" sound in his ear.

Big Pig Trotter issued a quest?

He glanced at it, didn't have time to look closely, and ran up all the way via the fire escape.

「Boss, if it were anyone else, running over would exhaust them half to death, they couldn't even think of doing surgery. 」 Su Yun, with energy to spare, went up three steps at a time, and said to Zheng Ren along the way.

This guy is so talkative, if he doesn't speak he'll suffocate, Zheng Ren thought.

Should we buy an electric car? Something unrelated to emergency rescue popped into Zheng Ren's mind.

No need.

Electric cars still need daily charging; I don't have time, would I have to make Yi Ren carry the battery upstairs? That's not realistic.

Rather than that, it's better to run fast; Zheng Ren immediately dismissed the idea of buying an electric car.

All the way to the obstetrics department, the Inpatient Chief was guarding the people in the ultrasound room who were looking at the ultrasound.

「How is it? 」 Su Yun asked after entering.

Zheng Renze stood behind the doctor in the ultrasound room, looking at the ultrasound image.

For congenital umbilical protrusion with abdominal wall defect less than 5 cm, perform a one-stage surgical treatment.

For fetuses greater than 5 cm, it is recommended to first do symptomatic treatment, then wait for the abdominal cavity to gradually expand before performing a two-stage surgery.

The ultrasound image showed that the fetus's abdominal organs……were almost entirely outside; after viewing it, Zheng Ren's hand felt a little numb.

This……

He glanced at the system quest and thought it would be better to start from Big Pig Trotter's hint.

【Urgent quest: Abdominal organs not inside the abdominal cavity.

Quest content: Treat a fetus with giant congenital umbilical protrusion.

Quest time: 8 hours.

Quest reward: 100,000 experience points, 15,000 skill points.】

Zheng Ren almost got moved to tears by Big Pig Trotter's stinginess.

For such a giant congenital umbilical protrusion patient, Big Pig Trotter actually gave only this meager reward. Zheng Ren was also quite helpless, but now wasn't the time to dwell on it; he immediately entered the system space and clicked to purchase surgical training.

Regarding pediatric diseases and surgery, Zheng Ren doesn't know much. But after all, his general surgery skill has reached peak level, so the likelihood of successfully performing the surgery is quite high.

The system operating room rose from the ground, and Zheng Ren dove right in.

Seeing the experimental subject on the operating table, the odd thing was that there was a small bed between the subject's legs.

No wonder Su Yun that guy said he didn't know how to position the body; it turns out he had seen a similar surgery before.

That small bed in the middle is for performing surgery on the patient.

Normally, after the fetus leaves the mother's uterus, the uterus naturally contracts, causing the placenta to detach. But during this procedure, the fetus's blood supply and oxygen depend on the umbilical cord, so the placenta cannot detach; therefore, the mother must be given deep anesthesia to suppress uterine contractions.

After the fetus leaves the uterus, it usually begins breathing on its own, while the umbilical cord stops working. To prevent the fetus from crying and breathing spontaneously during surgery, it must also be anesthetized.

While anesthetizing the mother and fetus, we must maintain the mother's normal blood pressure and ensure the fetus's cardiac function is unaffected; the surgery is very difficult.

Throughout the surgery, the anesthesiologist remained in a state of high tension. The mother's side needs close monitoring; there can be no slip-up.

But this is only part of it, and relatively speaking, it's not an important part.

The fetus's umbilical cord is relatively short, only about 30 centimeters long; positioning the operating table this way makes sense. Performing surgery on the fetus is the hardest part, and it's still connected to the mother via the umbilical cord.

Zheng Ren didn't rush into surgery, but began recalling the relevant literature.

After about an hour, Zheng Ren figured out how to perform the surgery; at least two teams are needed, plus two anesthesia teams.

Especially, the personnel anesthetizing the newborn are crucial.

Yet the surgery cannot simply return all organs, or else it would raise the newborn's abdominal cavity pressure, pushing up against the diaphragm, leading to breathing difficulties or even death by asphyxiation.

Let's do the surgery first and see; Zheng Ren began surgical training.

……

……

「That heavy? 」 Su Yun muttered to herself while looking at the ultrasound image.

「Initially considering that the fetus's abdominal organs are all outside. 」 The ultrasound room doctor completed the ultrasound as quickly as possible, then hurriedly told the conclusion to the clinical doctor.

This conclusion almost declares that the fetus is hard to save, almost certainly doomed.

「Boss, I'm going to the operating room to prepare things. 」 Su Yun's black hair fluttered on her forehead, she was somewhat anxious.

Zheng Ren reacted a bit slowly; Su Yun shoved her boss with her shoulder and asked, "Hey, I'm talking to you!"

"No." Zheng Ren said, "Go explain to the patient's family about the surgery live broadcast."

"Uh..."

"Post-op, there will be a few more surgeries; if we could livestream the surgery, we wouldn't have to worry about expenses. They haven't done any prenatal checks, so I suspect the family's circumstances are poor—if they lack money, they might easily abandon him." Zheng Ren said.

His voice was calm and deep, beyond doubt.

"Get a few people from obstetrics and neonatology to come with me to the operating room." Zheng Ren said.

The inpatient chiefs of the two departments standing aside, although they didn't understand what Zheng Lao Ban meant, still responded.

"Call Lao He, and also find an anesthesiologist who can intubate the newborn."

"Prepare a cotton blanket."

"Forced-air warming blankets, two."

"Sterile infrared radiation table."

As orders were issued one after another, Su Yun and the inpatient chiefs of the two departments immediately became busy.