Chapter 2427: with translation of chapter title

"The pregnant woman is about to give birth." The obstetrics inpatient chief whispered a reminder while preparing things.

"We can still hold on for 52 minutes, hurry up and prepare things!" Zheng Ren's voice was somewhat stern and low.

The obstetrics inpatient chief was stunned for a moment; she also didn't know how Zheng Lao Ban assessed those 52 minutes.

Now it's so advanced? How come I didn't know.

And Zheng Ren didn't notice he had slipped up, continuing to direct the rescue.

"Notify the operating room, once everything is ready, hurry up and disinfect, give them 30 minutes." Zheng Ren continued to say.

"Okay." Lin Ge had just arrived, not knowing what had happened, but Zheng Lao Ban's instructions would certainly be carried out without hesitation.

The gears of the patient's rescue turned, and a mysterious click-click sound came from the space. The huge machine immediately started turning, with an unknown number of doctors and nurses bustling about.

"Anesthesiologist, can our hospital give anesthesia to a newborn just born?" Zheng Ren looked at the pregnant woman, emphasizing this point again.

"I'll call the Women and Children's Hospital to get in touch."

"Hurry up!"

5 minutes, the patient's family agreed to the surgery live broadcast.

12 minutes, the warming cotton blanket was brought to the operating room.

14 minutes, two forced-air warming blankets were sent to the operating room.

19 minutes, the sterile infrared radiation table was moved to the operating room.

The operating room began disinfection, performing a final sterile treatment.

23 minutes, personnel from the Xinglin Garden Legal Department came to the obstetrics department, together with lawyers from the Medical Department, signing legal documents with the patient's family.

34 minutes, Director Wang of the Women and Children's Hospital, the anesthesiologist, and a professional neonatal nurse arrived by ambulance at 912.

45 minutes, the pregnant woman was sent to the operating room, preoperative preparations completed.

47 minutes, Lao He began administering general anesthesia to the pregnant woman with a solemn expression. The anesthesiologist from the Women and Children's Hospital busily prepared the equipment he needed, preparing to give anesthesia to the fetus.

"The operating room temperature is raised, 26……28 degrees Celsius." Zheng Ren said.

"Okay." In the melodious singing of Good Luck Come, the circulating nurse responded.

The operating room temperature is usually adjusted according to the surgeon's habit, but most surgeons in the operating room request a temperature around 24-25 degrees Celsius.

This temperature feels best, neither cold nor hot; when the surgeon's condition is good, the surgery proceeds smoothly.

However, 28 degrees Celsius, this temperature is too high for the medical staff in the operating room.

Yet the circulating nurse did not ask Zheng Lao Ban why he wanted to raise the temperature; beside her lay various warming items, silently explaining everything.

The operating room temperature must be higher.

Compared with regular obstetrics surgery, the risk of hypothermia for the mother and newborn during fetal surgery at birth is greater. Maternal anesthesia and prolonged surgery time, increased intraoperative fluid infusion, and the fetus taking away a large amount of maternal heat after delivery easily lead to a drop in maternal body temperature.

Moreover, the surgery still needs to be performed on the fetus while the placenta is present, with an open abdominal cavity, prolonging the operation, further increasing the risk of maternal hypothermia.

Not only the mother, but the fetus also needs a higher temperature.

The thermoregulatory center of the fetus or newborn is underdeveloped, with low ability to maintain body temperature; excessively low temperature leads to respiratory complications such as respiratory suppression and delayed postoperative awakening.

Therefore, during surgery, the vital signs of the mother and newborn must be closely monitored, and effective warming measures taken to care for both.

This is just a detail; each detail is a component of that huge machine. Only when all components are flawless can the result Zheng Ren desires possibly be achieved.

"The radiation warming device begins preheating." Zheng Ren continued to direct.

Xie Yiren carried a package that had been disinfected, a sterile surgical box, to the operating room, scrubbed in, stepped up, and lightly touched the instruments.

Whether it be the surgeon, anesthesiologist, instrument nurse, or circulating nurse, there are two teams.

Even so, the two circulating nurses were busy to the point of almost flying, while the off-stage pediatric and obstetrics doctors helped out together.

The radiation warming device was preheated; the mother's upper body was covered with a cotton blanket, and her outstretched arms were wrapped in surgical drapes.

Two sets of forced-air warming blankets were used simultaneously, covering the mother's lower body; one set's exhaust faced upward for the mother's warmth, the other set's exhaust faced downward for warmth of the newborn before the umbilical cord is cut, with temperature controlled at 45 degrees Celsius.

The fluid warming instruments had long been turned on, a row of 37-degree Celsius fluids laid out. Neat, solemn.

Anesthesia completed; Lao He stretched out his hand, giving Zheng Lao Ban a thumbs-up to indicate anesthesia was finished.

The airtight door closed, and the surgery officially began.

The obstetrics doctor went first, opening a 12 cm longitudinal incision in the pregnant woman's abdominal wall, beginning the cesarean section.

The first and second fetuses were smoothly delivered.

In a 28-degree Celsius environment, wearing sterile surgical gowns to perform the surgery, plus facing a newborn with congenital giant omphalocele, under the tension, after more than ten minutes of performing the cesarean section, the Women and Children's Hospital's Director Wang's back was already soaked with sweat.

Zheng Ren finished scrubbing, put on his clothes, and stood motionless like a mountain, watching the entire surgical process.

He stood before the constant-temperature table beneath the pregnant woman's legs, staring at the third patient with giant omphalocele.

The umbilical hernia's intra-abdominal organs were exposed outside the abdomen through the open umbilical ring, merely different from an ordinary hernia; although the organs lacked skin coverage, they were enveloped by a semi-transparent, avascular membrane.

This membrane is formed by the convergence of the inner peritoneal layer and the outer amniotic layer, with a gelatinous connective tissue in between.

After Director Wang removed the two fetuses, he did not immediately attend to the third patient still in the uterus, but instead turned his head to wipe sweat.

A sterile gauze band was wrapped around his head, and the disposable sterile cap was already soaked through.

In the operating room, aside from the singing of Good Luck Come, no one spoke.

Only now was the surgery truly considered to have begun, reaching the most critical surgical step.

After Director Wang wiped his sweat and lifted his head to look at Zheng Ren, Zheng Ren slightly nodded, indicating he was ready.

"Body temperature." Zheng Ren asked.

"Before surgery, the pregnant woman's temperature was 36.7 degrees Celsius; now it is 37.1 degrees Celsius." Lao He said in a low voice.

Director Wang then carefully moved aside the abdominal organs wrapped in the semi-transparent membranous structure, and gently extracted the patient's left arm.

Zheng Ren reached out, and a syringe that had been drawn of medication was slapped into his hand.

Triplets; the heaviest newborn weighed only 2.6 kg, while the lightest patient was estimated at about 2.3 kg.

The arm was very slender, and the blood vessels were hardly visible.

Wanting to get immediate effect, the difficulty is not generally high. Facing newborn's Shou Bing, Director Wang has done many cases, this step is the most time-consuming.

Invisible Blood Vessel, still need to get immediate effect. Sometimes Shou Bing takes 5-10 Minutes on this step, until the infant's arm is pricked with over ten needles, still unable to find a Vein Blood Vessel that can accept the needle.

Looking at the internal organs wrapped in the semi-translucent membranous substance inside the pregnant woman's uterus, Director Wang sighed.

Strictly speaking, the infant before us is no longer considered an umbilical protrusion. To be precise, it should be — no abdominal skin.

This severely Impacted the fetus's growth.

Blood Vessel conditions are worse, can Zheng Lao Ban manage?