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A baby who faces death at birth, and a mother who may lose her baby right after giving birth, have their fate changed by a group of "skilled and bold" doctors.
Not long ago, doctors from the Children's Hospital Affiliated to Zhejiang University School of Medicine and the Obstetrics and Gynecology Hospital Affiliated to Zhejiang University School of Medicine performed surgery on a special mother and child. After a cesarean section for the mother, the baby underwent a thrilling emergency surgery with the "life-saving" umbilical cord attached. Mother and son are now safe and recovering well.
Recently, Zhuang Zhuang (pseudonym) was discharged from the hospital in the arms of his father. Wang Jinhu, deputy director of the Oncology Surgery Department of the Children's Hospital of Zhejiang Hospital, said to Zhuang Zhuang's father: "Congratulations on the baby being discharged from the hospital. Your family is finally reunited today." The swaddled Zhuang Zhuang looks no different from an ordinary baby. He can eat, sleep and grow up quietly. However, his birth can be described as "thrilling", bringing together the power of a first-class team of domestic gynecology and pediatrics experts.
Why do you say that?
Zhuangzhuang is a "precious baby", the baby that his parents have been waiting for for many years. When he was still in his mother's belly, he discovered a tumor on his buttocks at 20 weeks of pregnancy. At that time, obstetrics experts recommended continued observation and waiting until the baby was born to undergo surgery. Unexpectedly, in early May, the baby was 32 weeks old. The B-ultrasound found that the tumor was very "huge" and the size of the tumor had exceeded the baby. This "huge" tumor requires a large amount of blood supply. The nutrients and oxygen in the mother's body are transported to the baby through the umbilical cord, but more than half of it is "carved up" by the large tumor. Various indicators of the baby's heart function are severely challenged, with enlarged ventricles and heart function problems. Incomplete performance, life is seriously threatened.
html On May 3, the expert team of Zhejiang Medical Women’s Hospital urgently contacted the oncology experts of Zhejiang Medical Children’s Hospital and established a WeChat group. The obstetrics, anesthesia, and nursing expert teams of the Women's Hospital and the oncology, neonatal surgery, anesthesia, neonatal monitoring, plastic surgery, and nursing teams of the Children's Hospital of Zhejiang Medical University discussed the treatment plan for the mother and child.If you want your baby to survive, he must undergo surgery as soon as he is born. However, due to the huge blood supply load of the tumor, the baby may face life threats at any time due to deterioration of heart function after birth. To this end, the expert team designed a "dangerous move", which is to complete the tumor resection while maintaining the blood and oxygen supply of the mother's umbilical cord (placental circulation). Only with this "double insurance" situation, the baby has the greatest chance of survival. .
Such operations are rarely performed, and there is very limited experience at home and abroad to learn from. Obstetricians are faced with the risk of maternal placental detachment and massive bleeding, paediatricians are faced with the risk of ischemia and hypoxia due to insufficient cord blood supply to the fetus. Any problem in any link will lead to "losing everything". Is this possible?
On May 4, experts from Zhejiang Medical Women's Hospital and Zhejiang Medical Children's Hospital conducted a multidisciplinary consultation (MDT) face-to-face to discuss countermeasures; on May 5, experts from the two hospitals simulated the mother's delivery and the baby's delivery while operating in the operating room. The complete process was rehearsed, including where to put the baby after delivery, the position of each doctor, and the rescue process in case of an unexpected situation.
Experts from the two hospitals involved in the operation
had urgent discussions, consulted literature, and discussed and learned from colleagues at home and abroad. On the other side, the experts paid close attention to the condition of the fetus. When meeting the parents, as a mother of two children, Hu Yaoqin, deputy director of the Department of Anesthesiology of Zhejiang University Children's Hospital, said to her: "We are all mothers and understand your bravery and persistence very well. We are not only doctors but also parents of your children." , we will definitely go all out to help you realize your dream of becoming a mother!”
Experts from the two hospitals have formulated a careful surgical plan and won the full support of the baby’s parents. Both the doctors and the baby’s parents are very determined and everyone is determined. Confidence and determination to win this difficult "battle".
On May 6, the "battle" began
There were more than a dozen experts in the operating room
But there was only the ticking sound of the instruments
Everyone was in full swing
Waiting for the "baton" of rescue to be passed to their hands
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8 AM: 00
Eight experts from the Oncology Surgery Department, Anesthesiology Department, Plastic Surgery Department, Neonatology Department, and Nursing Department of Zhejiang Medical Children's Hospital were all "assembled" at Zhejiang Medical Women's Hospital.
8:30 am
The mother was pushed into the operating room. Experts from the two hospitals gathered in the operating room to start the final preparations before the war.
...
The obstetrician performs a caesarean section for the mother.
10:02am
The baby is delivered.
The baby and the mother are connected by an umbilical cord that is only 70cm long. Half of the baby's body is lying on the mother's body, and the other half is on the edge of the delivery bed. Two obstetricians are firmly holding it to protect the umbilical cord - the baby's lifeline. As soon as the baby is delivered, the anesthetist immediately puts on a finger pulse oximeter and body temperature monitor for the baby. The sonographer performs transthoracic TEE on the baby to monitor the baby's every heartbeat and heart pump in real time. The baby's body temperature tends to drop after delivery from the mother's belly, so the baby should be covered with dry drapes and gauze under real-time temperature monitoring.
Just like that, the oxygen delivered from the umbilical cord and the two surgical teams worked together to protect the mother and baby. Under the "protection" of dozens of medical staff from the two hospitals, the baby's surgery began.
10:05 am
Huang Jinjin, deputy director of the anesthesiology department of Zhejiang Hospital Children's Hospital, escorted the baby. Wang Jinhu, deputy director of the oncology surgery department, and He Min, the attending physician, began to operate on the baby. Head nurse Zhao Hangyan and nurse Ma Xiaoqian did all the logistics for precise and rapid tumor removal. Guarantee and ensure that the operation is foolproof. Wang Jinhu carefully separated the tumor from the baby's body, using extremely gentle movements to avoid affecting the blood supply to the umbilical cord. With a little force, the ultrasound machine will sound a heartbeat alarm.
10:25
About 20 minutes later, the huge tumor was cut. The tumor was about 25cm × 15cm × 10cm in size and weighed 2.065kg (including the liquid part, the tumor weighed nearly 3kg), and the baby was only 2.2kg.
10:30am
The obstetrician cut the umbilical cord connecting mother and child and began to sew the mother. The pediatrician team transferred the baby to the operating room next door. The anesthesia and surgical experts performed tracheal intubation and arterial and venous puncture for the baby. After improving monitoring, Dr. Yue Xiaojie from the Department of Plastic Surgery of Zhejiang Hospital Children's Hospital performed plastic surgery and suturing of the baby's skin. The baby's wound was very large, and the scar spanned the left and right halves of the buttocks. Dr. Yue carefully sutured the baby, hoping that the baby's appearance would be more beautiful in the future.
11:30 am
The baby was escorted by Lin Huijia, deputy chief physician of Zhejiang Medical Children's Hospital NICU, and transferred to Zhejiang Medical Children's Hospital through an advanced neonatal transfer vehicle.
On the same day, the baby was treated in the NICU of Zhejiang Medical Children’s Hospital and used a ventilator to assist breathing. The next day, the baby could breathe on his own and feed on his own. A week later, the baby recovered well and was transferred to the oncology ward.
Just as Wang Jinhu, deputy director of the Oncology Surgery Department of the Children's Hospital of Zhejiang Hospital, said: "The fetus is also a life. Even if it has a tumor, there is a chance to be cured. Please don't give up!"
Source: Children's Hospital of Zhejiang Hospital
Editor: Chen Chen
Source: Xinhuahao Health Zhejiang
