Dr. Hou deliberately blurred the time and place. Organ donation adheres to the double-blind principle, and neither the donor nor the recipient can know the identity of the other party. Of course, he couldn't be stupid enough to say that he was the child in the ICU who had just been brain-dead. Qiu Bo's gray eyes suddenly shone brightly. He clenched his fists and shouted in a hoarse voice: "Doctor, hurry up, help me arrange surgery!" … The child's throat finally matched Qiu Bo, and many organs and tissues throughout his body had already gone. The only thing the family members know is that this donation has dragged a total of seven people out of the mire of illness! In the emergency department, Wang Ping and Xu Qiu are responsible for communicating with the ENT director Hou and other doctors. Wang Ping said: "Take out the living body and arrange an operation as soon as possible!" Director Hou nodded.
Of course he knew this. Most living organs need to be transplanted within eight hours, otherwise severe ischemia-reperfusion will occur, and the function and activity of the organ will be greatly affected. in other words, Tonight, Qiu Bo will undergo an emergency throat transplant! "Transplantation is very difficult. The transplant scope includes larynx, trachea, throat, esophagus, etc..." Director Hou frowned. The source of the larynx has been solved, but the current problem is the difficulty of transplantation. Nowadays, the transplantation of kidneys, hearts, lungs and other organs has become quite mature. In the current medical field, only small intestine transplantation is still at a level that no one dares to touch. However, laryngeal transplantation has always been in a relatively backward position. It is not an organ necessary for life, But the difficulty is not small, involving breathing, vocalization, swallowing, etc. It is actually quite difficult to restore the physiological functions of the larynx after transplantation. In addition, unlike the heart, lungs, and kidneys, the larynx is not in a sterile environment, but is directly connected to the outside world. Infections from two sources, such as the pharynx and trachea, can easily occur. Therefore, clinical laryngeal transplantation has always been one of the difficult problems in otolaryngology. "Can do it!" However, in the face of all the difficulties, Director Hou nodded solemnly and gave such an answer. After half an hour of discussion, the surgical plan was finalized. The blood supply is first reestablished between the donor's larynx and the recipient's throat and neck vessels, and then buried in the recipient's neck tissue. This step prevents communication with the tracheal lumen and minimizes the chance of infection. After that, after the donor throat is allowed to survive, the normal structure, physiological functions of the throat, etc. are restored in the second stage...
"The biggest problem now is that this operation is unprecedentedly complex. The operation may take more than ten hours. I definitely can't do it by myself!" Director Hou tapped his index finger on the table, feeling very irritable. Xu Qiu, who had been silent for a whole time, closed the medical record in his hand and said, "Leave the total laryngectomy to me." "you?!" "Dr. Xu, can you still perform laryngectomy?!" At the ear, nose and throat side, everyone was amazed. Director Hou had seen Xu Qiu undergo carotid endarterectomy before. That unique skill really surprised him. Therefore, seeing that Xu Qiu wanted to do all the resections at this moment, he felt happy. "Okay, Doctor Xu, you come with me for the surgery, you perform the resection, and I will be responsible for the subsequent laryngeal transplantation!" Xu Qiu nodded calmly. More than ten days ago, he had obtained a master's "total laryngectomy" from the sign. However, there was nothing he could do about laryngeal transplantation. Although he somewhat understood the steps and details of transplantation, he did not have master-level experience and had not performed the operation himself, so it was naturally impossible for him to go on stage to harm others. … after an hour. Director Hou, Xu Qiu and other members of the laryngeal transplant team are conducting final pre-operative discussions. Suddenly, an urgent phone call came in. Director Hou quickly picked up the answer. After a moment, his expression changed drastically and he slapped the plan in his hand on the table. He looked at Xu Qiu and others, with his mouth open and his expression a little weak, and said: "It's over, we just found out that the donor's throat is also injured and cannot be transplanted!" The surgical team, who were having a heated discussion just a moment ago, fell silent in an instant! Everyone stared in disbelief. "injured?" "how so!" Many people looked sympathetic. Qiu Bo had only learned a few hours ago that he could have a laryngeal transplant, and now telling him that the operation needed to be cancelled was tantamount to falling from heaven to hell. Director Hou's face also looked a little gloomy. At this point, the only option is to cancel the operation first. Although Qiu Bo's side has made adequate preoperative preparations, how can a transplant be done without a donor? He was about to make a call when Xu Qiu, who had been sitting in his seat, suddenly stood up.
"Um?" Director Hou paused and looked at Xu Qiu. Just in time to meet those calm and calm eyes. Xu Qiu thought for a moment and said: "If the delay continues, the patient's survival period will not be optimistic." The patient's tumor has infiltrated and spread, and the lymph nodes on one side have begun to metastasize. This is the final stage of surgical treatment. If it's a little later, he can only rely on radiotherapy and chemotherapy to maintain his life, and completely embark on the road to fight cancer. Doctors are already powerless as to how long he can live. Director Hou said solemnly: "I know, but without donors, it's hard for a clever woman to make a meal without rice!" He paused, looked at Xu Qiu, and asked tentatively: "In other words, Doctor Xu, what do you think?" Xu Qiu nodded and said calmly: "Use the patient's pectoralis major muscle to do myocutaneous flap reconstruction." In other words, Make the pectoralis major muscle into a laryngeal pharyngeal esophagus! As soon as this idea came out, the ENT doctors present were stunned for several seconds. Director Hou came back to his senses and said in shock: "This idea is very creative, but...even laryngeal transplantation is difficult, and reconstructing the larynx with a flap? This is too difficult!" Other doctors were also surprised. Xu Qiu's idea is very creative. It can even be said to be a wild idea! But, this is too unrealistic! Flap transplantation is not simple in itself, and it must be replaced by laryngectomy and laryngeal transplantation. The tediousness and various details of the treatment are simply beyond the imagination of ordinary people! "Wait!" Suddenly, Director Hou's pupils shrank, and he looked at Xu Qiu in surprise and said: "Doctor Xu, have you ever...did you do a flap transplant before?" Being reminded by this, everyone else remembered. When Xu Qiu first entered Linhai First Hospital, he rescued a patient whose left upper limb skin was destroyed by the factory's high-voltage wires. Later, Xu Qiu went to the International Friendship Hospital and performed the same operation with Meng Yingan, a big name in the field of flap transplantation, and took over the most difficult part of the operation! "Doctor Xu is a big name in flap transplantation!" "Damn, I actually forgot this!" "If it's Doctor Xu, maybe it really works!" At this moment, many ENT doctors were excited and a little impatient.
"No, it still doesn't work..." At this moment, Director Hou made an inappropriate sound. His face was very heavy, and the next sentence put out the fire that everyone had just ignited.