Tianjin conjoined brothers separated today.
The doctor explained why the operation was postponed again and again, and two weeks after the operation, he resumed the "growth diary" recorded by his mother who turned 100 yesterday.
At 8 o'clock this morning, Tianjin conjoined twins Shunxin and Huanxin officially performed separation surgery in Beijing.
The operation was performed in Bayi Children's Hospital affiliated to Beijing Military Region General Hospital.
The hospital has made all preparations for this. Today, the hospital will no longer arrange other operations and concentrate all resources to ensure the smooth operation of conjoined twins.
It is understood that before this separation operation, the hospital invited experts from Union Medical College Hospital, Tiantan Hospital and Beijing Children's Hospital for four or five consultations, and studied and formulated a detailed surgical plan.
The operation will be performed by more than 20 experts from orthopedics, neurology, pediatrics, pharmacy, anesthesiology, plastic surgery and other departments of Beijing Military Region General Hospital, with Sun Tiansheng and Li Fang, chief physicians of orthopedics, Zhao Chunping and Wei Qun, chief physicians of neurology, as the chief surgeons.
There are three operating tables in the operating room, and two sets of medical staff will take care of the separated children respectively.
Guo Yibin, director of pediatric surgery at Bayi Children's Hospital affiliated to Beijing Military Region General Hospital, said that although all aspects are ready, it is still impossible to predict the unexpected situation during the operation. In any case, the hospital experts will try their best to separate the children.
It is estimated that the operation time will last 4-7 hours. After the operation, the hospital will put the child into special care and completely isolate him from his relatives for at least one week.
Sun Tiansheng, vice president of the General Hospital of Beijing Military Region, said earlier that according to the statistics of conjoined hip babies' surgical practice around the world, the survival rate is around 87%, and these two children should be no exception.
Operation site
Wait outside the operating room
February 16, Bayi Children's Hospital affiliated to Beijing Military Region General Hospital.
At eight o'clock, the younger brothers were pushed out of the ward, their hearts covered with quilts and their little heads wrapped in white towels. Grandpa, grandma, dad and mom followed closely, and the four looked dignified.
The two little guys are quiet and obviously asleep.
At 8: 02, the two brothers were pushed into the operating room, and the four elders outside the operating room began to be silent: grandma kept looking at the medical staff shuttling through the aisle of the operating room, grandpa lowered his head, and mom and dad turned their backs to the operating room.
At 8: 04, dad Liu Qiang began to cry. He turned his back on everyone and wiped his tears from time to time. Mother Wang Zaiying comforted her husband, but her eyes were red.
At 8: 08, the medical staff sent the child's small clothes and towels out of the operating room. Grandma Chang Pingxiu trotted over to get clothes and rolled them tightly under her arm.
At 8: 15, the child's crying came from the operating room. "Definitely crying, definitely crying ..." Grandma's face is full of love.
Grandpa Liu Fuhai also felt distressed: "Yesterday, I gave my child infusion and gastric lavage, and I cried my face was blue. This morning, when the child saw a white coat, his eyes were full of prayers ... "Liu Fuhai turned his back and sobbed.
At 8: 26 in the operating room, Guo Yibin, director of pediatric surgery at Bayi Children's Hospital affiliated to Beijing Military Region General Hospital, told his family by phone that the child had been anesthetized and everything went well! Four people laughed at the same time.
At 8: 50, Feng Zhichun, president of Bayi Children's Hospital affiliated to Beijing Military Region General Hospital, came to the operating room to visit his family. The medical staff inside told Feng Zhichun that the operation was in the preparation stage and went smoothly together!
09: 10 operation started.
1 1: 30 operation is still in progress.
Yesterday was the day when conjoined babies were born 100. According to custom, this day is a child's "centenary", which means celebrating the child's long life.
Because the separation operation will be carried out the next day, all the thoughts of conjoined twins's family are on the child's operation, so the joy of this "centenarian" who should be extremely festive is extremely low-key, and the three generations of the family just secretly send blessings to the child in their hearts.
"'centenarians' will not be handled for the time being. Wait until the child's operation is successful, tide over the difficulties, and then reissue it for the child. At that time, invite all good people who have cared about and helped our family! " Yesterday, Chang's grandmother said to her brothers. The date of operation has been changed several times, and finally it was chosen on the first day after the child's "centenarian", which may indicate that the two babies can successfully tide over the difficulties, become separated individuals and get a new life.
According to the doctor, the weight of the two brothers has reached 10 kg, and all physical indicators are normal, which meets the surgical standards.
Isolated from the outside world the day before the operation
Two days before the operation, the hospital began to give conjoined babies drugs to enhance their physical fitness. Children's Surgery Department of Bayi Children's Hospital affiliated to Beijing Military Region General Hospital also cultivated the skin at the junction of children. If there is infection after surgery, you can prepare suitable drugs for your child through cultured bacteria.
Yesterday morning, conjoined babies entered a state of isolation, and no one was allowed to visit or approach except their families. The hospital even set up a shielding screen outside the ward where conjoined babies live to prevent them from having any chance and possibility of infection.
The medical staff are busy disinfecting the ward where conjoined babies are admitted after separation operation, and doing routine blood tests for conjoined babies. In the afternoon, they made preparations for infusion before the operation.
After 7 o'clock in the evening, conjoined twins can't eat any more, and the doctor has to wash the intestines for the two brothers. In order to prepare for this operation, the two little guys really suffered a lot.
Doctor interpretation
There is a reason why the operation has been postponed again and again.
My brothers arrived in Beijing on June 5438+February 2 1 2007. Bayi Children's Hospital affiliated to Beijing Military Region General Hospital conducted a comprehensive physical examination for them on the same day. On June 8, 2008, the physical examination results and surgical plan were announced.
According to the physical examination results, the hospital initially set the operation date as 65438+1October 26th, but according to the physical condition of the two brothers, the operation had to be postponed.
Guo Yibin, director of pediatric surgery at Bayi Children's Hospital affiliated to Beijing Military Region General Hospital, said that the best operation period is when the child is born about 3 months, and the operation scheduled for June 5438+1October 26 is also out of this consideration.
Director Guo introduced that on June 65438+ 10/0, conjoined twins began to have fever symptoms, and then, the two little guys had gastrointestinal problems.
First, the third child began to have diarrhea, and a day later, the second child was infected. Diarrhea lasted for ten days until 654381October 22nd. Although the diarrhea stopped, the operation scheduled for 26th had to be postponed, because the child's body needs to be restored to the best condition before the operation can be carried out.
It takes two weeks to recover after the operation.
Director Guo said that if all goes well, the child will need a two-week recovery period after the operation.
Sun Tiansheng, vice president of the General Hospital of Beijing Military Region, said that according to the statistics of conjoined hip babies' surgical practice all over the world, the survival rate is 87%, and these two children should be no exception.
Family story
The mother's diary records the child's life.
In the children's ward, there is a special "mother's diary". From the birth of the child, Wang Zaiying clearly recorded how many times the child drank milk every day and how many milliliters each time, and clearly recorded the time when the child urinated and urinated, and even the amount of urine.
"If the child has changed, doctors and nurses will know as soon as they turn over this book." Wang Zaiying said.
On some pages, Wang Zaiying also wrote: "Cry until 12 o'clock in the evening, and when you are hungry, you will know to look for milk ..." In the records of those days of diarrhea, you will occasionally write "bad spirit". "Children don't even cry, isn't it a bad spirit?" Wang Zaiying explained.
Event playback
Tianjin conjoined twins went to Beijing for surgery.
Tianjin citizens Liu Qiang and Wang Zaiying gave birth to triplets in Hiuke on June 5438+065438+1October 5, 2007, and they had a daughter and two sons, two of whom were conjoined babies. After the birth of the child, all walks of life gave this ordinary family a lot of help.
On June 5438+February 2, 20071,Bayi Children's Hospital affiliated to Beijing Military Region General Hospital sent a car to Tianjin to pick up two children for separation surgery in Beijing.
On June 8th, 2008, 65438+20081October 8th, the examination results were announced. The spinal cord of the two brothers is independent, and the cauda equina nerve is in a dural sac, but there is no obvious cross, so it can be separated by surgery.