Reality Check =
Welcome to the wonderful world of colorectal surgery!
The underlying procedure in this bizarre world of stercofocused dictators is the ordinary end to end anastamosis. Any kind of plumbing inside the body can be snipped and put back together. Such procedures are regularly performed after removing a stenosis or blockage for example. Anywhere a tube isn't functioning properly.
In today's exciting chapter of MOSS-bioforce, officer Juarez and prisoner Jenkins are going to be buddied up for life in a three part surgical extravaganza! First, the reconstruction team will create permanent bony or cartilagenous windows in the abdominal wall of the two victims, I mean patients! This window will be built up of a structural support component, a muscular component and a fatty & connective tissue component. The window must be kept patent, because officer Juarez is not going to be happy with suffering chronic bowel obstruction from prisoner Jenkins's incessant clamping down of his abdominal muscles. The muscular component of the window is required to bond the two window frames together into one flexible but strong component. The fatty & connective components will provide a layer of cushiony protection. Over all of this, the reconstructive team will use skin tissue that has already been stretched with tissue expanding implants in order to form skin flaps over and around the window.
The critical part of this sadistic plan is the simple bowel anastamosis. Each person's belly will be opened, the large intestine (descending colon) will be identified, transected and temporarily closed to prevent poo spillage. A long segment will separated from its native mesentery and fed through the bony window already prepared.
Anastamosis video, now with peppier, happier music!
Next comes the "exciting" part! In order to reanastamose the now criss-crossed intestines, huge long staplers will be shoved up each patient's (I mean victim!) butt, pushed through to the other fellow's intestine and permanently stapled togther, the temporary closure having been removed.
Here, the native rectum is in place and the other fellow's colon is secured above:
When all the fun's been had by the colorectal surgeons, it will then fall to the reconstruction team to secure the bony window musculature, advance the fat grafts and finally advance and close the overlying skin.
It goes without saying that this kind of procedure, though legal in this dictatorship, is highly unethical and immoral in the extreme. The risks to both security officer and high profile prisoner are grave in the extreme, given current technology and understanding of medicine. Obviously the primary complications of this kind of surgery will be like those of similar single-patient procedures:
- bleeding (i.e., the oops, that wasn't the aorta, was it? kind of bleeding)
- infection (intestines are dirty and risk of infection is high)
- biological incompatibility (the risk every organ transplantee faces --- here, you are essentially transplanting a segment of bowel)
- component failure (problems ranging from skin degradation to muscular fixation degradation)
- psychiatric dissociation / rejection (either or both victims (I mean, patients!) might fail to come to grips with the new reality of their situation and may consciously or unconsciously seek to physically separate themselves from one another. This would be somewhat disasterous.)
- death (always a possible complication of surgery. In this case, the death of one patient spells impending doom for the other.)
With current technology, and a bit of slightly futuristic handwaving, as well as throwing out all sense of medical ethics, all of these complications can be addressed. Biological incompatibility can be offset to some greater or lesser extent through medication regimens (antibiotics, anti-rejection drugs, immunosuppresants) and the use of "intermediate" biologically neutral components, for example, bioengineered skin graft products. Death of one patient can really only be mediated by extremely quick access to a trauma center that can stabilise the pair (either by resuscitating or artificially keeping the dead body "alive" by mechanical ventilation and cardiac massage) and quickly transport them to a designated OR that has already planned for this eventuality and is ready to decouple them, basically by reversing the surgeries.
This being a very dark and dystopic society, I'd hazard the guess that the high-profile prisoner is the more important of the two and that every heroic measure will be taken to save that one's life, even at the expense of the other.