Chapter 286 The Surgeon Saint, the All-Around Crush!
"Here..."
Director Lin felt his throat dry, and an incomprehensible scene appeared in front of him.
When the dura mater was opened, there were blood clots left by bleeding on the cerebral cortex, as well as dark gray viscous liquid.
At that time, they had absorbed all the liquid in the cavity.
The brain tissue was still deflated.
But now Director Lin accidentally glanced at it and found that the collapsed brain tissue was filled up again!
"Did I see it wrong?"
Director Lin's expression was a little strange. Could it be that he remembered it wrong...
"No, this should have collapsed, but the brain tissue has recovered!" Jin Yucheng also noticed the abnormality here and was also shocked.
They thought about it for a long time, but didn't know what the reason was.
"Don't panic."
However, Xu Qiu's face didn't change much.
He pressed it with gauze.
In the incredible eyes of everyone, the brain tissue actually shrank again!
"This..."
"What's going on, like a balloon!"
Director Lin and others were surprised.
When Xu Qiu extracted a transparent and slightly turbid liquid, everyone was stunned.
"Cerebral spinal fluid?"
"Why is there cerebrospinal fluid here!"
Isn't this a wound cavity... How did the cerebrospinal fluid come out?
Xu Qiu was still very calm: "Gelatin sponge."
The instrument nurse didn't know what happened, but quickly handed it over.
After Xu Qiu took it, he covered it on the side near the ventricle.
Then, the brain tissue collapsed completely and could no longer be filled.
At this time, Xu Qiu slowly explained: "There should be a hidden valve between the ventricle and the wound cavity, and the cerebrospinal fluid was squeezed into the wound cavity with the brain pulsation."
"Can it be like this?"
"Doctor Xu, you have already seen it!"
Director Lin was shocked.
The valve communicated, which caused the cerebrospinal fluid in the ventricle to flow into the wound cavity.
If Xu Qiu hadn't performed this operation, they might have to spend several hours to find the reason!
Jin Yucheng was silent.
He thought that after he learned the craniocerebral separation operation, he could catch up with Xu Qiu quickly.
Looking back at this moment, Jin Yucheng realized that the gap between him and Xu Qiu seemed to be more than just a craniocerebral separation operation.
That was a complete crushing in all aspects!
…
Under the shadowless lamp.
Some people lost their dreams.
Some people doubted their lives.
Some people were concentrating on the operation.
After completing the puncture and catheterization, everyone suddenly felt that a huge stone in their hearts had been put down.
This most difficult step was completed so naturally?
The rescue team was ready.
The anesthesiologist was also staring at the monitor.
Everyone thought something might happen next, but Xu Qiu completed the puncture so easily, and even the hidden valve that might take several hours to find the cause was seen through by him at a glance!
This is fucking, how can the operation be like a cheat.
And it's not just one.
Perspective cheat, stability cheat, automatic aiming cheat... This is a whole set!
Jin Yucheng swallowed his saliva, looking at Xu Qiu's bright profile under the light, and suddenly felt a sense of sacredness in his heart.
This is the surgical master, right?
The operation is still going on.
Xu Qiu skillfully fixed the reservoir on the periosteum with a non-absorbable thread.
Then the proximal end of the valve was connected to the outlet connector of the reservoir, and the catheter was completely stabilized at the skull drilling site.
Xu Qiu did not pause and immediately took the next step.
Subcutaneous tunnel!
Ventricular shunt, the full name is ventriculoperitoneal shunt.
This operation is different from conventional cognition.
If the intracranial pressure is too high, the cerebrospinal fluid cannot be directly discharged from the body.
Instead, the excess cerebrospinal fluid needs to be guided to other parts of the body so that it can be absorbed by itself, thereby achieving a balance between secretion and absorption.
The most commonly used place in clinical practice, and also the best place, is the abdominal cavity.
Most ventricular shunts are ventriculoperitoneal shunts.
Only a small number of patients will choose the atrium as the site of drainage and absorption due to abdominal infection.
Or for adolescent children, because the ventricles and lumbar cistern are connected, the ventricles are not even opened, and the lumbar cistern-peritoneal shunt is performed directly.
For Luo Di, the patient was naturally chosen for conventional peritoneal drainage.
The subcutaneous tunnel is the key to drainage.
Under Xu Qiu's guidance and control, the peritoneal catheter came out from the head incision, passed behind the ear, neck, chest, and reached the upper abdomen in turn.
The first incision was made under the mastoid.
The second incision was under the clavicle.
The third was under the xiphoid process on the right upper abdomen.
Xu Qiu held a blunt metal guide and performed deep separation through the subcutaneous layer in sections, opening a continuous and unobstructed subcutaneous tunnel between the patient's head and the abdominal cavity.
Director Lin exclaimed.
It was done in one go?
In the neurosurgery department, even the deputy director usually needs three to four times to open the tunnel.
Luo Di's situation is obviously more complicated and the difficulty of penetration is also higher. Xu Qiu succeeded in one go!
...
The third hour of the operation.
After the subcutaneous tunnel was opened, Xu Qiu connected the proximal end of the catheter to the valve outlet, and the distal end passed through the subcutaneous tunnel into the incision on the right abdomen.
Under Xu Qiu's adjustment, the catheter had a bend when passing through the neck.
This perfectly adapted to the curvature of the neck and also left more space for neck movement.
Finally, Xu Qiu placed the abdominal catheter on the diaphragm surface of the liver.
This is also a less commonly used procedure in clinical practice.
On the one hand, it is more difficult to operate.
On the other hand, it needs to sew the catheter to the round ligament of the liver and avoid the greater omentum, which can easily cause blockage. The surgeon is not very skilled and can easily damage normal organs and tissues.
However, it also has more advantages.
For example, there is less chance of shedding happening.
There is a lower chance of infection.
etc.
Taking this into consideration, Xu Qiu finally chose liver diaphragm noodles.
The third and a half hour of surgery.
When Xu Qiu finished the last stitch, the operation was completely over.
Everyone breathed a heavy sigh of relief.
This extremely dangerous operation was actually performed!
Moreover, the process turned out to be so smooth!
"Count the gauze..."
"Count the hemostats..."
Assistants and instrument nurses are waiting to check the number of instruments.
Xu Qiu arranged postoperative care.
"First give levodopa 400mg/time + benserazide 100mg/time, three times a day."
"After brain surgery, the patient's recovery time is uncertain. If he can wake up within seventy-two hours after the operation, the problem will not be too big. Pay special attention to care during these three days and monitor changes in various indicators at any time..."
If you can wake up three days after the operation, the problem of brain herniation has basically been solved.
Next, just kill the pests with all your strength.
The incision of this operation was very small, and little brain tissue could be seen. Therefore, Xu Qiu was unable to conduct a detailed observation of the patient's brain area affected by the brain-eating amoeba.
but,
From the small area exposed by the drill hole in the skull, Xu Qiu could still get a glimpse of something.
There was bleeding and necrosis in Luo Di's brain. There was fluid in the wound cavity in many places. It was estimated that the entire brain was filled with traces of the reproduction of brain-eating amoeba.
Even Xu Qiu is not sure how effective insecticide can be.
