Chapter 566 Perfect Surgery!
Director Zhu took a deep breath.
She could already predict the bloody chaos that awaited Xu Qiu once the patient died.
The turmoil caused is definitely greater than the previous Linhai small blood vessels, craniocerebral separation surgery, metacarpal finger regeneration surgery, etc. combined!
It is easy to create gods, but human nature prefers to witness the destruction of gods.
Adding insult to injury is the truest form of group consciousness.
"How long did it take for us to open the skull?" the chief director asked.
Director Liu immediately took a look: "Three minutes and twenty-one seconds. However, due to the defect of the craniotomy machine, it was delayed by one minute. If the accuracy can be controlled, the craniotomy time should be controlled within two minutes and twenty seconds!"
A smile appeared on the director's face: "It's fast enough. The doctor can't complete the craniotomy in ten minutes, let alone the patient in Xu Qiu's hands..."
…
…
"I will remind you of the next step at any time. Stay focused and don't be too nervous."
In the deserted operating room, there were only a few necessary medical staff, plus Xu Qiu, first assistant Mo Wan, second assistant Tang Yunshu, and melon-eater Tong Yan.
Originally Tang Yunshu was going to be a helper.
However, Xu Qiu still cares more about tacit understanding, and Mo Wan has done many surgeries with him in the clinic. He knows what weapon to give him just by raising his hand, so he is quite sensible.
So he was promoted to Ichisuke.
The circulating nurse was stunned for a moment: "What do you mean, they don't know the surgical procedures?"
The operating room and department are managed by different departments, and they were unaware of the previous conflict.
"Isn't this nonsense!" The anesthesiologist also stood up. He had just finished anesthesia, and now he suddenly realized that the two assistants were laymen, and his face turned pale with fright.
The equipment nurse and others also looked horrified.
Three doctors performed the operation, which is an extremely rare event for such a major operation as brainstem hematoma removal.
However, they have all heard of Xu Qiu's reputation.
In addition, the chief director of the brain surgery department also said hello.
Therefore, there is no blocking.
But only now did they realize that the situation might be even more outrageous than they imagined... These two assistants did not know the specific surgical details of the brainstem hematoma removal surgery!
Xu Qiu looked at the patient's condition: "The anesthesia is complete, let's start."
Any more explanations are in vain.
The surgeon should speak with the knife in his hand.
Of course, it is impossible to convince everyone with a few simple cuts - but the patient's head has been cut open by him. If the operation does not continue, is it possible to sew it back on again?
The patient had been disinfected minutes before.
Moreover, Xu Qiu also used gentian violet to mark the incision line, and infiltrated all layers of tissue along the incision line with 5% procaine and epinephrine in advance.
laugh--
Xu Qiu's knife was fast and accurate, cutting the skin and subcutaneous tissue directly in the middle.
At this time, the effect of the mixed injection of procaine and epinephrine was revealed. Under the action of the two drugs, muscle separation became extremely simple, and intraoperative bleeding was also reduced to a minimum.
Without any hesitation, the scalpel fell again.
This time, the periosteum was incised in the middle from above the external occipital protuberance, and then bypassed on both sides of the external occipital tuberosity, leaving a small rhombic fascia at the tuberosity.
Tang Yunshu and Mo Wan looked confused.
Xu Qiu explained at the right time: "Leave this fascia to facilitate the alignment and suture after surgery."
As he spoke, his speed became faster and faster.
"Prepare to incise the nuchal ligament under the external occipital tuberosity."
"..."
"Periosteum stripper, peeling off the occipital muscles."
"..."
Mo Wan is a surgical genius in his own right. Although he is inferior to Xu Qiu, he is still the representative of Daxia in the World Series and is the first person in the country to perform hepatobiliary surgery. Therefore, his cooperation with Xu Qiu is extremely smooth.
Tang Yunshu also quickly entered the state.
…
"Stripper."
Xu Qiu stretched out his hand, and the instrument immediately fell into his palm.
At this moment, he had completed the incision and separation of the tissue on the posterior tubercle of the atlas, and then made a transverse incision along the surface of the posterior arch from both sides of the periosteum, and used a dissector to peel it off.
Then take advantage of the situation and peel the muscles on the spinous process of the axis and the lamina on both sides outward...
"Electrocoagulation to stop bleeding."
As soon as Xu Qiu finished speaking, Mo Wan controlled the bipolar electrocoagulation and followed Xu Qiu's peeling speed to stop the bleeding. The muscles were quickly scorched under the high heat, and the spurted blood had already coagulated and stopped the bleeding before it could appear.
"There are conductive vessels on both sides of the subtrochanteric midline, which should be replaced with bone wax."
As soon as Xu Qiu finished speaking, the movement of Mo Wan's hand stopped. Tang Yunshu immediately applied it and used bone wax to stop the bleeding.
Just after completing this operation, Xu Qiucai took his hand out, and Mo Wan quickly applied the automatic retractor to open the newly completed incision.
After these steps were completed, the nurse and anesthesiologist swallowed.
Is this an assistant who doesn’t know the specific surgical steps?
It’s so silky smooth!
No, no, the problem is not the two assistants, but the surgeon... Xu Qiu completely controlled the rhythm of the entire operation. The assistants were completely guided by the surgeon, and the upper limit of the operation was constantly raised!
"Is this the legendary Doctor Xu?" the little nurse's eyes lit up.
No wonder the chief director of brain surgery wanted to entrust him with this almost impossible operation...
She was shocked when she first saw the patient's condition. Even a craniotomy machine might not be able to save this situation.
Unexpectedly, the chief director actually handed over such a difficult operation to a doctor from an outside hospital. This trust was indeed the courage of the leader of the department.
…
After completing the incision, the instrument in Xu Qiu's hand turned into a skull drill.
First drill a hole in the occipital scale on one side.
"Bone crow."
Tang Yunshu knew the purpose of this step.
The occipital squamous area is inclined, so if you want to drill holes here, the drill bit cannot be perpendicular to the surface of the skull, and it is easy to slip, so it must be blocked with a bone pry.
However, what shocked Tang Yunshu was that Xu Qiu's hands did not move at all. Even when the drill bit was running at high speed, it could still be firmly controlled at the predetermined hole position...
"You...you ate a robot, right?" Tang Yunshu was extremely surprised.
This method is even more difficult than being rock solid under a microscope!
This is a high-speed rotating drill!
…
Above his head, under the bright light of the shadowless lamp, a few drops of sweat broke out on Xu Qiu's forehead.
But his eyes were still calm, as if there was a calm sea.
The movements in his hands became faster and faster. Xu Qiu was extremely focused and entered the best operating state.
The instrument in his hand became his third hand. He used the rongeur to bite open the external occipital tuberosity and the lower edge of the transverse sinus upward, then to both sides to the posterior edge of the mastoid process, and downward to the posterior edge of the foramen magnum... …
"Durotomy."
Xu Qiu spat out these words and finally made a petal-shaped incision on the dura mater.
Mo Wan had quick eyesight and quick hands, and quickly opened the meninges toward the transverse sinus.
Here, Xu Qiugang changed the scalpel and dropped it without any hesitation. He just missed Mo Wan's movement, avoided the meninges that had been turned up, and made a standard midline incision under the dura mater...
The next moment, the posterior cranial fossa was revealed to everyone - the craniotomy was completed!
Both the nurse and the anesthesiologist subconsciously looked at the operation time.
They had just been immersed in Xu Qiu's operation and completely forgot about the passage of time. They only felt that Xu Qiu's operation was too perfect and could not find any faults.
