At this time, outside the operating room, Xue Dong contacted the head nurse and wanted to open the live broadcast of the operation.
But after thinking about it, Xue Dong couldn''t help shaking his head. What can I see!
Young people have a competitive heart!
For Chen Cang, Xue Dong naturally has a bit more competition.
However, they are not in the same field, so there is no direct competition between gongs and drums.
But now, Chen Cang is going to have neurosurgery, and Xue Dong is looking forward to it.
As for Mitty, Xue Dong really didn''t take it seriously.
He thought it was just a small matter. After all, what you love and I want is not illegal, let alone criminal.
After hesitating for a moment, Xue Dong suddenly smiled, got up and left.
You don''t have that confidence?
In the operating room at this time, Mitty had been intubated and anesthetized.
At this time, mitti is a compound subdural hematoma. There are two kinds of bleeding, one is solid coagulation mass, and the other is liquid. Therefore, bone flap craniotomy is directly selected for hematoma removal.
Craniotomy is the first operation,
However, opening the skull can not damage the dura mater, which is a test of the doctor''s strength.
This example is the so-called experiment of egg skin and egg film.
Clinicians need to drill holes to grind off the egg skin, but they can''t damage the egg film, which requires doctors to have a pair of extremely stable hands!
At this time, after determining the opening, cut the scalp and expose the skull!
The skull is composed of multiple bone flaps. According to the operation requirements, a large frontotemporal bone flap is used!
After confirmation, Chen Cang took over the electric drill.
To be honest, this is also the first time Chen Cang has been a real person, which is different from training in space.
Chen Cang calmed down when he felt the vibration of the electric drill.
When the electric drill goes down slowly and opens the skull, you need to be patient and not impatient!
Looking at Chen Cang, the old horse was suddenly stunned and muttered: good old way!
Indeed, Chen Cang has perfect debridement skills. How many times can he practice it?
As time went by, Lao Ma and Bei Yongkang stood aside to help.
After the skull was drilled successfully, Chen Cang put the bone flap in the disc and then prepared to cut the dural flap!
At this time, Chen Cang felt the dura mater and frowned immediately!
He quickly said to the old horse, "team leader Ma, prepare the brain pressure plate!"
The old horse nodded when he heard it!
This boy can feel intracranial pressure just now?
you bet!
At this time, the dura is very tense and the brain pressure is very high.
Chen Cang took the brain pressure plate and stretched it under the dura through the small incision of the dura to gently press down the cerebral cortex!
Then quickly cut all the dural incisions!
The whole process is clean, and there is no gap between hands.
This operation immediately brightened the eyes of Bei Yongkang!
Well coordinated hands.
Indeed, the operation of Chen Cang''s hands under the mirror is almost seamless!
The left hand is as flexible as the right.
Is this a natural surgeon?
Surgery is highly operational, and the role of one hand is limited. Many surgeons even begin to practice their left hand. In this way, we hope to achieve better results!
But at the time of hybridity, after seeing Chen Cang''s two hands operate, the anesthesiologist on one side couldn''t help exclaiming that it was OK!
He is well-informed. It is impossible for ordinary people to assist with the operation with both hands.
Chen Cang''s seemingly simple operation immediately brightened all eyes.
This operation seems simple, but in fact it pays attention to cooperation. Most of the time, it is usually carried out with the help of assistants.
However, due to lack of coordination, it is easy to cause severe swelling of brain tissue to bulge out of a smaller incision during the incision of the dura mater, resulting in laceration of the cerebral cortex.
Chen Cang did the work of two people alone, so that Lao Ma stood aside and felt that he was a little redundant!
After the dural valve was cut, Chen Cang said to Ma Yuhui:
"Normal saline flushing!"
The old horse nodded quickly, washed the operation field with normal saline and washed out the blood on the brain surface far below the bone flap.
"Pipette!"
Bei Yongkang quickly handed it over. Chen Cang took the lotion tube in his left hand and began to clean up the inactivated brain tissue carefully in his right hand!
This process needs to be very patient and meticulous!
"Bipolar condenser!"
"Pipette!"
"Dural stripping ion!"
Assistant old ma successfully incarnated as an instrument nurse at this time, but looking at the picture on the big screen, everyone couldn''t help holding their breath.
Because it was the first time they saw someone who could use dural stripping ion with bipolar electrocoagulation.
However, Chen Cang used it very well.
Stripping ion carefully peeled the necrotic tissue under Chen Cang''s right hand. When he met the place of cerebral cortex hemorrhage, the left bipolar electrocoagulation forceps were immediately in place and carefully stopped bleeding!
The aspirator continuously removes the necrotic brain tissue. After washing with normal saline, it soon reaches the superior sagittal sinus!
This is also the key step of the operation!
In fact, there are many methods to deal with the blocked superior sagittal sinus. Originally, according to the idea of director Hong Sheng, it was to establish a sindou transverse sinus bypass!
But the disadvantages of this operation are obvious.
That is, Chen Cang won''t!
Therefore, he suddenly thought of another effective method: venous sinus catheterization and thrombolysis!
This method has remarkable effect and little damage, but it needs to operate a microcatheter to cut a small opening in the front of the superior sagittal sinus and insert the microcatheter into the sinus!
Then start perfusion with urokinase to achieve a thrombolysis!
However, one disadvantage of this operation is that it needs to bypass the complex brain tissue with a microsurgical knife to the sagittal sinus, and then perform the microcatheter operation.
In this way, the surgeon needs stable hands to complete the incision of sagittal sinus!
Think of this, Chen Cang said to do it!
"Micro scalpel!"
The old horse quickly handed it over, and at this time, Chen Cang himself began to hold his breath and calm himself down.
Next, he needs to bypass the cerebral cortex, cross the nerve space, and complete the operation of the scalpel around the veins and blood vessels.
This is the depth of craniocerebral surgery!
Ten thousand troops can accurately take the head of the enemy general, and can''t hurt ten thousand troops!
At this time, everyone knew what Chen Cang was going to do. The old horse wanted to stop him, but when he saw Chen Cang''s determination, he also understood that at this time, we should trust him!
At this moment, everyone stared at the display screen.
At this time, Chen Cang peeled ions with his left hand and micro dissector with his right hand, so he shuttled in the middle.
Be careful. This requires accurate and stable hands. If you don''t understand the slightest shaking, otherwise you will damage the brain tissue.
Every minute, beads of sweat appeared on the temples of several people.
At this moment, Chen Cang hurriedly said, "micro catheter!"
succeed!
We can clearly see that Chen Cang''s Micro scalpel successfully cut the sagittal sinus!
Both Lao Ma and Bei Yongkang couldn''t help getting excited.
fucking great!
awesome!
This operation is definitely a master!
……
PS: the double monthly ticket has only 6 days. Please send it at eight o''clock!
Thank you for the 10000 reward from the brother of the alliance leader of "roast plate tendon".