Chapter 1161: Absolute master (the eighth month)
At this time, outside the operating room, Xue Dong contacted the head nurse and wanted to start a live operation. Watermark advertising test. Watermark advertising test.
But after thinking about it, Xue Dong couldn't help but shake his head, what's there to see!
Young people all have a competitive spirit!
For Chen Cang, Xue Dong naturally had a few more points in the competition.
However, the two are not in the same field, so there is no direct competition between face-to-face drums.
But now, Chen Cang is going to undergo neurosurgery, and Xue Dong is looking forward to it.
As for Miti, Xue Dong really didn't take it seriously.
He felt that this was just a trivial matter. After all, there was no violation of the law or crime.
After hesitating for a while, Xue Dong suddenly smiled and stood up and left.
Don't have this confidence yet?
At this time, Midi had general anesthesia in the operating room.
At this time, Mitti is a complex subdural hematoma, with two types of bleeding, one is solid clots, and the other is liquid, so the bone flap craniotomy hematoma is directly selected.
Craniotomy is the first surgery.
However, opening the skull cannot damage the dural, which is more challenging for the doctor's strength.
This example is the so-called experiment of egg skin and egg membrane.
Clinicians need to drill holes to grind off the egg skin, but they cannot damage the egg membrane. This requires the doctor to have extremely stable hands!
At this time, after confirming the opening, cut the scalp and expose the skull!
The skull is composed of multiple bone flaps. According to the operation requirements, large frontotemporal bone flaps are used!
After confirmation, Chen Cang took the electric drill.
To be honest, this is also the first time Chen Cang has been a real person, which is somewhat different from training in space.
When Chen Cang felt the vibration of the electric drill, he calmed down.
When the electric drill slowly goes downward and opens the skull, you need to have enough patience and be neither anxious nor impatient!
Lao Ma looked at Chen Cang's appearance and was suddenly stunned for a moment, muttering in his heart: What an experienced Taoist!
Indeed, Chen Cang has perfect debridement skills. How many times does it take to start a skull?
Time passed by minute by minute, and Lao Ma and Bei Yongkang stood aside to help.
After the skull drilling was successful, Chen Cang placed the bone flap in the plate and then prepared to start incision of the dura flap!
At this time, Chen Cang felt the dura mater with his hand and frowned immediately!
He quickly said to Lao Ma: "Captain Ma, prepare your brain pressure plate!"
After hearing this, Lao Ma nodded immediately!
Can this kid feel the intracranial pressure just now?
indeed!
At this time, the dura mater is very nervous and the brain pressure is very high.
Chen Cang took the brain pressure plate and penetrated the small incision into the dura and gently pressed the cerebral cortex!
Then quickly cut the incision of the dura!
The whole process was clean and neat, with no gaps in the cooperation between hands.
This operation immediately made Bei Yongkang and others on the side lit up their eyes!
Good coordinated hands.
Indeed, Chen Cang's hands were almost seamless in operation under the mirror!
This left hand is as flexible as the right hand.
Is this a natural surgeon?
The surgical operation is very operational, and the effect of a hand is limited. Many surgeons even start practicing their left hand. In this way, they hope to achieve better results!
But when it was mixed, after seeing Chen Cang operated with both hands, the anesthesiologist next to him couldn't help but exclaim that yes!
He is knowledgeable and assisting with surgery with both hands is not something that ordinary people can do.
Chen Cang's seemingly simple operation immediately made everyone's eyes lit up.
This operation seems simple, but it is actually very cooperative. Most of the time, it is usually done by assistants.
However, it is easy to cause severely swollen brain tissue to eclipse from a smaller incision during the process of incision of the dura due to lack of coordination, causing cerebral cortex laceration.
Chen Cang did two things alone, which made Lao Ma feel a little redundant!
After the dural flap was incised, Chen Cang said to Ma Yuhui:
"Rinse saline!"
Lao Ma nodded quickly, rinsed the field with normal saline and rinsed out the blood on the brain surface farther under the bone flap.
“Pipette!”
Bei Yongkang quickly handed over, Chen Cang held the wash tube in his left hand, and his right hand began to carefully clean the inactivated brain tissue!
This process requires great patience and meticulousness!
“Bipole electrocoagulator!”
“Pipette!”
"Dural ionizer!"
Assistant Lao Ma successfully transformed into an instrument nurse at this time, but looking at the pictures on the big screen, everyone couldn't help but hold their breath and concentrate.
Because it was the first time they met someone who could use dural ionizers with bipolar electrocoagulators.
However, Chen Cang used it very well.
The stripper carefully stripped the necrotic tissue under Chen Cang's right hand. When he encountered the cerebral cortex bleeding, the bipolar electrocoagulation tweezers on his left hand immediately took their place and carefully stopped the bleeding!
The attraction continuously clears the necrotic brain tissue. After rinsing with normal saline, it soon reaches the upper sagittal sinus!
This has also reached the critical step in the operation!
There are actually many ways to deal with the blocked upper sagittal sinus here. According to Director Hong Sheng’s idea, it was originally designed to establish a sindou transverse sinus bypass technique!
But the disadvantages of this surgery are actually very obvious.
That's Chen Cang won't!
So, he suddenly thought of another effective method: thrombolysis method for sinus cannulation!
This method has significant effect and is small injured, but it is necessary to operate a microcatheter to incise a small opening in the anterior part of the upper sinus and insert it into the sinus with a microcatheter!
Then, perfusion was started with urokinase to achieve the dissolution of a thrombus!
However, one disadvantage of this surgery is that it requires a microscaler to bypass the complex brain tissue, reach the sagittal sinus, and then perform microcatheter operation.
In this way, the surgeon needs to have a steady hand to complete the incision of the sagittal sinus!
Thinking of this, Chen Cang did it as soon as he said he could do it!
"Microscopic scalpel!"
Lao Ma 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, pass through the gaps of the nerves, and complete the scalpel operation around the venous blood vessels.
This is the profoundness of craniocerebral surgery!
Wanjun accurately took the enemy general's head from it, and he could not hurt Wanjun!
At this time, everyone knew what Chen Cang was going to do. Lao Ma originally wanted to stop him, but seeing Chen Cang so decisively, he also understood that at this time, he should believe him!
At this moment, everyone stared at the display.
At this time, Chen Cang had a microscading knife with his left hand and was just passing through the middle.
Be careful, this requires accurate and stable hands, and you don’t know how to shake at all, otherwise it will damage your brain tissue.
Every minute and a second, sweat beads appeared on the sideburns of several people.
At this moment, Chen Cang hurriedly said: "Microcatheter!"
Success!
Everyone clearly saw that Chen Cang's microscopic scalpel successfully cut the sagittal sinus!
Neither Lao Ma nor Bei Yongkang could help but become excited.
Awesome!
Too awesome!
This operation is definitely a master!
...
ps: The double monthly ticket is only 6 days long. Please give me a monthly ticket, and the eighth update is here!
Chapter completed!