After raising a cat, the goddess doctor became popular in the interstellar

Chapter 431 Two Surgical Options
Qin Feng only showed up early in the morning, greeted her very tiredly, and then went to rest.

I heard that he went to three emergency surgeries last night, and he was indeed exhausted.

Soon the child was going to be operated on the stage, and the family members arrived one after another.Father and mother, uncles and aunts, grandparents, and maternal grandparents stood in a circle outside the ward.

According to the prescribed procedures, Tao Le conducted preoperative education and communication with the family members.

The operation plan was formulated after the consultation yesterday.

Tao Le tried his best to explain the specific procedure and possible risks during the operation in plain and easy-to-understand language, emphasizing the overall strength and spirit of cooperation of the entire Shenwai medical team.

This kind of emphasis is extremely necessary, because the doctor who admits the patients in the outpatient clinic, the attending doctor and the doctor in charge of the bed are basically not the same person.

Patients and their families often misunderstand that the doctor who admitted him to the hospital is the person in charge of him. Once they have not seen each other for a long time, they will think that they are not taken seriously.

Changing the introduction of individual doctors to the publicity of the collaboration of the whole team will make patients and their families more confident and more convenient to carry out their work.

"It's okay, Doctor Tao, we trust you and we will follow your orders!" The child's mother immediately expressed her opinion.

"Yes, yes, you are Zhou Guoshou's closed disciple. With you here, we can rest assured!" The father of the patient obviously also got the news and knew her status, so he said so.

The trust of family members is both a good thing and a burden.Because surgery is definitely risky, there is no [-]% safe and harmless surgery in this world.

That is to say, Tao Le has a golden finger, so that he can add an extra heavy insurance to the children.

In this sense, there is really nothing wrong with the trust of the patient's family.

When the time was almost up, Tao Le and the nurses pushed the child into the operating room.

Because it is such a small child, Kone attaches great importance to it.The operation was performed by the deputy director Huo Jing himself, the senior resident doctor Huang Heng served as the first assistant, and Tao Le served as the second assistant as the bed doctor.

Once on stage, Tao Le opened the golden finger.

It has been a long time since she entered the space to practice surgery, and she has begun to miss the kind of focused practice without distraction.

He even misses the masked man with a poisonous tongue who is unknown but knows everything.

"After testing, the current conditions support the combined treatment of very large aneurysms. Do you need simulation-guided exercises? Yes/No."

Tao Le chose "Yes" without hesitation.

The scene changed, and Tao Le stood in the familiar operating room again, facing the man with a poisonous tongue who had been gone for a long time.

The other party's eyes were staring straight at her, with an extremely dignified look between his brows, and he knew that he was not in a good mood at a glance.

Based on Tao Le's understanding of him, he might make endless offensive remarks in the next moment.

So she took the initiative, showed a bright smile, and said loudly: "Hello, teacher! I am really happy to meet again after a long absence. I think you are the same, right?"

Reach out and don't hit the smiling person, this time someone can't pester him for not coming for a long time, can he make a big fuss?

Sure enough, the strategy worked.The man with a sharp tongue in the mask seemed to be in a trance for a moment, then took a deep look at her, and started the operation demonstration without complaining.

Following his actions and explanations, Tao Le gradually understood why this operation was called "Combined Treatment of Extra Large Aneurysms"—it was a seamless connection of the two treatment methods.

An aneurysm is not a real tumor, but a raised blood blister in an artery that is filled with blood and is characterized by its tendency to rupture.

Once broken, the blood accumulated in the tumor will flow into the brain, forming a subarachnoid hemorrhage, with a high rate of death and disability.

For normal aneurysms, clipping of the neck of the aneurysm can be performed directly, that is, the blood vessels on both sides of the aneurysm are temporarily blocked, and then the blood in the aneurysm sac is evacuated, and then a strong clip is used to clamp the neck of the aneurysm so that it cannot be obtained. blood supply.

This method is also the best choice for the treatment of aneurysms.

However, the patient's aneurysm was simply too large.An aneurysm with a diameter of more than [-] centimeters is a giant aneurysm, and the child's aneurysm has a diameter of more than [-] centimeters, which can be said to be a huge aneurysm.

If the tumor is large, the neck of the tumor will widen accordingly, and it is difficult to achieve effective results by simply using clipping of the tumor neck.

If the clamping is not tight, side slipping is still a trivial matter, and the tumor clip may slide to the parent artery, resulting in narrowing or occlusion of the artery.

The aneurysm in this child has formed a very obvious mass effect, compressing the right frontal page tissue.

At the same time, whether it is arterial blood vessel or venous blood vessel, there are different degrees of variation and deformity, and the relationship between surrounding tissues is complicated, so the treatment is very difficult.

The surgical procedure performed by the man in the mask is not exactly the same as the plan formulated by Deputy Director Huo Jing after several consultations in previous departments.

Tao Le remembered very clearly that Deputy Director Huo advocated the use of aneurysm isolation surgery, that is, permanent clipping of the proximal and distal ends of the parent artery.

At the same time, he also formulated an emergency plan. If it is found during the operation that the artery cannot be guaranteed to have sufficient collateral blood supply, vascular bypass surgery must be performed.

But the man in the mask came and wiped out the grass.He cleanly blocked the main blood supply artery of the aneurysm, drained the blood, then opened the aneurysm, and then used tissue scissors to completely cut off the entire aneurysm from the aneurysm.

Neck clipping combined with aneurysm resection.

Tao Le was full of puzzles, so he asked directly: "If the aneurysm is not cut off, is it feasible to directly perform an aneurysm isolation operation?"

The man in the mask didn't answer, but just gave up the position of the chief surgeon and signaled her to come in person.

The learning process is long and hard.But if you take the wrong path at the beginning, the suffering you will suffer will be multiplied several times.

When Tao Le stood on the operating table again, he was very sure that the established operation plan would not work no matter what.

But it doesn't matter, failure is the mother of success. After being ridiculed countless times by someone, she has already explored a remedy, which is enough to bring the entire failed operation back to life.

The shadowless lamp was turned on, and the anesthetist gave a gesture.The child lay face down, Deputy Director Huo stood on his head, cut a question mark-shaped opening in the right frontotemporal, incised the scalp, temporalis muscle and periosteum, and peeled off the skin flap.

The skull was drilled, and the bone flap was removed after sawing. It can be seen that the tension of the dura mater is high. After the radioactive incision, a huge aneurysm in the frontal lobe can be seen.

Such a large aneurysm.This was the first time Huang Heng saw it, and he couldn't help being amazed.

His eyes swept over Tao Le inadvertently, but he found that the other person's expression was extremely flat, as if he was used to this kind of situation, and he didn't notice anything unusual.

(End of this chapter)