Signed In At The Hospital, The First Operation Shocked The Whole Country!

Chapter 38: Four operations on the same stage, first craniotomy

“Great! Qin Feng, you are here!”

Director Zhang Fan outside his heart saw him walking in, his eyes lit up and said in surprise.

“Director Zhang.”

Qin Feng nodded and walked forward.

“What’s the problem?”

“Is such that……”

Zhang Fan immediately explained the situation of the injured to him in detail, for fear of missing something.

The two directors of the Second City Hospital looked at each other and couldn’t help being very surprised.

This is Qin Feng?

The first doctor in Jiangcheng to complete the excision of an isolated liver tumor?

Although they also read the report about Qin Feng, they met him for the first time.

Too young too!

And even Zhang Fan, who is a top-notch knife in the entire Jiangcheng, is so passionate about him.

It’s amazing!

At this moment, Qin Feng ignored their surprise, his eyes became serious.

The injury of the wounded in front of him is really serious!

Compound fractures, shock, ventricular fibrillation, ruptured spleen, broken heart meridian bleeding, intracranial hemorrhage…

The heartbeat stopped several times and the vital signs disappeared. If it weren’t for Zhang Fan, the elder brother of the heart and the two directors of the Second City Hospital, with the rich surprise, he would be rescued for his life.

It’s a miracle that he hasn’t died yet!

Of course, this is also a death order from a superior. As long as there is a glimmer of hope, and you must not give up any injury, I am afraid that you have died several times long ago.

“The problems of the heart, compound fractures and ruptured spleen can all be solved.”

Shen Yan, director of the Orthopedics Department of the Second City Hospital, frowned and said.

“But the patient’s intracranial pressure, hemorrhage, and the doctors outside the brain are all on the stage now, and we are short of manpower.

If the operation is rushed, I am afraid that the patient will not be able to step down! ”

“Yes, I really don’t dare to move. Once the heart is blocked, coupled with cerebral hemorrhage, it is impossible to survive.”

Zhang Fan nodded in agreement and said helplessly.

“Well, now more than 20 serious injuries are undergoing surgery, 12 patients have had cerebral hemorrhage, and the brain doctors in three hospitals have all gone, and the clones are lack of surgery!”

Qian Cheng, deputy director of internal medicine of the Second City Hospital, shook his head, basically giving up in his heart.

“Have you passed CT?”

Qin Feng nodded slightly. Knowing the seriousness of this, he looked at the three of them and asked.

“Out, here.”

Director Zhang Fan quickly handed him the inspection report.

“Now the patient has begun to have respiratory failure. According to CT, it should be a brain herniation caused by cerebral edema, which oppresses the respiratory center.”

He stared at Qin Feng, Zhang Fan knew that Qin Feng had completed many major operations in extra-cardiac, obstetrics and gynecology, and internal medicine.

And every surgery is perfect at the textbook level!

Up to now, almost all his surgical videos have become surgical teaching materials in various departments, for all doctors to learn from.

But I don’t know if he will have brain surgery!

“Director Zhang, I remember Qin Feng is still an intern now.”

Just when Qifang could read the inspection report, Qian Cheng, deputy director of internal medicine, frowned and asked Zhang Fan.

“Can he really be on stage?”

“Hahaha~

Qin Feng is already an official doctor in the First Hospital of our city, and he has the right to sign the operation specially approved by the dean, what do you think? “Zhang Fan chuckled lightly when he heard the words, and his calm tone was full of arrogance.

Click!

Hearing what he said, both of them were shocked!

The look in Qin Feng’s eyes suddenly became serious and unbelievable!

The right to sign the operation specially approved by the dean?

You know, the right to sign for surgery is a power that only the deputy chief physician can have!

This is also to manage the surgical procedures in the department and strictly control every operation.

And Qin Feng has actually obtained the power that every ordinary doctor dreams of!

Is this guy really an intern?

“Of course, I don’t know if he will have brain surgery, wait a minute.”

Seeing that the two were dull, Zhang Fan said again.

Puff~!

Deputy Director Qian Cheng and Director Shen Yan almost spit out old Xie.

Isn’t this just a mess?

What can you do for brain surgery?

“Lao Zhang, are you kidding us?”

Deputy Director Qian Cheng couldn’t help but said in a deep voice.

“This is a brain surgery. A little carelessness can kill people!”

After about two or three minutes,

Qin Feng put down the inspection report and fell into deep thought.

“How about Qin Feng, can you do it?”

Zhang Fan asked nervously.

“The patient’s intracranial hemorrhage should be more than 30mi, accompanied by intracranial pressurization, the situation is really not very good, and a craniotomy is needed.”

Qin Feng raised his head and glanced at the monitoring data of the wounded, then looked at the three of them and said,

“Give me a device nurse outside my head. I need help.”

“good!”

Hearing his answer, Zhang Fan couldn’t help feeling ecstatic, and immediately pointed to a nurse.

“Quick! Find an experienced equipment nurse outside your head!”

The nurse nodded and immediately ran out of the operating room.

According to the inspection report, Qin Feng has already understood the specific situation of the injured, and has formed multiple surgical plans in his mind.

At present, the patient’s blood pressure is 13472mmhg, which is somewhat unstable.

GCS score (evaluation of Glasgow Coma Index, including eye-opening response, language response and limb movement, 13-14 points for mild coma, 9-12 points for moderate coma, 3-8 points for severe coma, and 3 points or less for Brain death, 14 points or more is a normal state):

8 points (severe coma)!

In addition, there is an 8cm gap on the top of the skull occiput, which reaches the skull bone and is accompanied by active bleeding.

Brain contusion and laceration occurred during head examination, and the subarachnoid meninges were also damaged to varying degrees.

I started to choose the most suitable surgical method in my mind.

At present, the most effective surgical methods to solve cerebral hemorrhage include three kinds.

The first type is minimally invasive!

The advantages are local anesthesia, small trauma, easy operation and quick recovery.

But the shortcomings are also great, the hematoma is not completely clear, the intracranial decompression is insufficient, and because of the small surgical field of vision, once the formation of thrombus is dangerous.

The second type, small bone window!

It is to chisel a small window in the congested area, and remove the hematoma from the craniotomy. Generally speaking, the nucleus hemorrhage is commonly used, and the trauma is less than that of the bone flap craniotomy.

Moreover, the surgical field of view is large, which can remove hematoma and decompress and stop bleeding under direct vision.

The disadvantage is that it is not suitable for patients with the tendency of brain herniation (displacement and compression of other tissues).

The last type: bone flap craniotomy and hematoma removal surgery (lifting the cranium): The most perfect surgical plan for the doctor, with a complete field of view, complete removal of hematoma, complete hemostasis, and adequate decompression.

But the disadvantage is that the trauma is too great!

Of course, there is a fourth type, stereotactic aspiration surgery.

This kind of surgery is more advanced and is a new technology developed in recent years. Qin Feng can do it, but it is also not suitable for patients with brain herniation.

And most importantly, none of the hospitals in Jiangcheng does not have such equipment.

too expensive!

The patient in front of the patient has an obvious tendency to herniate, and it is not suitable for the first, second, and fourth surgical options.

Now only the bone flap is left for craniotomy.

And according to the GCS score, 8 points are also in line with the scope of [Bone Flap Craniotomy Hematoma Removal Surgery].

It’s decided, so be it!

Qin Feng had already determined the operation plan in his heart.

About ten minutes later,

The nurse who left did not come back. Another nurse came, the head nurse of brain surgery!

“Doctor Qin, here I am.”

When she saw Qin Feng, she walked up to him and said in a deep voice.

“good.”

Qin Feng nodded and swept across the three people in front of him with a serious tone.

“Everyone, let’s get started.”

“good!”

Zhang Fan responded without hesitation and immediately stepped onto the operating table.

The other two directors of the Second City People’s Hospital looked at each other, and both saw the frustration in each other’s eyes.

But it’s not easy to say.

Because the dean has already ordered, no matter what happens, resolutely obey the arrangements and dispatch of the City First Court.

The two could only walk on stage silently, looking at Qin Feng’s eyes full of doubts.

Does this really work?

In 5 minutes, all preparations are completed.

Zhang Fan also looked at him with blocking pliers, as if waiting for an order.

“I will open the skull first, and you will perform the operation after the pressure is relieved.”

Qin Feng said, reaching out to the head nurse.

The head nurse handed him a sterile cotton soaked in 3% iodine.

Disinfect~

“Put the towel and lift the patient up and fix it.”

Qin Feng said while operating at the same time as the head nurse.

“Push the brain power system over. (Craniotomy instrument)”

The head nurse immediately assembled the brain power system, chose a suitable drill bit to connect to the handle, and handed it to him.

Qin Feng took it and placed it next to him, nodding.

The head nurse connects the other end to the host, and assembles the milling cutter head on the spare table.

Fix the aspirator to prevent the aspirator head, electrosurgical knife, and bipolar electrocoagulation.

Turn on bipolar coagulation, adjust the size of bipolar coagulation…

everything’s ready!

The second step:

Craniotomy!

Qin Feng picked up the round knife and cut through the skin and subcutaneous aponeurosis layer according to the craniotomy arc.

Lift the skin with a scalp clip and clamp the scalp to stop bleeding.

Subsequently, cut and peel off the periosteum.

Buzzing~

Qin Feng put down the knife, held the brain power system skull drill, and pressed the switch.

Squeaky~~~

The blade slowly sinks into the skull along the edge, while opening the skull, while using a syringe to drip saline to soak the bone hole, the bone wax synchronously stops the bleeding…

At this time, the entire operating room was extremely quiet.

Everyone held their breath for fear that the movement would be too loud and disturb Qin Feng.

This is a craniotomy. If you are a little careless, the operation may be over with a shake of your hand.

Stitch directly, cover with white cloth and push into the morgue.

Zhang Fan and the three people also stared at his every movement nervously, especially Qian Cheng and Shen Yan, their hearts were raised in their throats.

I really don’t know what Qin Feng will do!

Fear!

In about ten minutes, the bone flap was basically separated, and Qin Feng used a periosteal dissector to gently pry open the bone flap.

Wrap it with wet gauze, stop bleeding on the wound, flush the incision, and open the surgical field of vision.

Finally, use a wet brain cotton pad to gently put it into the skull to protect the brain tissue.

“Huh~”

Seeing this scene, everyone breathed a sigh of relief.

Qin Feng also stopped, took off his gloves, washed his hands again, and put on new gloves to prevent the risk of infection.

The two directors Qian Cheng and Shen Yan couldn’t help but become more surprised, this technique is too skillful.

Has no brain surgery been done?

I’m afraid no one will believe it!

……

“Okay, I want to clean up the blood and relieve the patient’s pressure.”

Qin Feng raised his head to look at the three of them and whispered.

“Director Qian, Director Shen, you can start the operation, Director Zhang, wait a moment.”

“good.”

Zhang Fan nodded, Qian Cheng and Shen Yan walked to the operation position after hearing the words, and each started the operation within the scope.

Because once the heart is blocked, the brain will enter a state of hypoxia and ischemia, so heart surgery cannot be done now.

“Line 1.”

Qin Feng stretched out his hand, and the head nurse immediately handed the small round needle to the dura mater through the threading path, and suspended the dura mater.

The first…

The second…

The third…

Until the tenth root, his speed gradually increased, and the eyes of the people who watched them were bright, and at the same time pleasing to the eyes.

Next, Qin Feng cut open the dura mater, lifted the meninge membrane with the meningeal hook, and then cut a small opening with the razor blade to enlarge it.

Among them, bipolar electrocoagulation was used to stop bleeding, and the residual blood was wiped with meningeal forceps sandwiching the patch.

At this point, the craniotomy has been completely completed!

At the operation site, many people had never seen a craniotomy, including the three directors.

I can’t help my scalp tingling after seeing this process!

When Qin Feng opened his meninges, the darkening of the blood in the brain appeared in front of his eyes.

a lot of!

It is estimated to be 50 mL, and it starts to flow out slowly.

Qin Feng took a deep breath, his eyes became solemn.

As soon as possible!