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

Chapter 63 The operation is in progress, and the daughter kneels for 6 hours

“Brain power system.”

Qin Feng stretched out his hand and Yizhu immediately handed over the equipment.

At this time, the patient’s head has been prepared (removing the hair and completely bare the scalp), and then he will open the skull.

Pick up the round knife and cut the skin and subcutaneous aponeurosis layer according to the craniotomy arc.

The scalp clamp lifts the scalp and clamps the scalp to stop bleeding.

It is still a skilled operation!

Immediately after peeling off the periosteum, the blade of the skull drill slowly cuts along the skull.

Because of the steel bars in the middle, Qin Feng also became more careful. After the skull was cut in a circular shape, he would take the skull off next.

“Stripper.”

Putting down the skull drill in his hand, his palm stretched out and the instrument was placed in his palm.

Qin Feng cautiously inserted it along the seam of the bone, held it firmly, and slowly pulled it outward along the steel bar.

Because it is too tight with the steel bar, he has cut a circle of windows in advance to facilitate the removal of the skull.

Everyone stared at his movements, for fear of any instability, causing the shaking of the steel bars to cause secondary damage to the trigeminal ganglion.

Two minutes later…

The skull was removed without any problems!

“Huh~”

Everyone heaved a sigh of relief, and their eyes looked at Qin Feng with more firm trust.

The hands are too steady!

Later, because the skull is inserted from top to bottom, it is very likely that fragments of the skull will be broken into the brain.

After he cleaned the wound, he began to look around where the steel bars were inserted.

Sure enough, three extremely small skull fragments were found in less than a minute, and they were gently taken out and then cleaned.

“Well, guys, you can start now.”

After Qin Feng took protective measures in his skull, he raised his head and looked at everyone.

Several chief knives nodded at the same time and began to cut the abdomen.

at the same time,

The blood preparation begins to be transported into the patient’s body, and at this time it is time to fight blood volume and technology.

A little mistake in any link, causing fatal danger or bleeding, will be completely abandoned.

The Department of Cardiology, Internal Medicine, and Urology opened the abdomen at the same time, and each became busy.

Qin Feng lifted the temporal lobe with the brain pressure plate, followed the opening of the head, and carefully inserted the minimally invasive knife into it through the top of the forehead and skull.

Because there were too many occlusions and unable to open the field of vision, he used an instrument to observe the situation this time.

Under normal circumstances, the semilunar sensory fiberotomy of the trigeminal nerve is to take the upper edge of the zygomatic arch 2cm in front of the outer ear hole, make a straight incision about 6cm in length backward and upward, and then cut the temporal muscle fascia to separate the temporal muscle for minimally invasive operation .

In this way, there is no need to open the craniotomy, which minimizes the wound and pain of the patient.

But because the skull was penetrated by steel bars this time, only a craniotomy could be performed.

Separate the dura mater from the skull before and after the spinous foramen to free the middle meningeal artery, then block the blood flow of the middle dural artery and cut it off using arterial coagulation.

finally,

After some deepening, Qin Feng successfully entered the dura mater to find the meniscus at the bottom of the middle cranial fossa, and cut open the dura and the lamina propria of the meniscus.

The dura mater outside the semilunar segment should not be separated too much, so as not to damage the superficial petrosal nerve, resulting in facial nerve paralysis and decreased lacrimal gland secretion.

After Qin Feng used a minimally invasive knife to slowly free himself, the trigeminal ganglion appeared in front of his eyes.

And the edge of the steel bar completely compressed and deformed the nerve, and now it must be cut as soon as possible.

There is a small gap between the fibers of the branch of the eye and the fibers of the maxillary branch. He lifted the third and second lateral fibers of the posterior root with a blunt nerve hook.

“Pay attention to control the patient’s vital signs and adjust the fluids. I am going to cut off the trigeminal ganglion.”

After accomplishing this, Qin Feng stopped and said.

Then, cut off the nerve root filament at a distance of 5mm above the half moon.

When the two nerves were severed, the frontal trigeminal ganglion was deformed by compression and contracted backwards suddenly, and the pressure disappeared instantly.

“Huh~”

The attendant outside his head standing beside him also breathed a sigh of relief.

The most important thing in this link is that the fibers must be clearly identified, and the motor roots and the first fiber must not be damaged.

Otherwise it will be very troublesome to deal with!

Qin Feng slowly lifted the trigeminal ganglion with a blunt nerve hook, fixed both ends, and dropped the knife in his hand.

The trigeminal ganglion was successfully blocked and incised. It’s done!

The safe position of the steel bars is released, and as long as the brain on the forehead is protected, the craniotomy is complete.

But he knew that this was just the beginning, and the most rare thing was that the nerves were perfectly stitched after the steel bars were successfully taken out.

Otherwise, it will cause irreversible effects on the patient’s face, and even lose some senses.

“Doctor Qin, you are really amazing.”

Ichisuke couldn’t help but whispered, eyes full of excitement.

This is the first time he has witnessed any Frazier operation on a trigeminal ganglion with his own eyes. I feel that he has benefited a lot!

“I will definitely encounter it in the future.”

Qin Feng didn’t say anything, shook his head and said lightly.

Next, let’s look at the remaining few people. At present, the patient’s physiological indicators are stable and not bad.

The patient’s abdomen has been opened a little bit from the third rib, and the organs appear in front of him.

Cao Ke deserves to be the deputy director outside his heart, and a top student who has returned from abroad has a cleaner technique than the director Zhang Fan.

This time he also chose to open his chest directly from above his heart, for a better vision.

After the sternum is opened, the flowing blood is continuously sucked away by the suction device to ensure the surgical vision of all parts.

“Doctor Zhang, you have to be careful.”

Qin Feng couldn’t help but exclaimed, looking down at Zhang Chen who was about to start the incision and said.

Zhang Chen didn’t speak, but nodded with complicated eyes.

Unexpectedly, I, a genius who came from Beijing, would have to listen to an intern to perform the operation.

Mainly because the former classmates and colleagues knew about it, didn’t you laugh him to death?

However, when treating patients, doctors still have the least awe.

After confirming the location of the liver and spleen incision, avoid the dense arteriovenous area, and cut into the liver with the blade.

When he felt his hand touch a hard object, he slowly pulled it to one side, revealing the steel bars.

But at this moment, an accident happened!

Suddenly, a large amount of blood oozes from the bottom where the steel bars are in contact with the liver.

I hurt my artery!

Everyone suddenly stopped seeing this scene, and the same thought came up in their minds.

“Hemostatic forceps!”

Zhang Chen hurriedly turned the hemostatic forceps into the bottom of the liver along the steel bars, and wanted to use the hemostatic forceps to stop the artery from bleeding.

But I tried several times without success.

The blood spurting out in front of me quickly blurred the vision of the operation, and even overflowed to the position of Deputy Director Cao. Even the suction device could not keep up with the speed of blood sucking.

Zhang Chen’s heart sank suddenly, and he didn’t dare to go inside anymore, and slammed downwards, trying to poke his liver away to confirm the bleeding.

A burst of blood was ejected directly out of the body and splashed on his face violently.

Oops!

He quickly retracted his hand to block it, but it was too late, his bare eyes were covered with blood, and he couldn’t see anything.

Everyone suddenly felt cold, and it was awful!

Bleeding!

Before they could react, a hand suddenly appeared, inserted between the steel bar and the liver, directly blocking the spewing blood.

“Hemostatic forceps!”

Qin Feng said solemnly, taking the hemostat and immediately inserting it along his finger.

Open and close.

The liver and arteries, about half the size of a finger, were deadlocked, and the blood volume dropped a lot in an instant.

But there is still blood coming out of the bleeding mouth, and it seems that the liver has more than one blood vessel cut off!

“Is it okay?”

Qin Feng cracked and raised his head to look at Zhang Chen who wiped off the blood.

“No, I’ll come.”

……

Zhang Chen stopped for a moment, and then his eyes rose unyieldingly, and shook his head.

In the next second, he stretched out his hand to poke out the entire liver, and he directly locked one of the hemostatic forceps in his hand.

Then took the hemostatic forceps and controlled the second bleeding port.

The third……

the fourth……

In just a minute, all bleeding ports were stopped and hemostasis was completed.

And at this time,

In just one minute, the blood flowed out of the abdominal cavity was everywhere, and the other two had to stop.

Suddenly, the blood volume lost at least 1000ml, plus the previous open stomach, the 10000ml blood preparation has lost more than 2000ml.

One-fifth!

Less than one-third of the operation has been performed now, and all incisions are being made!

“Director Zhou, please send me the 5000ml blood preparation from the Second City Hospital for your hard work.”

Qin Feng retracted his hand and looked at Zhou Xianrendao.

“Okay, I’ll get in touch now.”

Finished,

Let the nurse around him leave the operating room, waiting for the blood to be sent in.

Half an hour later,

Cao Ke wiped his sweat there and it came to an end. After the heart was freed, the heart was gently displaced by more than a centimeter, exposing all the steel bars.

The heart is over.

Then, the urinary is done!

Finally, Zhang Chen is dealing with the final stage of the spleen.

at this time,

The door of the operating room opened, and the nurse walked in with a special box for the blood bank.

The 5000ml blood preparation from the Second City Hospital is here!

Seeing what the nurse said in Zhou Xianren’s ear, Director Zhou’s eyes suddenly looked a little wrong.

“What’s wrong?”

Upon seeing this, Qin Feng asked, after all, nothing may affect the progress of the operation.

“It’s okay, it’s not about surgery.”

Zhou Xianren shook his head and said with a bitter smile.

“The patient’s wife and daughter are still kneeling outside the operating room. It looks like they have to wait until the operation is over.”

Hearing what he said, Qin Feng glanced at the time, and now it’s just over an hour.

He already had a general expectation for this operation in his heart, and it is estimated that it will not end until dawn.

Remove the steel bar from the stripping channel, and then suture the wound and close the abdomen.

At least 6 hours!

Do the family members of the patient and the daughter who suffers from leukemia kneel at the door for 6 hours?

…….

“Oh~”

Qin Feng sighed, let them go first, now the most important thing is to save people.

“Go on, get ready to fix the rebar more!”

Next, take out the rebar!