Sleepless Doctor

The shape of the patient’s brain appeared in the live broadcast of the operation.

The thickening of the arachnoid membrane, atrophy of the brain, and polycystic changes are visible to the naked eye.

The patient’s brain atrophy is extremely severe, and the gap between the brain and the skull on the surgical side is very large. Huang Tianci estimates that if the patient has cerebral hemorrhage, there will be absolutely no spontaneous symptoms within 100ml.

100ml is a conservative estimate, 200-300ml will not cause any problems.

Although the brain is shrinking as a whole, the temporal lobe is somewhat abnormally "developed." Huang Tianci couldn't figure out why, so he asked in a low voice, "Old Director, have you seen this situation?"

Director Lao Zhai watched the live broadcast with a frown, and shook his head slightly, "Ordinarily, the temporal lobe shouldn't be so developed, it should shrink like other tissues. Is it because Wu Mian's kid just discovered that there is a problem with the temporal lobe? Delayed surgery?"

"Probably not. The preoperative imaging data was not sent, but I feel that Wu Mian and Chu Zhixi should have watched the film many times before the operation, and I have a good idea." Huang Tianci said, "Especially the neuronavigation equipment sets the surgical approach. , Must have gone through thousands of tempers."

Director Zhai nodded, and continued to watch the operation intently.

During the live broadcast, Chu Zhixi performed a ventricle puncture to release cerebrospinal fluid in order to facilitate the operation, causing the affected side of the brain to further collapse.

Expose the sylvian fissure, tear the arachnoid membrane, carefully retract the frontotemporal lobe, and examine the side of the saddle.

The two tiny neurosurgical microsurgery forceps were released a little bit, and the middle cerebral artery was gradually exposed.

In this step, the surgeon Chu Zhixi and his assistant Wu Mian did it very cautiously. The speed was not fast. Every small branch was exposed as much as possible to reduce the secondary damage.

The live broadcast on the screen does not look like an operation is being performed, but a live scene of the local anatomical specimens being made on the live broadcast. The micromanipulations of Chu Zhixi and Wu Mian are very subtle, and every movement is difficult to distinguish on the big screen.

Fortunately, the Jianxie Hospital was well prepared. At the moment of the microscopy operation, two views were opened on the right side of the screen. One was Wu Mian's microscopic view and the other was Chu Zhixi's microscopic view.

The scope of surgery is only a few millimeters, and there is nothing special about the freeing process, and it is the same freeing no matter who does it. It's just that Chu Zhixi and Wu Mian cooperated tacitly, and there was no interference or influence between each other.

The internal carotid artery, middle cerebral artery, anterior cerebral artery and its bifurcation? A little bit appeared in the surgical field.

Until the middle cerebral artery branched off from the lenticular artery and the distal end of the lenticular artery was double-clamped and cut off; after the anterior cerebral artery branched off the distal end of the anterior communicating artery, the artery was clipped with a silver clip and cut off? The doctors in the conference room Take a breath.

There is no major bleeding. What if the dissociation is not cautious? Some mistakes? A small branch blood vessel is broken and bleeding, the entire surgical field will become a red? Nothing can be seen.

Bleeding has always been a major problem facing neurosurgery.

Unlike thoracic and general surgery operations? As long as they don't catch up with the extreme conditions, the amount of blood will not affect the surgical field. After all, the thoracic cavity can hold 3000ml of blood, and the abdominal cavity has a larger volume.

The suction device is inserted in, and the blood is sucked out. In this case, the surgeon is not considering the surgical field? It is the issue of hemorrhagic shock in the patient.

But the scope of neurosurgery is intracranial? The patient’s side of the brain is atrophied in front of him, but he can only "load" 2-300ml of blood.

The operation was so meticulous, Huang Tianci sighed from the bottom of his heart. He glanced at the time, and used 42'22" to free the middle cerebral artery and the anterior cerebral artery.

Is the operation performed very ordinary, although it is meticulous? But it is too slow... Thinking about it, Huang Tianci suddenly fell into a trance.

He realized that he had forgotten something.

From the beginning of freeing to closing the distal artery with a silver clip? There was no bleeding at all!

The operation area is extremely clean, without any bloodshot eyes? It doesn't look like a neurosurgery at all!

The neurosurgery that Huang Tianci is familiar with is careful all the way, but I don't know which blood vessel is broken? The blood that comes out stains the surgical field all red? Nothing can be seen in the microscopic surgical field for a moment.

Huh? How important is it to have a good assistant, Huang Tianci said with emotion.

If I had an assistant of Wu Mian's level, the operation would certainly be able to achieve this level of precision!

affim! !

Sure... Maybe.

The operation continued, advancing slowly but firmly.

After 22', the surface of the cerebral cortex enters the draining vein next to the sagittal sinus, which is the superior cerebral vein, which is separated, and then cut off by bipolar electrocoagulation.

Then it was time to lift the posterior part of the temporal lobe to free the labbé vein and its drainage vein on the occipital lobe, Huang Tianci thought to himself.

The operations of Chu Zhixi and Wu Mian were carried out step by step, like a textbook.

There is no sensational operation. From the beginning to the present, all the operations are simple and plain. They are plain and tranquil, unlike watching a hemisphereectomy operation that is more difficult than the sky.

Every step seems to give hints to the people watching the operation, suggesting that the operation will be very successful~www.readwn.com~ Huang Tianci knows that as long as the operation time is not caused by the surgeon’s energy consumption, the surgeon’s energy has always been so stable. If surgery is performed horizontally, success is inevitable.

But here is the problem.

Can anyone concentrate for 12 hours, or even 15 hours? impossible.

Maybe there will be a mistake in the next step. Huang Tianci watched the video intently, and kept using his own experience to compare the surgical procedures of Chu Zhixi and Wu Mian.

A hand wearing a white sterile glove lifted the back of the patient's temporal lobe, but at this moment, the live broadcast signal began to flash.

Like the old TV in the 1980s, the signal is not good, and the signal receiver needs to be debugged. The operation field on the screen began to twist, and a faint voice came from the speaker.

What's wrong? Even if there is a problem with the network signal transmission, it will be stuck, it is a delay, and it will not be like it is now.

Huang Tianci looked at the screen suspiciously.

Fortunately, the distortion time of the screen operation field is not long. After about 20", the screen signal returns to normal.

Huang Tianci didn't care either. After all, it was remote transmission. No matter which link went wrong, it would cause an abnormal situation. I'm just a doctor, not a network engineer, I can't even think about it.

But the hand in the operating room seemed to perceive something. Instead of fixing the patient's temporal lobe with a fixator, he slowly changed the direction.

The signal transmission has problems again, and the babbling noise is upsetting.

Can the movement of the temporal lobe affect the network signal? Huang Tianci was a little puzzled.

But when the signal improved, the posterior part of the temporal lobe of the patient had been fixed, and Chu Zhixi and Wu Mian began to free the labbé vein and the drainage vein on the occipital lobe.

The scene just now seemed to be an illusion by Huang Tianci, and it didn't exist at all.