Chapter 1161: : Absolute master

At this time, outside the operating room, Xue Dong contacted the head nurse and wanted to have a live broadcast of the operation.
But after thinking about it for a while, Xue Dong couldn't help but shook his head, what to see!
Young people, all have the heart to compete!
For Chen Cang, Xue Dong naturally has a little more competition.
But the two are not in the same field, so there is no direct contest between the gong and the drum.
But now that Chen Cang is going to do neurosurgery, Xue Dong looks forward to it.
As for Mitty, Xue Dong really didn't take it seriously.
He thinks this is just a trivial matter. After all, what you like is not illegal or even criminal.
After hesitating for a moment, Xue Dong suddenly smiled and got up and left.
I don't have this confidence yet?
And at this time in the operating room, Mitty had been anesthetized by endotracheal intubation.
At this time, Mitty is a compound subdural hematoma, there are two types of bleeding, one is a solid clot, and the other is liquid, so the direct choice is to remove the craniotomy hematoma.
Craniotomy is the first operation,
However, the skull can't be opened but the dura mater can't be damaged, which only compares the strength of the doctor.
This example is the so-called egg skin and egg membrane experiment.
Clinicians need to use drill holes to remove the egg skin, but can not damage the egg membrane, which requires the doctor to have a pair of extremely stable hands!
At this time, after confirming the opening, cut the skin to expose the skull!
The skull is composed of multiple bone flaps. According to the operation requirements, a large frontotemporal bone flap is used!
After confirming, Chen Cang took the electric drill.
To be honest, this is also Chen Cang's first time being a real person, which is different from training in space.
When he felt the vibration of the electric drill, Chen Cang calmed his heart.
When the electric drill slowly goes down to open the skull, you need to be patient and not impatient!
Lao Ma looked at Chen Cang like this, suddenly froze for a moment, and whispered in his heart: Good old!
Indeed, Chen Cang has the perfect level of debridement skills. How many times does this craniotomy work out?
Time passed by one minute and one second, Lao Ma and Bei Yongkang stood by to help.
After the skull was successfully drilled, Chen Cang put the bone flap in the disc, and then he was ready to start the incision of the dura!
At this time, Chen Cang felt the dura well and immediately frowned!
He quickly said to the old horse: "Leader Ma, prepare for the brain pressure!"
After the horse heard this, he nodded suddenly!
This kid can, just felt intracranial pressure?
indeed!
At this time, the dura is very nervous and the brain pressure is very high.
Chen Cang took the pressure plate through a small incision in the dura and extended it under the dura to gently press down the cerebral cortex!
Then quickly cut all dural incisions!
The whole process is clean and tidy, with no gaps between hands.
This operation immediately opened the eyes of a few Beyond Kang!
Well coordinated hands.
Indeed, the operation of Chen Cang's hands under the mirror is almost seamless!
This left hand is as flexible as the right hand.
Is this a natural surgeon?
Surgery is very operable, and the role of one hand is limited. Many surgeons even begin to practice the left hand. In this way, I hope to achieve better results!
But when he was heterozygous, after seeing Chen Cang operating with both hands, the anesthetist on the side couldn't help but exclaim!
He is well-informed, and assisting surgery with both hands is not something ordinary people can do.
And Chen Cang's seemingly simple little operation suddenly brightened all eyes.
This operation seems to be simple, but it is actually very cooperative. Most of the time, it is usually an assistant.
However, it is easy to cut the dura due to lack of coordination, and the severely swollen brain tissue bulges out from the smaller incision, causing a cerebral cortical laceration.
And Chen Cang did the work of two people alone, and let Lao Ma stand aside feeling that he was a bit superfluous!
After the dural flap was opened, Chen Cang said to Ma Yuhui:
"Natural saline rinse!"
The old horse nodded quickly, flushing the surgical field with normal saline and flushing blood from the brain surface far away from the bone flap.
"Aspiration pipette!"
Bei Yongkang handed it over quickly, Chen Cang took the lotion tube in his left hand, and the right hand began to clean up carefully against the inactivated brain tissue!
This process needs to be very patient and meticulous!
"Bipolar coagulator!"
"Aspiration pipette!"
"Dural peeler!"
Assistant Lao Ma successfully turned into a device nurse at this time, but looking at the picture on the big screen, everyone couldn't help but hold his breath.
Because this is the first time they have seen someone who can use the dura mater with a bipolar coagulator.
However, Chen Cang used it very well.
The stripper carefully stripped the necrotic tissue under Chen Cang's right hand, and the bipolar electrocoagulation forceps of the left hand were immediately placed in place where the cerebral cortex hemorrhage was encountered, and hemostasis was carefully stopped!
The suction device constantly removes the necrotic brain tissue, flushed with normal saline, and soon reaches the place of the superior sagittal sinus!
This is the key step of the operation!
To deal with the blocked upper sagittal sinus, in fact, there are many ways to deal with it. Originally, according to Director Hong Sheng's idea, a Sindou transverse sinus bypass surgery was established!
But the disadvantages of this kind of surgery are actually very obvious.
That is, Chen Cang will not!
So ~ EbookFREE.me ~ He suddenly thought of another effective method: venous sinus intubation thrombolysis!
This method has obvious effects and little damage, but it needs to operate a microcatheter to cut a small hole in the anterior part of the superior sagittal sinus and insert the microcatheter into the sinus!
Then began to infuse with urokinase to reach the dissolution of a thrombus!
However, there is a drawback to this kind of surgery, that is, you need to use a microscalpel to bypass the complex brain tissue, reach the sagittal sinus, and then perform a microcatheter operation.
In this way, the doctor's stable hands are required to complete the sagittal sinus!
Thinking of this, Chen Cang just do it!
"Microscopic scalpel!"
Lao Ma quickly handed it over, and at this time, Chen Cang began to hold his breath and calm himself down.

Please remember the first domain name of this book :. Mobile version reading URL: