After 100 Days Of Signing In, The First Operation Shocked The Medical Community!

Chapter 24 Craniotomy and Cerebral Infarction

“If it’s just stitching, I’ll be enough by myself.”

After Liu Xin said that he was about to pick up the needle and thread, but was held down by Vice- Yuan Wang.

“Doctor Liu, this operation must be completed, so I beg you.”

Deputy Wang suddenly knelt down, leaving Liu Xin at a loss.

“why?”

“After the operation is over, I will talk to you slowly. Can I ask you to perform the operation right now?”

Liu Xin watched him so pleading, and shot the video recorder to the ground.

“let’s start.”

Liu Xin carefully cut the bone flap with a milling cutter and placed it aside. Under the shadowless lamp, the patient had blood clots in the brain lobe. Wang Vice Hospital had performed countless cerebral infarction operations, and the cerebral infarction area could be judged by the naked eye.

“Wang Vice Hospital, cerebral infarction is a type of atherosclerosis, right?”

“Yes, unlike other parts, the brain needs to be decompressed to relieve blood pressure in the brain, but his brain has developed large areas of cerebral atherosclerosis, but it is no longer cured to relieve the blood pressure in the brain, and some brain tissue needs to be removed. .”

Liu Xin took a deep breath after hearing the sound of the brain resection operation. He saw it last night. The resection process is extremely complicated, because the separation of the brain nerves needs to be done under a microscope, which is very stressful for him as a novice.

“To remove the brain tonic, to remove the cerebral cortex and below, you need to be able to perform very precise operations on it.”

Deputy Hospital Wang concluded that Liu Xin turned on the microscope and slowly probed the lens into the patient’s brain. The thrombus appeared unusually clear under the lens.

“Does the cortex you mentioned is similar to the inner membrane, that is, the lower part of the nerve under the lobes of the brain is removed?”

“Well, but the patient has had cerebral hemorrhage beforehand. You can find the location of the thrombus. At the same time, you must find the nerve that is compressed by the blood clot and remove it together with the blood clot.”

“why?”

Liu Xin is not completely unmedical. Removal of the nerves accumulated by the blood clot will cause problems in many parts, and may lead to a series of problems such as paralysis.

“The backlog below the blood clot is around the thrombus. If you want to rescue him, you must remove it. At your level, you can’t get around the nerve backlog and remove the cortex. We can only gamble.”

“No, I want to try to work hard first.”

Liu Xin’s temper came up, and he took out the microsurgery equipment. The first time he used such sophisticated equipment, he was still a little nervous. The microsurgery forceps slowly penetrated. There are many places under the cortex that are blocked by thrombus, almost forming an area. It covers everything. The nerves under the blood vessels need to be removed and reconnected. Only the cortex can be removed.

“Microscopic scalpel.”

Deputy Wang handed over the instrument, Liu Xin looked at the microscope with very stable hands. One hand clamped the cortex with micro tweezers, and the other hand slowly cut the cortex with a scalpel. Soon the blood clot was squeezed due to the cortex cut.

“Scissors!”

Vice-President Wang looked at Liu Xin’s operation and was quite surprised. It was the first time he had performed such an operation. Why could he easily cut the blood vessels under such a small cortex.

Liu Xin took the scissors and cut several thrombi along the veins to seal the artery, and then used a microscopic arterial clip to clamp a region of the inferior artery.

“It’s impossible. The arteries of the cerebral cortex are smaller than you think. Even if they are clamped with an arterial clip, they cannot be bypassed in the cerebral arteries because there is no such tool.”

Liu Xin did not answer. He had thought of this a long time ago, so he did not stop his hand movements. Instead, he used tweezers and a needle holder to slowly introduce the blood vessel into the blood vessel like a thin thread through a needle, directly removing the underside of the nerve. All thrombus sites.

“Ding! The proficiency of intravascular suturing has reached the highest level.”

“Suturing inside the blood vessel? How do you manage such a small blood vessel?”

“Huh, intravascular sutures are also divided into internal sutures and external sutures. When I just cut the cortex, I left one hand and opened the upper blood vessel with a needle. The introduction of blood vessels increased blood pressure. Now the three layers of blood vessels are sutured together at the same time. In this way, even if the cortex does not need to be cut, the blood can circulate normally.”

It took Liu Xin a series of operations to remove the thrombus and link the blood vessels for two hours. If he hadn’t increased his physical fitness, he wouldn’t be able to complete such a difficult operation.

“The next step is the squeeze of the blood clot of cerebral hemorrhage. The craniotomy to relieve pressure is a far cry from this. It only requires hemostasis and sutures.”

After Wang Deputy Hospital finished speaking, Liu Xin nodded and sutured the brain skin again. The process was clean and neat, but the result of the operation is still unknown. Although Liu Xin knew that he did not touch any nerves, blood clots still existed in the brain lobe. Among them, if it is not clear, it will eventually have an impact.

“ended!”

After Liu Xin’s last stitch was sewed, his eyes had begun to dry, but he was very fortunate that the operation was successful.

After launching the operating room, Liu Xin informed the anaesthetist. Captain Gao frowned when he saw that Vice-President Wang was injured: “How is the operation progressing?”

“The operation was considered successful, but Wang Vice Hospital was injured and there was no alternative. At that time, the brain had been craniotomy and there was no other choice.”

Lao Gao nodded his head to express his understanding, but ordered the two of them not to make this kind of risky behavior in the future. After all, the other party is a professional killer, and it is impossible to give them a second chance.

“Don’t worry, Captain Gao, by the way, there should be a few hours left for anesthetics. If you need help, please call our hospital at any time. In addition, the patient has been admitted to the ICU. If anything happens, we will notify you as soon as possible.”

“Okay! Then you go back first.”

After the two finished the transcript, they returned to the dressing room. Wang Vice Yuan kept looking at Liu Xin, but stopped talking.

“Wang Vice Hospital, if you are embarrassed, you don’t have to tell me. Since the operation is successful, then we don’t have to worry about it. Take this.”

Liu Xin handed the DV’s memory card to Vice-President Wang. Anyway, all he had to say was that it was because of the anesthesiologist, and the law enforcement officers would certainly not investigate it deeply.

“and many more!”

Deputy Wang called Liu Xin who was about to leave.

“What’s wrong? Is there anything else?”

“If you have time this week, come to my house.”

“This is not necessary?”

“I want to invite you to see a patient. Originally I thought she would never have a chance to wake up again, but now it seems that you might have a chance with your ability.”

Liu Xin had no reason to refuse, nodded lightly, turned and left.

The operation was very successful. Although there was no video, everyone in the emergency department office knew that Liu Xin not only assisted Wang Vice Hospital to complete the operation, but also subdued the gangsters. Many doctors who had opinions on him also changed their attitudes, especially Xiong Yuanyang.

“Little Liu, you did a great job this time, and you won honor for our entire department.”

“Hehe, it’s just a matter of effort.”