novel for you The first operation shocked the whole country!Section 83
The first operation shocked the whole country!Section 83
The skull was removed without any problems!
"Whoo~"
Everyone breathed a sigh of relief, and looked at Qin Feng with more firm trust.
The hands are so steady!
Subsequently, because the skull was inserted from the top down, there was a high probability that fragments of the broken skull would enter the brain.
After cleaning the wound, he began to search around where the steel bars were inserted.
Sure enough, within a minute, three extremely small skull fragments were found, which were gently removed and then cleaned.
"Okay, everyone, you can start."
After Qin Feng took protective measures in his skull, he raised his head and said to everyone.
Several chief surgeons nodded at the same time and began to cut open the abdomen.
Simultaneously,
The blood preparation begins to be delivered to the patient, and at this time it is necessary to fight for blood volume and technology.
If there is a slight mistake in any link, causing fatal danger or bleeding, all previous efforts will be completely wasted.
Cardiac surgery, internal medicine, and urology were performing laparotomy at the same time, and each was 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 are many occlusions, it is impossible to open the field of vision, so this time he used an instrument to observe the situation.
Under normal circumstances, the sensory fibers of the trigeminal half-lunar ganglion are cut 2 cm in front of the external ear hole on the upper edge of the zygomatic arch, and a straight incision about 6 cm long is made backward and upward, and then the temporal muscle fascia is cut to separate the temporal muscle. create operation.
In this way, no craniotomy is required, and the wound and pain of the patient are minimized.
But because the cranium was pierced by steel bars this time, only craniotomy was performed.
The dura mater is separated from the skull before and after the spinous foramen, the middle meningeal artery is freed, and then the blood flow of the middle meningeal artery is blocked, and then arterial electrocoagulation is used to cut it off.
at last,
After going deeper, Qin Feng successfully entered the dura mater and found the half-moon at the bottom of the middle cranial fossa, and cut the dura mater and half-moon lamina propria.
The dura mater on the lateral side of the semilunar segment should not be separated too much, so as not to damage the superficial petrosal nerve, resulting in paralysis of the facial nerve and decreased secretion of the lacrimal gland.
After Qin Feng successfully dissociated slowly with a minimally invasive knife, the trigeminal ganglion appeared in front of his eyes.
And the edge of that steel bar has completely compressed and deformed the nerve, and now it needs to be cut as soon as possible.
There is a small gap between the fibers of the ophthalmic branch and the fibers of the maxillary branch. He lifted the lateral fibers of the third and second posterior roots with a blunt nerve hook.
"Pay attention to controlling the patient's vital signs and adjusting the fluid replacement. I'm going to cut off the trigeminal ganglion."
After doing this, Qin Feng stopped and said something.
Immediately after that, at a distance of 5mm above the half-lunar segment, cut off the nerve root filament.
When the two nerves were cut off, the frontal trigeminal ganglion, which had been deformed due to compression, shrank backward suddenly, and the pressure disappeared instantly.
"Whoo~"
The attending doctor standing beside him also breathed a sigh of relief.
The most important thing in this link is that the fibers should be clearly identified, and the motor roots and the first fiber should 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 raised the knife with his hand.
The trigeminal ganglion was successfully blocked and cut, complete!
The safe position of the steel bar was released, and as long as the brain on Jiang's forehead was protected, the craniotomy was completed.
But he knew that this was just the beginning, the most rare thing was to suture the nerve perfectly after the steel bar was successfully taken out.
Otherwise, it will cause irreversible impact on the patient's future face, and even lose some senses.
"Doctor Qin, you are really amazing."
Kazuke couldn't help but whispered, his eyes filled with excitement.
This is the first time for him to see Ren's Frazier operation on the trigeminal ganglion with his own eyes, and he feels that he has benefited a lot!
"We will definitely meet in the future."
Qin Feng didn't say anything, shook his head and said lightly.
Next, it depends on how many people are left. At present, the patient's physiological indicators are stable and not bad.
The abdomen of the patient in front of him has been opened a little bit from the third rib, and the organs appear in front of his eyes.
Cao Ke is worthy of being the deputy director of Xinwai, a talented student who has returned from studying abroad, and his technique is even cleaner than the director Zhang Fan.
This time he also chose to open the chest directly above the heart for a better view.
After the sternum is opened, the flowing blood is continuously sucked away by the suction device to ensure the surgical field of view of all parts.
"Doctor Zhang, you have to be careful."
Qin Feng couldn't help admiring, and said to Zhang Chen who was about to start the incision.
Zhang Chen didn't speak, but nodded with complicated eyes.
Unexpectedly, I, a attending genius from the capital, would have to listen to an intern's command to perform the operation.
The main reason is that the former classmates and colleagues knew about it, so why not laugh him to death?
However, when dealing with patients, doctors still have the most basic 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 his hand felt something hard, he slowly pulled it aside to reveal the steel bar.
However, at this moment, an accident happened!
Suddenly, a large amount of blood oozes from the bottom where the steel bar meets the liver.
I hurt an artery!
Everyone paused when they saw this scene, and the same thought rose in their minds.
"Hemostatic forceps!"
Zhang Chen hurriedly found that the hemostat was inserted into the liver at the bottom along the steel bar, and wanted to use the hemostat to stop the artery from bleeding.
But tried several times without success.
Looking at the blood spurting out in front of his eyes, he quickly blurred the vision of the operation, and even overflowed to the position of Deputy Director Cao, and even the aspirator couldn't keep up with the accelerated blood sucking.
Zhang Chen's heart suddenly sank, and he didn't dare to probe inside any more. He pushed down hard, trying to push the liver away to confirm the bleeding.
A spurt of fresh blood spurted out of his body and splashed on his face violently.
Oops!
He hurriedly withdrew his hand to block it, but it was too late, his bare eyes were covered with blood and he couldn't see anything.
Everyone's heart suddenly turned cold, this is too bad!
Bleeding!
Before they could react, a hand suddenly appeared, inserted between the steel bar and the liver, and directly blocked the gushing blood.
"Hemostatic forceps!"
Qin Feng said in a deep voice, took the hemostat and immediately inserted it along his finger.
Open, close.
The liver and arteries, which were about half the size of a finger, were tightly locked, and the blood volume dropped a lot in an instant.
But there is still blood coming out from the bleeding port, it seems that more than one blood vessel in the liver has been cut off!
"Is it alright?"
Qin Feng cracked and raised his head to look at Zhang Chen who wiped off the blood,
"No, I'll come."
......
Zhang Chen paused for a moment, then unyielding appeared in his eyes, and he shook his head.
In the next second, he reached out to push the entire liver away, and directly locked one of the hemostats in his hand.
Then he took the hemostat and controlled the second bleeding port.
The third......
the fourth......
In just over a minute, all bleeding outlets were stopped, and hemostasis was completed.
At this time,
In this short period of 1 minute, the blood that flowed out had filled the abdominal cavity everywhere, and the other two had to stop.
In a blink of an eye, at least 1000ml of blood was lost. In addition to the previous laparotomy, more than 10000ml of 2000ml of blood had been lost.
One fifth!
Now the operation is less than a third of the way, and the incision is being made!
"Director Zhou, thank you for notifying the City Second Hospital to send the 5000ml blood preparation first."
Qin Feng withdrew his hand, looked at Zhou Xianren and said.
"Okay, I'll get in touch now."
finished,
Let the nurses around him leave the operating room and wait for the blood preparation to come in.
After half an hour,
Cao Ke wiped off his sweat and it came to an end. The heart was freed, and the heart was slightly displaced by more than a centimeter, exposing all the steel bars.
Heart ends.
Then, urination done!
Finally, Zhang Chen is dealing with the spleen part in the final stage.
at this time,
The door of the operating room opened, and the nurse walked in carrying a special box for the blood bank.
The 5000ml blood preparation from the Second City Hospital has arrived!
Seeing the nurse whispering something next to Zhou Xianren's ear, Director Zhou's eyes suddenly looked strange.
"what happened?"
Seeing this, Qin Feng asked, after all, no matter what happens now, it may affect the progress of the operation.
"It's okay, it's not about surgery."
Zhou Xianren shook his head and said with a wry smile,
"The patient's wife and daughter are still kneeling outside the operating room, and it looks like they are going to wait until the operation is over."
Hearing his words, Qin Feng glanced at the time, and it was just over an hour ago.
He already had a general expectation for this operation in his heart, and it was estimated that it would not be completed until dawn.
Take out the steel bar from the stripping path, and then proceed to the wound treatment and suture, and close the abdomen.
At least 6 hours!
Could it be that the family members of the patient and the daughter suffering from leukemia have to kneel at the door for 6 hours?
.......
"Ah~"
Qin Feng sighed, let them go first, the most important thing now is to save people,
"Go on, prepare to fix the steel bars more!"