sinovels Chapter 335: Raise Your Skull
Chapter 335: Raise Your Skull
For 28 gliomas, it is impossible to completely remove them with minimal invasiveness, so they must be removed.
"Doctor Han, I'm coming."
"No. 10 knife."
The instrument nurse handed the No. 10 knife to Summer.
Craniotomy, Step 1: Cut the scalp.
This step of the scalp is not just a layer of skin, the fat under the scalp, the galea, and a little muscle, the periosteum.
Step 2: Skull perforation.
Use a milling cutter to saw the skull along the edge. This step is a waste of energy. The skull is very hard. If the force is too small, it cannot be sawed. If the force is too large, it is worried that the brain tissue will be damaged. Therefore, you must be very careful.
After sawing the skull.
to the third step.
This step is legendary: lift up your skull~~~~~
Step 4: Apply bone wax to all bleeding points to stop bleeding.
Bone Wax: A mixture of 70% beeswax and 30% petrolatum.
Bone wax cannot be used to stop bleeding on the surface of the dura, so bipolar coagulation with low power is needed to stop the bleeding. Silk thread is used to suspend the periosteum at the edge of the dura, and the dura is fixed in a 'cross' shape.
Complete this step.
Craniotomy is complete.
Step 5: Wake up the patient.
Since 2013, the surgical removal of gliomas in the functional area of the brain has become popular throughout the country. Since gliomas grow in the functional areas of the brain, when they are removed, certain functions of the patient will be affected.
For example, consciousness, speech, muscle control...
Once any behavior that damages the patient's brain occurs during the operation, stop the operation immediately to avoid causing more damage to the patient.
so.
Awakening is a must.
"Chang Chang, wake up the patient."
He is always an anesthesiologist, and the patient is put into a deep sleep by intravenous anesthesia and local anesthesia. Different from intubation anesthesia, intravenous anesthesia can be awakened in the middle, and he often comes to the girl's side.
He patted the girl's cheek.
"Hey, Hong Qian, wake up."
"Hong Qian, wake up."
"Hong Qian Hong Qian?"
A person is very sensitive to his own name, so when anesthetized patients are awakened, they usually shout their names.
"Hong Qian!"
"Wake up, wake up."
The girl doesn't move.
The entire operating room was silent, and everyone was waiting for Hong Qian to wake up, but this girl seemed to be a little naughty. The more she called her, the more she didn't wake up.
"what happened?"
Han Meiji frowned and walked towards Lao Chang.
"Hong Qian, wake up."
Other nurses also came over and shouted, "Hong Qian, wake up, does Hong Qian hear your name? Open your eyes."
Still not moving.
"I come."
Xia Tian put down the knife in his hand and came to the girl.
"Hong Qian?"
no response.
"Hey, it's time to go to school."
Still no response.
After hesitating for a while, Xia Tian said, "Sister Hong, Sister Ping is calling you, and Sister Ping is back."
Hearing the words of Sister Ping, the little girl finally moved her eyelids.
The old man took a deep breath.
"woke up."
"It's awake."
"This little girl has a really good relationship with her sister."
When a person is in a deep sleep, when he hears his most important things, he will have a reaction, name, reading, and even a vegetative person who can't wake up all the time. He used to like playing mahjong the most, and his family wakes him up with the sound of playing mahjong every day. .
Often, shouting about the things or names that are most important to a person will wake people up.
The two sisters depend on each other.
In my sister's heart, Sister Ping is not only her sister, but also her mother.
"Hong Qian, open your eyes and look at me. I'm Dr. Xia. Do you remember Dr. Xia?"
Hearing Xia Xia's voice, Hong Qian opened her eyelids.
Local anesthesia won't make her feel any pain, but the scene of lying on the operating table surrounded by a group of people may scare her.
"Uuuuuu..."
"I want to go out, I want to find my sister."
The little girl cried.
Chang Chang pressed her arm and repeatedly emphasized: "Don't cry, you are in the operating room, you can go out after the operation, your sister is waiting for you outside the door, do you remember what your sister said?"
"You have to be obedient."
The itinerant nurse wiped Hong Qian's tears, and Hong Qian calmed down.
"Sister said, tell me to listen to Doctor Xia."
"Doctor Xia, will you cure me?"
Xia Xia smiled: "Of course, I will always be by your side. In the next few hours, I will chat and speak with you. Make sure you listen to my commands, okay?"
"The one next to you is Chang Uncle."
"He will always be by your side, and you can watch him."
The little girl called out obediently, "Chang Uncle."
Lao Chang responded with a gentle smile: "Chang Uncle is here, now let's chat, talk about you and your sister..."
Wake up successfully.
Step 6: Removal of Glioma
"Doctor Han, let's get started."
The first is Ribbon Removal.
The human brain consists of three parts: the brain stem, the cerebellum, and the cerebrum.
The brain stem can be thought of as the primitive brain, and its main function is to transmit sensory information and to control certain basic activities, such as breathing and heartbeat.
The brain is the center of human memory, emotion and thinking
The cerebellum is responsible for muscle integration and has motor memory functions.
A brief overview:
Brain Stem: A group of younger brothers, called Big Brother.
Brain: Humph! I'm not a big brother, but I'm better than a small brain.
Cerebellum: Wipe... I'm gone, do you want to have chicken feathers for you?
The brain itself is divided into four brain regions or called four lobes.
That is, the frontal lobe (the main structure that controls abstract thinking), the parietal lobe (helps process sensory information), the occipital lobe, and the temporal lobe (masters memory, auditory, and language functions).
first.
There are three gliomas on the occipital lobe.
The occipital lobe is responsible for vision.
Han Meiji gave Lao Chang a wink, and Lao Chang immediately understood, took out the card prepared in advance, and sent it to the little girl.
"Hong Qian, what animal is in the first picture?"
Hong Qian said, "It's a monkey."
Lao Chang nodded: "Yes, look at the second one."
At the same time, Han Meiji quickly cut off the first glioma. Because the individual glioma is very small, the operation must be performed under a microscope.
A glioma, she took three minutes.
"As usual."
Han Meiji shouted.
Lao Chang immediately raised a picture and asked the little girl, "What is this?"
The little girl looked at it and said, "Peppa Pig."
Vision is fine.
Han Meiji continued to deal with the second glioma. After each treatment, she had to stop and ask the patient to ensure that the patient's brain tissue was not damaged.
It has been 20 minutes since the three gliomas were removed.
The little girl's eyesight was not damaged.
Next, deal with the temporal lobe, which is handled by Xia Xia.
...
At the same time, Professor Gong entered the observation room accompanied by Qi Changfeng.
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Author bacteria:
In a hurry to go out, the rest will come back.