Doctor: I picked up attributes in the hospital

Chapter 145 Transcranial Ganglion Radiofrequency Electrocoagulation
"The patient has been suffering from high blood pressure for many years, and is already at the third grade of extremely high risk. He also has grade III heart failure. Given the patient's physical condition, microvascular decompression of the trigeminal nerve cannot be performed."

Liu Haipeng shook his head slightly and said solemnly.

This microvascular decompression refers to pushing away the blood vessels that compress the trigeminal nerve under a microscope to relieve the pressure of the blood vessels on the trigeminal nerve, so that the patient's clinical symptoms can be relieved.

The trigeminal nerve is the fifth pair of cranial nerves, so this trigeminal nerve is in the brain.

That is to say, to do microvascular decompression, a craniotomy is necessary.

This patient has both hypertension and heart failure, so craniotomy is definitely not possible.

"Then the only option is to do a nerve puncture block."

Zhao Heng nodded and said slowly.

This nerve puncture block is to block the trigeminal ganglion with absolute ethanol and glycerin through puncture, destroy the sensory nerve cells, and achieve the effect of pain relief.

"Neither."

Liu Haipeng still shook his head.

"Huh? Can't even do a nerve puncture block?"

When Liu Haipeng said that, Zhao Heng was a little confused.

"Doctor Zhao, look."

Liu Haipeng took out his phone, opened a picture in the photo album, and handed the phone to Zhao Heng.

Zhao Heng was a little puzzled, but he still took the phone.

Hey!
Seeing this, Zhao Heng was taken aback.

What appeared on the phone was a photo of an elderly man with half of his face disfigured.

And this scar.The way of disfigurement, Zhao Heng saw that it was corroded by strong acid.

"Is this being splashed with strong acid?"

Zhao Heng said a little stunned.

"No, the patient is a chemistry teacher. The patient couldn't stand the repeated pain and injected it himself."

Liu Haipeng said with some regret.

For patients with trigeminal neuralgia, self-mutilation often occurs, some cut their faces with knives, and some stab them with awls, but this is the first time he has seen such extremes with strong acid.

"So extreme..."

Zhao Heng was also shocked.

"The patient is a chemistry teacher. He learned a little medicine by himself. He thought that by injecting strong acid into the trigeminal nerve, it could damage the nerve and relieve the pain."

Liu Haipeng said again.

"The principle is correct, but you can't use strong acid."

Zhao Heng said with a sigh.

"Who says it's not... The patient's face has been severely damaged by strong acid, so a nerve block cannot be done."

Liu Haipeng also sighed and said.

He is a doctor in the pain department. He has seen many patients suffering from pain due to various neurological diseases.

But it was the first time he saw that the way of injecting strong acid to damage the nerves was used to relieve pain.

Killing one thousand enemies and self-defeating three thousand is not enough to describe this. It should be killing one thousand enemies and self-defeating thirty thousand.

"In this case, there is only one last solution left, transcranial ganglion radiofrequency electrocoagulation."

Zhao Heng thought for a while and said solemnly.

Transcranial ganglion radiofrequency electrocoagulation, in layman's terms, is to drill a hole in the skull, and then insert a radiofrequency needle directly into the intracranial trigeminal ganglion to selectively destroy the pain-conducting and temperature-sensing nerves.

This way, although it can be said that the curative effect can almost reach [-]%, but the risks and difficulties involved are too high.

This radio frequency coagulation means that when the radio frequency passes through the body, it will generate thermal effect and thermal coagulation, so as to destroy nerve cells.

For the face, it's fine.

But if it is used in the brain, if one is not careful, the position and strength are not selected properly, the brain tissue will be cooked.

This is almost the last treatment for trigeminal neuralgia, but so far, no doctor has done this operation several times.

Of course, there is also the treatment of irradiating the trigeminal nerve with the Gamma Knife.

But that can only be used on the face, if it is used in the brain, it is not saving lives, it is killing people.

"If this were done, the patient would have a complete destruction of the trigeminal ganglion and a complete loss of sensation in the trigeminal facial area."

After a pause, Zhao Heng said again very solemnly.

He felt that it seemed a bit too much to pay such a high price for pain relief.

Clinically, treatment is also cost-effective. To put it bluntly, the benefits outweigh the costs.

Sometimes even normal tissue is damaged due to surgery, but if it can solve a life-threatening situation, it is worth it.

"The patient is very determined to have an operation. Dr. Zhao, I think, in Dongfang Hospital, only you can perform transcranial ganglion radiofrequency coagulation."

Liu Haipeng said to Zhao Heng very solemnly.

The several super-difficult operations that Zhao Heng completed before have spread throughout the entire Dongfang Hospital. Now everyone has no doubts about his super-high surgical skills, especially the puncture skills.

"Go see the patient."

Zhao Heng thought for a while and said.

Challenging high difficulty has become his normal state.

However, after this operation, part of the feeling of the face will be permanently lost, which must be agreed by the patient.

"Ah."

Liu Haipeng nodded and breathed a sigh of relief.

If Zhao Heng said no, he would no longer be able to find a doctor who could perform this operation in the entire Eastern Hospital.

It's not that other doctors can't do it at all, but the success rate has to be discounted.

And Zhao Heng is now famous in Dongfang Hospital for perfectly completing extremely difficult surgeries.

After a while, Liu Haipeng brought Zhao Heng to a ward.

As soon as he entered the ward, Zhao Heng saw an elderly man with gray hair and half his face was disfigured sitting on the bed.

Seeing Zhao Heng and Liu Haipeng coming in, the patient immediately became excited.

"Doctor Liu, have you found a doctor who can perform surgery?"

The old man asked very excitedly.

"It's this doctor, doctor. You must perform an operation on me. I have been tortured for half my life. No matter what the price is, I will have an operation!"

The old man looked at Zhao Heng again, and said very firmly and resolutely.

"This operation is very risky, and after the operation, part of the facial sensation will be permanently lost."

Zhao Heng said with a sigh.

"Doctor, I must have an operation. Since I got this disease, I haven't lived a normal life for a day. It doesn't matter if I lose my face, just cut off all my face."

The old man was a little weak, but he still looked at Zhao Heng and said firmly.

Before he got trigeminal neuralgia, he never thought that his life would be tortured like this by this disease.

To him, this disease is like a demon that haunts him all the time.

There wasn't a moment when he didn't want to get rid of this demon!

"Well, I see."

Zhao Heng nodded.

There is no need to ask any more questions, the patient's attitude is very firm, and Zhao Heng's willingness to perform surgery is also unprecedentedly strong.

Coming out of the ward, Zhao Heng said to Liu Haipeng: "Doctor Liu, let's prepare the patient for the operation first. The various preoperative examinations must be perfect."

"Well, Doctor Zhao, don't worry."

Liu Haipeng nodded.

(End of this chapter)