Doctor: I picked up attributes in the hospital

Chapter 151 Craniotomy

The next day.

nine in the morning.

operating room.

Today, the operation to be performed is transcranial ganglion radiofrequency electrocoagulation.

It was Tian Zhen, the equipment nurse, who cooperated with Zhao Heng in the operation, and Liu Ziang, the attending doctor of the pain department, Liu Haipeng, was also in the operating room.

This operation is actually very simple to say, it is to drill a small hole in the skull, and then introduce the monopolar electrocoagulation film into the skull through the catheter, directly reach the position where the trigeminal ganglion is located, and directly destroy the nerve through micro-coagulation and thermal effects Festival, to achieve the purpose of complete pain relief.

But this is only easy to say. The brain is the most mysterious and complex organ in the human body. Any operation performed on the brain is far from simple and involves huge risks.

And the most important thing is that this operation is under local anesthesia, that is to say, the patient is awake during the whole operation.

Think about it, when the patient is awake, the skull should be drilled open to burn the nerves directly.

It can be said that the chief surgeon of this operation cannot make even the slightest mistake, and his hands cannot shake a little bit.

"Doctor, after this operation, I won't be in pain anymore, right?"

When Zhao Heng was preparing for the operation, the uncle patient, a chemistry teacher with a disfigured half of his face, asked.

"Well, the pain relief effect of this operation is the best among all trigeminal neuralgia operations."

Zhao Heng nodded and said.

Because the patient's physical condition is two grades of extremely high-risk hypertension and heart failure, general anesthesia cannot be performed at all.

In the case of only local anesthesia, it is necessary to maintain the emotional stability of the patient.

Yes, the patient's emotional stability is also a very important part of the preoperative preparation.

Not all operations can be performed under general anesthesia, and some operations do not require general anesthesia.

Everyone's physique is different. Some people will have a certain impact on the nerves and brain after general anesthesia.

Therefore, clinically, especially in the anesthesiology department, all anesthesiologists have a consensus that general anesthesia should not be performed when it is not necessary.

"Prepare your skin."

Zhao Heng said to Tian Zhen, the equipment nurse standing by.

"Okay, Doctor Zhao."

Tian Zhen nodded, and began to disinfect and spread towels on the head position selected by Zhao Heng.

After the disinfection and draping are completed, the next step is to do local anesthesia and then drill.

Local anesthesia was very simple for Zhao Heng, so he finished it quickly.

And the next drilling, this is more critical, the location of this drilling must be very precise, otherwise, in the case of local anesthesia, no matter the patient's physical condition or his emotions, it is impossible to support the first Secondary drilling of the skull, so this had to be done in one go.

After calming down, Zhao Heng held a miniature skull drilling machine and selected the location. Since only a thin catheter needs to be passed through, the drilling hole is very small.

Before officially drilling, Zhao Heng glanced at Liu Ziang who was standing beside him, and Liu Ziang gave Zhao Heng an affirmative look.

Zhao Heng nodded to Liu Ziang, feeling more at ease. He pressed the drilling machine, and the high-speed rotating drill bit made a very low "buzzing" sound, and the drill bit drilled open the patient's skull bit by bit.

This process is very fast, and the drilling is completed in a short while.

Next, through the catheter, the monopolar electrocoagulation needle is sent to the location of the intracranial trigeminal ganglion, and then the trigeminal ganglion is directly destroyed fundamentally through the micro-thermal effect.

"catheter."

Zhao Heng put down the drilling machine and said to Tian Zhen.

Tian Zhen quickly handed the catheter connected to the electronic screen to Zhao Heng's hand.

Zhao Heng took the very thin catheter, and lightly drilled a hole from the skull and inserted it into the brain. Relying on the real-time [-]D imaging model of the patient's brain in his mind, Zhao Heng carefully manipulated the catheter and reached the position of the trigeminal ganglion little by little. .

"Okay, this is it."

At this moment, Liu Ziang saw the electronic screen and said with certainty.

Judging whether the location reached is the trigeminal ganglion, which is also a very important part of this operation.

After all, in the brain, all the ganglia are about the same length, and from the naked eye, there is almost no difference.

At this time, only experienced brain surgeons can correctly identify the specific nerves.

"Coagulation output 1.0, 0.5 seconds."

Zhao Heng nodded and said to Tian Zhen.

Tian Zhen quickly set the parameters on the panel.

"Start output."

Zhao Heng said again in a deep voice.

Tian Zhen nodded and pressed the output button.

laugh!
The few people present seemed to hear a very slight sound, which was the sound of unipolar electric coagulation burning the ganglion.

It's subtle, but it's there.

The operation was completed, Zhao Heng let out a long sigh of relief, but he did not pull the catheter out of the skull immediately, but asked the patient, "Does it still hurt now?"

Yes, this operation is so direct and rough. After the electrocoagulation, the patient's feedback must be obtained immediately.

And this kind of feedback is also very direct after the ganglion electrocoagulation is done.

"It doesn't hurt anymore, it doesn't hurt anymore."

The uncle patient murmured.

"Try it with gauze."

Zhao Heng said to Tian Zhen again.

"Ok."

Tian Zhen nodded, picked up a piece of gauze with tweezers, and said to the patient uncle.

"Now I'll put the gauze in your mouth, chew it a few times to see if it still hurts."

Tian Zhen said.

"it is good."

The patient uncle said in a deep voice.

Next, Tian Zhen sent the gauze to the uncle's mouth with tweezers, and the uncle chewed it a few times to test whether the chewing would trigger trigeminal neuralgia.

"Now I'll take the gauze off."

Seeing that the patient's uncle had already chewed it a few times, Tian Zhen said.

"It doesn't hurt anymore, it doesn't hurt at all."

The patient's uncle's voice was full of surprises.

"Okay."

Zhao Heng and Li Ziang looked at each other. Up to here, the operation was successful!
Zhao Heng finished the finishing work of the operation, and when he was about to send the patient to the ward, the patient's uncle asked a little worriedly: "Doctor, I won't be in pain anymore, right?"

"Don't worry, this operation is very thorough, and you won't be in pain again in the future."

Zhao Heng nodded and said with certainty.

"Thank you, thank you doctor."

The uncle patient's head was covered with thick gauze, and he said very excitedly.

This trigeminal neuralgia, like a devil, has haunted him for more than ten years.

In the past ten years, he has tried everything, even the method of injecting strong acid, but he has never asked this devil.

And now, he is finally free.

Seeing the uncle patient being sent to the ward, Zhao Heng was quite touched.

As a doctor, the greatest sense of accomplishment is when you see the patient's pain relieved.

　Readers, please do not imitate
　　
　
(End of this chapter)