medical road high rise

Chapter 403 Never take surgery lightly
Chapter 4: Never underestimate surgery
Qin Feng found the vagus nerve with ease, then marked it out, and made another transverse incision on the chest wall in the left subclavian area.

The incision was 10 cm long, and the subcutaneous tissue was bluntly separated from the pleural fascia to the subclavian area, and a pouch was made.

This pouch is for the Rongnan stimulator, which is equivalent to a small pocket.

"Split guide."

"Electrode leads."

Qin Feng introduced the click wire from the subcutaneous tunnel into the neck incision from the chest incision.

"Doctor Qin, the wire has appeared." Wang Xiong reminded.

Qin Feng put down the shunt guider, wound the spiral electrode on the marked vagus nerve through the incision in the neck, and the electrode lead and the short lead were connected at the bottom, and the long lead was connected at the top, and then the lead and the stimulation bag in the capsular bag were connected. connected.

"How is it running now?" Qin Feng asked about the condition of the stimulator.

If there is no problem, Qin Feng can now perform layered sutures, and then remove the lesion in the brain.

"Everything is normal." Wang Xiong said.

Qin Feng began to divide and separate in turn, fixed the stimulator and the pouch together, and sealed it. The wire was buried under the skin, and it was tightly attached to the skin to prevent it from moving around due to movement.

Finally, the stitching is done.

It took 15 minutes, yes, 15 minutes.

The instrument nurse, Wang Xiong, and the anesthesiologist were a little dumbfounded.

To perform two operations at one time, of course, the shorter the interval between operations, the better, but who would have thought that the first stimulation operation only took 15 minutes.

However, no one spoke as the operation was not completed yet.

"Prepare to remove the lesion." Qin Feng said.

Through SEEG three-dimensional reconstruction images, Qin Feng has already known that the patient's epilepsy focus is on the posterior central circuit of the brain.

Qin Feng did not use any new surgery, it was just a very common resection of cerebral cortical lesions and lesions.

After all, the difficulty of this kind of operation is low, but the patient's surgical site is still difficult.

The central operation of the intracranial knife, not a sure doctor, can only sigh and be afraid.

This place is not like other surgeries, the blood vessels are elastic and the nerves are tough, even if you make a mistake, there will be no serious sequelae, it just takes more time,

But intracranial surgery, not to mention the center, is the edge, and even a small mistake may make the patient on the hospital bed into a vegetative state.

If the cerebellum, brainstem, or respiratory center is damaged by accident, or the motor center is damaged, the patient will suffer more than death.

Therefore, Qin Feng divided the lesion resection into two steps. The first step is to open the cranium and remove the epileptic focus in the postcentral gyrus.

The previous vagus nerve stimulation surgery was performed in the supine position, which is also the surgical position for craniotomy surgery. It does not need to be adjusted. It only needs to slightly raise the head, put it in the right position, and fix it with a head frame before the lesion can be removed. start.

Wang Xiong stepped forward to treat the patient's bald head, applying ether and degreasing.

After Wang Xiong finished, Qin Feng used violet to draw a line on the patient's head, and then disinfected it with tincture of iodine and ethanol.

The sterile drape is sutured on the scalp to prevent the sterile drape from moving, and at the same time, the surgical area and the non-operative area are separated, which is also to avoid surgical infection.

Qin Feng then used normal saline plus epinephrine to infiltrate the incision and scalp flap, and then made the incision.

Wang Xiong pressed both sides of the incision tightly with his hands, and then Qin Feng quickly performed electrocoagulation on the obvious bleeding point to stop the bleeding.

Then reach out for the hemostatic forceps, clamp the galeal aponeurosis, and perform the flipping method to stop bleeding.

After the treatment, Qin Feng was also very satisfied. The wound was opened successfully. Except for some inevitable bleeding, the patient's larger blood vessels and muscles did not have obvious bleeding.

Everyone sighed for a while, it was great to follow Qin Feng to perform surgery, at least there was no twists and turns.

"Doctor Qin, the patient's intracranial pressure seems to be a little too high," the anesthesiologist reminded.

"Prepare 20% mannitol, 250ml intravenous infusion." Qin Feng said, "At the same time, open the drainage tube for drainage."

Qin Feng had long expected the intracranial hypertension and handled it with ease.

"Change the device and open the dura mater."

Qin Feng, Wang Xiong, and equipment nurses have to replace the operation one after another. From the scalp to the inside of the brain, sterile sheets and all equipment must be replaced to prevent infection.

After the operation, the operation area gradually expanded into the cranial cavity, and Qin Feng filled it with saline cotton and gauze with black thread.

The reason why the black line is used is to avoid omissions. Once these things are missed in the brain, the impact will be great. One aspect of the patient’s headache is that they will definitely be infected and inflamed. If meningitis occurs, it will be a big problem.

Qin Feng covered the exposed cerebral cortex with saline cotton sheets, avoiding motor areas, language areas, other important functional areas and important blood vessels, and then Qin Feng began to remove them.

An hour later, Qin Feng announced that the operation was successful.

Everyone breathed a sigh of relief. Outside the operating room, the patient's parents were close together.

The patient's mother was already in tears.

"Xiao Han is only 15 years old and just started high school, if something happens..."

"Don't talk nonsense, trust the child, trust the doctor." The patient's father held the patient's mother's hand tightly.

At this time, the door of the operating room opened.

The patient's father raised his head and looked towards the operating room ahead. Qin Feng walked out with Wang Xiong.

"Doctor Qin..." Before the patient's mother could finish her words, she fell into a coma due to cerebral ischemia caused by emotional excitement.

It startled the patient's father, but fortunately, Qin Feng diagnosed it.

This situation happens to many people.

After sitting for a long time, after lying down for a long time, this will happen when you stand up suddenly, just take it easy.

"Doctor, my son is undergoing surgery..." the patient's father asked.

"The operation was very successful, the lesion has been removed." Qin Feng smiled.

The patient's father breathed a sigh of relief, the biggest burden in his heart was finally relieved. After a while, the patient's mother woke up. After learning the news, she was also overjoyed, hugging her husband and weeping with joy.

"Wang Xiong, remember to measure the patient's blood pressure, pulse and respiration every hour, and take an extra temperature." Qin Feng said, "When the patient wakes up, record the time, and pay special attention to whether the patient has any symptoms after surgery." Drowsiness, headaches and instances of vomiting, especially vomiting."

"Brother Qin, are you worried about the sequelae of the patient?" Outside the operating room, Wang Xiong still called Qin Feng his brother. In the operating room, there are many people and eyes, so it is better to call Dr. Qin.

"Yes, if there are these symptoms, the patient is very likely to have cerebral edema."

"Brother Qin, your operation is perfect, and this problem will not occur." Wang Xiong flattered him.

"Fart, no matter how good the technique is, don't take chances in the face of the operation, and there must be no less inspections." Qin Feng said seriously.

Every operation may be just a number in one's own career for a doctor.

But for patients, every operation is the distance between life and death.

(End of this chapter)