crazy scalpel

On the day of the operation, Tong Wenjie wrapped his head like a mummy, only showing two black eyes.

Director Tong has a lot of work, so when he heard that the surgery might take more than ten hours, he said he would come back after it was over.

Mrs. Tong was on the sidelines, and she already knew about her son's illness and the fact that Xie Ke was a senior student of Professor Xu.When Mrs. Tong treated Professor Xu, her attitude was quite low. Mrs. Guan's airs had long since fallen to nothing, but for some unknown reason, she still showed bad eyes when she looked at Xie Ke.

Xie Ke naturally didn't care.

He didn't like Director Tong and Mrs. Tong very much. Whether it was the husband's excessive attention or the wife's sarcasm, to Xie Ke, they were just family members of patients who were not easy to get along with.As a doctor, the probability of encountering such a thing is quite high.

It's just that generally speaking, it's after treatment, and it doesn't appear until it's not cured.Like the Tong family, when the patient is still waiting for the operation, the family members show hostility or malicious intentions, no matter what, it is a strange thing.

Xie Ke is only interested in surgery and treatment. He is a professional and will not affect his judgment and operation for other reasons.

It's time for surgery!Tong Wenjie's heart suddenly became flustered. When he was joking before, although he had said that he might die like this, but when he really had to face it, he still couldn't help being timid!

Tong Wenjie really wanted some encouragement to build his confidence at this time, or he really wanted to rely on something.For his father's absence, he was not too disappointed, but relieved.He can't say that he is close to his mother. After all, most of the time, Mrs. Tong never communicates with him except for overprotecting him.And Tan Yilin...he sent people away yesterday before he shaved his hair.

So when Tong Wenjie saw Xie Ke, his whole inner world lit up!This is the sense of security that no one else, including Wang Lei, who has been taking care of him recently, can give him.

When others, including himself, thought that his headache was because he didn't want to do his homework, it was Xie Ke who proposed other possibilities, and then confirmed that he had found his real cause.

This not only made him understand that Tan Yilin really didn't hit him - which was very important to him - but also made him feel a lot easier psychologically.After all, Tong Wenjie's grades were good, but recently he suddenly had a headache when he was doing his homework. He almost thought it was his problem, but it turned out to be a cysticercus problem, even though it was in his head.Of course, more importantly, early detection of the disease can save his life - if the operation is successful.

Xie Ke saw that he had wrapped himself up like that, smiled, and comforted him, "Actually, even if you shaved your head, you are still very handsome."

Tong Wenjie was really moved when he heard this, he hesitated for a moment, and pulled off the quilt, "Really?"

Xie Ke nodded, and patted his bald head, "Well, the shape of the head is good, very standard."

His original intention was that the shape of the skull is more standard to facilitate surgery, but Tong Wenjie understood it as the standard of "good-looking", so he immediately became happy and no longer entangled.

Xie Ke knew his misunderstanding, but he didn't intend to explain it. In fact, he did it on purpose. Tong Wenjie needs to relax as much as possible now.

Tong Wenjie, who was on the verge of crying, regained his confidence in the operation after chatting with Xie Ke for a while.

The time has not come yet. After confirming Tong Wenjie's mental state and the time of fasting, Xie Ke asked him to rest for a while, and later a nurse will give him a barbiturate sedative and send him to the operating room .

Xie Ke came to see him specially, and by the way told him about the process he would go through next, such as the need for anesthesia and so on.Wang Lei had already told him these things, but for some reason, Xie Ke's words made Tong Wenjie feel at ease.It can be seen that Xie Ke's status in the little guy's heart is not low.

Xie Ke himself has to go to the operating room to prepare.The preoperative meeting was held yesterday, and the operation will proceed directly after the meeting.

Fortunately, due to the time-consuming brain surgery, this will be the first surgery today.He has plenty of time and can communicate with other doctors.The chief surgeon was his teacher, and he acted as the first assistant. The other two assistants were experienced doctors who had a good relationship with him. It can be said that there is still a lot of room for him to play.

Xie Ke also ran into Wang Lei on the way to the operating room.

It is rare that Wang Lei also has serious and nervous moments, and this operation is also of great significance to him. In the past, he did not have the opportunity to observe such key and difficult operations performed by the chief physician at such a close distance.Like Cai Tianqiao’s sphenoid ridge meningioma last time, he watched the live broadcast in the screening room. Don’t watch him beaming when he told Xie Ke, in fact, he himself is also a person outside the camera.

After the two met, they went to change clothes and wash hands together.It was not the first time for Xie Ke to wear this light green disposable surgical gown, but he was still a little excited.

It is worth mentioning that the No. [-] hospital in the city has uniformly used disposable surgical gowns made of this non-woven fabric, which is also in line with international standards.After all, no matter how good the traditional high-density fabric or composite fabric is, there will be hidden dangers after repeated use, because after each disinfection and sterilization treatment, the ability of the fabric to block and filter germs will decrease.

The advantage of traditional fabrics is that they are more cost-effective and comfortable to wear. After all, they have good air permeability.

The clothes that Xie Ke and the others are wearing now are coated and covered with a film on the base fabric, and the protective film layer is a microporous film.The pores of this kind of membrane can support water vapor transmission, so it is relatively comfortable, and of course the price is also excellent at a glance.

The surgeon performs hand hygiene tests regularly to see if there are many bacteria on your hands or if they have grown.Because people who perform surgery usually have to keep the bacteria on their hands as small as possible, brushing hands before surgery is only the last step.

Xie Ke himself washes his hands when he has nothing to do, and disinfects with hand sanitizer every day.

After washing with soap, Xie Ke and Wang Lei also soaked their arms in disinfectant until all exposed places on the elbow joint.

Neither of them spoke, they quietly went through the plan in their minds.

When they went out, Zhu Ming came in, and Professor Xu hadn't arrived yet.

The disinfection of the operating room is ready, and the nurses are also in place.Xie Ke began to check the patient's information with them. It should have been done by the doctor who performed the surgery here.But big names generally have privileges, and Professor Xu is not alone. Besides, Xie Ke is his confidant, so it is not surprising.

The anesthetist this time is a star anesthetist from the No. [-] Hospital in the city. His name is Feng Daqiang, and his professional level is very strong.

If you call him by his real name, you don't want him to cooperate with you in the future. Generally, everyone calls him Feng Da.

Feng Da is a very fashionable person, but he has a bumpkin name.He came from the countryside, his father was long gone, and his family disagreed with him changing his name, saying that it would be unfilial, so he had to bear this name for the rest of his life.

There are a lot of homosexuals these days, no matter if they are true or not, but there are quite a few who dare to come out.

Feng Da is one of these few people.

It doesn't matter if you are joking, a serious homosexual is still somewhat eye-catching.

Under this kind of unexplained but obvious discrimination, Feng Dada was able to sit firmly on the Diaoyutai of the anesthetist, which shows that he really didn't rely on bragging.

To say that Feng Dada has a high level does not mean that his anesthesia is "correct", but "precise".

Generally speaking, during the operation, the role of the anesthesiologist present is to control the patient not to wake up early during the operation.

This is something most anesthesiologists can do.

But after the operation is completed, whether the recipient can wake up in time is also very important.

In other words, if the time point at which the operation is completed is used as the limit, the anesthetist should first not administer less than this limit, and secondly try not to exceed too much. The closer to this limit, the better.

This is because anesthesia is not completely harmless to the recipient, and the sooner he wakes up, the better the prognosis, especially for such craniotomy, which takes a long time and causes great harm.

After some operations are completed, it takes several or even ten or twenty hours for the patient to wake up, because the anesthetist gives a relatively large amount.Of course, this is not wrong, safety must be the first.But under the condition of ensuring safety, a person who can control precisely like Feng Dada is a priceless treasure.

Therefore, the city hospital is not without talents.

For the position of anesthesiologist, the First Affiliated Hospital of Jiefang University may not be able to find a better one than Feng Dada.

So Xie Ke has always respected Feng Dada, even though Feng Dada himself is often disrespectful.

When Feng Da saw Tong Wenjie, his eyes lit up: "Oh boy, you are so cute, come on, brother will insert a tube for you, don't be afraid!"

Everyone around wanted to hold their foreheads, and at this moment Zhu Ming also finished brushing his hands and came out.

Sometimes Tong Wenjie's brain is still very good, and he made Feng Dada feel like he was being molested: "Uncle, I am not afraid."

Feng Da: "..." Forget it, don't care about the child.

Tong Wenjie moved a lot this time, so local anesthesia is not enough, he needs general anesthesia.

What Feng Dada used for him was mainly inhalational anesthesia, combined with intravenous anesthesia, which is safer.Of course, the requirements for anesthetists are also higher.

There are sterilized and sterile instruments everywhere in the operating room, which gives people a cold feeling.

After Tong Wenjie was anesthetized, he didn't look so fresh anymore, and Xie Ke started to prepare his skin.

At this time, the roving nurse came in to take a look, and told everyone that Professor Xu had arrived and was brushing his hands and would come in soon. If everything was ready, Xie Ke would start the extraventricular drainage first.

Sheik responded.This is what Professor Xu told him before, and this step will be left to him.

Ventricular drainage is a treatment method before cerebrospinal fluid shunt surgery, which can also be called preoperative surgery.

The reason for this is that, on the one hand, it can reduce the intracranial pressure, which is beneficial to better reveal the operation area when the craniotomy is performed later.Second, shunt tubes can be placed, which is equivalent to part of the work of cerebrospinal fluid drainage.

Skin preparation is to clean the body surface, including the entire scalp, head, neck, chest and abdomen, because when the cerebrospinal fluid is drained, it needs to be intubated and shunted to the abdominal cavity for absorption.

Xie Ke focused on scrubbing with iodophor where the knife and puncture were needed.Zhu Ming and Wang Lei watched from the side, and both felt that Xie Ke's location was really accurate, and ordinary young doctors didn't have such a good touch.

After dilution, povidone iodine is a coffee-colored, slightly viscous liquid that can sterilize broad-spectrum bacteria.

This kind of thing does not leave any color on the skin. When Xie Ke had acne before, he tried to use a cotton swab to dip a little on the acne area and press it for a while. After a day, the acne disappeared. It is very easy to use. skin care products.

Why do you say Xie Ke is very accurate in finding a place?Because he doesn't repeatedly apply and wash on a general area like others, but with a little finger, he can immediately point to the place where the puncture needle needs to go in, and then rub it outward with this point as the center.

The seasoned Zhu Ming immediately noticed this, and he gave Wang Lei a wink, and Wang Lei immediately understood.

Not only the two of them found out, but even Feng Dada saw the clue. After taking a few glances, he praised: "Wow, Xiao Keke is not bad! His eyes are quite sharp!"

Xie Ke didn't bother with him when he was doing his job. Even though it was just a preparation, he was also infinitely serious.

In fact, he was able to find it so accurately, of course, he couldn't do without the help of his fingers.As early as when Feng Dada anesthetized Tong Wenjie, Xie Ke had already concentrated all his energy on his fingertips, and transformed into a deformable ruler knife.There is also a scale on the ruler knife that he spent a lot of effort "thinking" out, which can give him more hints.

The puncture site was selected on the side of the brain, and Xie Ke had almost drawn out the puncture point and incision line with the depth of povidone iodine.

After Xie Ke sterilized Tong Wenjie's entire upper body, he covered him with a sterile sheet. This action seemed a bit unlucky, but to Xie Ke, it was the first step in completing the operation.

The knife is at the fingertips, and the fingertips become the knife.Slowly, the two merged together, and then, Xie Ke stably made the first cut!

In a small projection room next to the observation hall, Cai Tianqiao turned on the connection of the surveillance video in the operating room, and he was also preparing to watch the operation.

Xie Ke's action made him raise his eyebrows.

Although he had already heard about it, after seeing it with his own eyes, Cai Tianqiao still couldn't help admiring it in his heart.With a calm and steady attitude, proficient gestures and basic skills, and a keen sense of body positions, Xie Ke has almost gathered all the advantages a surgeon needs!What's more, Xie Ke is still so young!

He is more outstanding than he was back then!Even more potential!

Xie Ke cut Tong Wenjie's scalp across the board, and simultaneously cut through the entire scalp and periosteum.

Feng Dada exclaimed silently: "..."

Zhu Ming and Wang Lei looked at each other.

Cai Tianqiao stood up from his seat.

A knife!

Just a knife!

Only one knife!

Without harming any other human tissue, the craniotomy was completed with only one knife!

Unheard of!

I'm afraid even the ghost animal Cai may not be able to do it!Both Wang Lei and Zhu Ming read similar sentences from each other's eyes.

Surgery is extremely delicate work.

It is hard enough to dissect a dead person, but they are tantamount to dissecting a living person, a part of the body.

When the person lying under the hands of the surgeon has a heartbeat, breathing, and blood flowing in the body according to the circulation, he has a feeling.

This is also the reason why craniotomy is developing towards minimally invasive surgery, all in order to reduce the damage to the recipient.

Of course, this knife is nothing special in terms of practical significance.

Others can't do it with one knife, but they can also use two, three, or even more knives to complete it. After all, it's just cutting the scalp.

As an anesthetist, Feng Dada had seen too many surgeries, and thought in disbelief, "Maybe it's a coincidence...?"

The seemingly understated knife almost made everyone's eyes pop out, but Xie Ke didn't notice the surprise of others, he just put his palms up on his chest.

The instrument nurse came to his senses and immediately put the periosteal stripper in his palm.

After Xie Ke separated the periosteum to both sides, the nurse in charge of the surgical tools this time did not keep him waiting, and put the mastoid retractor in his hand without any doubt while his palm was facing up.

A mastoid retractor is a scissor-shaped instrument used to retract soft tissue.

Separation and retraction are all done with one movement, and now Feng Dada is a little familiar with it. In his eyes, Xie Ke is a little monster.

If Lao Youjun was there, he would definitely say that it was just a scalp incision and the cranial hole hadn't been opened yet, so what's so amazing about it.

But that's just his stubbornness.

As all operating physicians, including anesthetists and assisting nurses know, time!In the operating room, there is a race against the god of death, so the time is the score!

The shorter the time, the higher the score.

If Xie Ke's every movement can be so neat, it is equivalent to shortening the time of ordinary doctors by several times.

The incision is pulled away, exposing the skull for drilling.

At this time, Professor Xu also came in.

In the screening room, Cai Tianqiao sat down, but he couldn't help frowning, thinking about something.

Cai Tianqiao, wearing a pair of gold-rimmed glasses with narrow lenses and thin frames, sat in the dark and looked at the screen, which made him somewhat cold.

Professor Xu saw Xie Ke holding the drill and motioned him to continue.

Xie Ke began to drill the skull. The drill bit was electric. When it hit the skull, it made a harsh and unpleasant sound, which was very loud and harsh in the quiet operating room.The bone chips swirled and splashed, mixed with a weird smell, but everyone present was used to it and didn't care at all.

When his hands felt a change, Xie Ke suddenly stopped the drill, took it away and saw that it just reached the dura mater.

Feng Da: "..." So many are just put together, is it still the so-called just right?

Wang Lei couldn't stop talking when he saw it. He knew that this was the first time Xie Ke drilled into a real person's skull.

Back then, when he performed surgery with Zhu Ming for the first time, Zhu Ming also asked him to drill the skull, and he almost burned his cerebellum when he drilled down.

This is always the case the first time, either because you drilled too little and you need to continue drilling for the second time; or you drilled too much and drilled everything that shouldn't be drilled.

Few people have everything just right like Shayk.

In fact, in order to master the skill of drilling, Xie Ke drilled many models, mainly to practice controlling the drill bit, after all, his fingers cannot be connected to electricity.

Looking at the regular splash directions of those bone chips, one can know that Xie Ke's practice was not for nothing.

After cleaning up the debris, Shayk made a cross-cut incision of the dura mater, used bipolar electrocoagulation to stop the bleeding, then clamped the cored drainage tube with forceps, penetrated the electrocoagulated cortex, and entered the lateral ventricle.When piercing the wall of the ventricle, the resistance became smaller, Xie Ke pulled out the inner core of the drainage tube, and the cerebrospinal fluid began to flow out.

The whole process was simple and fluent, without any sloppiness. Feng Dada glanced at the electronic time next to him, and it took less than 5 minutes, not counting the previous skin preparation time.

That's the benefit of getting "just right" every time.

Xie Ke handed over the tweezers for fixing the drainage tube to Wang Lei, and let Wang Lei continue to fix it.

Ligate the drainage tube with medium-gauge silk thread yourself, and then suture the incision.

Although he had already prepared himself mentally, Xie Ke's stitching action was still beyond everyone's expectations.

All Xie Ke's actions before reflected the words "stable" and "accurate", but this time, he once again asked Feng Da: "..."

fast!

It wasn't that he was unhappy in front of him. In terms of the time spent, Xie Ke was already much faster than other doctors.

But that fast is based on "quasi".

That is to say, because of his "preciseness", if others do the same thing several times, but he only does it once, of course he takes less time than others, and is also faster than others.

But the present fast is the real "quick", which is "quick" in the comparison of the same movement.

Brush, just a few strokes.

Shayk completed the interrupted sutures of the galeal and skin incisions.

Feng Dada blinked. He was sitting next to those instruments and was responsible for monitoring Tong Wenjie's physical conditions, such as blood pressure and heartbeat. Compared with Wang Lei and Zhu Ming, he was farther away from the operation area and could not see so clearly.

Why did it feel like Xie Ke waved his hand a few times, and then he was fine?

Feng looked at the incision. When he was stunned just now, Xie Ke had already wrapped the connection between the incision and the drainage tube with sterile gauze.

He hardly dared to blink anymore!

Because in the blink of an eye, in the blink of an eye, Xie Ke is ready!

Incredible!

It's fine to bandage the gauze, Feng Da admitted that he was really taken aback just now, but can the wound be sutured so quickly?Forgive him for never seeing it!

But he looked at the expressions of admiration on the faces of Wang Lei and Zhu Ming, and he knew that it was true!It really is that fast!

Xie Ke used the most common interrupted sutures, directly closing the two sides of the incision, and tying a knot separately for each stitch.

This stitch is the easiest and best suited to the aponeurosis and skin.But at the same time, it is also time-consuming.

The reason is obvious, because of knotting, every stitch has to be knotted.

Two stitches are placed at each end of the incision, and the drainage tube in the middle is firmly held in place.

Xie Ke looked at Professor Xu, "I'm fine."

Professor Xu glanced appreciatively at the sutured place and the puncture point chosen by Xie Ke, and said it was very good.

The first step was successful, and everyone in the room breathed a sigh of relief and became more confident about the subsequent operation.

After all, Xie Ke is so good. As Xie Ke's teacher, the long-renowned Professor Xu is of course even more exciting.

Drainage time should not be too long, otherwise it is easy to be infected, and it will also affect the subsequent shunt.

After the drainage tube was removed, it was time for Professor Xu's surgery.

As mentioned above, this set of operations is mainly composed of three independent operations, namely cerebrospinal fluid shunt, ventricle exploration, and cysticercosis removal.

Among them, the purpose of ventricle exploration is to find out the cause of obstruction causing hydrocephalus. According to the diagnosis, it is speculated that cysticerci should have entered the ventricle, thereby causing the blockage.

If the detection results are in line with the prediction, then the cysticercosis will be removed, and according to whether the cerebrospinal fluid can be effectively circulated after the removal, it is decided whether to perform a ventriculo-peritoneal shunt, that is, v-p.

If it is detected that other causes of obstruction are detected, the operation will be performed according to the results of the detection, and finally whether to v-p is decided.

If no specific reason can be found, then it is very likely that the secretion and absorption of cerebrospinal fluid are unbalanced, then v-p must be needed.

Therefore, the best situation is that after the cysticercosis is removed, the cerebrospinal fluid can circulate normally, so it is not necessary to do v-p, after all, this operation is still prone to infection and complications.

The target area of ​​the investigation is very clear, which is the fourth ventricle, which is difficult to see from the angiography.

The initial craniotomy was still performed by Shayk.

This time it is not enough to puncture from the lateral ventricle behind the ear, but to peel off the entire scalp from the back of the head.

Xie Ke began to position Tong Wenjie under the guidance of Professor Xu, making him lie prone.

When he adjusted Tong Wenjie's head to a certain position, Professor Xu said, "Okay."

Xie Ke leaned back slightly to look, then put a cushion under Tong Wenjie's forehead, then turned to look at Professor Xu: "Teacher?"

Professor Xu walked up to have a look, and also found that this seemed to be better, so he nodded in agreement.

This time, an incision was made from the midline of the posterior fossa at the back of the head, a hole was drilled in the occipital bone, and then the cranial hole was enlarged into a bone window with a diameter of about 4 cm.

Xie Ke still cut the scalp and periosteum with one knife, drilled a hole to open a window, and then cut the dura mater in a "y" shape from bottom to top.

The dura mater was drawn to both sides, and the operation area was opened in a peach-shaped shape, revealing the cisterna magna and cerebellar tonsils. The tonsils had some very mild symptoms of Arnold Chia malformation, which is a relatively common congenital abnormality.

This ectopic cerebellum is mainly herniated below the cerebellar tonsil below the foramen magnum and enters the spinal canal, causing hydrocephalus and spinal cord disease.It was clearly shown during Tong Wenjie's head and neck MRI examination.

It's a pity that Tong Wenjie's subtonsillar hernia is not that serious, and it hasn't entered the spinal canal yet, but it's just a little bit close, and it doesn't even reach the I level of the mildest disease classification.

Otherwise, the cause of hydrocephalus will be attributed to this.

At this time, Professor Xu could see clearly from the side. He asked Xie Ke to stop for a while, and then asked the other two assistants, Zhu Ming and Wang Lei, to come over to have a look.

The position of the two of them just now was not conducive to observing the operation area. Now that they are standing next to Xie Ke, they can see more clearly.

No, not more clearly, but too clearly!

Only then did the two understand why Professor Xu asked them to come and see.It's not that Tong Wenjie's ventricle is special than others, but the reasonable exposure of the surgeon!

Just as Cai Tianqiao shocked Xie Ke, Xie Ke also shocked Zhu Ming and Wang Lei equally!

Cai Tianqiao, who was sitting in the screening room, was not as clear as Xie Ke was watching his video because of the angle of the camera and the distance, but he obviously understood what Professor Xu told those two to watch!

This is simply a live teaching!

Xie Ke is like a bottomless pit, which is incomprehensible. From the beginning to the present, his gradually revealed hands have firmly grasped the hearts of Wang Lei and others, including Feng Dada, and even Director Cai outside the venue.

Cai Tianqiao squinted his eyes, and tapped his knuckles rhythmically on his pair of overlapping long legs.

"Shek..."

Under the eyes of everyone, Professor Xu took over the position of the chief surgeon, cut open the arachnoid of the cistern magna, and pulled the tonsils to both sides. With the first exposure of the middle hole of the fourth ventricle, the entire fourth ventricle gradually emerged.

Cysticercosis!Cysticercosis!Cysticercosis!

Almost all the people in the operating room were calling for the appearance of cysticercus, because once cysticercosis appeared, the source of the disease could be determined and the operation could be continued.

It's a pity that cysticercus never appeared.

At this time, Professor Xu looked at Tong Wenjie's hole in the fourth ventricle, and became slightly serious.He used bipolar electric coagulation to lightly touch near the middle hole, and retracted the tonsil. If it was a normal cysticercosis, it would have been separated from the fourth ventricle at this time.

pity--

Xie Ke: "Mesopore adhesion is very serious."

Zhu Ming: "It may be inside the hole, blocking the hole."

Professor Xu nodded.

Everyone is aware of a problem: this cysticercus may be so large that it sticks to the middle hole of the fourth ventricle.

If this situation is not operated in time, it will be a devastating disaster for Tong Wenjie after a long time.

Professor Xu began to slowly separate the adhesions, trying to expand the mesopore.

It has to be said that Professor Xu's movements are also very neat and effective, but for some reason, after seeing Xie Ke's "accurate" and "fast" before, this more difficult operation process actually gave everyone a feeling of "spirit". But that's the feeling.

On the contrary, Xie Ke looked at it quite seriously, and suddenly he signaled that he had something to say.Professor Xu asked him to speak.

Xie Ke stretched out his finger, and pointed at a part above the middle hole that Professor Xu was trying to open.

Wang Lei: "You mean at the top of the fourth ventricle?"

Shayk nodded.

Professor Xu said calmly: "There is enough time now, take your time, the cerebellum can be cut if you can. Of course, if you can't find it in the hole, you have to cut it."

Xie Ke agreed. After all, if the cerebellum was cut open to look for cysticercosis, even if the cysticercosis was removed in the end, it would still be a kind of damage, and the prognosis would not be easy to say.

After Professor Xu separated the adhesion of the mesopore, the cysticerci wall was exposed inside the mesopore.

Seeing the cyst wall, everyone finally breathed a sigh of relief.Anyway, the direction is right.

The previous speculation can basically be confirmed after seeing the degree of mesopore adhesion, but I am not at ease if I don’t see cysticercosis.

Now that I have seen it, it is considered that the big stone hanging in my heart has fallen.

But here comes the problem again, the position is too high!

Judging from the width of the lower earthworm, this cystworm is very large!It is very difficult to draw it out of the hole.

Professor Xu asked Xie Ke to use the suction device to suck it.

After Xie Ke tried it, he could only see the transparent white cyst.

Yes, after this cysticercus entered Tong Wenjie's ventricle, it had an unlimited supply of cerebrospinal fluid for it to absorb, making it so fat that it couldn't get out of it!

The days are so moist!

But today is its day of death.

In the end, Professor Xu chose to cut the lower part of the earthworm.Because forceful suction may cause the vesicles to rupture, and if the cystic cyst fluid overflows, it will cause allergies, and it is not good for postoperative recovery. Planting, so must be removed whole.

Once ruptured, the cyst fluid must be aspirated immediately, and then washed repeatedly with a large amount of normal saline.

The cysticerc wall, or vesicle, is very thin and elastic, so it is not easy to remove.

After Professor Xu cut the lower part of the earth a little bit to increase the exposure, he used a brain pressure plate to fix it to the side, and the culprit finally showed its true colors in its entirety!

Zhu Ming helped Professor Xu hold the brain platen and fix the cut cerebellum.Wang Lei covered the tissues exposed outside the surgical field with cotton sheets.

And Xie Ke stood by with the attractor, ready to fight.

In case the vesicle bursts, it depends on whether he moves fast enough!

But this time, Professor Xu didn't intend to give him a chance to show off. Since the entire vesicle has been exposed, with Professor Xu's method, it is still easy to catch.

Professor Xu slowly used the needle to aspirate, then used electrocoagulation to try to separate the cyst wall and the hole wall, and finally prepared to slowly try to suck it out with the suction device on.

However, at this moment, a black shadow suddenly flashed in front of his eyes!

Professor Xu stopped. Instead of continuing to suck the vesicles, he asked Xie Ke: "Would you like to try it?"

Xie Ke asked in surprise, "Me?"

In fact, not only Xie Ke, but other people were also a little surprised. This is a fourth-level operation.

Let Xie Ke open a skull hole and insert a drainage tube, such trivial matters are okay, but sucking vesicles is a matter of life and death!

Xie Ke didn't even get a practicing certificate, let alone a professional title.

But Xie Ke immediately reacted, "Okay, let me do it, I will be careful."

Although it was not in compliance with the regulations, but because his previous performance was so good, no one else was dissatisfied, and instead watched him do it with some expectation.

In fact, Professor Xu has almost done all the work, the vesicles have been loosened, and there is only the last step, which is to suck them out.

When Xie Ke sucked the vesicles with the aspirator, everyone shouted in their hearts: Don't break it!Don't break!Don't break!

Finally, when the vesicles were completely released, everyone wanted to cheer!

Not broken!It worked!

It's time to close the head!

The work of closing the skull is still Xie Ke's, anyway, he also likes to do it, and he can't wait to do everything by himself.Zhu Ming and Wang Lei were there to help.

The operation was successful, and everyone was very excited. Feng Dada almost hummed a ditty tune while reporting Tong Wenjie's various physical statistics.

Zhu Ming: "Professor Xu, it seems that v—p can be done without."

Professor Xu nodded slightly, "Yeah, I didn't expect it to be such a big cysticercus, and it was still in such a deep place, so it's no wonder you have hydrocephalus. Now that the cysticercus has been removed, the mesopore adhesions have been dealt with, and the cerebrospinal fluid does not need to be drained." Split again."

Zhu Ming: "It really went well today."

After the operation, Tong Wenjie was pushed to the intensive care unit. As long as he woke up, it would be considered a success.

After leaving the operating room, Xie Ke asked Professor Xu: "Teacher, what happened to you just now?"