crazy scalpel

The operation position was basically the same as that during anesthesia. Xie Ke raised Guan Yao's head, which was lying on his back, and raised it slightly, so that two-thirds of his skull was suspended, and then fixed it with a head frame.

This allows him to breathe forcefully and ensures that venous return is not compromised.Because the most risky factors in the operation are the baby's body temperature change and blood volume deficiency.

Anesthesiologists generally respond quickly to changes in body temperature.However, bleeding may occur below the surgical drapes, and the anesthesiologist is located far away from the operating area, so it is easy to ignore. Therefore, the chief surgeon needs to carefully estimate the blood loss and often remind the anesthetist to pay attention blood transfusion.

Xie Ke placed the subject's position, which is very helpful to reduce blood loss.

Guan Yao is no longer considered a newborn, and can be disinfected with low-concentration iodine without worrying too much about burning his skin.So Shayk sanitized his scalp with Vita-Iodine.

Xie Ke wrapped Guan Yao's face and scalp with surgical wipes, exposing only the orbits and ocular surface so that they can be monitored during the operation, and the cornea was protected with a corneal contactor.

With everything in place, Shayk locally anesthetized the site to be cut with a 1% solution containing 10:0.25 epinephrine.

The scalp is a place with very rich blood circulation, and the effect of local anesthesia is to reduce bleeding.

Since the scalp needs to be opened up instead of a small incision, it doesn't matter whether the craniotomy line is drawn or not, but Xie Ke followed the steps and drew a line with a marker.

The pediatric surgeon was next to him as an assistant, with his hands together and gauze under his fingers, pressing the scalp on both sides of the incision.

It was the first time he saw Xie Ke move a knife, and his heart was pounding.

Damn it!

Straight incisions are more conducive to recovery than wavy incisions.

Xie Ke used a No. 15 scalpel to incise the skin in a straight line, and then used medium-sized hemostatic forceps to clamp the subcutaneous artery and the larger bleeding point together with the underlying galeal aponeurosis, and then turned the forceps over to stop the blood.

After normal people cut the skin, the incision is enlarged with micro-point cautery to stop the bleeding, and finally combined with the hemostatic forceps to stop the bleeding.

And Xie Ke doesn't need the intermediate steps at all, that is, cut and stop.

And because he cuts and stops quickly, there is very little bleeding.

The assistant in the Department of Pediatric Surgery didn't really watch people open their heads, so they were only surprised by Xie Ke's neat movements.

Participants in other operating rooms were even more surprised by the amount of bleeding after the scalp was lifted.

Shayk pulled the scalp up with skin retractors, cut the galeal aponeurosis, and folded the scalp to the orbital rim.At this time, the pediatric surgeon who saw the craniotomy for the first time breathed a sigh of relief, and finally covered his face, so that there was less psychological pressure.

Generally speaking, the scalp is blood-red after peeling it off, but after Xie Ke peels it off, it is a thin layer of bloodshot eyes, and the periosteum below can be seen clearly.

Shayk took out the scalp clippers from the equipment nurse's tray, and began to clamp the scalp that the other hemostats had not clamped, every one centimeter or so.

There are two uses of the scalp clip, one is to stop bleeding and the other is to fix it.

When Xie Ke used the second scalp wallet, his finger suddenly became agitated!

It's the deformable finger.

Shayk had latex sterile gloves on his hands, and his fingers seemed to be tearing through the gloves!

In order to prevent any accident that would be unfavorable to the subject, Xie Ke raised his hand.

But that feeling disappeared when his hand left the opened scalp.

The surrounding assistant doctors, nurses, and anesthesiologist Feng Daqiang did not notice Xie Ke's abnormality.

Xie Ke rubbed his fingers through the glove, and continued to clamp his wallet.

This time he savored every moment carefully.

When I picked up the scalp clip from the tray, it was fine.

Put the scalp clip where you want to clip, normal.

Clamp the scalp, here we come!

That feeling came back again.

After clamping the clip, Xie Ke took a step back and signaled the assistant to continue clamping the clip below.

The assistant doctor from the Department of Pediatrics thought that Xie Ke was giving him a chance to operate, so he started to imitate Xie Ke's action of scalping with great interest.

No one is surprised that it is a matter of course for the chief surgeon to delegate simple tasks to the assistants.

On the one hand, it can give assistants the opportunity to practice, on the other hand, it can save their energy to do more important work.

Only Xie Ke's heart set off a huge wave!

What happened to my finger?

Xie Ke felt very strange that this was not his first surgery.Especially the action of cutting the skin is often done.

His fingers had never been like this before, and when he didn't deliberately pour mental power on them, they deformed themselves.

Oh no.Shek thought to himself, as if once.

The first time he discovered the weirdness of the fingers, the fingers also changed by themselves.Then he discovered that he could control its changes.

Xie Ke put his fingertips up on his chest.This posture is a requirement for every doctor involved in the operation.

He began to actively use mental force to force his fingers to deform. For some reason, he naturally turned his fingertips into a scalp wallet.

The fingertips did not break the latex glove, but completed the shape together with the glove film.

However, the appearance of this scalp wallet is a bit strange, and it is somewhat different from the michdl wallet they usually use.

It is also cylindrical, but unlike ordinary scalp wallets, it consists of a vertical hole, upper and lower teeth, side holes, and a shell.

It's a -- Shayk doesn't know how to describe it -- maybe a stylish looking clip.

The shape is very simple, but as long as it cooperates with the elasticity, it can easily clamp the skin of any thickness.And this kind of elastic material is not uncommon in today's medical field.

Xie Ke's eyes lit up!

This is a scalp wallet that he has never seen before, or maybe it has never appeared in the whole world!

If you use this clip, Xie Ke thought excitedly, there are three advantages.

First, it fits the skin better without any trace or damage.

Second, the elasticity is produced by curling, so the elasticity is free.

Third, there is no requirement for the edge of the skin, the skin can be rolled up, so the length is also free, and there is no need to clamp a lot of clips to make the edge of the scalp like a loose-leaf book.

Xie Ke looked at the operating table, the assistant had already clamped one side and was clamping the other side.

He went up to signal to him behind him to come, and the assistant gave up his seat without any hesitation.

Xie Ke maintained the shape of a pinch with his fingertips, and pinched it on the spare scalp, and the curved piece immediately wrapped the piece of skin, and it was as effective as he imagined!

The people next to him looked at Xie Ke, not knowing what he was doing.

In the eyes of others, Xie Ke just pressed his scalp with the hand that usually holds the clip.

The bleeding stopped, but Xie Ke's hand would always be retracted. Why didn't he clamp it with a clip, but pressed it with his hand?

The equipment nurse thought that she was not good at handing the tools, so she moved the tray closer to Xieke.

It was only then that Xie Ke realized that he quickly picked up an ordinary clamp, clamped the last piece that needed to be clamped, and then let go.

Can use!

Xie Ke thought excitedly in his heart, this design can definitely be used!And it works great!

A new surgical instrument is about to be born, and its name will be called - Shaker clip.Well, I have also thought about English, so it is called sheckclip.

Naming a device with Shayk's own name is about to rise to the same height as his male gods, Cushing and Dandy.

The method Xie Ke used just now, using the hemostatic forceps to clamp the galeal fascia eversion and compress the incisional margin of the scalp to stop bleeding, was created by Cushing. Later, he and his students designed the silver clip, the first silver clip. A method of hemostasis by clamping intracranial blood vessels.

Later generations improved the automatic clip and the spring clip on the basis of the silver clip.

And now Shayk is about to invent a new type of clip.

It is conceivable that this simple and easy-to-use clip will surely replace other types of scalp clips on the market once it is launched.Because its advantage is that, in addition to clamping, it will not be clamped too tightly.In this way, it is very beneficial for suturing after removing the clip.

Even though Xie Ke is a person who is relatively indifferent to fame and fortune, such an invention still excites him.

This is different from the bone cement experiment!

The experiment of bone cement is just to prove a new usage of something invented by others.

And this clip is real, Xie Ke's own invention.He can name it himself and apply for a patent!

Yes, now that he has calmed down, he is completely sure that no one in the world could have thought of such a thing before him, otherwise it would have swept the entire medical industry by now.

If it wasn't for the gloves, and they were covered in blood, and he was still in surgery, Shayk would have loved to kiss his lovely fingertips.

Although he didn't know why it suddenly prompted him like that just now, it was his finger, wasn't it?

His fingers are part of him and controlled by his brain, aren't they?

Yes!

Shayk finally understands why some people are narcissistic, because this feeling is really, really good!

Just imagine, all neurosurgery operations in the future will use Shaker clips when others need to clip their scalps!It also means that Xie Ke's thoughts will appear on all operating tables, unless someone can replace or eliminate this operation method with better things in the future!

What a cool word!

But he didn't forget that his surgery had only just begun.

Xie Ke continued to remove the periosteum of the skull in the upper half of the coronal and sagittal sutures, and then cut the skull along the coronal suture, resecting a bone piece about 1.5 cm wide, and crossing the squamous suture on both sides.At this time, Xie Ke turned his head to pay attention to the anesthesiologist, and Feng Dada reminded him that all the data were ok.

So he continued to remove bone fragments at a distance of 1.5 cm on the left and right sides of the sagittal suture, resulting in two bone grooves of 1.5 cm.The two bone grooves cross the horizontal coronal suture bone groove forward, like a cursive head (草).

The bone fragments of the children are collected, which will be used if bone transplantation is needed in the future.

Shayk wrapped the bone edges with polyethylene film to prevent re-ossification and closure.A rubber drainage strip was placed under the skin flap, and then the scalp was sutured in layers.

During the stitching process, Xie Ke once again amazed everyone with his knack for threading needles.

Before closing the skull, Xie Ke asked about his body temperature and intracranial pressure, and he ended the operation only after he learned that it was normal.

The operation went very smoothly. If the intracranial pressure was expected to be too high, he would have to bite off some temporal bone scales to achieve the purpose of decompression.

Of course, for all patients undergoing craniotomy, the 8-12 hours after surgery is still a very important stage.

Especially in infants, repeated and various complications may occur after a few days or even longer.

The current operation is only to open half of the coronal and sagittal sutures.After two weeks of observation, when the baby's wound healing ability recovers, a second-stage operation will be performed, that is, the lower half of the sagittal suture and the bone groove of the herringbone suture will also need to be reconstructed.

And there is also the third stage surgery advocated by Xie Ke, which has not yet been decided.

So Xie Ke's mission is far from over.