crazy scalpel

Those are a pair of eyes that are as bright as stars, and the light in them seems to be a little light in the endless darkness, which attracts all the light and heat as the center.

Cai Tianqiao suddenly felt that the place he was in was the darkness opposite to the light, and he himself was a shadow hidden in the darkness.

Shayk said to him, "Let's get started."

Hearing the sound, Cai Tianqiao cheered up and refocused on the child's skull whose scalp and bone flap had been opened.

Although he has not encountered many cases of stenosis, surgery is a one-stop solution.

The human skull and the structure of the brain are generally similar, but what they do is to deal with different lesions within the same scope.

Physiologically, a person's central nervous system has already begun to develop during the embryonic period, and the differentiation of cortical cells has also begun.After the fetus grows in the mother's body for 6 months, the upper brain sulci are already very obvious.So when he was born, his brain structure was quite complete.

However, from an anatomical point of view, the baby's organs and body length ratios are still very different from those of adults.Especially their skulls, Cai Tianqiao also found that they were extremely thin after touching them.So his hand slowed down.

When Xie Ke bit off the skull just now, his movements were very natural, but he didn't expect to feel a little uncomfortable when he did it.

It is mainly the mastery of strength, which needs to be adjusted.

At this time, Xie Ke's progress was much faster than Cai Tianqiao's.

He has opened the bone window.

Guan Yao's subdural hematoma in the posterior fossa was mainly caused by the rupture of blood vessels on the surface of the cerebellum and veins flowing into the transverse sinus.It wasn't contusion of the cerebellum at all. According to CT, there was no hematoma in the brain.However, there is still a small amount of continuous bleeding in the venous sinus, which is why Xie Ke insisted on opening the dura mater. In addition to removing the hematoma that has formed, he also needs to find a way to stop the active bleeding.

The original craniotomy for the posterior fossa should be a vertical incision parallel to the sagittal suture.

However, Guan Yao's situation is special, Xie Ke is rebuilding his bone joints, so his scalp is turned horizontally and downwards at this time.

This created some difficulties for Shayk to fully expose the occiput.

However, he was not discouraged. Since most of the hematomas were concentrated under the two bone grooves he had opened before, he only centered on the lower end of the two bone grooves to expand the bone window to expose the dura mater. Some left a bone bridge to protect the transverse sinus.

Cai Tianqiao secretly took a deep breath, and continued his task of opening the bone ditch again.If he couldn't end his own operation at the same time Xie Ke finished removing the hematoma, then there would be no point in performing the operation at the same time, and the combined duration of the two operations would also put a lot of pressure on the child.

After Shaker completed a small bone window on each side of the suboccipital area, he cut the dura mater wide enough to remove the clotted hematoma.

After the dura mater was incised, Xie Ke glanced at the movements of Cai Tianqiao's hand, and the other party just happened to set off a bone fragment.

Shayk gestured him to pause, then said to the nurse, "Go and lift his head a little bit."

Cai Tianqiao kept the lifting posture with his palms up, and gave way a little.

The nurse went up and moved Guan Yao's head, which was wrapped in a sterile sheet, up a little bit.

Sheik: "Stop."

The nurse re-fixed the child in its current position.

At this time, I saw that many blood clots flowed out naturally from the posterior fossa.Xie Ke counted and compared with the CT just taken, there are still two stubborn ones in it.One, Shayk removed with a stripper and tweezers.The other one was a little troublesome, because it stuck tightly to the vein.

Xie Ke had also found the bleeding point at this time. After repeated washing with normal saline, he took the gelatin sponge prepared by the nurse and applied it to the ruptured part of the blood vessel, and then pressed it with a cotton pad.It usually takes only a few minutes for the bleeding to stop, and then the pad can be removed.

After Cai Tianqiao removed the bone slices, the rest of the work was easy to complete, as long as the bone margins were wrapped.

So now the only problem left is this nasty blood clot sticking to the blood vessel.

Cai Tianqiao also saw the blood clot, and he glanced at Xie Ke, wondering if Xie Ke would ask him to handle it.

In fact, Cai Tianqiao is also conflicted in his heart. He not only hopes that Xie Ke will ask him to take action to satisfy his need level of being needed and respected by others, but also hopes that Xie Ke can solve it by himself. After all, Xie Ke is a rare genius.

Geniuses are lonely, and they all yearn for loneliness.

Whatever Shayk did, it was obviously going to disappoint him of a different kind.But Xie Ke chose to solve it by himself.

He picked up the fine suction tip, intending to suck out the hematoma.

Suctioning is much more difficult than expected, because the blood clot sticks to the small blood vessel, and it sticks very tightly. Xie Ke can only suck the blood clot a little bit, and the blood clot becomes smaller and smaller until the last bit is peeled off. Too flimsy or broken.However, Xie Ke had been prepared for a long time. As soon as his suction device was removed, the other hand immediately used bipolar electric coagulation to stop the bleeding, and then rinsed repeatedly.

After finally cleaning out all the hematomas, Shayk removed the pads he had just put on.Then he asked Feng Daqiang to try to increase the amount of blood transfusion to achieve the purpose of supercharging, and observe whether the active bleeding has been stopped everywhere.

Cai Tianqiao's work happened to be completed as well.

Although there were some twists and turns, overall the operation went smoothly.

Xie Ke placed the drainage tube, sutured the dura mater, and then sutured the scalp layer by layer.

After the skull was closed, Xie Ke gave Guan Yao another CT scan of his head. After confirming that there was no problem, he was pushed to the intensive care unit.

Although this operation was still very successful and did not take long, it was the most tiring one for Xie Ke.

For one thing, Cai Tianqiao's presence not only made him feel more at ease, but also brought him some pressure.Cai Tianqiao is different from Professor Xu.Professor Xu is Xie Ke's teacher, and the relationship between the two is very close. In addition to imparting skills and experience, they can also rely on each other emotionally.But Cai Tianqiao is both an enemy and a friend. Of course they are teammates during the operation, but Xie Ke will not completely forget Cai Tianqiao's excessive interest in him and his occasional refusal because of this.

Second, it was mainly because of a sudden situation during the operation.

It is true that Xie Ke had already taken this situation into consideration in the operation plan, and had made preparations for how to solve it. Otherwise, it would have been impossible for him to deal with it so calmly.However, imagination and reality are two different things after all, and only in this situation can one experience the tension and urgency.

In the past, when Xie Ke made a plan, he only regarded it as a preparatory work that should be done.Just like when he made the plan for Tong Wenjie's worm-picking operation, he thought it was perfect, so he didn't understand why Professor Xu had to deliberate and deliberate.

And after this incident, in Xie Ke's heart, the surgical plan has become a part of the surgery!And not just stylized upfront preparation.

He also understood the purpose of Professor Xu's deliberation on the plan.It's not that his plan is lacking, but that Professor Xu is probably simulating the scene in his mind!

No one can guarantee that what he has learned can be applied in actual operation with the fastest reaction speed.Especially in surgery, if you encounter an accident, you need to rack your brains to find a way. Can this idea be used?Can you cover everything?Even before you think about it, the subject may be in critical condition!

Therefore, making the most comprehensive preparations before the operation is the professional ethics that a surgeon should possess.

Although Xie Ke was tired physically and mentally, his heart was very excited.He could feel his fingertips burning.He raised his left hand, held his right hand, and gently massaged back and forth to soothe "it"'s restlessness.

Shayk knew that "it" was as exciting as he was, and that excitement came from a deep-seated passion for becoming a surgeon.

Six years!Since that accident, Shayk has lost a lot.

Among them are his parents, his family's house, his formerly very mischievous personality, and some vague memories.But he got this finger.

At first, when he found out that his fingers would deform, he was terrified.But immediately, he felt that this was God's compensation for him.

He once thought that maybe he could change his finger into the shape of a wire, pick all the locks in the world, and become a more powerful thief than Sen Luoping.

But the reality disappointed him, because he couldn't even open his locked diary.For this reason, he was so angry that he pulled hard, and the not very secure lock was destroyed by his brute force.

Later, for some unknown reason, maybe it was the traction of the finger itself, which made his interest shift from mathematical physics to medicine.During the college entrance examination, he filled in the clinical department of the Jiefang University School of Medicine and passed the exam.

Since then, he has always wanted to be a surgeon, and he has never wavered.

Countless times over the years, he always felt that someone behind him pushed him away, making him unable to turn back, but at the same time he felt very at a loss about the way forward.But this finger of his always points out the direction for him at critical moments.

This finger seems to be his other brain, which makes him move with his heart unconsciously.

"Shek."

Hearing the sound, Xie Ke opened his closed eyes and saw Director Cai who had already changed his clothes and walked towards him.

Cai Tianqiao praised him without hypocrisy: "You have done a good job. Your basic skills are the best I have ever seen."

"Oh, thank you." Xie Ke added a little uncomfortable: "You are also very good."

Cai Tianqiao's face was full of black lines, why does this sound so perfunctory.However, he didn't think Xie Ke would be so smooth. According to his observation, he was still a child.Thinking of this, he couldn't help but hesitate again.

Xie Ke looked at Director Cai's expression, and suddenly realized. "Are you afraid I want to go to neurosurgery?"

When Cai Tianqiao heard this, his face became even darker. He straightened his face and said in a calm voice, "What do you mean? Am I so unmannered?"

Are you personable?It just looks more sophisticated, but it’s actually super cautious.Of course, Xie Ke can only think about this in his heart.What he said was: "Then, you want me to go to neurosurgery?"

"..."

Cai Tianqiao hesitated again.To want, or not to want, that is the question.