Director Lin couldn't sit still either. Xu Qiu chose a spot 6cm above the external ear hole. He cut it straight here, and under the fragile skin, it stopped just above the blood vessel! And the incision accurately follows the shape of the superficial temporal artery! The brain surgery doctors were all shocked. Conventional doctors choose horseshoe-shaped incisions or arc-shaped incisions. The advantage is that it is safe, but the disadvantage is that the incision is large and the damage is serious. This kind of incision that tracks blood vessels has a very small wound and almost no scalp necrosis, but it is rarely used clinically. Because the difficulty is too high! This is more like a tightrope walk than a cutting method! Unless they are extremely proficient in patient anatomy and have extremely precise control capabilities, no one would dare to take risks.
But now, Xu Qiu showed everyone an almost perfect blood vessel tracking and incision! Later, as the operation progressed, the shock on Director Lin's face continued to grow. He realized that what Xu Qiu wanted to do was a double bypass surgery that was rarely done in joint surgery. The surgery is simple to describe. First, a direct bypass is performed between the superficial temporal artery and the middle cerebral artery to quickly establish a blood flow channel and immediately improve the blood supply to the brain; After that, through the multi-factor application of temporalis muscle-dura mater-middle meningeal artery-cranial periosteum at the same time, new blood vessels are induced on a large scale to complete better blood circulation reconstruction and improve blood supply to the brain on a larger scale. However, there are numerous difficulties in implementing it. For example, the superficial temporal artery is very fragile and can easily cause arterial wall necrosis during anastomosis. The diameter of the middle cerebral artery is too thin and is prone to blockage, etc... Director Lin stared at the operating area intently, wanting to see how Xu Qiu would respond. "7# handle, 15# blade!" "Microscopic dental forceps, microscopic scissors..." At the same time, on the operating table, each instrument seemed to have come to life in Xu Qiu's hands, as if it had become his third hand and fourth leg. His movements were getting faster and faster. Quickly find the posterior branch of the superficial temporal artery from the inner surface of the opened scalp galea flap... To avoid damaging the superficial temporal artery, Xu Qiu was very decisive and directly separated the soft tissue together, and then performed bipolar electrocoagulation to stop the bleeding... Then, The proximal end is temporarily clamped with an atraumatic arterial clamp...
Flush the lumen with heparinized saline at the severed end... Then cover this area with cotton pads soaked in 3% papaverine to prevent dryness and arterial spasm... Director Lin and others were dumbfounded. The rough and the fine, and the difficulty can be mastered easily by Xu Qiu. It's so unbecoming of a human being! … Ding-ding-ding-ding. Didi didi—— In the operating room, the only sounds left were the collision of instruments and the sound of various monitors operating. Director Lin and others breathed very lightly, admiring the rising and falling of the blades in the surgical area as gracefully as dancers. Cut. Isolate the superficial temporal artery. Craniotomy. Isolate the artery. Soon, the operation reached the final arterial anastomosis! This is the key to normal surgery—— As long as the blood flow to the main blood supply trunk is restored, Symptoms of moyamoya disease can be solved naturally! Everyone's nerves became tense. Director Lin also glanced at Xu Qiu. But I found that the other person was still neither sad nor happy, and his eyes seemed to say "boring". At this moment, Director Lin was a little doubtful about life. … "Watch it!" Director Lin suddenly said. "What?" "Don't blink, the next stitching will be very cool!" As Director Lin finished speaking, Xu Qiu's plain voice sounded: " single strand nylon thread." At the same time, the stitches penetrated into the small cerebral blood vessels.
The hand skills developed by countless days and nights of sewing soap bubbles are fully displayed at this time! Experience, timing, feel, intuition—— Countless factors come together to create this near-perfect stitching! Whoosh whoosh—— Under the shadowless lamp, a pair of hands seemed to be moving in fast forward. Sew two stitches at each end to secure... Two needles at the midpoint, one on the front and one on the front wall... Sew three more stitches between two adjacent stitches... No one watched the entire process. Everything goes too fast! By the time everyone reacted, Xu Qiu had already loosened the artery clamp on the superficial temporal artery and began to flush out the air and blood clots in the lumen. Sa—— Xu Qiu moved too fast, a slight wind sounded, and in an instant, the last stitch of ligation was completed. Immediately afterwards, Xu Qiu first removed the artery clamp at the distal end of the middle cerebral artery. Then release the proximal clip. Gurgling—— In an instant, blood flow poured into the arteries, and the blood vessels quickly filled up. If you look closely, you will see that they are full, fitting, and pacing with the pumping of the heart. There is not a trace of blood leaking from the sutures... "I wipe..." "Did you eat a sewing machine?" "It's another day when I come to the human world to make up the numbers..." "My eyes are so dry, Director Lin, can you blink?" … After completing this step, the subsequent surgery will seem like pediatric surgery. Xu Qiu completed the multi-factor application of the temporalis muscle, dura mater, middle meningeal artery, and skull periosteum one by one. Finally, close the skull! The dura mater was sutured intermittently and drainage was placed. The bone flap was retrieved from the saline solution and reduced.
Because Guan Chuyu was young, she used a skull lock. Then suture the muscles, subcutaneous, and skin... "The operation is complete." snap—— Xu Qiu put down the stitches. Everyone looked at Xu Qiu at the same time. The shadowless lamp above Xu Qiu's head, like the halo of a saint, looked so holy and majestic at this moment... Xu Qiu calmly arranged the precautions after the operation. "Maintain blood pressure and don't let the perfusion drop." "Oral enteric-coated aspirin , 3 times a day, and dipyridamole 25-50mg, 3 times a day." "Do an external carotid artery angiography as soon as possible after the operation to measure cerebral blood flow in time..." "After waking up, send him to the ICU with a tracheal tube for further treatment. Routine anti-infection, hemostasis, dehydration, neurotrophy, and maintenance of internal environment stability and other comprehensive treatments after the operation..." "..." In the operating room. Everyone listened to the instructions excitedly. Director Lin couldn't stop laughing. This academic exchange of neurosurgery, Linhai First Hospital is going to make a big splash! ... After the operation, the patient was pushed to the recovery room. This is the place where patients who have just finished surgery are received. Generally, patients can leave only after they wake up and then transfer to different wards. Xu Qiu and others left the operating area. To everyone's surprise, in addition to Guan Chuyu's parents, there were already two policemen outside, with a woman with messy hair in the middle. It seems that they came for Guan Chuyu's head injury. When Guan Chuyu's mother saw Xu Qiu and others coming out, her body softened again and she fell into her husband's arms. Guan's mother grabbed the corner of her clothes tightly, her voice full of fear, and said: "Doctor, Xiaoyu... why didn't she come out..." Xu Qiu's eyes flashed a trace of fatigue, but he quickly restrained it, smiling like a warm breeze, and said: "Don't worry, the operation was successful." "Really?!" Guan's mother cheered up all of a sudden, as if she had been reborn, and she cried while hugging her husband.
Guan's father couldn't help but raise the corners of his mouth. They received three or four critical illness notices, but finally waited for the news that their daughter's operation was successful - is there any better news than this? However, after the joy, he immediately put away his smile, and a trace of anger flashed in his eyes. The injury on his daughter's head has not been checked yet! However, at this moment, several people suddenly rushed out from the transfer passage of the recovery room. They pushed a hospital bed. Seeing the police, a touch of surprise appeared on their faces and they rushed over quickly. Their voices resounded throughout the operating area. Hearing the other party's words, the faces of the doctors present changed, and countless waiting family members also stood up, and they couldn't help but be indignant when they heard the words.