"Brain power system."
Qin Feng stretched out his hand, and the first assistant immediately handed over the equipment.
At this point, the patient's head has been skin-prepared (the hair is removed, the scalp is completely exposed), and the next step is to open the skull.
Pick up the round knife and cut the skin and subcutaneous aponeurosis according to the craniotomy arc.
The scalp clamp lifts the scalp and clamps the scalp to stop bleeding.
Still a skilled operation!
Immediately after peeling off the periosteum, the blade of the skull drill slowly cut along the skull.
Because there are steel bars in the middle, Qin Feng has also become a lot more careful. After the skull is cut in a circular shape, the next step is to remove the skull.
"Stripper."
Putting down the skull drill in his hand, he stretched out his palm and put the instrument into his palm.
Qin Feng cautiously inserted it along the seam of the bone, held it hard, and slowly pulled it out along the rebar.
Because it was too tight with the steel bar, he had cut a circle of windows at the penetrated position in advance to facilitate the removal of the skull.
Everyone stared at his movements, for fear that any instability would cause the steel bars to shake and cause secondary damage to the trigeminal ganglion.
In two minutes...
The skull was removed smoothly without any problems!
"Whoo~"
Everyone breathed a sigh of relief, and looked at Qin Feng with more firm trust.
The hand is so steady!
Later, because the skull was inserted from the top down, it is very likely that fragments of the skull fracture would enter the brain.
After cleaning the wound, he began to look around the insertion of the rebar.
Sure enough, in less than a minute, three extremely small skull fragments were found, and they were gently taken out and then cleaned.
"Okay, everyone, you can start."
After Qin Feng took protective measures in his skull, he looked up and said to everyone.
Several chief surgeons nodded at the same time and began to cut the abdomen.
at the same time,
The blood preparation begins to be delivered to the patient's body. At this time, it is necessary to fight for blood volume and technology.
A little mistake in any link, causing fatal danger or massive bleeding, will be completely forfeited.
Cardiac surgery, gastroenterology surgery, and urology department are all doing laparotomy at the same time, and they are busy.
Qin Feng lifted the temporal lobe with the brain pressure plate, followed the opening of the head, and carefully inserted the minimally invasive knife into it through the top of the forehead skull.
Because there were too many occlusions and the field of vision could not be opened, he used an instrument to watch the situation this time.
Under normal circumstances, the trigeminal semilunar ganglion sensory fiber transection is performed by taking 2 cm anterior to the external auditory foramen on the upper border of the zygomatic arch, making a straight incision of about 6 cm in length backward and upward, and then incising the temporalis fascia to separate the temporalis muscle for microscopic surgery. Create operation.
In this way, no craniotomy is required, and the wound and pain of the patient are minimized.
But because the skull was pierced by steel bars this time, only a craniotomy was performed.
The dura mater was separated from the skull before and after the foramen spinosum, the middle meningeal artery was freed, and the blood flow of the middle dural artery was subsequently occluded and severed using arterial coagulation.
Finally, after some in-depth research, Qin Feng successfully entered the dura mater at the bottom of the middle cranial fossa to find the meniscus, and cut the dura and the propria of the meniscus.
The dura on the lateral side of the meniscus should not be separated too much, so as not to damage the superficial petrosal nerve, resulting in facial nerve paralysis and decreased lacrimal gland secretion.
After Qin Feng successfully dissociated slowly with a minimally invasive knife, the trigeminal ganglion appeared in front of him.
And the edge of the steel bar completely compressed and deformed the nerve, and now it must be cut as soon as possible.
There is a small space between the fibers of the ophthalmic branch and the fibers of the maxillary branch, and he used a blunt nerve hook to lift the lateral fibers of the third and second posterior roots.
"Pay attention to control the patient's vital signs and adjust the fluid replacement. I am going to cut off the trigeminal ganglion."
After doing this, Qin Feng stopped and said a word.
Immediately after, at a distance of 5 mm above the meniscus, the nerve root filaments were cut.
When the two nerves were cut off, the frontal trigeminal ganglia, which had been deformed due to compression, contracted violently backwards, and the pressure disappeared instantly.
"Whoo~"
The attending doctor of brain surgery standing beside him also breathed a sigh of relief.
The most important thing in this link is that the fibers should be clearly identified, and the motor root and the first fiber should not be damaged.
Otherwise, it will be very troublesome to deal with!
Qin Feng used a blunt nerve hook to slowly lift the trigeminal ganglion, fixed both ends, and raised the knife with his hand.
The trigeminal ganglion was successfully blocked and cut, and it was done!
The safe position of the steel bars is released, and as long as the brain in the forehead is protected, the craniotomy is complete.
But he knew that this was just the beginning, and the most difficult thing was to sew the nerves perfectly after the steel bars were successfully removed.
Otherwise, it will cause irreversible effects on the patient's face in the future, and even lose some senses.
"Doctor Qin, you are really amazing."
Ichisuke couldn't help but whispered, his eyes full of excitement.
This is the first time he has seen Frazier's operation on the trigeminal ganglion with his own eyes, and he feels that he has benefited a lot!
"We will definitely meet in the future."
Qin Feng didn't say anything, just shook his head and said lightly.
Next, let's look at the remaining people. At present, the patient's physiological indicators are stable and not bad.
The abdomen of the patient in front of him has begun to be opened a little bit from the third rib, and the organs appear in front of him.
Cao Ke is worthy of being the Deputy Director of Cardiac Surgery. A top student who has returned from overseas, his techniques are cleaner than that of Director Zhang Fan.
This time he also chose to open his chest directly above the heart for a better view.
After the sternum is opened, the flowing blood is continuously sucked by the suction device to ensure the surgical field of view of all parts.
"Doctor Zhang, you have to be careful."
Qin Feng couldn't help but admire, looking at Zhang Chen who was about to start the incision below and said.
Zhang Chen didn't speak, just nodded with complicated eyes.
He didn't expect that a genius in charge from the capital would have to follow the instructions of an intern to perform surgery.
Mainly because his former classmates and colleagues knew about him, so he didn't laugh to death?
However, when treating patients, doctors still have the least awe.
After confirming the location of the liver and spleen incision, he avoided the dense arteriovenous area and cut the blade into the liver.
When his hand felt a hard object, he slowly pulled away to one side to reveal the steel bars.
But just then, an accident happened!
Suddenly, a large amount of blood seeped from the bottom where the steel bar and the liver were in contact.
Artery hurt!
Everyone saw this scene and stopped instantly, and the same thought rose in their minds.
"Hemostatic forceps!"
Zhang Chen quickly took the hemostatic forceps and inserted them into the bottom of the liver along the steel bars, trying to stop the arterial bleeding with the hemostatic forceps.
But he tried several times without success.
He saw that the blood spurting out in front of him quickly blurred the vision of the operation, and even overflowed to the position of Deputy Director Cao, and even the suction device could not keep up with the speed of blood sucking.
Zhang Chen's heart sank immediately, and he didn't dare to probe into it any more.
A burst of blood spurted out of the body, splattering violently on his face.
Oops!
He quickly retracted his hand and tried to block it, but it was too late, his bare eyes were covered with blood, and he couldn't see anything.
Everyone's heart suddenly became cold, this is bad!
Bleeding!
Before they could react, a hand suddenly appeared, inserted between the steel bar and the liver, directly blocking the gushing blood.
"Hemostatic forceps!"
Qin Feng said in a deep voice, took the hemostatic forceps and inserted them with his fingers immediately.
Open, close.
The liver and arteries, which were about the size of half a finger, were deadlocked, and the blood volume dropped a lot in an instant.
But there are still bleeding openings that continue to ooze out blood. It seems that more than one blood vessel has been cut off in the liver!
"Is it alright?"
Qin Feng cracked and raised his head to look at Zhang Chen who wiped away the blood,
"No. I'll come."
...
Zhang Chen paused for a moment, and then his eyes rose with unyielding, shaking his head.
The next second, he reached out and pulled the entire liver away, and locked one of the hemostatic forceps in his hand.
Then take the hemostatic forceps and control the second bleeding port.
The third...
The fourth...
In just over a minute, all the bleeding ports were stopped, and the bleeding was stopped.
At this time, in this short one minute, the blood that flowed out has filled the abdominal cavity everywhere, and the other two had to stop.
In a blink of an eye, at least 1000ml of blood was lost, and with the previous large belly opening, more than 2000ml of blood was lost from the 10,000ml of blood.
One fifth!
Now less than a third of the surgery has been performed, and incisions are being made!
"Director Zhou, it's hard for you to inform the second hospital of the city to send 5000ml of blood preparation first."
Qin Feng retracted his hand and looked at Zhou Xianren.
"Okay, I'll get in touch now."
After that, he asked the nurse around him to leave the operating room, waiting for the blood to be sent in.
Half an hour later, Cao Ke wiped off his sweat and came to an end. After the heart was freed, the heart was slightly displaced by a full centimeter, exposing all the steel bars.
Heart ends.
Then, the urination is done!
Finally, Zhang Chen, working on the final stage of the spleen.
At this moment, the door of the operating room opened, and the nurse walked in with a special box for the blood bank.
The 5000ml blood preparation of the second hospital of the city has arrived!
Seeing what the nurse said in Zhou Xianren's ear, Director Zhou's eyes suddenly looked a little wrong.
"What's wrong?"
Seeing this, Qin Feng asked, after all, no matter what happens now, it may affect the process of the operation.
"It's okay, it's not about the surgery."
Zhou Xianren shook his head and said with a wry smile,
"The patient's wife and daughter are still kneeling outside the operating room, and it seems that they will wait until the operation is over."
Hearing his words, Qin Feng glanced at the time, and it was just over an hour ago.
He already had a rough expectation of this operation in his heart, and it was estimated that it would not end until dawn.
Take out the steel bar from the stripping tract, and then suture the wound and close the abdomen.
At least 6 hours!
Could it be that the patient's family members and the daughter who suffers from leukemia have to kneel at the door for 6 hours?
...
"Ah~"
Qin Feng sighed, let them go first, now the most important thing is to save people.
"Go ahead, prepare to fix more steel bars!"