The patient's current situation is more complicated!
Acute liver failure, severe cerebral edema and cerebral hemorrhage, accompanied by central respiratory failure and coagulation dysfunction caused by severe anemia...
Even if the director of brain surgery came, it would be very difficult!
Especially the coagulation disorder, coupled with the fact that the patient was only three months old, made the operation more difficult than the super difficult level 4.
In Qin Feng's mind, a complete surgical plan has been formed based on the examination.
Even this surgical plan was not even discussed, and it went directly to the stage.
If you switch to any other chief surgeon, this is an invisible risk.
And for him, it must be the best solution at present!
Qin Feng picked up a pen, drew a line on the head that had been prepared for skin, and then covered it with a towel.
The first step is to remove the submembranous hematoma on the top of the left temporal lobe!
The scalpel is slowly cut across the scalp, exposing the skull inside and cutting through the periosteum.
"I'm going to have a craniotomy, pay attention to blood loss, and replenish blood in time."
Qin Feng glanced at the itinerant nurse and asked in advance.
"Okay, Director Qin."
Craniotomy on children or infants requires more blood preparation, because the blood volume in the whole body is relatively small. If bleeding occurs, the patient may cause a large amount of bleeding, causing some irreversible damage or even life-threatening.
Therefore, active blood preparation is a very important part before surgery!
Then, the craniotomy slowly opens a small bone flap and cuts through the dura mater.
The surgical field of view was exposed, and the location of the hematoma could already be seen, but around the bleeding point, there were extremely fine cerebrovascular and nerve tissues.
In addition, the baby's brain is very small, only half a fist, which makes every step of the next step extremely tense!
"Director Qin."
Sun Ming next to him took the magnifying glass and wanted to put it on for him.
"No need, put it on and watch carefully. There are not many opportunities for such an operation in Jiangcheng."
Qin Feng shook his head, his tone seemed casual and calm.
In a word, Sun Ming froze in place, even though his face was covered, his eyes were still full of shock!
No magnifying glass?
Is this operation still possible?
You must know that the human brain is the most fragile, even a slight muscle tremor may send people away.
So brain surgery has always been a department dancing on the tip of the knife!
And this is a 3-month-old baby!
The brain is smaller than that of an adult, and the blood vessels and nerves are dense and fragile. Even if you are careful, you will be nervous.
However, Qin Feng, who was the chief surgeon, didn't even need a magnifying glass, and directly cleared the blood with his naked eyes.
This is just like a joke!
You know, this is a life!
"Don't worry, don't be so surprised, hehehe~"
Qin Feng glanced at the shocked eyes of several people, and couldn't help laughing,
"I'm starting, give me."
The instrument nurse places the micro-suction device in his palm.
In the next second, Qin Feng's eyes shrank suddenly, and instantly turned into two ovals, like two sharp blades, full of sharpness and coldness.
If a few people can see it, they should think of the eyes of the poisonous snake, and they can't help being creepy!
But in his eyes, that little head, which is not much bigger than a walnut, is as clear as a 16K ultra-clear picture at this moment, and the bleeding spots are right in front of his eyes!
As Qin Feng's hands slowly fell, everyone seemed to have forgotten to breathe, and clenched their fists tightly.
The only sound left in the operating room was the sound of the heartbeat, and the condensation of sweat seeping out of the skin.
The needle tube of the aspirator slowly penetrates into the bleeding point, and with the continuous adjustment of the wrist, the congestion is sucked away little by little, exposing the bleeding point below.
Time passed by every minute and every second, and everyone seemed to be frozen, shocked by Qin Feng's precise movements.
15 minutes later.....
"Bipolar coagulation."
After sucking up all the blood, Qin Feng retracted the suction device and put it aside.
"Ah? Okay!"
The equipment nurse woke up suddenly at this time, and hurriedly handed over the tools.
But Sun Ming and the three of them had opened their mouths wide at this moment, their eyes were full of disbelief, their hairs were standing on end all over their bodies, and even their scalps felt itchy.
They have studied medicine for more than ten years, know countless big men, and have seen many surgical records.
But this kind of feeling seems to only occasionally give goosebumps to the world's top surgeons every time they watch them.
Now, that familiar feeling is back!
And it's still in sight!
This kind of shock and terror beyond cognition will make them unforgettable in this life...
certainly,
This is not easy for Qin Feng, the pressure is still there, but it is not so outrageous.
But he didn't know how much mental attack the operation just now had on Sun Ming and the three of the brain surgeons.
After all, this can indeed be called the world's top cerebral hemorrhage operation.
"0-001 sutures."
Electrocoagulation was used to stop the bleeding. After the bleeding point was controlled, the oozing blood was sucked out again, and the brain returned to its original appearance.
Then start to suture the dura mater, fix the bone flap, suture the periosteum...
The first part of the operation is basically over!
Qin Feng raised his head and glanced at the time, it was 5:15.
It took 55 minutes, not bad!
…
The second part, [left temporal lobe craniectomy to relieve pressure].
This process is actually a craniotomy, followed by pressure release, and then the same suture.
The whole process is smooth and flowing, without any pause at all.
Disinfect, drape, open scalp, bone flap, dura mater...
Operation... Suturing the dura mater, periosteum, scalp...
During this process, Qin Feng did not put back the removed bone flap, but chose to fill it with bone glue for protection.
As for the reason, he was worried that the baby in the later stage had not been treated due to acute liver failure. If the blood coagulation problem caused brain hemorrhage or edema again, repeated craniotomy would be very troublesome.
And it will hurt the baby a lot!
Therefore, he temporarily maintained the activity of the bone flap, and then replanted it after the liver transplantation was completed.
This time spent less, only a short 40 minutes.
The whole time is 1 hour and 55 minutes, less than two hours.
The surgery is over!
"The vital indicators are all normal."
Following the briefing by the roving nurse, everyone breathed a sigh of relief, with relief and ecstasy on their faces.
"Okay, send it to the ICU later, the obstetrics and gynecology department has no nursing conditions for the time being."
Qin Feng also felt relieved, and nodded with a faint smile.
"I see, Director Qin."
The nurse couldn't help laughing, and then raised her hands to him, making a big heart gesture,
"Director Qin is awesome!"
"Director Qin is awesome!"
In an instant, the same voice resounded throughout the operating room, and the atmosphere became somewhat joyous.
Ding~~
Outside the operating room, the child's mother, who had just woken up, broke down and burst into tears when she learned that the baby was already undergoing surgery.
Instead of lying on the bed, she insisted on waiting outside the operating room.
The nurse and the man couldn't resist, so they had to help her to the chair at the door of the operating room, and soon wet the shirt on the man's chest.
Seeing her sad appearance, the nurses couldn't bear to look directly at her, which made people sad.
With a crisp bell, the door of the operating room opened.
The couple stood up abruptly, and saw Qin Feng leading someone out first, with the child lying on the hospital bed behind him.
"Doctor, is my baby okay?"
Looking at the crying woman, he nodded, took off his mask and smiled.
"Don't worry, the operation was a success, and the congestion in the brain has been cleaned up."
Hearing this, the two were immediately relieved and slumped down on the chairs.
"The child has to be sent to the ICU for observation for a few days, let's discuss the rest in the conference room."
After speaking, the child was carefully pushed away and transferred to the intensive care unit of the ICU, where he was taken care of carefully.
In the meeting room,
Qin Feng sat at the front, Wang Yue, Cheng Hongwu and other doctors sat on the left, and the young couple sat on the right.
"You two, the child's situation is temporarily under control, but that doesn't mean there is no danger."
He spoke first, and put a CT on the light box,
"I believe Director Wang has already explained the reason and circumstances of the operation to you. Because of coagulation disorders, intracranial hemorrhage and edema caused by high pressure, this operation is required.
At the same time, in order to prevent future risks due to liver failure, I removed a bone flap from your baby and kept it active for the time being. After all the operations are completed, I will implant it back. Don't worry about this, it's also to avoid secondary injuries. "
"Director Qin, we understand, we understand!"
The man nodded repeatedly when he heard the words. Now he doesn't know who he can trust except Qin Feng.
"That's good, now let me tell you about the next situation and the surgery that needs to be prepared."
Qin Feng nodded slightly, feeling a little relieved in his heart.
The patient's trust is the doctor's greatest comfort, which is also the basis of treatment.
Soon, they understood what they were facing.
The child needed a transplant of their healthy liver to make a full recovery.
The couple agreed firmly almost at the same time!
As long as they could save the child, they would even take the liver out and give it to him!
"Don't be so excited, I can understand your feelings, but there are requirements."
Qin Feng hurriedly stopped the two of them, and smiled wryly, but he could understand,
"In this way, today we will arrange for you to have a physical examination and type matching, because the immediate family members, so the success rate should not be a big problem.
Next, as long as the baby recovers a bit and reaches the physiological index of going on stage, we can proceed to the next operation. "
After the explanation, the couple also completely trusted Qin Feng without any rejection.
The couple were sent away, and the two directors, Wang Yue and Cheng Hongwu, were left behind.
"Two directors, you will have to work harder next time."
Qin Feng said with a smile,
"Director Wang, the care of the child has troubled you for the past few days. Director Cheng, the next liver transplant needs our cooperation, how about it?"
"You mean, I'm here for a liver transplant?"
Cheng Hongwu was also surprised when he heard this, and then became serious.
"Yes."
Qin Feng nodded and continued,
"This is not one operation, but three, and I cannot separate myself.
Director Cheng, your main focus is hepatobiliary medicine, no one is more suitable than you! "