medical road high rise

Chapter 305 Electron Microscope Monitoring
Chapter 3 Electron Microscope Monitoring
The director of brain surgery moved the microscope over and pointed it at the patient's dura mater area, and Qin Feng operated under the microscope.

"Retractor."

Qin Feng took the retractor and retracted the temporal lobe and frontal lobe, exposing the anterior middle part of the middle cranial fossa, but it was far from enough to expose the anterior middle part of the middle cranial fossa.

Qin Feng continued to gradually lift the temporal lobe from the outside to the inside. After completing this step, Qin Feng shouted: "Expand the surgical field to the brainstem area."

The director of brain surgery picked up the retractor and carefully pulled the temporal lobe. A thick blood vessel was exposed below the temporal lobe, like a raised blue vein.

Seeing this blood vessel, the director of brain surgery stopped.

As the director of brain surgery, this blood vessel is no stranger to him.

The vein of Labbe, which is the vein connecting the superior sagittal sinus and the lateral sinus, is very important in terms of geographical location. If it is damaged, the patient may experience intraoperative bleeding and negative cerebral pressure at any time during the operation.

"This is not easy to handle. The veins and the frontal lobe are completely glued together." The director of brain surgery frowned.

It is not a joke to operate between the labbe vein and the temporal lobe.

Don't think that the two are just adhesions, just cut the adhesion tissue clearly. On the contrary, if the force is not correct, it will cause irreversible damage.

Damage to the frontal lobe is indirectly equivalent to damage to the cranial brain. If any functional neuron in the cranial brain is damaged, the patient may lose a certain function.

Damage to the labbe vein will cause cerebral hemorrhage. Cerebral hemorrhage means brain tissue necrosis, which is also irreversible.

Now there is a road before everyone, one is to continue to operate, and the other is to open the mouth again.

This kind of situation is also relatively common in surgery. If you encounter it, you can only consider yourself unlucky. Once the brain surgery starts, don't think about stopping it.

This hole is not good, so another hole is made. Basically no one chooses to continue to operate. Although re-drilling the hole is risky for the patient, it is always less risky than the labbe vein operation.

Labbe's venous surgery failed, and the patient was absolutely in a vegetative state, so there was no need to think about the second possibility, but the second craniotomy would at most damage some neurons in the brain and lose a little ability, but it was better than being in a vegetative state.

"Continue to operate." Qin Feng said.

"In this situation, do you still want to continue to operate? The success rate is very low, and there is no successful case of perfect surgery in China at present." The director of the brain surgery advised.

"It's okay, I can do it." Qin Feng picked up the instrument and made a V-shaped incision at the adhesion under the frontal lobe. This kind of incision is not like the Y-shaped incision. Impaired venous return.

After Qin Feng finished this step, the director of brain surgery took it back.

"That's it?"

The scourge that has been passed down from generation to generation in brain surgery was easily solved by Qin Feng.

Looking at the separated veins, the director of brain surgery felt whether he had been cheated, whether he had been cheated by those seniors.

Is this really the extremely difficult Labbe vein?
The director of brain surgery decided to watch Qin Feng's operation quietly and be a quiet and handsome man.

Zhao Guoping's pupils also contracted a bit, but he didn't speak. The director of brain surgery glanced at Zhao Guoping and found that Zhao Guoping's expression was flat, and Qin Feng's status in his heart was once again elevated a little.

After Qin Feng separated, he continued to hand over the traction work to the director of brain surgery, and Qin Feng slowly opened the surgical field to your brainstem.

The brainstem is a smaller, irregularly shaped part of the central nervous system between the spinal cord and the diencephalon.

It consists of three parts: the medulla oblongata, pons, and midbrain from bottom to top. The medulla oblongata is connected to the spinal cord. If the human body is injured, it will cause high-risk paraplegia.

"Tumor found!" shouted the director of brain surgery.

Qin Feng quickly looked over and found that the location of the tumor was actually quite good.

When determining the location of the tumor, the doctor has an area in mind. The simplest one is the surgical field. If it happens to be in the surgical field area, it is a good area and is convenient for surgery.

The director of brain surgery quickly started measuring and gave a number.

"2.31cm."

It was a small tumor. Qin Feng lowered his head and used a microscope to conduct pathological analysis of the tumor.

There are many types of tumors. Doctors must rely on their own experience to determine the type of tumor and then perform resection.

Ten minutes later, Qin Feng breathed a sigh of relief.

"It's not an invasive tumor, and the blood vessels are not rich, so it can be removed directly." Qin Feng said.

Fortunately, it's not a tumor that can't be cut and can't be cut, and can't be pumped.

The director of brain surgery also looked happy, but found another problem.

"How are you going to cut this tumor?"

It is mainly in the brainstem, and it cannot be pumped. If it is replaced with other parts, it can be directly removed with force.

As soon as the director of brain surgery said this, everyone fell into silence.

The brain stem is full of nerves, and there are nerve nuclei on the surface. Starting from the boundary groove, there are general body motor nuclei and special somatosensory nuclei from the inside to the outside.

The motor nucleus controls movement, and the sensory nucleus distributes sensation. Once damaged, the corresponding control and sensation will be lost.

"So, the question now is how to remove the tumor without damaging the brain stem." Zhao Guoping now wants to light a cigarette.

The operation has been carried out to this point, but encountered the biggest problem.

"There is almost no difference between the tumor and the brain tissue. It is very difficult not to damage the brain stem!" The director of brain surgery gave this judgment based on his own experience.

But Qin Feng shook his head and said: "No, there is a way."

Everyone, including the director of brain surgery, looked at Qin Feng.

The head of the brain surgery department has cut [-] or [-] tumors. The purpose of their department is to cut less than cut randomly.

Originally, in his thinking, Qin Feng would at most clean up the part where the tumor protruded from the brain tissue.

"I remember that there is a kind of craniotomy abroad that awakens the patient's consciousness. It can effectively know which parts can be removed and which parts cannot be removed. In this way, we can clearly understand the relationship between the diseased area and the functional area, so as to maximize the tumor removal and preservation. The purpose of the functional area." Qin Feng said.

This method is to use brain waves to stimulate the functional areas of the patient's brain, and judge the functional areas and lesion areas through the patient's response.

"This method won't work, it's too dangerous. If the patient really wakes up, do you know the consequences?" Zhao Guoping was the first to object.

A patient who has had a craniotomy woke up suddenly, not to mention how horrifying the scene is, it will undoubtedly speed up the death of the patient.

"Wait, our hospital doesn't have an anesthetist for electron microscope monitoring." The director of brain surgery said.

Qin Feng also frowned. When he was in the training room, the system would automatically help him, so he didn't have to worry about other things, just concentrate on the operation.

"Well, directors, I will do a little electron microscope monitoring." The anesthesiologist whispered.

"What did you say? You know how to monitor with an electron microscope?" The director of brain surgery widened his eyes.

Everyone in the operating room looked at the anesthetist, but they didn't expect that the anesthesiology department was also Crouching Tiger, Hidden Dragon!

(End of this chapter)