Auto chess in the operating room

Chapter 293 No, you don't want to know!
"First aid, open the Sylvian fissure and drain the cerebrospinal fluid."

Tang Lou directly issued an order, and Assistant A cooperated immediately.

Meanwhile, Tang Lou performed the separation operation at the same time, dissecting proximally along the middle cerebral artery, and a complex and tough arachnoid cord appeared at the bifurcation of the internal carotid artery.

After opening the carotid artery pool and the optic chiasm pool, more cerebrospinal fluid flowed out immediately.

In the observation room, Yang Ming, Li Yundi, and several young doctors watched with horror, and they were operating with their brains attached!
They all saw the gullies on the patient's white brain and the red blood-stained web.

Under Tang Lou's precise operation, the traffic aneurysm was fully exposed.

"You see, just outside the optic nerve is the internal carotid artery, and you can find the aneurysm by tracing back."

A director of the Second Hospital explained the tricks of this operation to several young doctors: "The neck of the tumor is mostly on the outside of the internal carotid artery, and the roof of the tumor can extend under or above the tentorium of the cerebellum. The latter is often adhered to the medial temporal lobe and is easily torn when the frontal lobe is lifted or the temporal lobe is pulled..."

Following the explanation given by the Director of the Second Academy, everyone understood the operation of Tanglou again.

Seeing everyone's reaction, the director of the Second Academy was very proud. Young people really need to be accompanied by an elder like himself to watch.

The director continued: "Look, this patient has a tumor that protrudes under the tentorium of the cerebellum, which will compress the ophthalmic nerve. Dr. Tang is doing the dissociation now, and he pays great attention to the entire dissociation sequence, strength and understanding of anatomy. , if the control is not good, it will easily lead to the rupture of the tumor roof.”

Sure enough, on the screen, Tang Lou first selected the wall of the internal carotid artery on the opposite side of the free aneurysm neck, and then separated the proximal and distal corners, separating both sides of the aneurysm neck enough to extend into the width of the two blades of the aneurysm clip. and depth, without separating the dome, preventing its rupture. "

Seeing Tang Lou's clear free thinking and precise operation, the director of the Second Hospital kept admiring: "It's amazing, Dr. Tang's understanding of this technique is really pure and innocent."

The little doctors behind him nodded with half understanding.

"With your current eyesight, it's really a little shallow. When you really start to try this operation, you will know how clever Dr. Tang's operation is."

The director of the Second Hospital thought for a while, and looked at Cheng Jian very politely: "Director Cheng, can you share the video of this operation with us later, so that we can take it back and study it later."

The directors of the other hospitals also looked at Cheng Jian, their eyes full of expectation.

Cheng Jian pondered for a while, took a sip of tea, and then said lightly: "Yes."

"Hahaha, Director Cheng is the one who pays attention. After that, we must let the doctors in all departments study hard."

"Hahaha, easy to say, easy to say."

Director Cheng is extremely useful.

After all, Tang Lou belonged to his department, and so many directors begged him for the surgery video, he is still very famous as an old director.

In the operating room, Tang Lou had already begun to cut the dura mater on the protruding surface of the bed with a sharp knife.

"Bonecloth Stripper Micro Drill."

Tang Lou didn't take a moment's breath or pause, and directly entered the next step. This kind of rapid connection ability also made the hearts of the two assistant directors tremble.

"According to this speed, the operation can really be completed ahead of schedule!"

While the two directors were in admiration, Tang Lou had already used the bone coat stripper to push the dura mater away from the bone surface to both sides, and then used a micro drill to grind away the anterior clinoid process.

After the anterior bed was resected, the proximal wall of the posterior aneurysm was revealed, followed by the exhilarating order:

"Clamp the tumor neck!"

One minute later, Tang Lou stably separated the neck of the tumor.

"Tumor clip."

In the observation room, the director of the Second Academy praised:
"Everyone is optimistic, the next step is the clipping operation. You can see that Dr. Tang's choice of tumor clips is very refined. The blades of the tumor clips must be opened wide enough to avoid breaking the tumor neck. At the same time, the tip of the blade must exceed the tumor neck. To avoid incomplete clipping. At the same time, the clipping should not be too fast, so as not to tear the tumor wall."

As soon as the director of the Second Hospital finished speaking, Tang Lou quickly completed the clamping on the screen.

Every little doctor: "???"

The director of the Second Academy: "Meow meow!"

After pondering for a while, the director coughed a few times, and then said embarrassingly: "Doctor Tang is very talented, you should clamp it slowly, do you hear me?"

The little doctors thought about it, nodded sadly, and looked at Tang Lou's chic movements, really envious!

On the screen, everyone saw that Tang Lou began to pierce the tumor sac with a fine needle and began to draw blood.

"Director, what is Dr. Tang doing?"

The director of the Second Hospital did not speak until Tang Lou completed the operation and carefully confirmed that the car would not overturn before he said: "Doctor Tang clamped the neck of the tumor to verify whether the clamping is complete. The usual method is to use a fine needle Puncture the tumor sac, if it can be evacuated after a small amount of blood is drawn out and no longer filled, it means that the clipping is complete. If the amount of blood drawn out exceeds the capacity of the tumor sac, and blood spurts out of the needle hole after the needle is pulled out, it means that the clipping is incomplete, and the tumor needs to be adjusted. Clamp until it is fully clamped. Usually, it takes a few tries before it is completely clamped."

The director of the Second Hospital said firmly: "You guys are optimistic, after a while Dr. Tang will pull out the pinhole and there will be blood spurting out, which means fine-tuning is still needed."

Sure enough, Tang Lou pulled out a thin needle on the screen.

One second, two seconds, three seconds.
I am most afraid of the sudden quietness of the air.

The director of the Second Hospital also stared in disbelief, unable to speak for a long time.

Shouldn't it be?

Even for a master driver as skilled as himself, he had to adjust his posture to ensure complete clamping.

Could it be that Tang Lou was so lucky that he was clamped in one go?
Sure enough, the picture on the screen and the ruthless reality shattered the cognition of the director of the Second Academy.

"Wow, Dr. Tang is so powerful, he got hit in one shot."

A female doctor clenched her fist and sighed.

"Yes, as expected of Dr. Tang. Director, don't worry, we understand that you are different from Dr. Tang."

Seeing that he was still his own junior doctor, the director of the Second Hospital immediately shut himself up in the face of such straightforward complaints.

Tang Lou had already started suturing the dura mater after hemostasis, that is to say, Tang Lou had completed the most dangerous operation.

"Bone fragment reset."

Tang Lou's indifferent designation resounded in the operating room, and the two chief physicians also cooperated swiftly.

"Director, why do you need to reset the bone fragments?"

The director of the Second Hospital saw at a glance that it was the junior doctor who was asking the question again, so he took a step and covered his mouth.

"No, you don't want to know!"

"Uuuuu~"

Afterwards, the observation room fell into silence, with occasional murmurs.

Only Tang Lou's smooth operation on the screen and his various clear instructions remained.

"Titanium connectors. Microdrills. Metal wires."

Tang Lou continued to operate quickly.

After half an hour, the connection and fixation of the free bone flap was completed.

Another half an hour later, Tang Lou completed the suturing of the scalp and the drainage of the bone flap.

The operation was officially completed, and everyone immediately checked the time!

(End of this chapter)