Surgeons dressed as poor people in the Republic of China

"Mom, mom, mom." Yang Dong looked at the doctors and nurses walking around the bed, completely wrapped in surgical gowns with only two eyes exposed, with a look of panic on his face.

At this time, Lily put down the mask on her face and made a "shh" gesture to Yang Dong. She looked left and right, and then secretly took out a small one that was just big enough to be held by a child's palm. Pass the ball to Yang Dong.

Yang Dong's attention was immediately attracted by Xiaoqiu, and of course Ye Yibai was also attracted by Xiaoqiu's attention.

Everything in the operating room can't be hidden from Doctor Ye's eyes. This is what the doctor who worked with Ye Yibai in his previous life often said, and it still applies now. Ye Yibai looked at Lili with a questioning look. Come on, Lily may need to improve her professional skills, but she is definitely a nurse who follows the rules.

"I've sterilized it five times to ensure it's sterile." Lily said immediately.

Seeing that Yang Dong's attention was attracted by the ball, Ye Yibai's nervousness and bewilderment on his face were reduced a lot, and he nodded to Lily.

Lily breathed a sigh of relief, patted her chest, and said softly, "Thank you, Dr. Ye."

Henry has already prepared the anesthetic and "established intravenous access."

Susan quickly stepped forward, grabbed Yang Dong's chubby hand, and before Yang Dong could react, she pulled out the needle and inserted it in one go.

Yang Dong stared blankly at his hand that was instantly glued with tape, and squeezed the small ball on his other hand. The air rubbed against the rubber wall of the ball, making a sound like a duckling squawking.

Immediately, a gentle voice came from his ear, "Alright Yang Dong, get a good sleep."

Yang Dong glanced at the man his mother said he should call brother, and then gradually lost consciousness.

"The intubation is complete." Henry completed the intubation very skillfully, and seeing that Yang Dong's heartbeat and blood pressure in the monitor had returned to normal, he gestured OK to Ye Yibai.

Several nurses quickly adjusted Yang Dong's body to a posture suitable for the operation, and at the same time fixed his head with a head frame.

The headgear of the 30s is obviously not as convenient as it was after the 90s. It cannot be enlarged and reduced to fit everyone’s head naturally. Yang Dong’s head is too small, so Susan had to stuff a lot of sterile cloths into it.

Ye Yibai used purple syrup to fix the position on Yang Dong's head, because it was a hemispherectomy operation, even if it was an improved version, the incision needed was very large, and the U-shaped incision drawn with purple syrup almost covered half of the head.

"The cut is so big?" Wang Mao murmured.

"The incision of the skin flap is large, and the bone flap can be relatively small. It can reach the mouth of the corpus callosum and be close to the frontal lobe." Ye Yibai explained to Wang Mao and nodded to Susan.

So the huge sterile blue cloth in Susan's hand covered Yang Dong, and only cut a hole slightly larger than the incision where the purple syrup was positioned. The shadowless lamp shone on it, and the yellow of iodine and the purple of purple syrup were particularly eye-catching. .

"Start the operation."

At 7:28 in the morning, Yang Dong's hemispherectomy officially started.

Hemispheric surgery requires maximum exposure of the cerebral cortex, so the incision is very large, and the scalpel in Ye Yibai's hand slides on the scalp in strict accordance with the positioning of the purple syrup.

"Rinse." Ye Yibai turned the flap forward and downward, and at the same time clamped the cotton to stop the bleeding.

"Scalp clip." The blue scalp clip wrapped around Yang Dong's scalp like a little girl's hairpin.

The electric drill rubbed against the skull to make a harsh sound. Lily felt that this sound was more uncomfortable than the sharp grinding of her teeth. She clenched her back teeth tightly and resisted the urge to fight.

"Milling cutter."

The sound of bones breaking was particularly obvious in the quiet operating room. Susan watched Ye Yibai's two blood-stained gloves holding the cutter to free the bone flap with a blank face.

The bone flap was slowly lifted, but when the bone flap was halfway lifted, a stream of blood suddenly gushed out from under the bone flap, and the hearts of those present in the white coats trembled.

"Coagulator."

Ye Yibai stopped the action of continuing to lift the bone flap, but asked Richard to hang the bone flap, and quickly burned the arteries in the meninges with a coagulator, "Scissors, trumpet." Arterial scissors, hand the scissors back to Susan.

"Go on," he said to Richard.

Richard nodded and slowly lifted the bone flap up again, this time it was lifted smoothly. Without Ye Yibai's reminder, Wang Mao had already prepared bone wax to apply on the edge of the bone flap, and then he cut the gelatin sponge into long strips Shaped, cushioned under the edge of the bone flap.

"rinse."

Physiological saline rushed across the operating field, taking away the plasma on the surface of the cerebral cortex after the bone flap was opened. Ye Yibai turned his head slightly, and Laura quickly stepped forward to help him wipe his sweat.

"Is Dr. Carter here yet?" Ye Yibai asked Laura.

Laura looked up at the watch on the wall of the operating room, and said, "I confirmed with Dr. Carter before the operation, and he said that he encountered a difficult patient. Tell Dr. Ye that you don't have to wait for him."

Ye Yibai nodded, the EEG machine had already been adjusted, and Lily pushed the not-so-small machine over.

As last time, cortical electrodes and deep electrodes were placed, and he had to consider how much of the frontal and parieto-occipital lobes would be preserved in accordance with the results of the EEG.

The ancient EEG equipment made a "creaking" sound, and it took about half an hour for the results to come out.

"There are not many parts that can be kept, and the epileptic focus is in the functional area, so it may need to be awakened many times." Ye Yibai frowned slightly as he looked at the result.

The nerves of Henry and Lily tensed up immediately, and they were the two who woke up most nervously during the operation. Henry was worried that the anesthesia dose was not well controlled, and Lily was worried that she would not be able to appease Yang Dong.

Ye Yibai thought for about 10 minutes, then raised his head and said to Henry, "Get ready to wake up."

The human writing center is at the back of the middle frontal gyrus. Ye Yibai needs to enter the frontal horn of the lateral ventricle from the middle frontal gyrus to cut off the fibers of the internal capsule and corona radiata. Although Ye Yibai is still sure about the approach from the middle frontal gyrus, But to be on the safe side, it is more appropriate to wake up.

Henry nodded and adjusted the amount of anesthetic.

These 15 minutes seemed to pass very slowly. Lily squatted down and got into the blue cloth early on. Although she could wait for Yang Dong to wake up before comforting and interacting, Lily didn't want Yang Dong to see a darkness when he opened his eyes. It's a cold blue sterile cloth.

Yang Dong's eyelids moved, and his consciousness slowly came to him. He heard someone calling his name beside his ear.

He slowly opened his eyes, and what he saw was the familiar smiling face, and the little ball he was holding in his hand before he lost consciousness. At this time, the ball was already in the hands of the nurse named Lily.

Yang Dong subconsciously wanted to move, but he found that his head seemed to be fixed by something and could not move.

"Yang Dong, don't move, we are undergoing surgery now, remember what we contacted before? We are all wooden people, whoever moves is a little yellow dog."

It is not easy for Lily to learn the games of Huaguo children, but when she knew that there was a game of "one, two, three wooden figures" among Huaguo children, she almost jumped into the game of the children next to her, braving The little guys looked at "Is this sister sick?" and forcibly memorized the rules and methods of the game.

Yang Dong blinked, then immediately stopped moving.

"Now I will continue the operation." Ye Yibai said.

Lily nodded subconsciously, wanting to respond to Ye Yibai, but at this moment Yang Dong laughed softly, yes, according to the rules of the game, he won.

Lily: ...

"Now I will enter the middle frontal gyrus with the scalpel, and pay attention to the patient's writing center." Ye Yibai said, and the scalpel slowly entered from the middle frontal gyrus.

"Yang Dong, can we write one word?"

Yang Dong's hand cooperated to write a "one" on Lily's palm.

"Will you write the more complicated ones? Let's write Yang Dong's name, okay?"

Yang Dong blinked, he still can't write his own name.

"Well, I can't write your name, so let's do a simple..."

A smile appeared on Ye Yibai's face under the mask. He continued to move the blood-red tissue layer by layer, and he carefully cut off the fibers of the internal capsule and corona radiata.

Extending back along the lateral ventricle to the superior marginal gyrus, and then turning to the temporal horn, Ye Yibai completed the cortical resection, and the next step is to remove the frontal and temporal operculum to expose the insula, certain areas of the frontal lobe and temporal lobes It is related to the language area. If it is accidentally damaged, aphasia, a typical sequelae of craniotomy, will appear.

"I am now going to remove the frontal and temporal operculum, and pay attention to the patient's language function."

Lili smiled at Yang Dong when she heard the words: "Yang Dong, do you still remember the song we sang last time? Let's sing together again, okay? I'll beat the time, one, two, three..."

"Snowflakes fly all over the ground, the yellow dog is happy to see it, and the sparrow is angry when it sees it..."

Lily's weird tone and the child's stuttering voice, both of them are very weird, but the melody is right. The sound of music echoes in the operating room, and the serious expressions of all the white coats seem to be It's softened a lot.

"Suck."

"Change a pair of gloves." The weather was too hot in summer, and Ye Yibai's palms sweated a lot. He wiped it with a sterile towel and asked Laura to change a pair of gloves.

After resecting the insular cortex, preserving the basal ganglia, he opened the temporal horn of the left ventricle.

The operation time passed by one minute and one second, and the children's patience was extremely limited. This was not because they didn't want to cooperate, but because of their physiology. Yang Dong obviously became irritable, and he could feel the pulling sensation of his head .

There seemed to be something cold swirling in his mind, and his hands began to wave impatiently.

"Don't move." Ye Yibai said seriously.

"Yang Dong, let's continue with one, two, three wooden figures, and the loser will have a popsicle, okay?"

However, this time the game of "One Two Three Wooden Figures" did not appease Yang Dong, he began to want to move his body, "Mom... Mom, I, want, mom, mom."

The sound of the scalpel colliding had a sharp and icy feeling, which made the child's uneasiness reach its peak, "Ahhh!" He began to yell and cry, "I, Mom!"

In this case, Ye Yibai could no longer continue the operation.

"Doctor Ye, do you want a tranquilizer?"

Ye Yibai handed the scalpel back to Susan, and he frowned, "Wait a minute, see if you can calm down, if not, then anesthetize, let's stop for a while, and wait for the second awakening."

Henry nodded, expressing his understanding.

At this time, Lili under the operating bed was already sweating in anxiety, "Yang Dong, Yang Dong, can I give you this ball? Be good, let's not move."

Lily handed the begging to Yang Dong, and Yang Dong slammed the ball on the ground. The rubber ball collided with the ground and made a "bang" sound. It was not loud, but it made the white coats frown.

"I, want, mom, mom!"