"Don't you want a ventriculoscope?"
Originally, ventriculoscopy was not required for ventriculoperitoneal shunt surgery. It is only used when the doctor is not sure. Using ventriculoscope is equivalent to multiple operations, which is time-consuming and labor-intensive. Moreover, the hole used by ventriculoscope is larger than that of simple intubation.
Doctors have to think of every possible way to help patients, and sometimes it is not a matter of money, but has nothing to do with money.
Dr. Wang once again expressed a hint of surprise at her confidence.
Wealthy patients need to be treated more cautiously. Deputy Director Lu thought about it and said, "You don't have to use a ventriculoscope. You have to tell me whether you are sure of the depth of the intubation."
"This patient's head circumference is slightly larger. It should be enough to insert a needle of 7.8 through the forehead approach." Xie Wanying said.
She answered so quickly that Deputy Director Lu was almost speechless and had to ask: "Do you think there are other issues that need attention?"
"It's not necessary for the time being." She had some experience and confidence after having a hydrocephalus surgery.
Deputy Director Lu and Dr. Wang were silent for a moment. They were probably playing drums and tug-of-war in their hearts, hesitating and hesitating: Can she do it? Is she bragging?
Forget it, he proposed it to Cao Yong himself, let her do it, and he would take care of the matter himself. You can't slap yourself in the face in front of Cao Yong. Deputy Director Lu finally made up his mind, stamped his foot and said: "You do it, wash your hands."
As her assistant, Dr. Wang determined the location of the incision, disinfected it, and laid out the surgical drapes.
Dr. Wang is an old doctor, and his positioning operations are far more reliable than those of Mr. Wei. After returning, Xie Wanying glanced at it and knew that there was no need to review it.
When holding the scalpel, she changed her position this time to a grasping position.
Others could see her increasingly practiced swagger.
For this reason, the teachers of No. 21 General Foreign Language School were the most shocked: Student Xiao Xie, is he going to be reincarnated again?
One cut, very accurate. Drilling holes and opening the dura mater are done in one go.
Dr. Wang, who was the first assistant, was almost overwhelmed.
The head end of the shunt tube is put into the puncture needle channel and enters the lateral ventricle.
Without using a ventriculoscope, as Xie said in advance, the hole in the dura mater should be opened to only 2 mm. During insertion, no cerebrospinal fluid could flow out from the outer gap of the shunt tube. It is very compact. It can be seen that this can well prevent subsequent The cerebrospinal fluid overflows into the subcutaneous tunnel, which is very beneficial to the patient.
Deputy Director Lu started to say "hmm" while watching.
For example, the current shunt surgery commonly uses a pressure-adjustable shunt tube. The pressure-regulating valve inside can be adjusted postoperatively according to changes in the patient's condition. How to adjust the pressure? The doctor will adjust the initial pressure before inserting it. This value is judged based on the patient's lumbar puncture pressure and CT reports before surgery. The above steps are not difficult for doctors, just follow them step by step.
Soon we will come to the part where Dr. Kim wants to see his subcutaneous tunnel show off.
For this reason, after seeing that his friend was fine back in the ward, Dr. Jin hurried back to the operating room to take a look.
The patients in the second bed were much fatter than the patients in the twenty-third bed. Student Xie said that one to zero relay points can be opened for patients in the 23rd bed. Can this be done as usual for patients in the 2nd bed?
Everyone felt that there was a big question mark.
"Open one." Xie Wanying said after scanning the patient's upper body again and again.
Generally speaking, doctors will choose to make relay point incisions under the mastoid process, under the clavicle, or under the xiphoid process of the right upper quadrant for this kind of surgery. They can make all or just two of them.
－－－－－－Digression－－－－－
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