Qin Feng only showed up early in the morning, said hello to her tiredly, and then went to rest.
I heard that he had three emergency surgeries last night, and he was indeed very tired.
The patient will go on stage for surgery soon, and family members are arriving one after another. Father, mother, aunts and uncles, grandparents, and grandparents stood in a circle outside the ward.
According to the prescribed procedures, Tao Le conducted pre-operative education and communication with his family members.
The surgical plan was formulated after the consultation yesterday.
Tao Le tried his best to use plain and easy-to-understand language to explain the specific procedures and possible risks during the operation, emphasizing the overall strength and collaborative spirit of the entire surgical team.
This emphasis is extremely necessary because the doctors who admit patients to the outpatient clinic, the attending doctors and the bedside doctors are basically not the same person.
Patients and their family members often misunderstand that the doctor who admitted him to the hospital is the person in charge of him. Once he is not seen for a long time, he feels that he is not taken seriously and asks questions everywhere, even causing misunderstanding and dissatisfaction. This is completely unnecessary.
Changing the introduction of individual doctors to the promotion of the collaboration of the entire team will make patients and their families more confident and make it easier to carry out their work.
"It's okay, Doctor Tao, we believe in you and we will listen to you in everything!" the patient's mother immediately expressed her position.
"Yes, yes, you are a closed disciple of Zhou Guoshou. We can rest assured that you are here!" The father of the child obviously also got the news and knew her identity, so he said this.
It is both a good thing and a burden to have family members trust you so much. Because surgery is definitely risky, there is no surgery that is 100% safe and harmless in this world.
That is to say, Tao Le has a golden finger, so that he can provide the children with an extra layer of heavy insurance.
In this sense, the trust of the patient's family is really not wrong at all.
When the time was almost up, Tao Le and the nurse pushed the child into the operating room.
Because he is such a young child, Ke Nei attaches great importance to him. The surgery was performed by deputy director Huo Jing himself, senior resident Huang Heng served as the first assistant, and Tao Le, as the bedside doctor, served as the second assistant.
As soon as he came on stage, Tao Le opened his golden fingers.
It had been a long time since she had entered a space to practice surgery, and she had begun to miss the kind of focused practice without any distractions.
Even the unknown man with a mask and a sharp tongue who knows everything, misses him a little.
"After testing, the current conditions support the implementation of combined treatment for extremely large aneurysms. Is simulation guidance practice required? Yes/No."
Tao Le chose "yes" without hesitation.
The scene changed, and Tao Le stood in the familiar operating room again, opposite the long-awaited man with a mask and a sharp tongue.
The other person's eyes were staring straight at her, and his brows were extremely solemn. One look at her showed that he was not in a good mood.
Based on Tao Le's understanding of him, he might make endless offensive remarks at any moment.
So she took the initiative, showed a bright smile, and said loudly: "Hello, teacher! I am really happy to see you again after a long absence. I believe you are the same, right?"
Don't reach out to hit the smiling person. This time, someone can't make a fuss about his long absence, right?
Sure enough the strategy was effective. The man with the mask and the sharp tongue seemed to be in a trance for a moment, then looked at her deeply, and without a word of complaint, he started the surgical demonstration.
Following his movements and explanations, Tao Le gradually understood why this operation was called "Combined Treatment of Extra Large Aneurysms" - it simply seamlessly connected two treatment methods.
An aneurysm is not a real tumor. It is actually a raised blood bubble formed on the artery, filled with blood, and is characterized by being easy to rupture.
Once it breaks, the blood accumulated in the tumor will flow into the brain, forming subarachnoid hemorrhage, which has a high rate of death and disability.
For normal aneurysms, aneurysm neck clipping can be used directly, which temporarily blocks the blood vessels on both sides of the aneurysm, then evacuates the blood in the aneurysm sac, and then uses a strong clip to clamp the aneurysm neck to make it inaccessible. Blood supply.
This method is originally the best choice for treating aneurysms.
However, the child's aneurysm was too large. An aneurysm with a diameter of more than 2.5 centimeters is a giant aneurysm. The child's aneurysm has a diameter of more than 5 centimeters, which can be said to be an extra-large aneurysm.
When the tumor is large, the tumor neck becomes correspondingly wide, and it is difficult to achieve effective results by simply using tumor neck clipping.
If the clip is not tightly clamped, side slipping is a minor matter, and the aneurysm clip may slide toward the parent artery, causing artery stenosis or occlusion.
This child's aneurysm has formed a very obvious mass effect, compressing the right frontal tissue.
At the same time, both arterial and venous blood vessels have varying degrees of variation and malformation, and the relationship between surrounding tissues is complex, making treatment very difficult.
The surgical procedure performed by the masked man was not exactly the same as the plan formulated by Deputy Director Huo Jing during previous consultations with several departments.
Tao Le remembers clearly that Deputy Director Huo advocated the use of aneurysm isolation surgery, which involves permanent clipping of the proximal and distal ends of the parent artery.
At the same time, he also formulated an emergency plan. If it is discovered during the operation that the artery cannot be guaranteed to have sufficient collateral blood supply, vascular bypass surgery must be performed.
But the man in the mask came to eradicate the problem. He cleanly blocked the main blood supply artery of the aneurysm, drained the blood, then opened the aneurysm, and used tissue scissors to completely cut off the entire aneurysm from the center of the aneurysm.
Aneurysm neck clipping combined with aneurysm resection.
Tao Le was puzzled, so he asked directly: "Is it feasible to directly perform aneurysm isolation surgery without removing the tumor body?"
The masked man didn't answer, but gave up the position of the surgeon and motioned for her to come in person.
The learning process is long and hard. But if you take the wrong path from the beginning, your suffering will be multiplied several times.
When Tao Le stood on the operating table again, he was very sure that the established surgical plan would not work anyway.
But it doesn't matter, failure is the mother of success. After being ridiculed countless times by someone, she has already tried out a remedy plan, which is enough to bring the entire failed operation back to life.
The shadowless light was turned on and the anesthesiologist gave a gesture. The child lay face down. Deputy Director Huo stood on his head and made a question mark-shaped opening in the right frontotemporal area, incised the scalp, temporalis muscle and periosteum, and peeled off the skin flap.
The skull was drilled and the bone flap was removed after sawing. It can be seen that the dura mater has high tension. After radioactive incision, a huge aneurysm located in the frontal lobe can be seen.
Such a large aneurysm. This was the first time Huang Heng saw it, and he couldn't help but marvel.
His eyes glanced at Tao Le inadvertently, but he found that the other person's expression was extremely dull, as if he was used to this kind of situation and didn't notice anything unusual at all.
(End of chapter)
