on the big screen. Tao Le calmly pulled out the needle.
The corresponding veins have been cut off after clamping, so even if the needle is pulled out, there will be no further bleeding.
Everyone here has either seen or heard about the golden needle controlling pulses and stopping bleeding.
In addition, Hou Bo also mentioned it before showing the video, so there was no doubt about it.
Tao Le threw these needles into the tray, then took out three more and stuck them in several other places.
Is this going to stop the bleeding? But there is no bleeding anywhere right now?
While everyone was doubting, they saw Tao Le's hand steadily releasing the non-invasive vascular clamp that had previously blocked the parent artery.
Hou Bo was so startled that he almost jumped out of his seat.
How can you let go! What we need to do now is not to do this, but to carefully consider whether the middle and posterior cerebral arteries on both sides of the brain are strong enough after the A2 and posterior blood vessels are cut off, and whether there are any problems with the posterior circulation.
If not, you can go directly to the steps of removing the hematoma and closing the skull and suturing it!
As long as it is successfully completed to the end, this is already an extremely rare and exemplary surgery that can be proud of both the domestic and the outside world!
But why bother?
After thinking this, Hou Bo found that there was no blood flowing out of the opened artery.
By the way, this is the effect of the three filiform needles just now.
Everyone's sigh of relief became tense again following Tao Le's movements.
Her hands were already gently peeling off the outer membrane of the blood vessels at both ends of the previously severed A2 artery.
But in the blink of an eye, the two ends were peeled off about five millimeters each, and then started trimming the broken ends.
At this point, no one here could understand what she wanted to do.
"I want to do a vascular anastomosis!" Luan Daoying said.
Director Le shook his head: "The resected part is too big and the distance between the two ends is too far. It is impossible to anastomose end-to-end. Is it possible that she still wants to do another blood vessel transplant?"
What he said is also the voice of experts.
If the amputated aneurysm is not large and the distance between the two blood vessels is about two centimeters, end-to-end anastomosis can be used directly.
Otherwise, a section of blood vessel must be connected before it can be obtained.
But even an ordinary end-to-end anastomosis is not easy to do.
Because this is within the skull, it faces the most delicate cerebral blood vessels.
A slight oversight may cause anastomotic stenosis, occlusion, vasospasm, or thrombosis.
These consequences, when considered in the mind, are all major problems.
The scope of neurosurgery is small and the precision is high. The anastomosis of blood vessels is quite difficult and has always been taboo for many doctors.
There are very few doctors who dare to do it, and even fewer who can do it well.
So Tao Le's choice at this moment is very puzzling.
Gu Jiadi sneered secretly in his heart.
He dared to challenge the anastomosis and transplantation of cerebral blood vessels.
For such a young doctor, no matter how excellent Chinese medicine is, he is still on the way to practice suturing. He still doesn’t know what ordinary trauma suturing can do, and he dares to talk about intracranial vascular anastomosis.
Even Gu Jiadi, who has been struggling outside the gods for so many years and involves extremely delicate brain blood vessel anastomosis, still knows how to beat the drum in his heart. If he is faced with a powerful enemy, he will definitely retreat if he can get around it. How can he be like this The little girl is as relaxed as she is.
Moreover, the previous surgical removal of aneurysms was done on a temporary basis, so this step must be the same.
I didn’t do any calculations and designs before the surgery, so I just went straight to sewing it up. If it could be successful, it would be too fantasy.
He silently calculated the remaining duration of the video. Great, eighteen minutes left.
Vascular anastomosis and perhaps grafting, plus hematoma removal and suturing
Anyone else would have to do it for several hours, right? Eighteen minutes, what a joke.
No matter how exciting the first half of the surgery is, it will definitely be rougher later on.
What he thought, others thought too.
At that moment, someone asked Hou Bo: "Lao Hou, have you made preparations for vascular bypass in your plan?"
"Yes." Hou Bo understood what the other party meant and immediately replied: "The materials must be complete, and artificial blood vessels of various lengths are ready."
Director Fang of Haishi No. 1 Hospital nodded: "Although the effect of artificial blood vessels is definitely not as good as autologous transplantation, if it succeeds, it can maximize the blood supply to the child, which is particularly beneficial to brain development."
"Yes, the premise is that the transplant is successful." Gu Jiadi interjected.
What does this mean, do you want Xiaotao to fail? Hope simply glared at him.
"Actually, I don't have any other intentions. I'm just thinking about surgery. In fact, sometimes it's a compromise."
"It's good to ensure the patient's life safety to the maximum extent. In order to improve the perfection of the operation by 10% or 20%, but increase the surgical risk by 30% or even 50%, is it really worth it? not worth it?"
His words caused many experts to think deeply.
Indeed, is it worth it? Clinically, everyone’s choice is different.
But most people will definitely choose the safest and relatively hassle-free option, and will not make more meaningless attempts.
This is not only for the safety of patients, but also for ourselves. It can be considered a win-win situation, right?
Tao Le on the screen has completed flushing the lumen of the severed end of the tube to remove the coagulated blood clots to prevent the formation of thrombus.
Later, she did not choose an artificial blood vessel, but directly cut open the aneurysm in the tray.
Not surprisingly, a large number of blood clots were revealed in front of everyone.
She quickly cleaned them up, and then directly cut off a piece from the periphery of the aneurysm.
"Does she want to use this as transplant material?" Director Le of the Third Hospital of Beijing suddenly stood up.
"That seems to be the case. Tear down the old wall, clean the bricks and bring them back for repair. There is no problem at all!" Hao Jun also said.
"What a fantastic idea, why didn't I think of it!" Tony clapped his hands and laughed: "Using your own blood vessels is definitely better than artificial ones - but it saves the effort of transplanting other autologous blood vessels."
A huge aneurysm has long stretched the parent artery wide and large.
Tao Le only cut off one piece, which was enough to resew it into a blood vessel with the same thickness as the A2 artery.
She seemed to make a random cut, but it was actually the result of countless experiments in the golden finger space and burned into her memory.
But everyone in the conference room didn't know.
They only saw her cut it so easily, cleaned and disinfected it a little, and then easily sewed it up with No. 4-0 thin silk thread.
The needle shadows danced like butterflies through flowers, with astonishing speed and a very beautiful rhythm.
Before anyone could react, the stitching was over.
(End of chapter)
