"The vital signs are normal and the operation can begin."
Anesthesiologist Ji Tao said.
"good."
Song Sixian nodded.
Next, it is necessary to fully disinfect the patient's head and the operating platform at the end of the robotic arm, and make all preoperative preparations required for craniotomy.
After the robotic arm moves again, it is confirmed that it has reached the lesion point. First, use the operating platform at the end of the robotic arm to drill holes to determine the depth of the lesion, then return the robotic arm to its position, and then start the small-incision craniotomy.
It was also the first time for Zhao Sheng to see the use of robots for surgery or to perform very professional and difficult neurosurgery such as craniotomy to remove worms.
Before, I had only heard that such an operation had been performed abroad, but now that I had seen it live, Zhao Sheng was still amazed by the modern technology.
Originally, Zhao Sheng was planning to use the Right Hand of God to show off his skills, but now that he has this surgical robot costing up to 26 million yuan, it seems that his incredible three-dimensional imaging ability has no use for the time being.
Next, Song Sixian operated the surgical robot, trephinated the skull to create a small-diameter bone window, cut the dura mater and then cut the cerebral cortex along the sulci under a microscope. This operation was very smooth and smooth.
The next step is to avoid important blood vessels and functional areas, find the cysticerci parasitizing in the temporal area, and then remove them.
Although his magical power was not of great use to turn the tide, Zhao Sheng was still very interested in this latest surgical robot.
You know, it is very difficult and long-term to train a qualified and excellent surgeon.
Under normal circumstances, it takes almost ten years to go from being a novice to becoming an independent surgeon.
So, what is the process of growing from a novice who knows nothing to an independent surgeon?
First, several years of basic clinical courses must be taken, including anatomy, surgery, etc.
For example, if you want to do double eyelid surgery, you need to know the structure of the eye, how many layers of tissue are there in the eyelids, how to open it, and how to suture it.
After that, it’s time to practice anatomy on the gross body teacher. You must understand that theoretical knowledge and practical touch are absolutely two different things. [Knowing the approximate location] and [Knowing the specific location] are worlds apart.
After that, there are practical operations on living animals, such as mice, rabbits, dogs, and pigs, all to allow medical students to get closer to living operations with flesh and blood, and to more intuitively understand and experience the safety of life under the scalpel.
The above process is to lay a solid clinical foundation, which takes at least 3-4 years.
Next, comes the hard training stage in the operating room. At this stage, you just stand and watch, nothing special.
Next comes the internship, but don’t think too much about it. You can pull hooks and wipe blood. The individual tutors will see that you have solid basic skills and ask you to sew them up. That’s the best that an intern doctor can do. extent.
As for the intern doctor showing off his power on the operating table and turning the tide, even the chief doctor trembled when he saw it, it can only be said that he has seen too much.
Finally, under the guidance of senior doctors, the dismantled surgical operation is performed step by step.
After ten years, only after these ten years can I stand independently on the operating table and preside over an operation.
In a long cycle, efforts and benefits are not directly proportional.
To put it simply, being a doctor is a late career. When choosing this career, you must put aside the idea of quick success.
Soon, the temporal region was exposed under a microscope, and the cysticerci that had been hidden deep in the brain also appeared in front of everyone in the operating room.
Zhao Sheng saw that the cysticerci were vesicle-shaped, milky white, translucent, about the size of a grain of rice. Under the microscope, they were densely packed together and still wriggling.
In addition, under the microscope, you can also see the scolex very clearly. In addition to the suckers, you can also see the top convexity and barbed hooks on the scolex.
No wonder it can be firmly attached to the brain tissue. Looking at the barbed hook at the end of the cysticercus, if it is enlarged to a certain extent, it will look like a proper [alien].
The thought of this kind of thing parasitic in the brain made everyone in the operating room feel their hair standing on end and their hair standing on end.
Next, Song Sixian used microscopic tweezers to take out the rice-sized cysticerci one by one and carefully placed them on the gauze on the tray.
One.
Two.
Three.
. . .
Eight.
While Song Sixian was taking them, Zhao Sheng counted them. A total of eight cysticerci were taken out from the surface of the cerebral cortex in the temporal area.
These cysticerci were placed on the gauze and were still squirming, which looked very visual.
It is conceivable that once these cysticerci have enough time to develop into adult worms, the brain will really become a nest of worms.
After removing the cysticerci, Song Sixian and Zhao Sheng worked together to flush the remaining cavity repeatedly, apply absorbable hemostatic gauze, suture the dura mater, fix the skull flap with a skull lock, and finally suture the scalp layer.
After all these operations were completed, Song Sixian breathed a sigh of relief and said to Zhao Sheng: "How is it? Lao Zhao, this surgical robot is not bad. I know you have a good hand, but you don't often have such a good hand." Yes. If the hospital can sell such a surgical robot, the surgeries in our department will be much easier in the future."
"This actually saves a lot of manpower."
Zhao Sheng nodded in agreement.
Just like today's surgery, if it goes well, with this surgical robot, all it takes is Song Sixian to perform the surgery and Zhao Sheng to cooperate.
Today, when it is increasingly difficult to train qualified surgical surgeons, the development of such surgical robots is still of great significance.
The operation went very smoothly. Looking at the time, it was only eleven o'clock, which meant that it was completed in two hours. This is extremely fast for neurocysticercosis surgery.
After the operation was over, the girl Shanshan was sent back to the ward. The circulating nurse suddenly asked Zhao Sheng: "Doctor Zhao, what should I do about this insect?"
"Get an ampoule and soak it in physiological saline. If the family members want to see it, just show it to them."
Zhao Sheng thought for a while and said.
Although there is a high probability that family members and patients will not want to see the larvae taken out of the brain, there may be no exceptions.
Zhao Sheng had heard a story before when he was an intern. It was an incident that happened in the orthopedics department more than 20 years ago.
A patient in a car accident had his right leg amputated from the thigh because his right leg was too seriously injured. After the operation, the patient said he did not want the thigh, and then the orthopedic surgeon did not know what to do.
Throw it directly into the trash?
That's not okay. If the cleaner sees a human thigh, he will be scared to death.
Send it to the crematorium and be cremated directly?
That would be too much trouble, and obviously patients and families would not go to a funeral home specifically for a thigh to be cremated.
Finally, the director at the time came up with a solution, which was to ask the security guards to dig a hole and bury the thigh in the open space behind the hospital's garbage room.
Originally, the matter ended here. After a few years, the surgeon almost forgot about it.
But here comes the wonderful thing. Five years after the incident, the family members brought the patient here again. This time they came because the patient had cancer and was not alive for long. He wanted to get the thigh back and bury it together after death. Anyway, Get a whole body.
This matter was brought to the attention of the chief surgeon, but the thigh was buried by a security guard. No one knew where it was buried. Finally, he finally found the retired security guard and asked about the location before he dug out the thigh again and gave it to the patient. and family members.
Since then, everything cut off from the patient must be returned to the patient. As for what the patient does with it, the doctor has no control over it.
(End of chapter)
