Before Zhao Yuan entered the operating room, Tang Jin whispered to Zhao Yuan, "Please."
Zhao Yuan patted Tang Jin on the shoulder, "Don't worry, I won't let you down."
Tang Jin's mouth showed an encouraging look, "When the operation is successful, I'll treat you to a meal."
Zhao Yuan smiled, "Okay, you can make reservations at the restaurant in advance."
Tang Jin was startled and patted Zhao Yuan's shoulder hard.
To be honest, Tang Jin didn't have much chance of winning this surgery.
Jiang Qiang has been observing Zhao Yuan, who seems very relaxed.
He found an opportunity to remind, "Today our hospital has many experts in the field of neurosurgery. Some of them were invited by us in the name of an international summit, but they refused to attend."
Zhao Yuan can understand these experts, "It shows that they are very pragmatic. International summits sound high-end, but in the final analysis they are ***."
Jiang Qiang was filled with emotion and mentioned another matter, "Yesterday, several international medical forums asked us to live broadcast the surgery. However, I refused."
Zhao Yuan smiled and said, "You are right! Sometimes you have to maintain a sense of mystery."
The countdown to surgery begins!
Zhao Yuan and Wang Enlin once again communicated about the difficulties of this operation.
Wang Enlin said in a deep voice, "Are you really planning to take that step?"
Zhao Yuan did not hesitate, "Although it will prolong the time and make the procedure more cumbersome, it will have a protective effect on the patient."
Wang Enlin's eyes were full of admiration, "Okay, I won't advise you anymore, I wish you good luck."
After saying this, Wang Enlin walked to the corner of the operating room.
He did not leave the operating room. Although he would not participate in the operation, his presence there made everyone feel particularly at ease. This is the value of an academician.
Zhao Yuan picked up the bone drill and first polished the surgical area of the patient's skull base!
This operation is obviously somewhat unconventional.
Zhao Yuan planned to perform neuroendoscopic transnasal skull base surgery.
The conventional practice is to use a high-speed drill to "crush" the local skull base to form a bone window, and then enter various surgical areas within the skull to remove the tumor.
"What is he doing? It took so long to make an entrance."
"I always feel it's not that simple. Since he is the director of Tianhua Neurosurgery, he must have two skills."
"Isn't he trying to remove a bone flap from the base of the skull?"
Someone speaks an idea that instantly calms those around them.
"No, there are so many nerve plexuses and blood vessels at the base of the skull, and the risk of removing a bone flap is too high."
"The idea of removing a bone flap from the base of the skull is really incredible. If it is true, it will be a unique and innovative technique."
As everyone guessed, Zhao Yuan did choose the in situ bone flap surgery.
According to the routine operation, the drill opened a hole and the skull base was damaged. In order to fill the damage, various fats, muscles, fascia, and nasal mucosa can only be used to perform "membranous repair" of the skull base.
There are also a few experts who use autologous bone tissue from other parts of the body to repair, but there is still a 10-15% chance of cerebrospinal fluid leakage or serious intracranial infection.
But the bones at the base of the skull have a different composition than the bones in the head.
The skull base bones are uneven in thickness, with some parts as thin as cicada wings and some parts solid and solid.
Moreover, nerves and blood vessels are interspersed in the bone, so a slight deviation in grinding the bone flap will lead to catastrophic consequences.
Zhao Yuan had to complete the operation of removing the bone flap through a nostril with a diameter of one centimeter and a tube with a length of eight centimeters.
"Zhao Yuan's ideas are wild and unconstrained."
"It's too difficult. If it were me, I would never have the courage."
"Mainly forced by Mayo Robben's team! If you follow the previous approach and enter the lesion, you may fall into the tunnel designed by the opponent. Zhao Yuan chooses a new approach and opens the recovery mode through the approach, which can reduce the risk of The patient’s brain damage.”
"I feel like my pores are standing up. It's difficult.
Academician Wei Wang would come all the way to the platform. He must have been impressed by the idea. "
As analyzed by the doctor in the observation area.
Wang Enlin was indeed attracted by the new technique of in situ bone flap at the skull base mentioned by Zhao Yuan.
But that was before seeing the patient. Wang Enlin felt that the chance of winning would be great.
It's just that the patient's brain is now equivalent to a trauma. Now if he wants to perform this new surgery, no one knows what risks he needs to take.
There is no literature support and no similar reports. It all relies on personal intuition.
But Zhao Yuan's character is such that once he makes a decision, he will be very firm.
If Zhao Yuan's idea of creating the approach is amazing, then the next operation is eye-catching again.
Zhao Yuan uses the chopstick technique.
Although this technique has been written in literature and promoted, its popularity in China is not even as good as abroad.
The tension gradually disappeared as Zhao Yuan advanced steadily.
Zhao Yuan kept switching the tools in his hands and began to remove the tumor.
"Bleeding!"
"What a huge amount of blood."
"It is said that Robben's team found that the blood volume was too high, so they ended the operation hastily."
"It seems that Zhao Yuan is going to make the same mistake again."
"What are you making all the fuss about? Didn't you see that Academician Wang's expression was calm? It's no surprise that they expected it before the operation."
"With such a large amount of bleeding, hey, it's really difficult!"
Zhao Yuan began to treat the bleeding points in one pass and removed the tumor at the same time.
The chopstick technique shows its advantages.
He has an extra hand than a normal surgeon, so he can handle it more efficiently.
Someone noticed this and said with emotion, "Although his technique looks a bit strange, it can achieve good results when operating the equipment."
Someone has read Zhao Yuan's introduction and recalled the keywords in the literature, "This is the chopstick technique, an original technique created by Zhao Yuan. Tang Jin was attracted by Zhao Yuan's technique and joined Tianhua Hospital."
"Huh? Such a useful technique, why isn't it widely publicized?"
"..."
Faced with this question, everyone fell silent.
the reason is simple.
Zhao originally had a training, but not in neurosurgery.
If you have not entered the neurosurgery circle, no matter how good your technology and ideas are, no one will care about you!
If it weren't for the popularity brought by Wang Enlin, how many people would pay attention to this surgery?
Wang Enlin is a top scholar and expert. After taking a few glances, he immediately realized the power of this technique.
If I were ten years younger, I would definitely have to work hard to study.
Unfortunately, he is now quite old and his surgical habits have become muscle memory. It is too difficult to modify his operating techniques.
Zhao Yuan’s chopstick technique is more scientific.
As the operation time lengthened, the atmosphere solidified again.
"It's over, why does the amount of bleeding seem to have increased?"
"Although Zhao Yuan's level is good, with such a large amount of bleeding, he may collapse at any time."
"No wonder Mayo's Robben team chose to give up. I guess Zhao Yuan will follow in his footsteps!"
Another half hour passed.
"Zhao Yuan seems to be trying to control the bleeding."
"Oh, it's not easy for him to persist until now. If it were me, the operation would have ended half an hour ago."
"After all, there is still no way to surpass Mayo."
The time gradually reached two hours.
There was no decrease in the number of people in the viewing area outside.
"Holy shit!"
"He was bleeding all the time, but the patient was able to keep his vital signs stable."
"this……"
"It seems I can still do it!"
