Chapter 20 Intraventricular Meningioma (Ask for Recommendations and Collections)

Because of intracranial drainage surgery, in the United States, where medicine is very developed, there are only a few successful surgical cases, and it is in a blank stage in China, Jiangcheng People's Hospital is only a county-level city tertiary hospital, and its faculty is far less than that of large hospitals in China, so when the People's Hospital announced the news, everyone was skeptical.

When President Liu of Jiangcheng People's Hospital sent an invitation to the Jiangcheng Health Department and the surgical elites of major hospitals to observe the operation, these people who accepted the invitation all came to Jiangcheng People's Hospital with the mentality of watching a play.

As a result, these people who accepted the invitation did not expect that the operation they were going to observe in the evening was not intracranial drainage, but a more complex tumor removal operation than intracranial drainage, and the patient who underwent the operation was Li Guangjun, who was famous in Jiangcheng.

In 93 years in the small city of Jiangcheng, the real estate company is undoubtedly an emerging industry, and it is precisely for this reason that Li Guangjun has become a celebrity in Jiangcheng, so Li Guangjun's condition is not unfamiliar to the doctors in the major hospitals in Jiangcheng, so when the doctors who came to observe learned that the patient who underwent the operation turned out to be Li Guangjun, a shocked look appeared on their faces.

"Xiao Chen! Li Guangjun has been sent to the operating room, now everything depends on you!" Although Chen Tianlin has repeatedly assured Dean Liu, because this operation is related to his position as the dean, he has to be cautious, when he saw Chen Tianlin preparing to enter the operating room, he solemnly told Chen Tianlin.

Chen Tianlin, who has been a human being for two lives, was naturally clear about Dean Liu's thoughts, and when he heard Dean Liu's solemn advice, he nodded with a rigorous face and replied, "Dean Liu!

"Oh my God! Is Liu Zhongming crazy? He actually asked a young man to operate on Li Guangjun, does he want to use this young man to get rid of the responsibility of fake news?" When the doctors who were observing saw that the doctor in charge of the operation was actually a young man who was in his early stages, they all looked shocked and talked with each other.

In the face of these discussions, Chen Tianlin completely ignored them, as if these people were not talking about himself, and walked directly towards the operating room.

"Dr. Chen! Dr. Ye has helped the patient to do a good job of preoperative anesthesia, the urinary catheter and various channels have been inserted, and the patient's condition is normal at present, and there are no adverse reactions!" Chen Tianlin had just walked into the operation after the disinfection, and the nurse who was in charge of assisting him in completing the operation immediately made a detailed report to Chen Tianlin about the patient's condition.

Chen Tianlin heard the nurse's report, nodded subconsciously, and then personally confirmed it, marked the incision line on the patient's bare head with a pen, and instructed: "Prepare to go to the head frame, disinfect and lay the sheet in the operating area, and then the surgical instruments!"

When the nurse was busy with preoperative disinfection, Chen Tianlin checked the instruments needed for the operation, and after checking the patient's identity, he picked up the scalpel, cut the patient's scalp, and helped the patient stop the bleeding under the eyes of many doctors.

Seeing Chen Tianlin's extremely skillful movements like a cloud, the doctors who observed gave them an illusion, as if Chen Tianlin in front of him was not a young man in his early twenties, but like a very experienced doctor performing surgery.

The moment Chen Tianlin picked up the craniotomy, he immediately entered the working state, he picked up the hand drill and milling cutter on the side before completing the craniotomy, and it took about ten minutes to successfully open the patient's skull without anyone's help.

Opening the patient's skull, Chen Tianlin used a tool to suspend the patient's dura, and then quickly cut open the dura mater, saw the brain exposed to the sight, and determined his previous judgment, then he introduced: "This patient has intraventricular meningioma, this operation we must cut in the patient's non-functional area, and the cortical incision should be large enough so as not to affect the operation." ”

"Smaller meningiomas in the lateral ventricles generally have clear boundaries and no adhesions to the surrounding brain tissue, and the tumor can be removed in its entirety after cutting off the arteries and choroid plexus. ”

"For larger tumors, especially when the tumor is tightly adherent to the ventricular wall, we cannot forcibly separate, we should first resect the tumor in the capsular block, and then carefully separate and remove the remaining tumor tissue. ”

"There must be no mistakes in this process, because when the intraventricular meningioma is enlarged, the normal ependymal layer that adheres to the tumor has disappeared, and the tumor is directly attached to the glial surface of the white matter around the ventricles, so the surgery should pay attention to avoid damaging the periventricular white matter, otherwise there will be various postoperative complications, which can lead to coma and even death in severe cases. ”

"Of course, this is not the most critical, the most critical thing is that when performing surgery, it is necessary to use cotton pads to protect the interventricular foramen to prevent blood from flowing into the contralateral ventricle and the third ventricle, and after removing the tumor, it is important to remember to flush the blood clot or blood in the ventricles. ”

When Chen Tianlin was introduced here, he stopped talking and concentrated on helping and performing the operation.

When Chen Tianlin appeared in the operating room, almost all the doctors who came to observe thought that Chen Tianlin was a tool used by Dean Liu to get rid of responsibility, and Li Guangjun was also a victim.

Just when all the doctors who observed the operation decided that it was absolutely impossible for this operation to succeed, Chen Tianlin's explanation of this operation and the medical skills displayed by Chen Tianlin during the operation made their faces appear in shock!

As the time passed, the doctors who came to observe quickly put away their contempt, and they all held their breath and stared intently at Chen Tianlin's every move, fearing that they would miss the key place in the blink of an eye.

Liu Zhongming had heard Qin Zhigang introduce Chen Tianlin's medical skills before, but he had not observed Chen Tianlin's surgery, and he did not fully understand Chen Tianlin's medical skills, and it was precisely for this reason that he felt anxious and worried when facing doubts from all sides.

Now that he saw Chen Tianlin doing surgery with his own eyes, Liu Zhongming realized that Qin Zhigang was not exaggerating at the beginning, but still had reservations, and the medical skills displayed by Chen Tianlin were probably better than those famous doctors in China!

Because of the news released yesterday, Liu Zhongming was not only questioned by all sides, but also under unimaginable pressure, and now Chen Tianlin's medical skills are making Liu Zhongming have a kind of idea of seeing the moon for the first time, and he believes that as long as they release the video of today's operation, Jiangcheng People's Hospital will be famous in the world's medical circles.