Chapter 106: The End
Carefully clamping the dura at one end with a clamp, Tian Lu gently made a small incision on it with a scalpel.
With a breakthrough point, Tian Lu quickly switched to scissors and cut a long opening in the dura.
After completing this step, with the assistance of Li Qiang, Tian Lu began to suspend the dura with sutures, and fixed the dura to the muscles on both sides of the valgus with sutures, so that the dura was always open.
When doing these movements, Tian Lu is extremely careful, and sometimes he prefers to put in a little more effort to avoid injuring the spinal cord below. So in the eyes of everyone, Tian Lu's movements suddenly became sluggish. It seems that after entering the operation under the mirror, Tian Lu suddenly became timid, although the movements are still very coherent, flowing smoothly, without any hesitation, but the speed of the operation has slowed down.
It's like watching a movie, and the picture that was originally played at a normal speed suddenly becomes half or even a third of the speed, which naturally feels weird. So much so that several people in the classroom were wondering if the doctor who was doing the main operation now had been replaced by Li Qiang or Qian Yue?
Next, after placing gauze at both ends, the arachnoid membrane was cut in the middle of the back along the road, exposing the spinal cord.
Watching Tian Lu do this on the screen, the cold heart that had been hanging finally let go.
No!
It should be said that Leng Yan is even more excited than Fang Cai!
Although in the eyes of others, compared to Fang Cai's operation, Tian Lu's movements under the mirror are very slow, at most similar to Zhang Jie, Li Qiang and others. However, Leng Yan is very sensitive to find that if you break down every movement on Tian Lu's hands, it is not fast, but once a series of movements are integrated, the process of surgery still maintains an extremely amazing speed!
After secretly weighing it, Leng Yan found that at least he would definitely not be able to do it to the same extent as Tian Lu!
The operation of Tian Lu under the mirror is still accurate and stable!
The so-called microsurgery is actually a microscopic device fixed above the operating table, and the surgeon no longer directly looks at the surgical field with the naked eye, but magnifies the surgical field through a microscope, so as to perform subtle operations on the lesion site.
Generally speaking, because the proportion of the visual field has changed, even the neurosurgeons who have been trained for many years will be careful when operating under the microscope, for fear that a wrong operation will damage the extremely delicate nervous system. Therefore, slowing down the operation is a must, and subconsciously, in many cases, the physician will have a tentative action before the operation!
This is a completely subconscious behavior, and when performing microsurgery, almost all surgeons will do this, first test the distance, size, and strength, and then think about it, and refer to the real operation with reference to the test just now.
Of course, for a beginner, this kind of temptation is very much, far more than effective operation. And with years of practice and practice, the more skilled the physician, the less tentative the operation.
But in the cold eyes, Tian Lu didn't have such a habit at all!
Although every movement was slow, there was no hesitation or temptation at all, just like his vision habit was under the microscope! Or rather, it's like he's already had thousands of surgeries under the microscope!
The operation of Tian Lu under the mirror is the same as the operation under the naked eye, accurate and stable!
Leng Yan silently calculated in his heart, and was suddenly shocked to find that Tian Lu's surgical speed had reached an unbelievable level!
γγγγγγ
After the arachnoid membrane was cut, a visibly swollen, thickened area appeared on the spinal cord as shown under the microscope.
After comparing it with the system's prompts, Tian Lu no longer hesitated, and made a longitudinal incision of the spinal cord along the posterior median sulcus, exposing a gray-red tumor. Because there is strong pressure in the spinal cord, after the incision, the decompressed tumor suddenly gushes out of the incision gap.
Without any pause, Tian Lu gently picked up one end of the tumor and began to carefully separate the tumor.
In the process, Leng Yan frowned at first, but then quickly let go.
Because he was afraid of injuring the spinal cord, when cutting the spinal cord, Tian Lu did not use bipolar electrocoagulation to operate on the spinal cord, but the bleeding in the surgical field was very small, which made Leng Yan feel unusually surprised.
And when Tian Lu began to gently separate the back of the tumor, this surprise was even stronger!
It's like there is a three-dimensional perspective in the eye, where is the intramedullary tumor, how big is the extent, the field road is clear, and every action can always get the best results!
No probing at all!
How the hell did he do it?!
The cold brain is like a computer, running at high speed, desperately analyzing every step of Tianlu's operation, trying to find the secret of Tianlu from these operationsγγγγγγ
Tian Lu gently pulled the tumor tissue with a tool with one hand, and coagulated the local tumor tissue with the other hand with bipolar electrocoagulation, causing the tumor to shrink and thus separate from the spinal cord tissue, and then used glass or scissors to carry out fine treatment to completely peel off this part of the tumor tissue from the spinal cord.
The right hand is like a magician's hand, Tian Lu alternately uses bipolar electrocoagulation, glass and scissors, shuttles and jumps between the tumor and the spinal cord tissue, and then everyone sees that the tumor under the mirror is like a hard-boiled egg, which is peeled out of the eggshell little by little by that hand!
"Sizzleγγγγγγ"
Although they have gone through the previous training, when they see the scene in front of them, whether it is Li Qiang and Qian Yue in the operating room, or Leng Yan, Zhang Jie and others in the classroom, all the doctors can't help but gasp!
The little bit of light yellow tumor bed shows that Tian Lu's operation is very effective, and the very little bleeding shows that his operation is very clean, the feel is very gentle, and there is almost no damage to the surrounding spinal cord tissue!
This level is no longer possible to describe with the simple word "proficient"!
The boundary between the patient's tumor and spinal cord is very clear, and there is no difficulty in removing all of them.
When the intact tumor tissue was removed from the microscope's field of view, Leng Yan finally couldn't hold back the ups and downs in his heart anymore, his fists clenched fiercely, and his eyes showed ecstasy!
This kid, God!
The situation of the tumor is very typical, and the operation is not a particularly complicated operation, but it is through such an operation that is not complicated and there are not too many situations that Leng Yan finally saw the corner of Tianlu's strength hidden in the mist!
From the dispute with Zhang Jie and the writing of the surgical plan, to the extremely smooth operation during the operation, to the still strong performance under the microscope, whether it is Tian Lu's professional attitude or solid basic skills, he clearly told Leng Yan: This time, he really picked up the treasureγγγγγγ
After the tumor was removed, Taro began to examine the excision site to prepare for complete hemostasis.
After looking for a while, no active bleeding was found, and with the help of Li Qiang, after applying hemostatic gauze, and slightly pressurizing with a gelatin sponge, he took it out.
Due to sufficient decompression after tumor resection, Tian Lu chose to intermittently suture the spinal cord pia and arachnoid to anatomically reduce the spinal cord, and then loosen the suspended dura and suture the dura continuously and tightly.
In the next work, in addition to the slightly complicated routine reduction of the lamina and spinous process with a titanium sheet and titanium nail system, the operation of suturing muscles, ligaments, subcutaneous tissues and skin, Tian Lu returned to the state at the beginning of the operation, and once again showed everyone the magician-like technique with a pair of hands.
It wasn't until Tian Lu finished stitching his skin and began to wipe the blood stains in the operation area that in addition to thunderous applause, several faint sighs sounded almost simultaneously in the operating room and teaching room.
In the teaching room, mixed with the mixed discussions of the nurses, Zhang Jie and the other two attending physicians looked extremely complicated, and in the operating room, Li Qiang, who was helping to do the final treatment, finally understood the director's cold and meaningful performance yesterday, and couldn't help but secretly rejoice!
Except for those nurses who have nothing to do with themselves, the director of the neurosurgery department at this time is probably the only one who can't suppress the excitement and excitement in his heart, stands up, strides out of the classroom, and rushes in the direction of the operating roomγγγγγγ
γγγγγγγγγγγγγγγγγγγγγγγ
The content of the original plan to be a chapter was divided into three chapters.,Well,It's not bad to cheat and click.,Haha!
In addition, the big cover recommendation that just appeared on the urban channel, why did the cover change it for me?