The operation is as simple as opening the patient's head, finding the malformed blood vessels, cutting them out, replacing them with a replacement, and then closing the head.

But in terms of specific operation, it is not so easy, and the technical content is very high.

Although Lin Xiao has a deep knowledge in traditional Chinese medicine and can be said to be unparalleled in medical skills, although he has some understanding of the surgical mode of Western medicine, he is not deeply involved.

In today's situation where brain surgery and heart surgery are performed at the same time, it can be said that the entire Bishui First Hospital has never experienced it, so it is naturally a good opportunity to learn and observe.

Doctors and nurses have worked together to make a longitudinal incision along the anterior edge of the sternocleidomastoid muscle.

They first cut the patient's platysma muscle, pulled the sternocleidomastoid muscle outward, cut the carotid artery sheath, separated the internal carotid artery, and then bypassed it with a rubber band, and the incision was protected by dry gauze for temporary control of bleeding if necessary during the operation.

At this time, the patient is lying on his side, and the doctor begins to make a large horseshoe-shaped incision on the top of the forehead, and then a craniotomy.

"Note that there is often more bleeding from the scalp and skull, so the scalp should be cut in sections, and the bleeding should be stopped carefully, and the scalp and bone flaps can be opened separately. If the coarse blood vessels of the anterior central gyrus are obviously adhered to the dura mater, do not open it reluctantly, leaving a small piece of dura mater. "The chief surgeon is operating, and at the same time explaining to the intern, there are not many such opportunities, so it is especially necessary to take the old with the new, so that the real, one, book, read, novel xstxt Xi doctors have more knowledge, in order to increase their experience, "When the bone flap is opened, the blood vessel has been torn, and it can be compressed with a small muscle or gelatin sponge, and sutured on the dura mater, pay attention not to ligate the blood vessel, otherwise hemiplegia or epilepsy will occur after surgery." After the scalp bone flap is formed, the bleeding area at the edge of the bone window is coated with bone wax, and the bleeding veins and arachnoid granules are covered with brain cotton to stop bleeding and prevent the formation of air embolism. ”

The chief surgeon is a brain expert, and he is very authoritative in this regard, Lin Xiao stood aside and watched and listened, and was also very inspired, and couldn't help nodding his head again and again.

Next, it is necessary to identify the central gyrus and the supplying artery, then ligate the supplying artery, determine the extent of the arteriovenous malformation in the cerebral cortex and the supplying artery, and then ligate the supplying artery with a silver clip or silk thread.

After doing these things, I saw the hemangioma shrink and the blood vessel shrink.

"We're going to separate the hemangioma next...... "The surgeon saw sweat on his head, and the nurse wiped it off with a towel.

Doing a major surgery is a great drain on the doctor's physical strength and energy.

Lin Xiao looked at the image on the monitor and saw very clearly that around the hemangioma, the chief surgeon was electrocoagulation, then cut the cortex, and then used a brain pressure plate and a suction device to carefully separate and suction.

"You must not dig blindly, so as not to cause heavy bleeding, then it will be troublesome." The surgeon was also cautious at this time, lest something go wrong.

When encountering large blood vessels, he uses aneurysm needles and threads to do double ligation and cut off, or uses bilateral silver clips to electrocoagulate and cut off in the middle, and then gradually separates and flips the malformed blood vessels, finds the deep main blood supply vessels, cuts them off after firm ligation, and then removes the cerebral arteriovenous malformation blood vessels.

After being busy for most of the day, after the surgeon took out the hemangioma, the active bleeding point was coagulated with bipolar electrocoagulation, and then a ball of wet brain cotton with threads was put in, and the brain cotton was attached to the tumor cavity wall with a suction device.

After repeated treatment several times, the bleeding stopped.

"Director Lin's acupuncture anesthesia is really effective." The surgeon said with some admiration, "Under normal circumstances, this bleeding is much larger, and it is more difficult to deal with. ”

The intern doctor only believed it a little at this time, after all, he had watched the video teaching before, and knew what was going on with this craniotomy, the amount of bleeding would definitely not be so small, and the follow-up measures to stop the bleeding would definitely not be so easy.

"Hehe, each has its own strengths." For the chief surgeon's admiration, Lin Xiao seemed relatively calm, just smiled, didn't say anything, and didn't feel that he was very powerful.

The next step is to close the skull, that is, to fill the tumor cavity with normal saline, and observe again for bleeding.

If there is bleeding, the treatment is continued until the normal saline placed in the tumor cavity remains clear and the jugular vein is compressed without bleeding.

Everyone took a closer look, and the situation was really good.

"Shut the skull!" The surgeon was very satisfied with the outcome of the operation, he waved his hand, and everyone started to get busy again.

After all kinds of complex movements are completed, and after the addition of drainage tubes, the operation is half completed.

As for the heart surgery, it was also carried out at this time, and it was also very smooth.

Rao is like this, after this operation, most of the day has passed.

"It worked!" When they saw the various data displayed on the monitor, everything was returning to normal, and the patient's vital signs were very stable, everyone couldn't help but cheer.

However, the surgeon was still very cautious, and he instructed the nurses to closely observe the vital signs, pay attention to the occurrence of intracranial hematoma, shock, and cerebral edema, and deal with them accordingly.

"I hope that the patient will recover well after the operation, and this operation can be used as textbook material!" One of the interns exclaimed.

"This can't be done yet." He pointed out one of the very important problems, "If it weren't for Director Lin's acupuncture anesthesia, our operation would not have been so smooth, so we can't be so happy until Director Lin's acupuncture anesthesia is widely promoted!" ”

"That's right, we're still a little blindly optimistic...... "The intern thought about it, but felt that he was still a little inexperienced, and that he couldn't see it accurately as the old doctor.

"Sooner or later." Lin Xiao also benefited a lot from this major operation, not only learned a lot of things, but also mastered some techniques in the operation.

At this time, he has every reason to believe that with his learning ability, even if he is the main surgeon to perform such an operation next time, it is estimated that the problem will not be too big.

His advantage is that he can control the patient's physiological signs at any time, so the safety factor is much greater than that of ordinary doctors.

With this premise, the mind is more relaxed and the results will be better.

After coming out of the operating room, the patient was sent to the ICU, and after Lin Xiao changed his clothes, he saw the patient's family members waiting outside the operating room.

"Director Lin, how's it going?" After seeing Lin Xiao, the patient's family stood up and asked a little heartedly.

"The operation was very successful, and now I am transferred to the intensive care unit, and if there are no major problems after waking up, then I can go home after recuperating for a while." Lin Xiao explained to them, "Generally speaking, it is estimated that it will be possible to live for about half a month." ”

After hearing the news of the successful operation, the patient's family was still very happy.

After all, what is the situation of their children, they are now more clear, if they did not encounter the medical staff of Bishui First Hospital to send them to the countryside, if there was no Lin Xiao's proposal, if there was no free treatment from Bishui First Hospital, their children could only be a dead end.

"Director Lin, we'll kneel down for you!" The patient's family suddenly knelt down, "You are the lifesaver of our family!" ”

"Alas, don't do that." When Lin Xiao saw it, he had a headache.

However, their mood can also be understood, after all, in the minds of the Chinese people, the most important way to express is to kneel on both knees.

The people of the country have always only bowed down to "heaven, earth, king, relatives, and teachers", and although the savior does not belong to any of these five types, it is enough to be compared with them.

For Lin Xiao, who gave his child a second life, the patient's family knelt down with peace of mind.

However, they can feel at ease, Lin Xiao is a little uncomfortable, after all, this is a hospital, and this operation was not completed by him alone, let other medical staff see it, what kind of system is this?

Now that Lin Xiao has become a leader, he has paid more and more attention to this harmonious and stable environment.

No matter how capable a person is, it is impossible to do everything completely, everyone gets together, and if you want to do a good job, you still have to rely on the strength of the team.

To put it mildly, after calming the patient's family, Lin Xiao breathed a sigh of relief and hurried back to his office.

Not long after sitting down, Li Qiushui, the dean of beauty, called and asked him to come over and talk about the situation.

After Lin Xiao passed, before he could sit down, Li Qiushui asked directly, "Lin Xiao, I heard that the child's operation was relatively successful?" ”

"Well, the situation is still good, the surgeries of several doctors are perfect, we have all made a complete video record, and when the time comes, we can release it as a textbook." In front of Li Qiushui, Lin Xiao didn't have so many worries, and talked about the operation, and said very optimistically.

"That's good!" When Li Qiushui heard this, he immediately relieved himself.

The significance of this operation is relatively significant, and Li Qiushui, as the dean, has expressed strong support from the beginning, so correspondingly, she has a great responsibility.

If the operation fails, it will inevitably find a group of opponents to question it, and even shake the position of dean she has just sat in.

Fortunately, Lin Xiao lived up to expectations and successfully ensured the implementation of this operation.

If the patient's recovery is good and he can recover smoothly, it is estimated that the reputation of Bishui First Hospital and her Li Qiushui will not only resound throughout Qingshan Province, but even become more influential in the ministry.

The successful cooperation between acupuncture anesthesia and cardiovascular and cerebrovascular malformation correction at the same time will undoubtedly become the most influential publicity direction of Bishui First Hospital.

"I'll invite you to dinner in the evening and celebrate." Li Qiushui suddenly said this.