Qin Feng only showed up early in the morning, greeted her very tiredly, and went to rest.

I heard that he had three emergency surgeries last night, and he was indeed too tired.

After a while, the child will go to the stage for surgery, and the family members will arrive one after another. Father, mother, uncle, grandparents, maternal grandparents, stood in a circle outside the ward.

In accordance with the prescribed procedures, Tao Le conducted preoperative education and communication with the family.

The surgical plan was formulated after yesterday's consultation.

Tao Le tried his best to explain the specific process and possible risks during the operation in easy-to-understand language, emphasizing the overall strength and collaborative spirit of the entire Shenwai medical team.

This emphasis is necessary because the doctors, attending doctors, and bedside doctors who admit patients in outpatient clinics are basically not the same person.

Patients and their families often have misunderstandings, thinking that the doctor who admits him to the hospital is the person in charge of him, and once he has not seen him for a long time, he thinks that he is not taken seriously, and he asks questions everywhere, and even has misunderstandings and dissatisfaction, which is completely unnecessary.

Changing the profile of individual doctors to the promotion of the whole team will give patients and their families more confidence and make it easier for them to carry out their work.

"It's okay Dr. Tao, we believe in you, everything is up to you!" The child's mother immediately took a stand.

"Yes, yes, you are a closed disciple of Zhou Guoshou, with you, we can rest assured!" The child's father apparently also got the news and knew her identity, so he said.

It is both a good thing and a burden for the family to trust them so much. Because surgery is definitely risky, there is no 100% safe surgery in this world.

That is to say, Tao Le has a golden finger, so he can add an extra layer of insurance to the child.

In this sense, the trust of the patient's family is really not the slightest mistake.

When the time was almost up, Tao Le and the nurse pushed the child into the operating room.

Because it's such a small child, Kona takes it very seriously. The operation was performed by Huo Jing, the deputy director, Huang Heng, a senior resident doctor, served as the first assistant, and Tao Le served as the second assistant as the bed doctor.

As soon as he came on stage, Tao Le opened the golden finger.

It's been a long time since she's been in space to practice surgery, and she's starting to miss that kind of focused practice without distractions.

Even, even the man with a mask and a poisonous tongue who is unidentified, but knows everything, misses it a little.

"After testing, the current conditions support the development of combined therapy for extra-large aneurysms. Do you need simulation instruction exercises? Yes/No. ”

Tao Le chose "yes" without hesitation.

The scene changed, and Tao Le stood in the familiar operating room again, opposite the long-awaited man with a poisonous tongue.

The other party's eyes stared straight at her, and the eyebrows were extremely solemn, and she knew that she was not in a good mood at a glance.

With Tao Le's understanding of him, if he doesn't say it well, the next moment, he will make endless offensive remarks.

So she took the initiative, showed a bright smile, and said loudly: "Hello teacher! I am happy to meet again after a long absence, and you must be the same, right? ”

Stretch out your hand and don't hit the smiling person, this time someone can't pester himself for a long time and make a big fuss, right?

Sure enough, the strategy worked. The man with the poisonous tongue in the mask seemed to be in a trance for a moment, and then looked at her deeply, didn't say a word of complaint, and directly started the surgical demonstration.

With his movements and explanations, Tao Le gradually understood why this operation is called "Extra-large Aneurysm Combined Treatment" - it is simply a seamless connection of the two treatments.

An aneurysm is not a true tumor, but rather a raised blood blister that forms a raised blood blister in the artery, which is characterized by easy rupture.

Once ruptured, the blood accumulated in the tumor will form a subarachnoid hemorrhage in the brain, and the mortality and disability rates are very high.

For normal aneurysms, aneurysm neck clipping can be used directly, that is, the blood vessels on both sides of the aneurysm are temporarily blocked, and then the blood in the aneurysm sac is evacuated, and then a strong clamp is used to clamp the aneurysm neck, so that it cannot be fed by blood.

This method is also the best choice for the treatment of aneurysms.

However, the aneurysm is too large. An aneurysm with a diameter of more than 2.5 cm is a huge aneurysm, and this one in the child has a diameter of more than 5 cm, which can be said to be an extra-large aneurysm.

When the tumor is large, the neck widens accordingly, and it is difficult to achieve the effect of neck clipping alone.

If the clip is not tight, the slide is still a trivial matter, and the clip may also slide into the aneurysm artery, resulting in narrowing or occlusion of the artery.

The aneurysm in this child has developed a very significant mass effect, compressing the right frontal tissue.

At the same time, whether it is arterial blood vessels or venous blood vessels, there are different degrees of variation and malformation, and the relationship between surrounding tissues is complex, which is very difficult to treat.

The surgical process done by the mask man is not exactly the same as the plan formulated by Deputy Director Huo Jing in the previous consultations with several departments.

Tao Le remembers very well that Deputy Director Huo strongly advocated the use of aneurysm isolation, that is, permanent clamping of the proximal and distal ends of the aneurysm-bearing artery.

At the same time, he also developed a contingency plan, if it is found during the operation, it is not possible to ensure that the artery has sufficient collateral blood supply, and vascular bypass grafting must be performed.

But the man in the mask mask came to cut the grass and eradicate the roots. He cleanly blocked the main blood supply artery to the aneurysm, drained the blood, and then dissected the aneurysm, and used tissue scissors to completely cut off all the aneurysms from the aneurysm.

Aneurysm neck clipping combined with aneurysm resection.

Tao Le was puzzled, so he asked directly: "If the aneurysm is not cut out, is it feasible to directly take aneurysm isolation?" ”

The masked man didn't answer, but just gave up the position of the chief knife and motioned for her to come in person.

The learning process is long and hard. But if you go down the wrong path from the beginning, the suffering will be multiplied.

When Tao Le stood on the operating table again, he was already very sure that the established surgical plan would not work no matter what.

But it doesn't matter, failure is the mother of success, and after being vitriolically ridiculed by someone countless times, she has already tried to find a remedy, which is enough to bring the entire failed operation back to life.

The shadowless light turned on, and the anesthesiologist gave a gesture. The child was lying facing down, and Deputy Director Huo stood at his head position, made a question-mark-shaped opening in the right frontotemporal, cut the scalp, temporal muscle and periosteum, and peeled off the skin flap.

The skull was drilled, sawn and the bone flap was removed, and the dural tension was high, and after the radioactive incision, a large aneurysm located in the frontal lobe was visible.

Such a large aneurysm. It was the first time Huang Heng had seen it, and he couldn't help but be amazed.

His eyes swept over Tao Le inadvertently, but he found that the other party's expression was extremely flat, as if he was used to this situation, and he didn't notice anything unusual at all.

(End of chapter)