On the big screen. Tao Le calmly pulled out the previous needle.

The corresponding vein has been clamped and removed, so even if the needle is removed, there will be no further bleeding.

The matter of the golden needle controlling the pulse and stopping the bleeding has been seen or heard of by all of you.

In addition, before the video, Hou Bo also mentioned it, so there is no doubt about it.

Tao Le threw the needles into the tray, and then took out three more and stuck them in several other places.

Is this to stop the bleeding? But there's no bleeding right now, is there?

While everyone was in doubt, they saw Tao Le's hand and steadily let go of the non-invasive vascular clip that had previously blocked the aneurysm-carrying artery.

Hou Bo was so startled that he almost jumped up from his seat.

How can you let it go! What we need to do now is not this, but to consider whether the middle and posterior arteries of the brain are strong enough and whether there is any problem with the posterior circulation after the A2 and the posterior blood vessels are amputated.

If not, you can go directly to the steps of removing the hematoma and closing the cranial suture!

As long as it is done smoothly to the end, this is already an extremely rare model surgery that is proud of the outside world of the domestic gods!

But why do you want to make a difference?

Hou Bo thought so, and found that there was no blood flowing out of the open artery.

By the way, this is the effect of the three millineedles just now.

The breath that everyone had just let go of became tense again with Tao Le's movements.

Her hands were already gently peeling away the adventitia at both ends of the A2 artery that had been severed before.

But in the blink of an eye, the ends were stripped about five millimeters apart, and then the broken ends were trimmed again.

At this time, there is no place where the people present do not understand what she wants to do.

"This is to do vascular anastomosis!" Luan Daoying said.

Director Le shook his head: "The excised part is too large, and the distance between the two ends is too far, so it is impossible to match the ends." Could it be that she still wants to have another vascular graft? ”

What he said is also the voice of the experts.

If the truncated aneurysm is not large and the distance between the blood vessels at both ends is about 2 centimeters, then an end-to-end anastomosis can be used directly.

Otherwise, a section of blood vessels must be connected to be able to get it.

It's just that even if it's an ordinary end-to-end anastomosis, it's not easy to do.

Because this is within the brain, facing the most delicate cerebral blood vessels.

The slightest omission can lead to the formation of anastomotic narrowing, occlusion, vasospasm, or thrombosis.

These consequences, put in the brain, are all big problems.

The surgery of the Neurosurgery has a small scope of operation and high precision, and the difficulty of vascular anastomosis is quite large, which has always been taboo by many doctors.

There are very few doctors who dare to do it, and even fewer can do it well.

So Tao Le's choice at this time is very puzzling.

Gu Jiadi secretly sneered in his heart.

If you don't die, this Tao member is really a newborn calf who is not afraid of tigers, and he dares to challenge the anastomosis and transplantation of cerebrovascular vessels.

Such a young doctor, no matter how good Chinese medicine is, the practice of suturing is definitely still on the way, and he doesn't know what ordinary trauma sutures can do, and he dares to talk about intracranial vascular anastomosis.

It's his Gu Jiadi, who has been crawling outside the gods for so many years, involving extremely fine cerebral vascular anastomosis, and still knows how to beat the drum in his heart, if he is facing a great enemy, if he can bypass it, he will definitely retreat, how can he be as relaxed as this little girl.

Moreover, the surgical removal of aneurysms before was a temporary idea, so this step must be the same.

I didn't do any calculation design before the operation, so I came up and sewed it up directly, and if it could be successful, it would be too mysterious.

He silently calculated the remaining length of the video. Very good, eighteen minutes to go.

Vascular anastomosis, and perhaps transplantation, plus removal of the hematoma and sutures

Anyone would have to do it for hours, right? Eighteen minutes, what a joke.

If you think that the first half of the surgery is exciting, the rougher it will definitely be in the future.

What he thinks, others think of as well.

At that moment, someone asked Hou Bo: "Old Hou, in your plan, did you prepare for vascular bypass, right?" ”

"Yes." Hou Bo understood what the other party meant, and immediately replied: "The materials must be complete, and artificial blood vessels of various lengths are ready." ”

Director Fang of Haishi First Hospital nodded: "Although the effect of artificial blood vessels will definitely not catch up with autologous transplantation, if it is successful, it will be able to ensure the blood supply of the child to the greatest extent, which is particularly beneficial to brain development." ”

"Yes, only if the transplant is successful." Gujadi interjected.

What does this mean, do you hope that Xiao Tao fails? Hou Bo simply glared at him.

"Actually, I don't mean anything else. Just thinking about surgery, in fact, sometimes it is a compromise. ”

"It's good to ensure the safety of the patient's life to the greatest extent, but in order to improve the perfection of the operation by 10 or 20 percent, but add 30 percent, or even 50 percent of the surgical risk, is it worth it?"

His words aroused deep thought among a group of experts.

Indeed, is it worth it? Clinically, everyone's choice is different.

But most people will definitely choose the safest and relatively convenient solution, and will not make more meaningless attempts.

This is not only for the sake of the safety of patients, but also for the sake of themselves, which is also a win-win situation, right?

Tao Le in the screen has completed the flushing of the lumen at the broken end to clean up the coagulated blood clot to avoid the formation of blood clots.

Instead of choosing an artificial blood vessel, she dissected the aneurysm in the tray.

Not surprisingly, a large number of blood clots were revealed in front of everyone.

She quickly cleaned them up, and then cut off a piece of the periphery of the aneurysm.

"Could it be that she wants to use this as a transplant material?" Huo Ran, director of the Third Hospital of Beijing, stood up.

"It seems so. Tear down the old walls, then clean up the bricks and take them back to repair them, no problem at all! Hao Jun also said.

"Whimsy, I didn't think of it!" Tony clapped his hands and laughed, "Using your own blood vessels is definitely stronger than man-made ones - but it saves the effort of transplanting other blood vessels from your own body." ”

The huge aneurysm has long stretched the aneurysm artery wide and large.

With just one piece of it, it was enough to reconstruct a vessel of the same thickness as the A2 artery.

She seems to be a random cut, but in fact, it is the result of countless experiments in the goldfinger space and seaming into memory.

But the people in the room didn't know.

They only saw that she cut it so easily, cleaned and disinfected it a little, and easily sewed it up with 4-0 fine silk thread.

The needle shadow flies, like a butterfly wearing flowers, surprisingly fast, with a very beautiful rhyme.

Before everyone could react, the stitching was over.

(End of chapter)