Chapter 942: Imagination!
Before Zhao Yuan entered the operating room, Tang Jin whispered to Zhao Yuan, "Please."
Zhao Yuan patted Tang Jin on the shoulder, "Don't worry, I won't let you down."
The corners of Tang Jin's mouth showed a look of encouragement, "When the operation is successful, I will invite you to dinner."
Zhao Yuan smiled, "Okay, you can book a restaurant in advance."
Tang Jin was stunned and patted Zhao Yuan's shoulder hard.
To be honest, this operation is operated by Tang Jin, and there is not much chance of winning.
Jiang Qiang had been observing Zhao Yuan, and Zhao Yuan seemed very relaxed.
He took the opportunity to remind, "Today, our hospital has a lot of experts in the field of neurosurgery, some of whom we invited in the name of an international summit, and they refused to participate at that time."
Zhao Yuan can understand these experts, "It shows that they are very pragmatic. The international summit is lofty, but in the final analysis, it is ***."
Jiang Qiang sighed a lot and mentioned another thing, "Yesterday there were several international medical forums that wanted us to live broadcast the surgery. However, I refused."
Zhao Yuan smiled, "You did the right thing! Sometimes you have to keep it mysterious."
Countdown to surgery begins!
Zhao Yuan and Wang Enlin once again communicated about the difficulties of this operation.
Wang Enlin said in a deep voice, "Are you really going to join that step?"
Zhao Yuan did not hesitate, "Although it will prolong the time and make the procedure more cumbersome, it will play a protective role for patients."
Wang Enlin's eyes were full of admiration, "Okay, I won't persuade you, I wish you good luck."
After saying this, Wang Enlin walked to the corner of the operating room.
He did not leave the operating room, and although he would not be involved in the operation, his presence there could make everyone feel particularly reassured, and that was the value of an academician.
Zhao Yuan picked up the bone drill and first polished it in the patient's skull base surgery area!
This is obviously a bit unconventional.
Zhao had planned to have neuroendoscopic transnasal skull base surgery.
The conventional practice is to "crush" the local skull base with a high-speed grinding drill to form a bone window, and then enter the various surgical areas within the skull to remove the tumor.
"What is he doing? It took so long to make an approach."
"I always feel like it's not that simple. Since he is the director of Tianhua's neurosurgery, he must have two brushes."
"He can't be trying to take a bone flap at the base of the skull, is he?"
Someone comes up with an idea that calms down the people around them instantly.
"No, there are so many nerve plexuses and blood vessels at the base of the skull, and the risk of taking the bone flap is too great."
"The idea of taking a bone flap at the base of the skull is too bizarre. If that were the case, it would be a very innovative approach."
As everyone speculated, Zhao Yuan did choose the in-situ bone flap surgery.
According to the conventional operation, the grinding drill opened a hole, and the skull base was damaged, and in order to fill the damage, the only way to do the "membranous repair" of the skull base was to use various fats, muscles, fascia, and nasal mucosa.
There are also a few experts who use bone tissue from other parts of the body to repair, but there is still a 10-15% chance of cerebrospinal fluid leakage or severe intracranial infection.
However, the bone at the base of the skull is not the same as the bone in the head.
The basilar skull bones are unevenly thick, locally as thin as cicada wings, and partially solid and firm.
Moreover, the slightest deviation in the grinding of the bone flap can lead to catastrophic consequences if the bones are interspersed with nerves and blood vessels.
Zhao Yuan had to pass through a nostril with a diameter of one centimeter and a pipe with a length of eight centimeters to complete the operation of removing the bone flap.
"Zhao Yuan's ideas are wild."
"It's too difficult. If it were me, I would never have the courage to do so."
"Mainly forced by the Mayo Robben team! If you follow the previous approach and enter the lesion, you may have to fall into the pit designed by the other party. Zhao Yuan's choice of a new approach, as well as the opening of the approach to recovery, can reduce the damage to the patient's brain."
"I feel like my pores are standing up. difficult
Academician Strange King will come all the way to the platform. He must have been struck by the idea."
As analyzed by the doctors in the observation area.
Wang Enlin was indeed attracted by the new surgical method of skull base in situ bone flap mentioned by Zhao Yuan.
But that was also before seeing the patient, Wang Enlin felt that the odds would be great.
It's just that now the patient's brain is equivalent to having a trauma, and now if they want to perform this new procedure, no one knows what risks they need to take.
There is no literature to back it up, there are no reports like it, it's all up to personal intuition.
But Zhao Yuan's character is like this, once the decision is made, he will be very firm.
If Zhao Yuan's idea of manufacturing approach is amazing, then the next operation is eye-catching again.
Zhao Yuan used chopsticks.
Although this technique has been written and promoted by myself, its popularity in China is not even as good as that abroad.
The tension gradually disappeared with Zhao Yuan's steady advance.
Zhao Yuan kept switching the tools in his hand and began to remove the tumor.
"It's bleeding!"
"That's a lot of blood."
"It is said that Robben's team found that the blood volume was too large, so the operation was hastily ended."
"It looks like Zhao Yuan is going to repeat the mistakes of the past."
"What are you fussing about, don't you see Academician Wang's expression is very calm? Not surprisingly, they expected it before the operation."
"Such a large amount of bleeding, hey, it's really hard!"
Zhao Yuan began to treat the bleeding point again and again, and removed the tumor at the same time.
The chopsticks technique shows its strengths.
He has one more hand than a normal surgeon, so he is more efficient to handle.
Someone noticed this and said, "Although his technique looks a little strange, when operating the instrument, it can achieve good results."
Someone read Zhao Yuan's introduction and recalled the key words of the literature, "This is the chopsticks technique, a technique created by Zhao Yuan. Tang Jin was attracted by Zhao Yuan's technique and joined Tianhua Hospital."
"Huh? Why hasn't there been a popularization of such a useful method?"
「……」
Faced with this question, everyone fell silent.
The reason is simple.
Zhao was originally a teacher, but not in neurosurgery.
If you don't enter the circle of neurosurgery, even if you have the best skills and ideas, no one cares!
If it weren't for the heat brought by Wang Enlin, how many people would pay attention to this operation?
Wang Enlin is a top scholar and expert, and after a few glances, he immediately realized the power of this technique.
If I were ten years younger, I would definitely have to work hard to study.
Unfortunately, he is not young now, and the surgical habit has become muscle memory, and it is too difficult to modify the operation technique.
Zhao Yuan's chopsticks are more scientific.
As the operation lengthened, the atmosphere solidified again.
"It's over, it seems to be bleeding more!"
"Although Zhao Yuan's level is not bad, with such a large amount of bleeding, it may collapse at any time."
"No wonder Mayo's Robben team chose to give up, it is estimated that Zhao Yuan will follow in his footsteps!"
Another half hour passed.
"Zhao Yuan seems to be trying to control the bleeding."
"Alas, it's not easy for him to hold on until now, if it were me, half an hour ago, the operation would have ended."
"After all, I still can't surpass Mayo."
The time gradually came to two hours.
There is no reduction in the number of people in the outside observation area.
"Holy!"
"I've been bleeding, and the patient is able to keep his vital signs stable."
"This ......"
"Looks like it can be done!"