After talking about the anatomical structure, the little girl who was transformed into a light brain continued: "Microendoscopic resection of a pituitary tumor with sphenoid sinus approach to the nostril is a very complicated operation. ”

"The patient should be placed in a supine position with the head tilted back and 25 degrees below the horizon. If you had surgery in your previous life, you should have used an endotracheal tube to give the patient general anesthesia. And now, you need to cast paralyzing magic on the patient. Please note that someone must supervise the patient's breathing after the paralysis is performed. ”

Then, through the nostril approach, the mucosa of the nasal septum is incised, the bony nasal septum is bluntly separated, and the mucosa is separated from the cartilage and the bone of the anterior inferior wall of the sphenoid sinus, and enters the sphenoid sinus. ”

In front of the little girl who was transformed into a light brain, the specific anatomy of the sphenoid sinus was revealed in the light and shadow. The sphenoid sinus has many entrances and openings, and the complex is like an overpass in the city.

"Open the anterior wall of the sphenoid sinus and treat the sphenoid mucosa to determine the position of the sellar floor. ”

With the explanation of the light brain, the light and shadow shown in front of Jiang Junming's eyes are like the light brain is doing an endoscopic operation from the perspective of the guò feathered snake, the picture is very realistic, and Jiang Junming vaguely feels that this is true.

"Here, you should pay attention to stopping bleeding, and the specific methods of stopping bleeding have been explained to you in the battlefield first aid class. Or, after you become proficient, cast a tiny healing spell to stop the bleeding. Whatever you do, keep your field of view clean, or you'll just see a red whirring color and don't want to do anything. ”

"How to solve the problem of the attractor?" Jiang Junming asked.

"The Feathered Serpent can be used as an aspirator, and it will suck the blood away very gently. And it doesn't hurt the brain tissue, you don't have to worry about this, use your mental power to control the feathered snake. The little girl with a light brain said.

"Open the sellar dura in the middle of the sellar floor or slightly on the side of the tumor. Tumors are seen. ”

"Careful separation of the external mucosa of the tumor, as you know, requires extreme care and can be the key to the success or failure of the operation. The little girl with a stern expression explained to Jiang Junming: "After the feathered snake has been transformed, you can use it as the bipolar electrocoagulation, suction device and curette you have seen. Carefully detach the outer membrane of the tumor, and then fully expose the tumor. Your mental strength will finally complete these subtle movements, and the Feathered Serpent will help you as well. Next. You need to protect your normal brain tissue from damage to your patient's normal tissues. After the tumor bed is cleaned, a total resection is performed in the field of view of the feathered snake. "Close the bottom of the saddle with muscle, gelatin sponge, and bioprotein glue. Withdraw layer by layer, plug the nasal cavity with a clogged iodophor oil veil, and pull it out after a few days. ”

Jiang Junming listened little by little, and was engrossed in pondering the operation from the idea of a light brain. It's like having a real operation on your own vision of the guò feathered serpent.

When the surgery is done. The little girl who was transformed into a light-brain embellishment continued: "The pituitary gland hangs on the underside of the brain, and the guò funibulum handle connects to the hypothalamus. The hypothalamus is closely connected with the pituitary gland, integrating neuromodulation and humoral regulation, regulating the body's endocrine activities, regulating and coordinating physiological functions or physiological processes such as appreciation, growth, developmental stress response and questioning.

Endoscopic surgery with transnasal approach has the advantages of less trauma and faster postoperative recovery. And the biggest advantage is that others can't see the storage of the feathered snake, and there will be no scene of massive bleeding. You can't be mistaken for a necromancer. ”

Speaking of this, the little girl who was transformed into a light brain smiled. Jiang Junming also smiled. Indeed, it's important not to be mistaken for a necromancer. In this world, every time Jiang Junming has surgery, someone will shout and identify Jiang Junming as a necromancer, and Jiang Junming is tired of hearing this stupid statement.

"Now, try it yourself. The little girl who was transformed by light brain waved her hand, and an operating table appeared in front of Jiang Junming, and there was a patient on the table, who seemed to be the patient Jiang Junming had undergone limb replantation last time.

The light brain is also very lazy, and I don't know how to change my appearance. Jiang Junming thought with a smile in his heart. It's just a joke, the patient's appearance doesn't matter at all, Jiang Junming just laughed at it because he looked familiar, so he laughed a little.

Jiang Junming followed the instructions of the light brain, lay the patient flat, leaned back twenty-five degrees, and then cast a paralysis magic technique. At this time, the benefits of the instantaneous magic technique are vividly displayed. Jiang Junming had already conceived in his mind the picture of the real operation, while comforting the patient himself, when the patient was unprepared, he instantly paralyzed the divine technique. After the general anesthesia is completed, the patient will not have a little bit of pain and symptoms such as tension and anxiety.

Of course, this is just an idea, and Jiang Junming is not stupid enough to comfort this simulator.

After the Sim was paralyzed by the paralysis divine technique, Jiang Junming then used his spiritual power to summon the Feathered Serpent. Like a dragon, the feathered snake becomes a fibrous bundle, which enters from the patient's nostrils, enters the patient's nasal cavity from the approach described by the light brain, and separates the nasal septum.

Jiang Junming used the feathered serpent as a gastroscope to observe the abnormal growth of tumors in Sir Sloe's intestines. But now it's time to use the feathered serpent to separate the mucous membrane of the nasal septum and enter the brain. Although this kind of delicate operation does not require hands, it extremely requires fine mental power to maintain.

Separating the mucous membrane of the nasal septum, Jiang Junming's every subtle idea will be known by the feathered snake and made it. The two horns of the Feathered Serpent turned into surgical instruments like fibrous hairs, perfectly executing Jiang Junming's thoughts.

Every step was delicate, and there was a slight bleeding, and the feathered serpent immediately sucked the blood away with the dragon's kiss, which became elongated, which was extremely intimate. With the feathered serpent and the strengthened spiritual power, Jiang Junming felt that this operation was not as difficult as he imagined.

Opening the sphenoid sinus and separating the tumor, Jiang Junming controlled the feathered snake to flash and move in a small area, peeling off the outer membrane of the tumor little by little, and the bleeding was about three to four milliliters, Jiang Junming already had a preliminary estimate of this. With such a small amount of bleeding, even Jiang Junming didn't expect it before.

Until the end, the tumor is removed, and the feathered snake swallows the tumor in one gulp, and then gradually exits the simulated nasal cavity. Jiang Junming was a little difficult, and in the last step, he did not have muscles, gelatin sponges and biological proteins to close the saddle bottom. But in the blink of an eye, Jiang Junming thought of replacing it completely with muscle tissue. The removal of a small amount of muscle tissue around the periphery, which is actually muscle fibers, does not cause much harm to the patient and does not cause bleeding. After plugging the bottom of the saddle, Jiang Junming completely withdrew the feathered snake.

Looking at the simulator, Jiang Junming was in a trance. Could it be that a single-nostril sphenoid sinus approach pituitary tumor resection was completed in this way? In the previous life, this was a very sophisticated operation, and Jiang Junming had never studied it before, and he had not even seen it. But under the guidance of the little girl who was transformed into a light brain, the endoscope that Guò Feathered Serpent turned into was completed!

It's magical, it's incredible.

The little girl who was transformed into a light brain stood beside Jiang Junming, calmly watched Jiang Junming complete the operation, and then with a wave of her hand, the operating table and the simulator were scattered as points of light and disappeared without a trace.

"Actually, this surgery is not too difficult compared to the more difficult limb replantation. The little girl with a light brain said.

Jiang Junming agrees with this sentence, because the most difficult part of this operation lies in the instruments. There is a feathered serpent, and the most difficult point has been solved. Operation is another difficulty, but Feathered Serpent is connected to his own spiritual power, as long as his mental power can keep up, this kind of operation is not a problem.

That's why the little girl with the light brain illusion would say this, Jiang Junming understood this.

"Take a break, we still have things to do. The little girl with a light brain said.

"And?" Jiang Junming asked in amazement.

"I've said it many times, and this time I've got enough 'quality energy' to transform you enough and teach you a lot of new things. The little girl who was transformed into a light brain said a little indifferently, but then changed her expression and asked very strangely: "Actually, I calculated before that you are most likely to choose to enhance strength or agility. Because in your human body, especially in the male body, the level of hormone secretion indicates that you are a belligerent and fickle creature. Can you sue me, why don't you be dominated by hormone secretion and choose to improve your mental power?"

How can you listen to the light brain explain the human body in this way, and you feel weird? It is dominated by hormone secretion...... This is really strange, Jiang Junming thought speechlessly.

Seeing that Jiang Junming didn't speak, he didn't speak, and stood opposite Jiang Junming, waiting for his answer.

However, what the light brain said makes sense, the history of mankind is the history of war. Since the advent of human beings, stone tools have been produced for hunting. As for the application of fire, the transformation of raw meat into mature meat is a landmark event in the history of human evolution that can be used as a dividing line. Since then, humanity has not been free from war. Even if I came into this world, I have always been docile and humble, and I have always been kind to others, but I have experienced less battles? The bullying of those ruffians and hooligans, the fights between young students, and the fights between believers of different faiths......

"My last life was born in a time of peace. Jiang Junming wanted to understand what he was thinking in his heart in his previous choice, and after thinking about it, he said, there was nothing to hide from the light brain, "At that time, I was an ordinary medical student, and I didn't have too high ideals and ambitions, so I just wanted to eat and wait for death, and be happy for a lifetime." When I arrived at university, I was studying every day, and I didn't have any ideas at that time. (To be continued......)