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Chapter 60 Tumor Resection Surgery

At this time, Wu Tianlin did not know that because of his youth, the two nurses who had a very good relationship eventually turned against each other.

Wu Tianlin changed clothes and the patient was just sent to the operating room. When Xu Yongbo saw Wu Tianlin, he walked up to Wu Tianlin, held Wu Tianlin's hand tightly, and said to Wu Tianlin solemnly: "Doctor Wu! My father, please

You!".

Wu Tianlin heard Xu Yongbo's words and replied very strictly: "Secretary Xu! I can't make any promises to you now, but I will definitely go all out."

Watching the patient being pushed into the operating room, Wu Tianlin, Xu Yongbo and his brothers and sisters nodded and walked directly into the disinfection room.

Wu Tianlin walked into the operating room. Dr. Chen had already finished disinfecting the patient before surgery. Wu Tianlin looked at the old man lying on the operating table and said to Mr. Xu with a smile: "Old man! I will do acupuncture for you first.

When you wake up, the operation will be over."

While speaking, Wu Tianlin picked up the gold needle that had been sterilized in advance and quickly inserted it into the patient's nerve acupoint. After the patient's eyes slowly closed, Wu Tianlin picked up the scalpel and made a cut in the dome of the corpus callosum in the old man's brain.

This process only lasted a few minutes. When Wu Tianlin opened the patient's skin flap and saw the skull, he ordered Dr. Chen on the side: "Give me the electric drill!"

In full view of all the oncology doctors, Wu Tianlin opened the patient's skull, and a bloody scene immediately appeared in everyone's eyes. Through the high-definition camera, everyone could clearly see the tumor connected to the patient's brain nerves.

When everyone saw the tumor in the patient's brain, they shook their heads instinctively. As doctors, they knew very well that it was impossible to perform this kind of surgery with their medical skills, so at this moment they were glad that they had come today.

While observing the operation, I was full of expectations for the next operation process.

Seeing the distribution of tumors in the patient's brain, Wu Tianlin frowned subconsciously. Although he had expected that the situation would be very bad, he did not expect that the situation would be so bad. The tumors in the patient's brain were almost as big as those in the brain.

The nerves are connected together. During the operation, if there is even the slightest negligence, the patient may never wake up again.

Although the difficulty of the operation was far beyond Wu Tianlin's expectation, Wu Tianlin was not the kind of person who was afraid of difficulties. He put on a surgical magnifying glass, clamped the blood supply artery with a silver clip or ligated it with silk thread, and then used a scalpel to carefully cut out the side fissure.

Divide to expose the middle cerebral artery.

After seeing the exposed middle cerebral artery, Wu Tianlin ordered Dr. Chen on the side: "Give me the blood vessel clamp!"

Although all domestic hospitals perform brain surgeries, no one in China can perform such brain nerve tumor resection surgeries. Today’s surgery can definitely be called the first cranial nerve tumor resection surgery in China.

Although Dr. Chen did not perform this operation, he was undoubtedly very excited to be able to participate in this operation as an assistant.

Dr. Chen carefully watched every step of Wu Tianlin's operation, fearing that he would miss the most critical part in a blink of an eye. But when he heard Wu Tianlin's words, he quickly picked up the blood vessel clamp from the plate and handed it to Wu Tianlin, and asked Wu Tianlin

Said: "Director Wu! Why use a blood vessel clamp?"

The reason why Wu Tianlin asked his subordinates to observe this operation was to share his experience in brain tumor surgery with these subordinates. So when he heard Dr. Chen's inquiry, he explained very patiently: "Use blood vessels

The reason for clamping is to use a blood vessel clamp to temporarily control the blood supply for 6 to 8 minutes, and then use this time to quickly separate the branches that supply the tumor. Finally, apply a silver clip to cut off the small blood vessel clamp, and then release the small blood vessel clamp. In short, try to keep the main

The feeding artery is ligated, and the closer it is to the tumor, the better.”

When Wu Tianlin explained these processes, his hands did not stop. When he completed this step, he could immediately clearly see that the tumor became smaller and the blood vessels shrank. At this time, he went on to introduce: "After completing this step

During the procedure, you can clearly see that the tumor has become smaller and the blood vessels are deflated. If no deflation is seen, it should be considered that there are still main blood supply arteries deep in the tumor, and attention should be paid to exposing and processing them during separation."

“When separating the tumor from the cranial nerves, we should stick to the surrounding area of ​​the tumor, electrocoagulate and incise the cortex 3 to 4 mm. For deep tumors like this, we need to use a lighted brain pressure plate or a cold light source, and a suction device to directly incise the tumor.

Carefully separate and suction under vision, but never blindly dig out to avoid causing turbulent bleeding. When encountering larger blood vessels, an aneurysm needle is often used with a thread for double ligation and then cut off. Silver clips can also be applied on both sides and then electrocoagulated in the middle.

And cut off, but the silver clip must be longer than the diameter of the blood vessel. If there is no large silver clip, a cerebral aneurysm clip can be used, and then gradually separate and turn the malformation to find the deep main blood supply vessel, ligate it firmly and cut it, and then the brain artery and vein can be removed

Abnormal focus.”….

Although Wu Tianlin only took one minute to introduce this process, the whole process could not be completed in one minute. When Wu Tianlin finished introducing this process, his attention was highly concentrated and he used the tools in his hands carefully, fearing that

A small oversight left the patient unable to wake up again.

The observation room was so quiet at this time that you could even hear the sound of a needle being dropped on the ground. More than fifty doctors held their breath and carefully watched every step of Wu Tianlin through the TV on the wall of the observation room.

action.

Time passed by minute by second, and a nurse standing next to Wu Tianlin could no longer remember how many times she had wiped Wu Tianlin's sweat. She looked at Wu Tianlin's focused look and felt deeply in her heart: "No wonder the oncology department's

Those rebellious doctors would surrender to Director Wu so quickly. His medical skills are so amazing. Seeing him operating on patients is so charming. It’s a pity that I have become someone else’s wife.

, otherwise I will definitely pursue him."

At around four o'clock in the evening, Wu Tianlin finally successfully removed the tumor that was pressing on the patient's cranial nerves. After removing the tumor, Wu Tianlin introduced it again: "Although the tumor has been successfully removed, the clean-up work cannot be done as well.

Without being careless, use bipolar electrocoagulation or silver clips to stop bleeding at active bleeding points, then put in a ball of wet brain cotton with thread, and use an aspirator to aspirate the brain cotton to adhere to the tumor cavity wall. After a few minutes,

Carefully and slowly lift up the brain cotton, and patiently and meticulously use bipolar electrocoagulation to stop bleeding at the bleeding area. If you repeat this process, the bleeding will stop. Before closing the skull, fill the tumor cavity with normal saline and observe again whether there is bleeding;

If so, continue the treatment until the normal saline placed in the tumor cavity remains clear and there is still no bleeding after the antihypertensive drugs are removed and the jugular vein is compressed or the jugular vein is compressed."
Chapter completed!
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