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Chapter 108 Numerous days and nights of training, just for the perfection of this moment(1/2)

Director Lin couldn't sit still either.

Xu Qiu chose a place 6cm above the external ear hole. He cut it straight here, under the fragile skin, and stopped just above the blood vessel!

The incision is precisely along the shape of the superficial temporal artery!

All the brain surgeons were shocked.

Conventional doctors choose horseshoe-shaped incisions or arc-shaped incisions.

The advantage is that it is safe, but the disadvantage is that the incision is large and the damage is serious.

This kind of incision that tracks blood vessels has a very small wound and almost no scalp necrosis, but it is rarely used clinically.

Because the difficulty is too high!

This is more like a tightrope walk than a cutting method!

Unless they are extremely proficient in the patient's anatomy and have extremely precise control capabilities, no one would dare to take risks.

But now, Xu Qiu showed everyone an almost perfect blood vessel tracking and incision!

Later, as the operation progressed, the shock on Director Lin's face continued to grow.

He realized that what Xu Qiu wanted to do was a double bypass surgery that was rarely done in joint surgery.

The surgery is simple to describe.

First, the superficial temporal artery-middle cerebral artery bypass is directly used to quickly establish a blood flow channel and immediately improve the blood supply to the brain;

After that, through the multi-factor application of temporalis muscle-dura mater-middle meningeal artery-cranial periosteum at the same time, new blood vessels are induced on a large scale to complete better blood circulation reconstruction and improve blood supply to the brain on a larger scale.

However, there are countless difficulties in implementing it.

For example, the superficial temporal artery is very fragile and can easily cause arterial wall necrosis during anastomosis.

The diameter of the middle cerebral artery is too thin and is prone to blockage, etc...

Director Lin stared at the operating area intently, wanting to see how Xu Qiu would respond.

"7# handle, 15# blade!"

"Microscopic tooth forceps, microscopic scissors..."

At the same time, on the operating table, each instrument seemed to have come to life in Xu Qiu's hands, as if it had become his third hand and fourth leg.

His movements are getting faster and faster.

Quickly find the posterior branch of the superficial temporal artery from the inner surface of the opened scalp galea flap...

To avoid damaging the superficial temporal artery,

Xu Qiu was very decisive and directly separated the soft tissue together, and then performed bipolar electrocoagulation to stop the bleeding...

Then,

The proximal end is temporarily clamped with an atraumatic arterial clamp...

Flush the lumen with heparinized saline at the severed end...

Then cover this area with cotton pads soaked in 3% papaverine to prevent dryness and arterial spasm...

Director Lin and others were dumbfounded.

There is something rough but also subtle, and he can do it with ease, and Xu Qiu can easily handle difficult tasks. It's so inappropriate!



Ding-ding-ding-ding.

Didi didi——

In the operating room, the only sounds left were the collision of instruments and the sound of various monitors operating.

Director Lin and others breathed very lightly, admiring the rising and falling of the blades in the surgical area as gracefully as dancers.

Cut.

Isolate the superficial temporal artery.

Craniotomy.

Isolate the artery.

Soon, the operation reached the final arterial anastomosis!

This is the key to normal surgery——

As long as the blood flow to the main blood supply trunk is restored,

Symptoms of moyamoya disease can be solved naturally!

Everyone's nerves became tense.

Director Lin also glanced at Xu Qiu.

But I found that the other person was still neither sad nor happy, and his eyes seemed to say "boring".

At this moment, Director Lin was a little doubtful about life.



"Watch it!" Director Lin suddenly said.

"What?"

"Don't blink, the next stitching will be very handsome!"

As Director Lin finished speaking, Xu Qiu's plain voice sounded:

"11.0 single strand nylon thread."

At the same time, the suture needle penetrated into the small cerebral blood vessels.

The hand skills developed through countless days and nights of stitching soap bubbles are fully displayed at this time!

Experience, timing, feel, intuition——

Countless factors come together to create this nearly perfect stitching!

Whoosh whoosh——

Under the shadowless lamp, a pair of hands seemed to be moving in fast forward.

Sew two stitches at each end to secure...

Two needles at the midpoint, one on the front and one on the front wall...

Sew three more stitches between two adjacent stitches...

No one watched the entire process.

Everything goes too fast!

By the time everyone reacted, Xu Qiu had already loosened the artery clamp on the superficial temporal artery and began to flush out the air and blood clots in the lumen.

Sa——

Xu Qiu moved too quickly, a slight sound of wind sounded, and in an instant, the last stitch of ligation was completed.

Immediately afterwards,

Xu Qiu first removed the artery clamp at the distal end of the middle cerebral artery.

Then release the proximal clip.

Gurgling——

In an instant, the blood flow poured into the arteries, and the blood vessels quickly filled up. If you look carefully, they are full and fit, and they are pacing with the pumping of the heart. There is not a trace of blood leaking from the sutures...

"I wipe..."

"Did you eat a sewing machine?"

"It's another day when I come to the human world to make up the numbers..."

"My eyes are so dry, Director Lin, can you blink?"



After completing this step, the subsequent surgery will seem like pediatric surgery.

Xu Qiu completed the multi-factor application of the temporalis muscle, dura mater, middle meningeal artery, and skull periosteum one by one.

Finally, close the skull!

The dura mater was sutured intermittently and drainage was placed.

Retrieve the bone flap from the saline solution and reduce it.

Because Guan Chuyu was young, she used a skull lock.

Then suture the muscles, subcutaneous, and skin...

"The operation is complete."
To be continued...
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