"here……"

Director Lin only felt his throat dry, and something incomprehensible appeared in front of him.

When the dura is opened, there are blood clots left by bleeding in the cerebral cortex and dark gray viscous liquid.

At that time, they had absorbed all the liquid in the cavity.

The brain tissue is still deflated.

But now Director Lin accidentally caught a glimpse of it and found that the collapsed brain tissue was full of back!

"Did I read it wrong?"

Director Lin’s expression was a bit strange. Could it be that he remembered it wrongly...

"No, it should have collapsed here, but the brain tissue has actually recovered!" Jin Yucheng also noticed the strangeness here and was also shocked.

They thought for a long time, but didn't know why.

"Don't panic."

However, Xu Qiu's face did not change much.

He pressed it with gauze.

Under the incredible eyes of everyone, the brain tissue actually shrank again!

"this……"

"What's going on? It's like a balloon!"

Director Lin was surprised.

When Xu Qiu extracted transparent and slightly turbid liquid from it, everyone was stunned.

“Ceclespinal fluid?”

"Why are there cerebrospinal fluid here!"

Isn’t this thing a crucian cavity? Why did you get cerebrospinal fluid?

Xu Qiu was still very calm: "Gein sponge."

The instrument nurse didn't know what was going on, but she quickly handed over the thing over.

After Xu Qiu took it, he covered it on the side of the near ventricle.

Immediately afterwards, the brain tissue completely collapsed and could no longer be filled.

At this time, Xu Qiu explained slowly: "There should be a hidden flap between the ventricle and the invasion cavity, and the cerebrospinal fluid is squeezed into the invasion cavity with the brain beating."

"Can this still happen?"

"Doctor Xu, you've seen it long ago!"

Director Lin was shocked.

The circulating valve communication caused the cerebrospinal fluid in the ventricle to flow into the wound cavity.

If Xu Qiu was not available for this operation, it might take them several hours to find out the cause!

When the gold and jade are formed, they are silent.

He thought that after he learned to get brain separation, he would quickly catch up with Xu Qiu.

Looking at this time, Jin Yucheng realized that the gap between him and Xu Qiu seemed to be more than just a craniocerebral separation technique.

That's all-round crushing!

...

Under the shadowless light.

Someone has lost his dream.

Some people doubt life.

Someone is in a busy operation.

After completing the puncture and catheterization, everyone suddenly felt that a huge rock had been put down in their hearts.

This most difficult step was accomplished naturally?

The rescue team is ready.

The anesthesiologist was also staring at the monitor.

Everyone thought something might happen next, but Xu Qiu just pinched it and pierced it. Even the hidden live petal that might have taken several hours to find the reason was seen through at a glance!

Damn it, why is the surgery like a cheat?

And not one yet.

Perspective hanging, stable hanging, self-aiming hanging... This is a complete set!

Jin Yucheng swallowed, looked at Xu Qiu's bright side face under the light, and suddenly felt a sense of sacredness in his heart.

Is this the saint of surgery?

The operation continues.

Xu Qiuma easily fixed the reservoir on the periosteum with an absorption line.

Then connect the proximal end of the valve to the outlet connector of the reservoir, and the catheter is completely stabilized at the skull borehole.

Xu Qiu did not pause and immediately started the next step.

Subcutaneous tunnel!

Ventricular shunt surgery, the full name is ventricular-abdominal shunt surgery.

This surgery is different from conventional cognition.

If there is too much intracranial pressure and cerebrospinal fluid is not directly discharged from the body.

Instead, it is necessary to guide excess cerebrospinal fluid to other parts of the body so that it is absorbed by itself, thereby achieving a secretion-absorbing balance.

The most commonly used place in clinical practice is also the best part, and it is the abdominal cavity.

Most ventricular shunts are performed for ventricular-abdominal shunts.

Only a small number of patients will choose the atrium as the drainage and absorption site due to abdominal infection.

Or in adolescence, because the ventricle and lumbar sill are connected, the ventricle is not even opened, so the lumbar sill-abdominal shunt is directly performed.

For the patient Luo Di, he naturally chose conventional abdominal drainage.

Subcutaneous tunnels are the key to drainage.

Under Xu Qiu's guidance and control, the abdominal catheter was incited from the head, passing through the back of the ear, neck, chest, and reaching the upper abdomen.

The first incision was opened under the mastoid process.

The second incision, subclavian.

Third, the upper abdomen on the right side is under the xiphoid process.

Xu Qiu held a blunt metal conductor in his hand and separated deeply subcutaneously in segments. A coherent and unobstructed subcutaneous tunnel was opened between the patient's head and abdominal cavity.

Director Lin exclaimed.

Completed in one go?

In the brain surgery department, even the deputy director usually takes three to four times before the tunnel can be opened.

Luo Di's situation is obviously more complicated and the difficulty of penetration is also higher. Xu Qiu succeeded in one go!

...

The third hour of the operation.

After the opening of the subcutaneous tunnel, Xu Qiu connected the proximal end of the catheter to the valve outlet, and the distal end entered the incision in the right abdomen through the subcutaneous tunnel.

Under Xu Qiu's adjustment, the catheter happened to be bent when it passed through the neck.

This perfectly adapts to the curve of the neck, while also leaving more room for neck movement.

Finally, Xu Qiu placed the abdominal catheter on the diaphragm of the liver.

This is also a less commonly used procedure in clinical practice.

On the one hand, the operation is more difficult.

On the other hand, it needs to sew the catheter on the round liver ligament and avoid the large omentum, which can easily cause blockage. The surgeon is not skilled and can easily damage normal organs and tissues.

However, it also has more advantages.

For example, the chance of shedding is smaller.

The chance of infection is lower.

etc.

Considering these, Xu Qiu finally chose the liver diaphragm surface.
To be continued...