Xu Qiu continued: "Because it is a stereotactic surgery, the reliability of the stereoscopic navigation system will be reduced during the movement. Therefore, the tumor resection is different. It is necessary to perform intratumoral resection first, then remove the tumor wall and clean the edges. At this time,

It involves the third key point, watertight suturing of the dura mater!”

click.ωωw..net

As Xu Qiu pressed the page-turning pen, new content appeared on the screen.

Everyone's attention was attracted, carefully capturing Xu Qiu's every word.

"Another difficulty in this operation is that the dura mater needs to be tightly sutured, but it is not easy to do this clinically."

"Therefore, I propose a completely new method here: watertight suturing of the dura mater."

"It needs to be applied to fibrin glue, with its high adhesion, to ensure the watertightness of the dural suturing. Before suturing the muscles, a valsalva test is first performed, and then the fascia layer and the upper part of the external occipital protuberance are continuously sutured.

Galea aponeurosis layer…”

Because it is a brief talk, Xu Qiu's words are very concise.

Each step, even the key links, is only mentioned in a few strokes without being carried out in depth.

Otherwise, if you pick any one of these thirteen approaches, you can teach for several days.

However, even so, the chief director and others were all fascinated by what he heard. The previous irritation completely disappeared and was replaced by concentration and obsession.

The answer they had been searching for for a long time was now placed in front of them, casually told by a young doctor who placed it in the head of thirteen people...

"I have doubts!"

At this time, the chief director stood up.

He swallowed and asked, "What should I do if the dura mater is incised during the operation and the cerebellum is found to be excessively swollen?"

According to Xu Qiu's method, once the cerebellum is excessively swollen, the following steps will not work.

Xu Qiu calmly gave the answer: "Two methods. First, use mannitol regularly, but this is too slow and generally not suitable for urgent surgeries, so I recommend the second treatment measure.

"That is, hyperventilate to reduce intracranial pressure. Of course, this alone is not enough. The surgeon must also perform physical decompression, such as opening the medullary cistern of the cerebellum to release cerebrospinal fluid, or entering from the frazier point and performing

Puncture and drainage of the occipital horn of the lateral ventricle.”

The director's eyes lit up, and he looked surprised and shocked.

How ingenious... He never thought that these two drainage methods could be used to quickly reduce cerebellar swelling!

Although there are certain risks, patients have reached that point where swelling of the cerebellum is a dead end. Xu Qiu's desperate and violent decompression method has given the patient a way out!

"One more question." Director Liu also stood up.

He stared at Xu Qiu and asked: "The pressure is still too high, and the swelling of the cerebellum can be solved by the two methods you mentioned, but if you must do a suboccipital craniotomy to decompress, there is a high probability of complications after the operation."

Encephalocele and cerebral edema are almost fatal for severely ill patients, so what should we do?”

Xu Qiu: "Expand the bone flap to the foramen magnum."

"This...is it over?"

"Um."

"Can it reduce the incidence of postoperative encephalocele?"

"right."

Director Liu's eyes widened in disbelief.

Afterwards, some people couldn't help but ask questions.

"If the venous sinus is injured, what should be done properly?"

"Routine repairs and careful ligation."

“What if there is an intraoperative air embolism?”

"First lavage the wound and lower the heart to the level of the heart. If it is effective, observe the patient's hemodynamics. If it is unstable, quickly loosen the head strap and adopt the left head-height position. If necessary,

The central tube can be used to aspirate the air embolism to save life."

"Since it's stereotactic, conventional methods shouldn't be able to deal with hematoma, right?"

"Yes. However, rather than responding, the surgeon should take precautions. Avoiding traction on the brain tissue during the operation can minimize the chance of hematoma. Once it occurs, it must be performed slowly under a microscope with a small suction device, and the hematoma cannot be crossed.

Surrounding edema zone, the entire process must be performed within the hematoma cavity..."

"..."

Questions were thrown at Xu Qiu intensively.

Everyone wanted to question this brilliant young doctor. However, every question was answered perfectly by Xu Qiu, making him even more dazzling.

…

After ten minutes of brief lecture, there was no longer any look of contempt in the auditorium. Everyone's expressions were extremely solemn, and they looked at Xu Qiu with extremely complicated eyes.

The chief director and others were immersed in this technology and found it difficult to extricate themselves.

"The other twelve types of craniotomy should be discussed together with the stereotaxic combined with radial occipito-median infratentorial craniotomy?"

As soon as everyone had this question, Xu Qiu started a new chapter.

The second one is when the poppen enters the skull.

Next, the posterior fossa bone flap craniotomy...

There are also endoscopic subtemporal approaches, ventral brainstem approaches, etc.

During the hour and a half of the narration, the director never had the thought of leaving the meeting.

He sat quietly in the front row and listened carefully to Xu Qiu's lecture.

Others were equally focused, tirelessly absorbing various skills and experiences related to craniotomy.

They have even forgotten that the first hospital is the leader in craniotomy. Since the craniotomy machine was introduced to the first hospital seven or eight years ago, no one has dared to come to the hospital to teach courses related to craniotomy. Even the world-famous doctor Sen.

Everyone in Maeda retreated.

However, at this moment, everyone subconsciously ignored this point, only feeling that the content in front of them contained too much knowledge, but they lacked too much.

"The next step is the most important part of this academic lecture..." Xu Qiu took a sip of water, giving everyone a chance to relax, and at the same time moisturizing his own throat.

The chief director and others suddenly came to their senses, and their expressions suddenly became ugly.

What did they just do...

Isn’t Affiliated One the absolute leader in the field of craniotomy?

Tiandu Tiantan, one of the three brain surgery centers in the world, has to come to their hospital to learn from their experience. Union Medical College and Huaxi have tried countless times to launch cooperation projects with Affiliated One, trying to poach people, equipment, etc. from their hospitals, but they have all been rejected.

.

To this day, Fuyi still stands at the pinnacle of this field, and no one or any hospital can shake their position.

This also led to the arrogance of everyone at Fushiyi.

Even if outsiders put forward different opinions related to craniotomy, let alone teaching them, they will be laughed at.

However, in the past hour and a half, they were like students, listening to Xu Qiu's lecture devoutly and attentively, without even missing a word.

The most frightening thing is that even the chief director realizes that the content and level of this academic lecture may surpass everyone present. If this academic lecture is given by Xu Qiu, it means that Xu Qiu has

His understanding of craniotomy is even better than that of the chief director!

"How can this be?!"
Chapter completed!