Judging from the entire operation, Xu Qiu is almost a detailed maniac, and all the steps of the operation have been impeccably performed... And such a person is likely to be a perfectionist, or a pathological forced maniac.

The other party may really do meaningless repairs for the beauty after the surgery.

The anesthesiologist subconsciously reminded:

"Dr. Xu, our director of Affiliated First Affiliated has done a lot of discussions and research on whether to connect the skull bone window after the operation...

"The final conclusion was concluded: as long as the hematoma is completely removed, the hemostatic is properly stopped, and combined with the application of postoperative dehydration drugs, the incidence of postoperative cerebral edema is very small; if the bone flap reduction is simply performed, although there is no blood supply, it can still play a basic protective role, and the probability of deep infection will not increase..."

His words were very tactful.

But the meaning is quite clear: whether to make a skull connection will not help the postoperative recovery, and it will not have greater significance except to improve the aesthetic effect.

The skull joint is a foreign object after all, and it is not necessary to use it.

Furthermore, if a secondary surgery is required, an open bone window can improve the fault tolerance rate. Once the connecting piece is embedded in the skull, the craniotomy will have to be reopened.

...

Xu Qiu's movements in his hand did not stop at all, as if he had not heard the anesthesiologist's reminder.

He slowly fixed the connecting piece in the groove of the skull drill, adjusting it slightly, finally making its upper surface flush with the skull surface, and one side of the bone flap is closely connected with the complete skull to minimize bone resorption.

"Bone Cement."

Xu Qiu continued the operation.

A standard milling cutter can open a skull of about two centimeters along the cranial line, and the subsequent connection is carried out according to the above method.

However, it only targets the skull on the top and forehead.

Because the temporal and occipital parts are covered with a large amount of muscles, they are relatively more active, so they must be filled with bone cement, otherwise the bone seams will become larger and larger.

More than ten minutes later, when the skull connection operation was about to end, Xu Qiu finally spoke to the questions of the anesthesiologist and others.

"The mainstream view is that the bone window opening of the posterior fossa does tend not to be repaired, and it is believed that replacing the bone flap can only improve the aesthetics.

"But, this is wrong."

The anesthesiologists and others had their pupils shrinking, and they instinctively thought this was ridiculous. In Appendix I, who is famous for craniotomy, it was ridiculous to say that their theory of brain surgery was wrong.

But they did not dare to say this... The doctor in front of them, whether it is surgical ability, skills, or experience in surgery, is far beyond the department's knife.

Moreover, he was still taking two laymen for the operation!

"Wrong...how could it be wrong?" The anesthesiologist's low voice sounded. He originally wanted to question, but when he saw Xu Qiu's Gu Jing Wubo's eyes, he was pressed by the other party's calm temperament, and his voice was cautious.

Xu Qiu gave the answer: "Attachment 1, the craniotomy surgery is done a lot, and there should be many patients with the posterior cranial fossa. What is the prognosis of these patients?"

The anesthesiologist said clearly: "The prognosis? The success rate is very high! Especially for patients with hypertension, our ward simultaneously carried out bone flap decompression hematoma removal, minimally invasive craniotomy hematoma removal, hematoma rupture and dissolution surgery, etc. The average mortality rate in the industry is about 80%, but we can control it below 10%, which is already an international advanced level."

After saying that, the young nurses in the operating room also raised their chins slightly, feeling honored.

Xu Qiu asked more bluntly: "I mean, are there any complications, side effects, etc. after the operation, which have common characteristics."

"Common complications? There should be no, and the patients are recovering well."

Xu Qiu said emotionally: "Heart is also counted."

"Wait... the headache is also considered. Isn't that a sequelae that occurs after craniotomy surgery on the posterior fossa? This is also considered...is there a problem?" The anesthesiologist was startled.

Xu Qiu slowly said the most wise saying: "Is it true that it has always been like this?"

"this……"

While performing the final bone flap connection, Xu Qiu said: "The mechanism of postoperative headache is actually an adhesion between the occipital neck muscle and the dura mater. This causes any movement of the patient to cause muscle contraction and pull, which in turn causes headaches.

"If the bone flap is reduced and the skull is connected, the adhesion between the muscles and the dura mater will be avoided to the greatest extent.

"Of course, there is another key factor in completely cutting off headaches - surgical injury and infection control.

"If it cannot be strictly controlled during the operation, the occipital nerve and the occipital nerve may be damaged, and the fragments of the skull will also enter the subarachnoid cavity. It is only a matter of time before sterile inflammation occurs..."

Xu Qiu explained calmly.

The anesthesiologist and nurse were both stunned. The headache was actually related to the reduction of the bone flap and the connection between the skull?

This is a conclusion they have never heard of. The Chief Director of the First Affiliated First Affiliated First Affiliated First Affiliated First Affiliated First Affiliated First Affiliated First Affiliated First Affiliated First Affiliated First Affiliated First Affiliated First Affiliated None has thought deeply about the root cause of the headache.

The anesthesiologist silently said: "If it's just a headache, it won't affect anything. It can be done with some painkillers... Just to avoid headaches, Isn't it a bit too unprofitable to do a bone flap reduction?"

This is in line with Xu Qiu's character - allowing the patient to be healed comfortably.

Xu Qiu shook his head.

In clinical practice, many doctors ignore pain, thinking that it can prompt a change in the condition and often do not treat it, but only those who have truly suffered can understand that the pain is far more tormenting than other symptoms, and it is by no means something that the doctor can take away with "Just bear it"... And its impact on the patient's mentality is also one of the decisive factors in the postoperative recovery effect.

Of course, if you just relieve the headache, Xu Qiu would not have restored and connected with great fanfare.

He said briefly:

"Relieving headaches is only the most intuitive manifestation. In addition, the reduced bone flap can also reduce the dead cavity between the occipital neck muscles and the dura mater, preventing patients from coughing after surgery, resulting in periodic intracranial elevation."

This is a very terrible situation. The suture swells at the suture during coughing and is still light. If it is serious, it will also cause cerebrospinal fluid leakage, etc., and even directly cause meninges to eclipse.

"The second one is protective effect.

"In addition to providing a physical barrier to the occipital cerebellum, the reduced bone flap is also a measure to control changes in cerebrospinal fluid, blood flow and brain metabolic needs. Many patients who undergo hematoma removal and bone flap decompression have a low risk of borehole syndrome, and one of the biggest causes of this disease is the absence of a skull bone!"

Gradually, the anesthesiologist and others were no longer able to understand.
Chapter completed!