Can it still be like this?

Normal brain surgeons are cautious before separating the Sylvian fissure. Before performing the operation, they need to carefully observe the shape and branches of the superficial Sylvian vein, determine the anatomical plane of separation, and make repeated deductions and plans before they dare to do it...

Even with such caution, doctors often encounter situations where it is difficult to locate the anatomical level and they have no way of starting.

However, in Xu Qiu's hands, first this way, then that, with two clicks, the superficial lateral fissure that was tightly adhered to the deep part was separated...

"So that's it!"

The director's eyes glowed.

At this time, he finally noticed the details of Xu Qiu's surgery... While using the gem knife, Xu Qiu also used a syringe needle to open the lateral arachnoid, injecting normal saline into the lateral fissure, and ensuring the accuracy of the operation by dilating the lateral fissure.

sex.

"Bipolar Temporal."

Xu Qiu's voice sounded again, and now he had entered the split-brain pool.

The forceps gently separated the tissue gap. Xu Qiu's other hand was not idle. He took the brain cotton and gently pressed it on the edge of the back brain tissue. Then he applied a little force to expose the connection of the sylvian fissure with pressure.

Xu Qiu stretched out his hand again, and before he could speak, the director of brain surgery immediately handed over the scalpel.

Sharp separation...

Cut the arachnoid membrane between the frontal lobe and the temporal lobe...

With the sound of tissue being cut open, the sylvian fissure was fully revealed in front of everyone. Under the shadowless light, the white middle cerebral artery bifurcation and island threshold seemed to be steaming and full of life.

"This is life." Xu Qiu sighed in her heart.

If rescue is abandoned, these blood vessels that are beating desperately will quickly dry up within a few hours, and a fresh life will be lost in a flash.

"Five minutes... five minutes to enter the Sylvian fissure!" When he saw the pulsating blood vessels, the director of brain surgery could no longer restrain the shock in his heart and spoke involuntarily... The average speed of clinicians is about half an hour.

Xu Qiu's surgery was obviously more outrageous than the rumors!

"So this is keyhole surgery!" Other doctors also gained insights.

The bone window used by Xu Qiu to open the craniotomy is extremely small, only about two centimeters in diameter, which is considered minimally invasive in minimally invasive surgery.

Generally speaking, the size of the intraoperative window is directly related to the surgical field of view. A bone window of two centimeters almost means that the surgical area is completely dark. In addition, the operable range is too small, so the surgeon not only cannot see, but also cannot

Perform surgical treatment.

However, the bone window created by Xu Qiu is very sophisticated, and cleverly uses the door mirror effect, also known as the cat's eye effect, to achieve a very small opening, sufficient light and surgical field...

As for operational limitations, Xu Qiu used a surgical microscope with an electromagnetic lock switch, an adjustable operating table, and a series of special microsurgical instruments such as thin tube scissors and microscopic tweezers.

Aneurysm clamping forceps with a high degree of rotation function, supplemented by neuroendoscopes, allow a narrow "keyhole" to be enough to insert three surgical instruments at the same time...

The bone window is only two centimeters, but Xu Qiu handles it extremely calmly!

"If it were me, I might not be able to do it..." The director of brain surgery simulated the current scene. If he was given such a keyhole bone window, it would be absolutely impossible for him to combine two suction devices, two strippers and

An aneurysm clamping forceps was inserted inside at the same time, and it was used smoothly.

This is the foundation of surgery.

Even if the professor teaches them the key points of keyhole surgery, it will be difficult for them to reach Xu Qiu's level.

"However, a two-centimeter bone window is barely enough. We can first make a two-and-a-half-centimeter or even three-centimeter bone window. This technology will greatly increase the minimally invasiveness, safety and effectiveness of aneurysm clipping!" said Director of Brain Surgery.

Eyes shining... Xu Qiu brought too many surprises to Greentown No.1 Hospital.

…

The aneurysm is exposed, followed by separation and clipping...

Two hours later, the operation was finally over.

The director of the brain surgery department still had some unfinished thoughts... It was too fast and he hadn’t reacted yet!

Other doctors were reluctant to wake up from their intoxication.

For doctors who study technology, observing Xu Qiu's surgery is tantamount to an intracranial orgasm. Every operation, every detail, and the precise control of every knife are breathtaking.

"finished."

On the right side of the operating bed, Xu Qiu also breathed a sigh of relief. His forehead and back were covered with sweat... The high concentration made his energy and physical consumption far greater than before. The fatigue caused by the two-hour operation,

Even higher than the previous six or seven hours of surgery.

Fortunately, Xu Qiu had already raised the upper limit of his energy and physical strength many times. Otherwise, both the patient and himself would have to be pushed out of this surgery.

"However, the effect is also amazing!"

Thanks to the improvement of surgical abilities and the auxiliary bonus of the special title of "Master of Brain Surgery", the patient's surgery was surprisingly successful.

"Ding! Congratulations on completing a keyhole clipping of an intracranial aneurysm!"

"Surgery rating: S-level!"

"You get a reward: 3% proficiency!"

"You get extra bonus: surgical damage -50%! Prognosis 20%! Postoperative complications -20%!"

As the system's sound ended, Xu Qiu was pleasantly surprised.

s rating!

He originally thought that S level was the limit, but he didn't expect that there was S level above it!

It seems that I still have a lot of room for improvement. Those who have been able to obtain S-level scores stably can still continue to improve.

But s is really difficult.

Master-level craniotomy, master-level microsurgery experience, master-level neuroendoscopic intracranial tumor resection...etc., etc., and finally, coupled with the overall increase brought by the key title of brain surgery master, Xu Qiucai can be worthy of the title.

It deserves an S rating.

If other surgeries want to achieve this step, I am afraid they must at least be upgraded to the level of perfection.

“But the S-rated rewards are also very attractive!”

S rating, proficiency improvement is generally around 1~1.5, and very few reach 2. However, S directly gives 3 points of proficiency.

Additional rewards are even more generous.

Among them, the surgical injuries are the most eye-catching... Surgery, no matter how small the wound is, will cause serious harm to the body. This is especially true for major surgeries and brain surgeries. Some surgeries can even injure the enemy by one thousand and damage oneself by eight hundred.

.

The reason for the extremely poor prognosis assessment of the surgery performed by Xu Qiu is that on the one hand, the patient is in very critical condition, and on the other hand, even if the surgery is successful, the damage caused by the surgery itself will further aggravate the condition and cause bleeding after the surgery.

, the probability of cerebral vasospasm and hydrocephalus will be very high.

Once the above-mentioned sequelae occur, it is hard to say whether the patient will wake up again.

Although Xu Qiu replaced cerebrospinal fluid twice before the operation and made all the preparations he could, the probability of occurrence could only be slightly reduced. There was not much difference between the 80% and the reduced 70%.
Chapter completed!