The others also looked at Xu Qiu with expectation in their eyes.

"In recent years, with the development of neuroimaging, optical technology, microsurgical instruments and stereotactic neuronavigation systems, a new therapy has been found in reducing cranial pressure..."

When he said this, Xu Qiu looked at Director Lin.

"The third ventricular bottom stomatosis!" He spoke slowly.

When Director Lin heard the name of the operation, he was stunned at first.

This is a very primitive surgery. When neurosurgery was still developing wildly, the third ventricular bottom stomatology was popular for a period of time and was also regarded as a surgical solution to the solution of communication hydrocephalus.

However, the neuroendoscopy of that year has only appeared for a short time, and the surgical instruments are simple and technically insufficient, which leads to the extremely high mortality rate of the operation and the effect is not satisfactory.

Especially after the emergence of a series of extracranial shunts, such as the ventricular abdominal shunts that have been excluded, they have completely become the tears of the times.

Extracranial shunt is safe, simple, and has wide indications, so naturally no one will think of third ventricular bottom stomatosis.

As a result... this method is used to solve it?

Director Lin felt a little incredible at first, but after thinking about it carefully, he was stunned.

Compared with ventricular peritoneal shunt, there is no foreign body implantation such as shunt tubes in the ostomy, so there is no need to worry about infection.

Moreover, using three ventricular ostomy, the cerebrospinal fluid flows directly into the interfoot pond and enters the subarachnoid cavity of the brain and spinal cord and is absorbed, which is in line with the physiological circulation state of cerebrospinal fluid!

Compared with ventricular abdominal shunt, the exclusion rate of cerebrospinal fluid by the ostomy is also very uniform, and there will be no fluctuations in the flow rate caused by the siphon effect of the shunt tube, and it is almost impossible to cause excessive cerebrospinal fluid drainage...

It seems...it's really feasible!

Director Lin was full of thoughts and his eyes began to shine.

If the risks can be controlled, the operation can be completed without the safety of the patient, and the effect of this operation should be achieved, it is indeed the best way to solve the disease!

It is even better than ventricular abdominal shunt.

"Doctor Xu, are you sure?" Director Lin said in disbelief.

This is a surgery that has been abandoned for nearly fifty years!

"Is there a director in our hospital in Temple of Heaven Hospital?" Xu Qiu asked instead without answering.

Director Lin thought for a while and said, "There is such a thing. Director Ge, he was sent by the Temple of Heaven Hospital to negotiate specific cooperation matters with us!"

"Please ask him to have surgery too." Xu Qiu said.

Director Lin immediately understood the meaning... He was about to start showing his muscles to the Temple of Heaven...

He quickly agreed.

...

"There is another point." Xu Qiu looked at the gastroenterologist.

Xiaojie's surgery has four difficulties: one is intraocular infection, the second is liver abnormality, and the other two are intracranial lesions and intestinal worms.

Now the first three have solutions, and there is also a gut tract.

He didn't give time to discuss and said directly: "If the patient drags it down, the chance of intestinal perforation is high. The best way is to remove the intestinal duct."

"Yes!" The gastroenterologist agreed immediately.

...

After the consultation, the preliminary surgical plan was also decided.

The first is the three-incision vitreous surgery to remove intraocular parasites.

This is the least risky operation. Even if it fails, at most one eye will be lost.

Secondly, the third ventricular bottom stomatosis.

Finally, there is intestinal resection and artificial liver replacement therapy.

The latter two were abdominal surgery, so they were put together.

The operation was finally scheduled for two days.

On the eve of entering the operating room, Xu Qiu talked to his family again.

Compared to when he first came, the old man in the vest was already dozens of years old. His already hunched body was even weaker at this moment. His face was covered with traces of wind and frost, forehead lines, corner lines of eyes, and ravines on his face.

, they all tell his vicissitudes of life.

A pair of turbid and irrelevant eyes hung on the lonely face, which makes people feel extremely bitter.

"Doctor, this is the only one child in our family. You must save him..." The old man in the vest thought for a long time and finally said this.

Although the same scene has been experienced countless times, Xu Qiu still felt a little throbbing in his heart.

In the face of life, no matter how many repetitions are repeated, it is difficult for people to easily bear this heavy entrustedness.

Xu Qiu had a solemn expression and said seriously: "We will do our best to protect the patient."

...

Two days later, the combined surgery began.

The first step is eye surgery.

To be precise, it is closed three-incision vitreous surgery subretinal injection.

The former is to remove insect bodies, while the latter is to perform a major cleaning of all parts of the larvae to prevent future troubles.

"Ophthalmic surgical microscope, vitreal retinal surgery system, minimally invasive vitreal retinal surgery kit such as 23g/25g/27g, 1ml microfluidic control syringe, 8g and above subretinal microinjection needle..." In the operating room, Xu Qiu counted one by one.

Prepare equipment.

For this operation, the ophthalmology department even brought a microscope with integrated light coherence tomography, which was fully armed.

"Prepare for three-incision vitreous surgery to remove it." Xu Qiu's voice fell.

Since Xiaojie is a child, this operation is much more difficult than usual, and there are many things to pay attention to.

For example, the ocular structure of children is slightly different from recognition. During vitreous surgery, the child's eyeball is smaller and the flat part of the ciliary body is not developed, which will lead to inconsistency between some anatomical structures and the teaching materials.

If the surgery is performed according to the experience of an adult, the consequences will be disastrous.

Therefore, the position of the scleral incision must be controlled at about 3.5mm of the distance from the cornea limbus.

Moreover, if children have no vitreous and disengaged, they must use intraocular tweezers or high negative pressure to form the vitreous and disengaged for surgery.

...

Regular surgery disinfection, towel and anesthesia.

A 25g minimally invasive vitreous monoretinal surgery kit was used, and a scleral incision cannula that matched the diameter of the thick tube of the subretinal microinjection needle was selected...

The front vitreous body is routinely cut and high negative pressure suction is performed on the visual disc.

Click!

The vitreous body is separated after completion.

At this time, everyone looked in, and their faces changed.

The white nematode that was fixed before the operation was not visible after opening the incision!

Xu Qiu started looking calmly.

Finally, he found the white nematode in the posterior boundary membrane of the vitreous nipple nose.

At this moment, the nematodes had been bent into a ball, and their bodies were constantly wriggling.

Seeing this scene, everyone felt disgusting.

Xu Qiuze frowned.

This is a very bad signal!
Chapter completed!