This step is not difficult, you can do it with the cutting head.

If you take a step back, it will work to directly absorb the plastic pipe.

If neither of these methods works, you can only choose the most dangerous method - vitreous tweezers to grab the insect body.

This operation can easily lead to rupture of the insect body, and once it occurs, the consequences will be very serious.

Fortunately, Xu Qiu's technique was very skillful. As soon as he started cutting his head, he quickly got into a curled ball of nematodes and stuck out.

The ophthalmologist looked excited. When he was about to further clean the residual posterior boundary membrane of the vitreous body, he found that Xu Qiu was still looking for something.

A puzzled expression appeared on his face... Could it be that it has not been completed yet?

Soon he had the answer.

Xu Qiu's pupils shrank, and then he pointed out the problem: "Here."

Everyone hurriedly looked at it and saw that there was a very small black dot in Xiaojie's eyes in the center of the art area. If you don't look closely, you can't find it. However, after Xu Qiu reminded me, everyone noticed it.

Tunnel-like defects!

This is the trace left by the cymbidium worm after penetrating the ocular structure, and it also passes through the path of it from the posterior retina of the posterior equator at the upper temporal temporal equator to the posterior boundary membrane of the vitreous.

"A repair is needed here..." Xu Qiu reminded.

The ophthalmologist then woke up like a dream, and a layer of cold sweat broke out on his forehead.

Fortunately, Xu Qiu is here!

Otherwise, he is very likely to miss this important injury!

Perhaps no one noticed it until the operation is completed, and the patient suffered vision damage or even blindness. In the end, no one would think it was the operator's mistake, and only thought it was one of the normal sequelae of the operation...

"I'm not cautious enough!" The ophthalmologist immediately began to reflect.

Since the insect body goes from the retina to the posterior boundary membrane of the vitreous body, there must be a channel. Xu Qiu relies on this logic to inversely elicit the damage!

Next to the operating table, the other operating teams waiting were also shocked.

The brain surgery team, Director Lin, and Director Ge of the Temple of Heaven were all amazed and deeply moved.

The gastroenterology and hepatobiliary departments team were also stunned.

If the operating room hadn't been able to applaud, there would have been thunderous applause at this moment.

...

After finding the defect, Xu Qiu began to check whether the macular area has anterior retinal membrane.

This is for subsequent retinal injections.

The so-called anterior retinal membrane is a proliferative disease, that is, a layer of abnormal proliferative membrane on the surface of the retinal. It is common in the elderly. Some patients also have idiopathic anterior retinal membrane. It can be asymptomatic, but it will hinder retinal injection.

implementation.

Fortunately, Xiaojie's eyes have no other problems except for the infection of the round nematode.

After the three incisions and preparations are completed, the retinal injection is about to begin.

“Connect the injection system.”

This step is more inclined toward mechanical technology.

The subretinal injection system is very complicated. First, the tail of the VFC syringe must be connected to the silicone oil infusion pipe fittings, and the other end of the silicone oil infusion pipe fittings are connected to the vitreous cutting machine; then the syringe is equipped with a filter needle, and in the silicone oil removal mode of the vitreous cutting machine,

Adjust the suction force to 650mmhg, control the foot pedal, constantly control the syringe, adjust the pressure, etc.

"Set the maximum bolus injection pressure to 20mmhg."

“The oct scan range is located to the macular fovea.”

Xu Qiu stared at the screen and slowly controlled the micro-syringe.

With the infusion of the therapeutic drug, the foveal retina gradually raised, and when it just expanded into a small ellipse, he stopped.

If the injection continues, the foveal profile will be reversed or overstretched. At this time, it is an overinjection, and secondary retinal or macular holes are prone to occur.

"Removal of residual vitreous posterior boundary membrane."

"Intraocular laser closure of retinal defect."

"Gas-liquid exchange, inject c3f8 gas..."

After orders were issued, the eye surgery finally came to an end.

The ophthalmologist has a little dreamy feeling... Is a three-incision surgery done like this?

The difficult subretinal injection was actually taken without any danger!

Before pushing it onto the operating table, everyone was worried and thought it would not be possible to go so smoothly!

"It's incredible..." The ophthalmologist sighed, feeling a little unwilling to leave just like that.

He even wanted to pull a few more patients over and perform a few closed three-incision surgery on Xu Qiu.

At this time, Director Lin couldn't wait and said, "Give it quickly, it's our turn to brain surgery!"

Director Ge also cleared his throat and walked up with his head raised.

What Xu Qiu wants to do is the third ventricular bottom stomatosis?

This type of surgery was abandoned as early as the 1970s. Although it was not completely abolished, basically no one in the industry can look at it. They all choose ventricular and abdominal cavity with higher safety, lower difficulty and better results.

Splitting technique.

Now I go to have a third ventricular understomy...

If it weren't for Xiaojie's situation, it was indeed not suitable for abdominal diversion, Director Ge even thought that Xu Qiu was deliberately showing off his skills and used the patient's life as a prop to show his medical skills!

However, although ostomy was Xiaojie's only choice, it did not prevent Director Ge from thinking that this method was too primitive.

"So Xu Qiu is trying to treat a dead horse as a living horse?"

"Since the ventricular abdominal shunt is not working, the only thing that can be used is the ostomy, and he has to take the risk..."

"Although it is not a modern operation, it is also a respectable thing for Xu Qiu to take risks to save the patient's life."

Director Ge's psychological activities were extremely rich. He looked at Xu Qiu several times, trying to see a hint of anxiety in the young doctor and the tension in the face of an uncooperative patient.

However, none of them were.

Xu Qiu's eyes were consistently calm, and there was no trace of turbulence in his expression, as if everything was expected.

"This... is too arrogant..." Director Ge couldn't help but feel a little worried.

...

Soon, the patient was placed in a supine position, with his head raised and the skin on his forehead placed at the highest point, which is also the most suitable position for the operator to operate.

Of course, the purpose of doing this is not only to facilitate the surgeon. Taking this special position can also reduce intracranial air accumulation after surgery and reduce intracranial pressure more quickly.

Scream-

A sharp scalpel made a longitudinal incision 1 cm before the coronal slit on Xiaojie's side forehead.

Then, each layer of the scalp is cut layer by layer and peeled off from the periosteum.

After the mastoid retractor pulls away the skin, the skull is exposed.

Xu Qiu reached out to take the drill hole, opened a hole in the frontal bone, and then crossed the dura mater, electrocuting the local cortex to complete hemostasis.

"By the way, why don't you use your craniotomy machine?" At this time, Director Ge couldn't help asking.

It is said that the automatic craniotomy machine of Lin Medical has taken craniotomy to a new level and even revolutionized the entire field.

Why is this surgery not needed?

As soon as the words finished, the audience's eyes gathered, and everyone who came to the doctor looked at Director Ge with strange eyes.

The latter felt a little scared and asked with courage: "What...what happened, is there any problem?"

——
Chapter completed!