Director Lin spoke out what everyone was thinking and said in a tone of "You must be sick": "Yes, and there is a big problem..."

Director Ge looked confused and looked around, trying to find some comfort.

As a result, everyone's expressions were surprisingly consistent.

Director Lin couldn't bear it and explained: "The accuracy and speed of the craniotomy machine may not be comparable to Dr. Xu."

Director Ge was still puzzled at first, but immediately fell silent after hearing these words.

What kind of confidence is this...

But Xu Qiu really has this strength.

"I'm disturbing you..." Director Ge quietly stepped aside and began to think about life.

…

The operation did not stop because of Director Ge's collapse.

By the time he plucked up the courage to come back, the brain puncture needle had already entered the lateral ventricle, and as seemingly clear cerebrospinal fluid flowed out, the brain pressure was also displayed.

123mmhg!

Director Ge's face changed slightly.

The normal value of intracranial pressure in children is around 50 to 100. If it exceeds 12 units, it is already in a dangerous period. Without timely intervention, irreversible damage to nerve cells is likely to occur.

What's even more frightening is that strong pressure may push brain tissue into ectopic positions. Once it affects the brainstem area, it is a dead end.

Xiaojie's brain tissue was under continuous and strong compression, and it was normal for him to have unrelieved headaches and confusion.

"It's 11 units higher than the dangerous value..." Director Ge said softly, for fear of an accident happening at this time.

This kind of patient must be extremely cautious even in Tiantan General Hospital. Who would have thought that a clinical doctor would dare to perform an operation!

"It's not dangerous." Director Lin commented carelessly.

Director Ge's eyes widened and he exclaimed: "Isn't this dangerous? What are your danger indicators?"

Director Lin pointed his chin to the monitor in the distance and said, "Isn't the patient still alive? He has a heart rate. What's the danger?"

Are you from the emergency department? How can you say that it is not dangerous to be alive, something only a big liar from the emergency department can say... Director Ge just finished muttering this sentence in his heart when he suddenly froze.

Xu Qiu really works in the emergency department...

His expression changed several times, and he suddenly felt that he couldn't stay in the hospital any longer.

After a few more surgeries, my self-confidence will be shattered!

"Tiantan is the leader in brain surgery, Tiantan is the number one in brain surgery..." Director Ge muttered silently, trying to hypnotize himself.

Director Lin glanced at it and couldn't hide the smile on his face.

It's so cool...it turns out it's so cool to use Dr. Xu to show off...

When will Wang Shengde come down, he will go up and sit in the position of the director of the hospital, and then wander around the country...

"Pull out the needle." At this time, Xu Qiu's voice sounded again.

Director Lin immediately returned to his normal state, quickly removed the puncture needle, and at the same time inserted the scope sheath with the guide core into the lateral ventricle from the conventional ventricular puncture position.

Then pull out the sheath core and introduce the endoscope.

After completing this step, the neuroendoscope is considered to be installed.

Then continue rinsing with sterile saline.

Xu Qiu accurately and quickly identified the phrenic veins, choroid plexus and thalamostriate veins from a bunch of crowded brain tissue structures.ωωw..net

These three components form a Y-shaped structure, which is the anatomical landmark of the lateral ventricle.

Following the markings, the interventricular hole on the same side was also found.

"So fast..."

"Is this the mark completed?"

Director Ge was so shocked that he was speechless.

Xu Qiu's ability to locate brain structures and functional divisions has exceeded his imagination.

Even to the point of being unbelievable.

Director Lin looked at the opportunity and asked: "How about it? Compared with Tiantan Hospital, how good is Dr. Xu's craniotomy and neuroendoscopic operation skills?"

Director Ge had long forgotten the hypnosis of "No. 1 in the Temple of Heaven" and blurted out: "In such a huge Temple of Heaven, I can't find anyone who can quarrel with Dr. Xu..."

Director Lin's old face turned into a chrysanthemum smile.

…

As the operation progressed smoothly, the atmosphere in front of the stage became more relaxed, with some dirty jokes popping up from time to time.

Xu Qiu's expression remained unchanged... Woman? What is a woman? It will only affect the speed of my craniotomy.

"Balloon Catheter."

He stretched out his hand, took the balloon catheter, and brought it to the midline slightly in front of the basilar artery.

Then came bipolar electrocoagulation to create the fistula.

After expanding the diameter of the fistula to five millimeters, Xu Qiu stopped.

He looked inside the endoscope again and saw that the arachnoid membrane of the interpeduncular pool was thin and semi-transparent, showing a healthy state, while the cerebrospinal fluid flowed from the third ventricle into the interpeduncular pool. This closed pathway was opened, completing the process.

Perfect circulation of cerebrospinal fluid under physiological conditions.

"Ostomy, the ostomy done fifty years ago was really successful!" Director Lin couldn't help but be surprised at this moment.

Director Ge swallowed his saliva... Who said Xu Qiu had to bite the bullet... It smells so good!

Director Lin glanced at Director Ge and asked: "This can be regarded as recreating the glory of third ventriculostomy surgery. Do you want to learn it from Tiantan?"

"Think." Faced with this operation, what does face mean?

With the third ventriculostomy, if you encounter similar patients in the future, you will have an additional means of protection. It can even be said to be superior to the conventional ventriculoperitoneal shunt, and you can definitely become a new star!

Except for patients like Xiaojie, it almost perfectly solves the pain points of obstructive hydrocephalus without having to carry a shunt for life. It is perfect.

What kind of leader in the Temple of Heaven, Lin Yi, I want to be your dog!

Director Ge unknowingly put on a flattering smile, and shouted in unison with Director Lin: "Dr. Xu is awesome, Dr. Xu is 666!"

…

After the third ventriculostomy is completed, the problem of intracranial pressure is completely resolved.

Next, you can safely clean up the parasites in your brain.

There are two plans given by Xu Qiu, conventional brain parasite resection and combined brain abscess puncture and drainage.

The first is excision.

This step is also performed under endoscopy.

With the help of the stereotaxic system, Xu Qiu quickly determined the surgical target, then made a scalp incision, drilled a hole, and then inserted the endoscope. When the tip of the instrument reached the target of the lesion, everyone saw the cyst wall on the screen.

.

The cyst wall of Angiostrongylus is very thin, appears crystal clear under light, has high tension, and seems to burst at any time.

Everyone held their breath subconsciously... This is the time when the risk is highest. Once the cyst wall is accidentally damaged, causing the internal cyst fluid to flow out, the parasites may infect various parts of the brain tissue.

By then, the sharply increased intracranial pressure will be uncontrollable, and even if he does not die from cerebral herniation, he will die from parasites in the brain that cannot be removed.

Xu Qiu then used micro scissors to open the cyst wall.

The suction device started to operate, and the cyst fluid was sucked out before it had time to spread.

As the cyst cavity shrank, Xu Qiu turned to control the micro biopsy forceps, slowly removed the remaining cyst wall, and used laser cauterization to stop the bleeding.
Chapter completed!