Chapter 1448 Chen Cang Succeeded?
In the operating room!
The atmosphere was unprecedentedly serious.
This operation is the core operation of their rescue work.
At this time, it was already twelve o'clock in the evening.
But the emergency department on the first floor of the hospital was still brightly lit.
Wang Tong, Yu Yonggang and others also completed today's work.
They went into another office in the operating room and started watching the operation!
This operation is directly related to the success or failure of this rescue work!
After all, before the rescue, it was said that Sidis was the key rescuer!
Therefore, everyone dare not relax their vigilance.
At this time, Lao Ma glanced at Xu Aiqing and asked curiously, "Aiqing, you and Chen Cang have been together for a long time, when did he learn so many neurosurgery operations? After he came to our emergency center, I seemed to Haven't seen him participate in a lot of neurosurgery?"
This question, the old horse asked the voice of everyone.
All of them came to participate in the rescue work. They were all elites from all walks of life. Many people were very curious about Chen Cang.
What kind of person is this, proficient in so many kinds of operations.
Moreover, the connection between each type of surgery is not very strong, but each type of surgery can achieve excellent results, and even win the industry status that they can't achieve in their entire lives!
After Xu Aiqing heard it, she was silent for a moment, and then asked, "Do you have to learn from surgery?"
This rhetorical question directly made the old horse ask an idiot!
"I...I..." He hesitated for a long time, but the old horse didn't say a word.
"The operation has begun!" Yu Yong just said at this time.
Everyone gathered their thoughts.
Only the old horse was thinking about the problem just now, whether it has anything to do with surgery and learning how to operate!
...
...
In the operating room, the blood transfusion department is ready and ready for everything.
When choosing anesthesia for surgery, Chen Cang chose local anesthesia!
That's right!
Local anesthesia is selected for craniotomy.
This also made Xue Zhengren and others shudder.
After the head was fixed, Chen Cang asked for a scalpel.
This time, it was all of them trying.
However, when everyone looked at Chen Cang's calm state, it didn't look like the first operation at all!
The choice of incision remains the right temporal flap.
Although the patient has undergone CT examination, due to the particularity of the location, drilling exploration is still required to prevent direct opening of the circuit, and the operation needs to be re-opened for some reasons.
Chen Cang held an electric drill and carefully drilled into the lower temple.
When the skull was opened, Chen Cang also saw a thin layer of hematoma under the dura.
Yang Ming was by Chen Cang's side. After seeing the hematoma, he removed it without Chen Cang's words.
Later, everyone also saw the swollen brain tissue bulge outward.
Intracranial pressure is still not low!
However, seeing the hematoma, everyone was relieved.
Because that means the brain contusion is nearby!
As long as you continue to go deeper, probing the bottom of the brain can often confirm the presence of lesions.
After making up his mind, Chen Cang prepared to open his skull.
And Xue Zhengren said directly: "Professor Chen, let me come!"
Chen Cang was taken aback, glanced at Xue Zhengren curiously, hesitated for a moment, then nodded: "Okay! Be careful."
Chen Cang didn't react to Xue Zhengren's sudden favor.
Seeing this, Yang Ming smiled instead.
Craniotomy is usually performed by an assistant to open the bone flap.
After all, this is physical work, and the chief surgeon generally has to reserve strength to perform core operations.
Therefore, Xue Zhengren's appearance is obviously to show his favor to Chen Cang!
Xue Zhengren's techniques are very skilled. I have to say that as a rare academician in neurosurgery, Xue Zhengren has a very deep foundation!
When the dura mater was opened, Xue Zhengren took the initiative to take a step back: "Professor Chen, come on!"
At this time, the picture inside the skull appeared in everyone's field of vision.
The situation is not good!
The most serious damage to the impact and hedging injuries is not the outside, but... even so, the purple-red tissue is still seen under the pia mater of the brain injury!
Moreover, some small blood clots and broken, necrotic, and softened brain tissue can be clearly seen on the surface of the intracranial brain tissue.
After seeing this scene, everyone held their breaths.
The situation is worse than everyone thought.
Seeing this, Chen Cang couldn't help frowning!
CT examination is only an examination after all, and all you can get is a signal!
After all, many things need to be opened and viewed directly.
"Bipolar coagulation forceps for me."
"And ordinary tweezers, give me a pair!"
Cleaning up the surface is pretty simple.
In less than ten minutes, after coagulating some damaged blood vessels and cleaning up the broken tissue, Chen Cang breathed a sigh of relief.
The key lies in the subsequent processing.
Surface blood clots and broken tissue have been cleaned up.
At this time, Chen Cang carefully separated the brain tissue with blunt tissue forceps.
Under the illumination of the shadowless lamp, the internal situation was soon exposed.
After seeing this scene, everyone's expressions changed!
No one thought that the internal damage would be so serious!
Xue Zhengren frowned: "Can this be cleaned up? The devitalized tissue has been broken like a ventricle and lost its boundaries! Moreover, the brain tissue has softened and collapsed. After this loses its support, it will press on the nerves... It's a bit bad!"
Yang Ming also stared at the brain tissue like tofu brain, shaking his head without saying a word!
The success rate of this operation is too small!
Inactivated tissue debridement, how is this different?
Accidentally cleans up normal tissue.
The people watching the surgery outside were even more silent!
Can this operation be done?
At this moment, Chen Cang said:
"Give me the attractor!"
The little nurse on the side quickly nodded and handed it over.
Chen Cang held the suction device in one hand to start suction removal from the eroded and inactivated wound, and held the bipolar coagulation forceps firmly with the other hand!
The next surgery is a serious challenge.
Chen Cang's movements were very small.
Even if his eyes can clearly see red inactivated tissue and yellow damaged tissue, the intracranial and abdominal cavity are different, so he can't make a big deal!
In this way, Chen Cang had to undergo electrocoagulation when he encountered bleeding blood vessels.
Such a gradual removal starts at the surface of the brain and gradually removes it to the depths, so that the brain area after removal is in the shape of a pot bottom.
With the passing of minutes and seconds.
Chen Cang's hands are really steady!
The bipolar coagulator was also put down by Chen Cang, replaced with needles and threads, and carefully sutured the blood vessels in the yellow area.
The whole process is very long!
But you can't be in a hurry!
You need to be patient and careful.
Just like this, when everyone around them felt sleepy and filled their hearts.
In an uproar, I saw that the brain tissue actually resumed its pulsation!
Suddenly, everyone woke up!
because!
The criterion for complete removal of devitalized tissue is that the brain softens, sinks, and returns to pulsation.
Chen Cang succeeded?
...
ps: There are still two chapters in a while, ask for a monthly pass, hold on to the veteran! We can win!
come on!