Surgeon: I can hear the cells

11.

There are several surgical methods for aneurysms.

The general surgical method for intracranial aneurysms is neurointerventional therapy, through femoral artery puncture, a miniature coil of spring is inserted from the aneurysm hole into the aneurysm, blocking the aneurysm to reduce the possibility of bleeding, also known as aneurysm embolization.

Surgical treatment is mainly the use of surgery to expose the initial vascular wall of the aneurysm, separate the neck of the aneurysm, and clip the outside of the aneurysm.

And this difficulty, the most difficult is to clip the outside of the aneurysm.

The first step in surgery is the approach.

Wing point approach is required.

If the aneurysm is located posterior to the lateral cerebral fissure, the incision should be appropriately moved backward and a larger frontal-temporal approach should be adopted;

If the aneurysm is on a peripheral branch, the incision is designed according to the site shown by cerebral angiography.

If the aneurysm is superficial, special care is required when cutting the dura, and it is also the most difficult and dangerous, such as the adhesion between the aneurysm and the dura mater, which is easy to tear and bleed when opened.

And this patient was torn and bleeding when he opened it.

At this time, you need to use arterial clips!

Ye Feng, quickly found the arterial clip on the instrument next to him.

Arterial clips are found, and it is also difficult to find arteries in the bloody brain.

“A little left, yes, that’s the position.” Cerebrum.

The other party’s brain cells were directing Ye Feng’s operation.

“The desire to survive is quite strong.” Ye Feng muttered, not daring to relax.

It’s a tense time.

The arterial clip really succeeded in clamping and the aneurysm ruptured.

Arterial clips are clamped distal to the origin of the bean-striated artery of the brain to ensure blood supply to the basal ganglia.

“Not good! Still bleeding, more than one bleeding? ”

Ye Feng’s heart was stunned, no wonder Dr. Mo announced his death, this is because the aneurysm has ruptured more than once, and there are several tributaries.

This is because, if the aneurysm still bleeds after clamping the main trunk, it indicates that blood is refluxing from the main branches.

Excessive reflux can cause ischemia in adjacent brain areas due to blood theft from the collateral circulation, the so-called “cylinder effect”.

Tributaries are the hardest to find.

Ye Feng felt an unprecedented challenge.

This is the surgeon’s surgery, and they are helpless.

Sweat had already condensed on his forehead, but his eyes were still sharp, and he did not dare to be distracted.

The most important thing is that it is still very noisy outside.

He is here, and still no one has found it.

“Big brother, I’ll guide you!” Cerebrum.

“There are two tributaries, down the inside.”

“A little more.”

“A little to the left.”

“Yes, this is it.”

The brain’s desire to survive is very strong.

For Ye Feng’s mental dexterity, it was also tested to the extreme.

After clamping the tributary steadily, follow the brain’s prompt, and then clamp the other side of the tributary.

Finally….

The bleeding stopped!

Ye Feng took a long breath, but this was just the beginning.

Quickly stop the bleeding, he must isolate the tumor neck as soon as possible!

And this step is to separate the aneurysm!

Surgery is a four-step approach, the first step is approach, the second step is to reveal the aneurysm, the third step is to separate the aneurysm, and the fourth step is to clamp the aneurysm.

Dr. Mok went through the process of separating the aneurysm.

Ye Feng was remedying this step.

After separating the neck.

Ye Feng, with a scalpel, fast and ruthless, cut the tumor wall, remove thrombus and atherodegenizable substances, and then use electrocoagulation to narrow the tumor neck, which is easy to clamp.

Ye Feng began to suture the blood vessels, step by step, meticulously.

The smell of blood had long numbed his sense of smell.

“It feels relieved.” Cerebrum.

“Brothers, supply blood to the brain, rush!” Blood.

“Don’t be too violent, just stitched.” Blood vessels.

The electrocardiogram began to have slow ups and downs.

“Didi-”

After Ye Feng completed the internal surgery, the follow-up suturing was very fast.

If someone photographs this scene, it is like a butterfly wearing a flower.

After successfully suturing the outside of the brain, Ye Feng breathed a sigh of relief.

A high-intensity operation, he was too mentally drained.

Fortunately, the surgery was very successful.

And things outside, bigger and bigger.

At this time, the police, too, have arrived.

……

“Hey, where did Ye Feng go?”

After communicating with Dr. Mo for about twenty minutes, Chen Hai came back to his senses, but found that Ye Feng was no longer around.

“I don’t know.” The rest of the interns shook their heads.

“This gentleman, I’m sorry, but the operation is not guaranteed to be 100% successful, so please calm down.” Dr. Mok said.

“Wow…” the young man was controlled by the police, and his heart broke down and he cried.

This scene has too much impact on the hospital.

Zhou Guoqiang was also shocked.

“Dean, the operation failed, and the family made trouble.” Dr. Mok immediately informed him of the situation.

“Hey, that’s what I’m most afraid of encountering.”

“Let me see how to stabilize the family’s emotions.”

Zhou Guoqiang shook his head and said.

“Who is that, Huang Mingfeng’s family, the operation peak turned around, he has been pulled up from the door of death.”

At this moment, a voice broke the deadlock at the scene.

I am most afraid that the air will suddenly be quiet.

PS: Plus even more!! I hope that if you like it, you can vote for more flowers, and see that the author will definitely add more!! Most of my doctors’ texts are very bizarre and incurable diseases, and there are many surgeries. Hope to support it!