I have never heard of epilepsy surgery without craniotomy.
The anesthesiologist and four other nurses in the operating room were surprised.
What is this concept?
Epilepsy surgery, from the first case in this hospital to the present, has always been a craniotomy operation, and sometimes the patient needs to wake up from anesthesia and perform the surgery in a clear state.
The purpose of the operation while awake is to identify the functional areas of the brain tissue.
Every small piece of brain tissue is responsible for a certain function.
For example, there are those that deal with language, those that deal with naming, those that deal with movement, and those that deal with feelings.
In short, the cerebral cortex is a functional area.
The frontal lobe is mainly responsible for motor functions, the temporal lobe is mainly responsible for thinking, cognition, and emotion, the occipital lobe is mainly responsible for visual functions, etc.
When a part of brain tissue is removed during surgery, damage to functional areas must be minimized, and the patient's cooperation is required to determine whether a certain functional area has been damaged.
The anesthetist is very important. When anesthesia is needed, he must immediately anesthetize the patient. When he needs to wake up, he must wake up the patient immediately.
Therefore, this kind of surgical anesthesia places high demands on anesthesiologists.
Today, he is well prepared, and he will embody the level of the Neuropsychiatric Hospital of Shanghai Medical University.
You know, there are no more than ten hospitals in the country that perform this kind of surgery. In ordinary hospitals, this kind of surgery should not even be considered.
This anesthesiologist's love for the hospital is very strong and he is ready to perform at the highest level.
However, the chief surgeon Liu Muqiao told him that it would only take ten minutes and the simplest anesthesia would be enough. Alternatively, two milliliters of procaine would be given to the scalp and 10 milligrams of Diazepam would be given intravenously.
He was stunned there.
I didn’t understand what was going on for a long time.
Now, you don’t need a maestro?
Just ask the nurse to push Diazepam, but you want me to do the decoration?
Suddenly I felt abandoned.
Very helpless, very lonely, and very helpless.
The nurse station also felt like there was nothing to do. Doctor Zou did the skin preparation, draping, and drilling. The instrument technician, the one named Zou, also prepared to do it himself.
What are we here for?
Just help them put on surgical gowns?
Dr. Zou has completed the preparations, and he has now become an instrument technician.
Their equipment is specially made.
Very few instruments are required, just a puncture needle.
Liu Muqiao read the MRI film for the last time.
Then, turn around.
Stretch out your right hand.
Dr. Zou gently patted the puncture needle into his palm.
He took aim briefly, then inserted the needle. The moment before he reached his destination, he slowed down.
His needle touched the scar and felt it.
This is the essence of his piercing.
The master-level puncture master could clearly see the passage from the brain tissue to the scar tissue. He paused, then punctured, and then, following the biopsy method, he lifted up a piece of tissue smaller than a mung bean.
He completely removed the scar, which was two millimeters in diameter.
Dr. Zou cut a small piece of gauze, covered it with the patient's wound, and put a cross-shaped tape on it.
The operation is over.
"You can wake the patient up."
The anesthesiologist woke the patient.
Then, he turned around and shed two tears.
Is it still valuable?
I only injected 10 milligrams of diazepam during an operation. Is this my value?
……
Several epilepsy experts in another house looked at each other in horror. They were confused.
Is surgery still possible?
In the past, an epilepsy operation required a lot of effort, and the preoperative preparation alone took a week. On the day of the operation, all members of the team had to attend, the anesthetist also had to choose the best one, and the nurses were all strictly trained.
p>
But now, have you picked a pustule?
About ten minutes.
They have been studying epilepsy surgery for more than 20 years, and now a new surgical method has suddenly appeared. Should this surgical method be named Liu's method?
Liu method?
When Liu Muqiao heard this sentence from a Japanese expert, he couldn't help laughing.
Liu!
Yes! Neuroscience should also have the name of our country.
Liu! Liu style, Liu Muqiao hopes that there will be more places to write Liu style in the textbook.
"Zou Qingxiang, another paper is ready for publication!"
Zhao Yilin patted Zou Qingxiang.
He realized that this was another achievement, perhaps an epoch-making achievement, and he reminded Dr. Zou to quickly collect relevant data.
"Dr. Liu, are you sure that the extracted tissue is the brain tissue that induces epilepsy?" the Japanese expert asked.
He is a famous professor at Kyoto Hospital Neurology Hospital, an executive director of the World Epilepsy Society, and a visiting professor at many universities.
His achievements and status in epilepsy are very high.
It can be said that he is a real expert, not just a professor.
Liu Muqiao smiled.
"As far as the surgery itself is concerned, I am sure that the lesions have been removed. However, as an academic, it should be more rigorous. There are two ways to verify: one is pathological slices. A small number of neurons and a large number of scars can be seen on the slices.
Tissue, as well as surrounding brain tissue, the scars are relatively complete. The second method is to artificially induce epileptic seizures. If you are interested, you can implement it now."
"Now? It's inhumane to induce epilepsy right after the operation. If epilepsy is induced, it will be very detrimental to the patient's postoperative recovery."
Liu Muqiao grinned, "No problem, I'm very confident."
The Japanese expert turned his head and said to Professor Shortfoot: "Try it? Since he is so confident."
Professor Shortfoot nodded and said, "Okay."
Everyone present wants to see the results. This is likely to be another era of epilepsy surgery. They are very eager to witness it.
After 30 minutes, the results came out.
First, the pathological biopsy confirmed Liu Miqiao's prediction that it was scar tissue, and it was removed very cleanly.
The second is the induction experiment, and the result is negative, which means that epilepsy cannot be induced at all, proving that the lesions have been completely eliminated.
Success!
A great success!
The professors came up one after another to shake hands with Liu Muqiao, Zhao Yilin, and Zou Qingxiang.
The last people to shake hands with Liu Muqiao were several big-shot figures.
"Congratulations, Dr. Liu Muqiao!"
"You achieved great results!"
"Epoch-breaking, a new technique!"
The Japanese expert bowed to Liu Miqiao respectfully, very standard, 90 degrees, and then said: "Can I invite you to give lectures at our Kyoto Hospital?"
He uses English.
Liu Muqiao said in Japanese: "Yes, sometime after next year."
"Hey, I'm really surprised that you speak Japanese so well. I hope you can come to our Kyoto Hospital to give lectures as soon as possible."
"I am still a student, not a doctor yet. I have to complete my internship now and it is not convenient to go to your hospital. Besides, regarding the surgical treatment of epilepsy, today is only the first case using my method. I think there have been 30 cases.
After that, it would be better to come out and give lectures.”
"Oh, you don't actually need to be so cautious. Today's successful example can announce your achievement. In the future, more scholars may explore this path. I hope the naming is yours, not others.
of."
His meaning is very clear. If you don't announce the results quickly, others may catch up from behind. At that time, it will not be Liu Fa, it may be Tan, or it may be Xiao Fa.
Liu Muqiao smiled and said: "It doesn't matter. It won't take too long to complete 30 cases, maybe one month."
The Japanese expert had no choice but to shake his head, "One month? Impossible. However, I still hope you can complete 30 epilepsy surgeries as soon as possible."
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Half an hour later, under the guidance of Professor Shortfoot, Liu Maqiao came to the ward. There were two patients who needed consultation.
This chapter has been completed!