Chapter 61 Surrender
After completing this series of steps, Wu Tianlin handed over the remaining cranial closure work to Dr. Chen who was standing aside. After that, while watching Dr. Chen suturing the patient, he warned him: "Dr. Chen! The cranial closure uses tight suturing of the dura mater and brain.
The method of suturing the dura mater at the edge of the skull window. If the dura mater in the cranial window is too relaxed, a dural suspension thread can be made. A small hole can be drilled from the corresponding part of the skull flap, and the suspensory thread can be led to the outside of the skull and sutured with the periosteum.
Ligation is performed to eliminate the epidural space as much as possible and reduce the chance of postoperative hematoma formation. A drainage tube is placed under the subdural and epidural and another incision is made to lead out."
After watching Dr. Chen complete the suturing, Wu Tianlin pulled out all the gold needles inserted into the patient's body and told Dr. Chen: "Let the nurse do the rest of the work. Let's go to the observation room outside first. I'll give it to you."
Please tell me what you should pay attention to during this kind of surgery."
Although Wu Tianlin showed off his skills yesterday, in their minds, Wu Tianlin only had good medical skills. However, when they witnessed the operation performed by Wu Tianlin, they admired Wu Tianlin's medical skills from the bottom of their hearts, and they really admired Wu Tianlin in their hearts.
Treat it like the director of the oncology department.
So when they saw Wu Tianlin coming out of the operation with sweat on his face, the doctors in the observation room unconsciously showed expressions of admiration on their faces, and they all greeted Wu Tianlin very respectfully.
The reason why Wu Tianlin arranged this surgery observation today was because he wanted to completely conquer the doctors under him. So when he walked into the observation room and saw everyone's expressions, he was undoubtedly very happy. He was very happy for the doctors in the observation room.
They said: "Everyone should have seen today's surgery. Because of the special location of cranial nerve tumors, careful planning must be done before surgery. The general principle is to try to find the supply artery after the craniotomy.
Ligate, remove the malformation, and then process the vein. If the patient's condition worsens during the operation, the operation must be stopped immediately."
"However, there is a situation that everyone should pay attention to. The veins of cerebral venous malformations are filled with arterial blood and turn red. Sometimes it is difficult to distinguish them from arteries. In this case, mistakenly ligating the veins will inevitably cause the hemangioma to become more congested and even make the wall thinner.
The veins burst and bleed."
"When resecting a cerebral hemangioma, the possibility of massive bleeding often exists. The surgical plan should be followed carefully under direct vision to avoid bleeding as much as possible. If bleeding occurs, the main reason is often that the blood supply artery has not been properly treated.
, at this time, the main trunk of the blood supply artery (such as the middle cerebral artery, anterior cerebral artery, etc.) should be exposed according to the angiogram and preoperative plan, and controlled with a vascular clip or aneurysm clip."
"Another type of major bleeding is caused by "normal perfusion pressure breakthrough syndrome". This situation is very rare, but once it occurs, if it is not treated in time, it will directly lead to the failure of the operation."
Wu Tianlin played back the operation video and gave a detailed introduction to the doctors in the observation room one by one based on the operation process and various situations that would occur during the operation.
The observation room at this time was like a classroom, Wu Tianlin was the teacher, and the doctors were his students. When they heard Wu Tianlin's explanation, they all took out their notebooks and recorded what Wu Tianlin explained one by one.
Come down.
Wu Tianlin spent about twenty minutes explaining the precautions for this kind of surgery in detail to the doctors in the observation room, and also gave detailed answers to some questions raised by the doctors.
Considering that the observation room is not a place to discuss the surgical process, when the nurses in the operating room had completed the aftermath work, Wu Tianlin stopped the communication and took the lead to walk out of the observation room.
Seeing Wu Tianlin walking out of the operating room, Xu Yongbo and his brothers and sisters immediately greeted him. Although Xu Yongbo was the secretary of the Shanghai Municipal Party Committee and was always calm about honor and disgrace when things happened, at this time he did not show any signs of panic.
Brother Wu Tianlin looked nervous and asked: "Doctor Wu! How is my dad?"
Wu Tianlin heard Xu Yongbo's inquiry and replied with a smile on his face to Xu Yongbo's brothers and sisters: "Secretary Xu! The old man's operation was very successful, but because the craniotomy is very demanding, the patient must be in the hospital within three days after the operation.
Spend time in a dust-free observation room. During this period, you can only see the patient outside the observation room, but you cannot come into contact with the patient.”…
When the Xu brothers and sisters heard Wu Tianlin's words, their high-hanging hearts were finally relieved. Xu Yongbo held Wu Tianlin's hand tightly and thanked Wu Tianlin with a grateful look on his face: "Doctor Wu! Thank you! Thank you for saving me.
My father."
"Secretary Xu! The operation only means that half of your father's treatment has been completed. The follow-up treatment is also very important. So Secretary Xu, if you want to thank me, wait until I successfully help your father prolong his life.
I!"
Since Xu Yongbo got to know Wu Tianlin, as his understanding of Wu Tianlin deepened, he became more and more fond of Wu Tianlin, a young man, and cordially thanked Wu Tianlin: "Doctor Wu! It depends on what you said, I appreciate your medical skills and my
My brothers and sisters trust me from the bottom of their hearts, and we believe that my father’s condition will improve sooner or later under Dr. Wu’s treatment.”
Although Wu Tianlin relied on the Emperor Yan Sutra to support his physical strength during the operation, his attention was always in a highly concentrated state during this operation, so Wu Tianlin unconsciously felt very tired at this time.
What he wanted most in his mind was to go back to the office and rest for a while, so at this moment he spoke out to Xu Yongbo: "Secretary Xu! I still have some time, so I will take my leave temporarily."
After all, Xu Yongbo is not an ordinary person. When he heard Wu Tianlin's words, he immediately noticed from Wu Tianlin's face that Wu Tianlin was very tired at this time, so at this time he stopped pestering Wu Tianlin and said to Wu Tianlin with a smile: "Doctor Wu! Then I won't delay.
You rest, I will thank you properly tomorrow!"
After Wu Tianlin said goodbye to Xu Yongbo, he did not return directly to the oncology department. Instead, he went to the observation room to settle the patient and gave some precautions to the nurses and doctors in the intensive observation room before returning to the oncology department.
Wu Tianlin pushed open the office and walked in. There was a burst of warm applause in the office. The doctors in the oncology department looked at Wu Tianlin with admiration. One of the doctors apologized to Wu Tianlin: "Director Wu! First of all, on behalf of our department, I
All doctors, I sincerely apologize for the misunderstandings I caused you!"
"Director! Dean Jiang called just now to congratulate you on your successful completion of the brain nerve tumor resection surgery. He will personally attend the reception banquet specially prepared for you by our department tonight."
The reception banquet! Jiang Yinhong mentioned this matter yesterday, but Wu Tianlin rejected it. However, Wu Tianlin did not intend to refuse the reception banquet held for him by the subordinates in the department, because in his heart, the requirements of his colleagues were for him
affirmation, so at this moment he smiled and thanked his colleagues: "Thank you everyone! I will definitely attend the party tonight, but I will pay for this order. As a young director, I am trying to please everyone. I hope everyone can do it in the future."
Support my work."
(Last week, with the support of all the book friends, Lao Ye’s new book finally appeared on the new book list on the homepage. Here, Lao Ye sincerely thanks everyone for your support. At the same time, Lao Ye is here to ask for recommendation votes. I hope all book friends
Chapter completed!