Originally, it was not said that a ventriculoscope must be used for ventriculoperitoneal shunting. It is only needed when the doctor is not sure. Using a ventriculoscope is equivalent to multiple operations, which is time-consuming and labor-intensive. Moreover, using a ventriculoscope requires a larger hole than simply intubating.
Doctors have to help patients in every aspect and think carefully. Sometimes it is not a matter of money, but has nothing to do with money.
Dr. Wang once again expressed a little surprise at her confidence.
Wealthy patients need to be treated more cautiously. After thinking about it, Deputy Director Lu said: "You don't need to use a ventriculoscope. You have to tell me whether you are sure about the depth of intubation."
"This patient's head circumference is slightly larger. A 7.8 needle should be inserted through the forehead approach," Xie Wanying said.
She answered so quickly that Deputy Director Lu was almost speechless and had to ask: "Do you think there are other issues that need attention?"
"It's not necessary at the moment." After having a hydrocephalus surgery, she gained some experience and gained more confidence.
Deputy Director Lu and Dr. Wang were silent for a moment. They were probably playing drums and tug-of-war in their hearts, hesitating and hesitating: Can she do it? Is she bragging?
Forget it, he proposed it to Cao Yong himself, let her do it, and he would take care of things himself. He couldn't slap himself in the face in front of Cao Yong. Deputy Director Lu finally made up his mind, if he stamped his feet, he said: "You do it, wash your hands."
"
Dr. Wang, her assistant, determined the location of the incision, disinfected it, and laid out the surgical drapes.
Dr. Wang is an old doctor, and his positioning operations are far more reliable than those of Mr. Wei. After returning, Xie Wanying took a quick look and knew that there was no need for review.
When holding the scalpel, she changed her position this time to a grasping position.
Others can see her increasingly adept coolness.
For this reason, the teachers of No. 21 General Foreign Language School were the most shocked: Student Xiao Xie, is he going to be reincarnated again?
The knife was inserted very accurately. The hole was drilled and the dura mater was opened again, all in one go.
Dr. Wang, who was the first assistant, was almost too busy.
The head end of the shunt tube is put into the puncture needle channel and enters the lateral ventricle.
Without using a ventriculoscope, as Xie said in advance, the hole in the dura mater should be opened to only 2 mm. When inserting, no cerebrospinal fluid can flow out from the outer gap of the shunt tube. It is very compact. It can be seen that this can well prevent future complications.
The cerebrospinal fluid overflows into the subcutaneous tunnel, which is very beneficial to the patient.
Deputy Director Lu started to say "hmm" while watching.
For example, the current shunt surgery commonly uses adjustable pressure shunt tubes. The pressure regulating valve inside can be adjusted postoperatively according to changes in the patient's condition. How to adjust the pressure? The doctor will adjust the initial pressure before inserting it. This value is based on
The patient's preoperative lumbar puncture pressure and CT reports are used to make judgments. The above steps are not difficult for doctors, and they only need to follow step by step.
Soon we will come to the part where Dr. Kim wants to see his subcutaneous tunnel show off.
For this reason, after seeing that his friend was fine back in the ward, Dr. Jin hurried back to the operating room to take a quick look.
The patients in the second bed are much fatter than the patients in the twenty-third bed. As Xie said, the patients in the twenty-third bed can open one to zero relay points. Can this be done as usual for the patients in the second bed?
Everyone feels that there is a big question mark.
"Open one." Xie Wanying said after scanning the patient's upper body again and again.
Generally speaking, the doctor will choose to make the relay point incision for this kind of surgery under the mastoid process, under the clavicle, or under the xiphoid process in the right upper quadrant, either all of them or just two.