Qiao Beibei's situation is more serious than imagined.
We often see various strange phenomena in emergency surgery. For example, a truck ran over a person's body. As a result, the person was sent to the hospital for detailed examination. Nothing happened. However, after one night, the internal organs began to bleed, and he was sent to the hospital again.
, there is no way to save the day.
The cause of Qiao Beibei's illness was a fall. According to common sense, the speed of a battery car is not particularly fast. A fall would result in a bruised nose and face.
However, Qiao Beibei's luck was so bad that the back of her head fell to the ground, causing a skull fracture.
The first time Zhao Yuan saw Qiao Beibei, he knew the problem was serious.
There was clear liquid coming out of her nose, which a normal person would mistake for nasal mucus.
But experienced surgeons know that this is cerebrospinal fluid, which is much scarier than a nosebleed.
The same goes for surgery, where large amounts of blood and cerebrospinal fluid are mixed together.
The most troublesome thing is that the fracture is embedded in the skull and damages the cerebellum.
If the fracture occurs in other parts, it doesn't matter, just pull it out and suture it.
However, the current situation is not that simple.
When you touch bone fragments, you may cause injury accidentally and cause iatrogenic epilepsy.
Therefore, every time you perform a cranial brain surgery, the situation is different, the thinking must be clear, and the operation must be more prudent.
The red and white ones are mixed together, and the cerebellum looks like tofu pudding with spicy oil.
What should be done?
Liu Sha put herself in her shoes, and if she were faced with this complicated situation, she would be absolutely helpless.
But Zhao Yuan always pushed forward the operation smoothly, as if nothing could hinder him in front of him.
This may be the difference between the surgeon and the assistant!
Liu Sha felt quite unhappy inside.
I have been working in neurosurgery for more than a year. However, compared with Zhao Yuan, there is obviously a big gap in my understanding of surgery in this field.
It would be fine if it were anyone else. The key is that Zhao Yuan and Liu Sha graduated from the same school at the same time.
Now in less than two years, the gap is so huge.
In a few years, I'm afraid Zhao Yuan will be a few blocks away from him.
Liu Sha has been working hard.
Last year, I was working and preparing for the exam, and successfully passed the combined master's and doctoral program at Chung Yuan University.
She has become a diligent and studious role model in the eyes of her family and classmates.
But Liu Sha clearly knew that if she wanted to catch up with Zhao Yuan, she would have to work harder.
"Three centimeters of radial artery!" Zhao Yuan and Liu Sha gave instructions.
Liu Sha glanced at Zhao Yuan in shock and realized what Zhao Yuan wanted to do.
Zhao Yuan plans to do autologous blood vessel transplantation?
Most of the big shots outside who were observing the operation looked at the operation with a relaxed mood.
But as the operation progressed, they realized that this craniocerebral injury rescue operation was not that simple.
Emergency surgery is like opening a blind box, especially for head injuries.
No one knows what is going on inside the blind box when it is opened.
Sometimes it looks bloody on the outside, but the situation on the inside is not that bad.
But Qiao Beibei's situation is the opposite. It's much more complicated inside than outside.
The arteries supplying the cerebellum were destructively damaged.
Repair, don’t even think about it!
Nowadays, there are two methods, one is artificial blood vessel transplantation, and the other is autologous blood vessel transplantation.
When it comes to transplantation, the difficulty increases exponentially.
Autologous transplantation is not uncommon in surgical operations, but it is definitely not something that everyone can do.
"The chief surgeon and Ichisuke have just been working for a year?"
Some of the experts watching outside made sounds of surprise.
"Are they PhD graduates?"
"No, one is studying for a direct doctorate; the other has just been admitted to a master's degree!"
"These two young people are so outstanding."
As the operation progressed, everyone became curious about Zhao Yuan and Liu Sha.
The radial artery is the most commonly used arterial blood vessel.
Chinese medicine practitioners are very familiar with this blood vessel. When performing pulse diagnosis, they usually look at the changes in this artery to see if the patient has a happy pulse.
The arteries here are relatively large, so even if a section is removed, it will not have much impact on the human body.
Zhao Yuan glanced at Liu Sha.
Liu Sha returned a look to Zhao Yuan.
His eyes are full of confidence and determination.
She was telling Zhao Yuan that she could do it.
Cutting off an artery is not about cutting a rope. You must first use a pneumatic tourniquet to cut off the blood flow, and then start to separate the artery.
When cutting an artery, you must be careful not to cause damage on the one hand, and on the other hand, you must bring flesh and blood tissue with you. This is similar to the principle of transplanting trees. Bringing soil with you can increase the survival rate.
Liu Sha has been studying hard with Shan Zhenyu, and the most outstanding thing is the basic skills.
Shan Zhenyu is a relatively old-school expert on supernatural beings.
He may be slightly behind other top experts in the research of some new surgical techniques, but his basic skills are recognized as excellent. There is almost no one in Tianhua Surgery who can compare with Shan Zhenyu.
Under the influence of Shan Zhenyu, Liu Sha's operations are particularly delicate, and because she is a woman, her movements are elegant and agile, which is very enjoyable to watch.
"Director Shan, is Isuke one of your students? Her skills are very good! There are very few female doctors outside the gods, and female doctors with good skills are even rarer."
"Thank you! She has only been working for more than a year, and she still has a long way to go."
“Tianhua Surgery is really full of talents!”
Zhao Yuan gave Liu Sha an approving look.
Liu Sha's mood suddenly became clear.
Although Director Shan often conveys similar emotions to himself during surgery.
Obviously, the emotions coming from Zhao Yuan made him even more excited.
Zhao Yuan was very satisfied with the autologous blood vessels treated by Liu Sha.
However, it is not ready for direct use and still needs to be pruned.
If the surgeon and assistant work well together, the trimming part should also be done by the assistant.
Liu Sha may also be able to meet her own requirements. The current situation is special and there is no prior communication, so in order to save time, Zhao Yuan will handle this part by himself.
When Zhao Yuan was processing the autologous blood vessels, Liu Sha was not idle. There was something missing on the arm, so it was natural to fill it. She chose the position of the belly, selected muscles and skin, and filled the gap in the arm.
I have lost a piece of belly muscle, but it will not affect my life.
However, there will be more scars on the arms and belly, which is inevitable!
Zhao Yuan finished processing the autologous blood vessels and started to speed up.
The most important thing about transplant surgery is speed.
Blood vessels will continue to change as they leave the human body, leading to a loss of lifespan.
The observation team outside was still discussing in twos and threes at first.
At this time, they all focused on surgery.
"The most difficult part of the operation is the transplantation. If the time is too long and the blood vessels are not transplanted in time, there is a high probability of ischemia and re-injury!"
"The surgeon actually rerouted the artery during the transplantation process!"
"This idea is so clever. By changing the route, we can try our best to reduce ischemia and re-injury and avoid cerebral infarction!"
"Transplantation and transformation! These two are completely the skills of a chief physician."
"The next generation is to be feared, the next generation is to be feared!"
