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Chapter 452 Intracranial Hematoma Removal

"Lying on your back, with 20° upper body, fixed with a three-winged head frame."

Wang Yang commanded.

Wang Yang corrected the situation in time when the assistant did something wrong. He took out a few bone drill nails and started craniotomy at the patient's middle cranial. Since the midline was done in advance, Wang Yang's operation was very fast.

Xinglin live broadcast room is opened again.

"The live broadcast frequency of the big guys has been a little fast recently. Damn, is this a craniotomy surgery?

Is the disaster so serious?"

"Speak less if you haven't experienced disaster relief. This is a common situation. Floods not only contain floods, but also landslides and mudslides. It is obvious that this patient should have suffered a severe blow to the head."

"Does the big guy still know brain surgery?

I think I dare not touch the surgery in the brain without any technology.”

"No, don't you think the surgeon's surgery is a bit fast?

Are you not afraid of violent veins bleeding?"

You should know that the human brain has the most blood vessels. If you are not careful, blood vessels will collapse, resulting in heavy bleeding.

Some surgeons discussed it all the time, and the interventional doctors were a little confused about this operation. The only thing they could feel was that Wang Yang was awesome and could undergo brain surgery.

Wang Yang used a dura peeling ion to separate the dural and skull inner plate. Wang Yang's operation made the people in the live broadcast room feel a little creepy. When Wang Yang usually did abdominal surgery and thoracic surgery, they didn't feel very obvious, at least they didn't feel afraid.

However, when Wang Yang's surgery speed was not weakened, he still stuffed the stripping into his brain without hesitation. Everyone felt a little numb and empathized with his head.

"It's bleeding!"

A careful surgeon discovered that the blood flowed out, and the live broadcast room suddenly became nervous. You should know that bleeding is not a good thing during the operation.

"Don't the craftsman deal with it?"

Why are the surgery still continuing?”

"If this is not treated, if the patient is cured, he will also experience memory loss due to the decrease in blood oxygen saturation in the brain."

Everyone in the live broadcast room began to discuss that the blood in the human body is very important, and most of the deaths of human beings are caused by hemorrhagic shock.

"This surgeon used bone-biting forceps, and he really ignored the vein."

Wang Yang then used bone biting forceps to remove the temporal fossa, remove the bone flap, and suspend the dura mater. A hole was opened in his brain, and the situation inside could be vaguely seen. This artifact space was still a little smaller for Wang Yang, at least the double electrodes could not enter to stop bleeding.

You should know that the removal of hematoma in the brain is the same as the removal of hematoma in the human body, but you need to pay attention to the operation. If you are not careful, you may harm the brain nerves.

Wang Yang did not ask his assistant to help with this operation, but just took the equipment to cooperate with Meng Yue. Wang Yang did all the steps himself.

Wang Yang used a sharp knife to open a small opening on the dura, then used curved scissors to cut the dura in an h-shaped shape, suspended the suture line, inserted the cotton pad under the dura, and then used the dura to cut the dura.

During this process, Wang Yang tilted the dural membrane upward to reduce damage to the patient's brain surface. This is a routine operation.

"Do you understand the operation of the slanted cutting of the stylus?

What does it mean?"

Someone raised this question. In his opinion, generally speaking, it is enough to cut this surgery directly. All patients have become like this, so how can they have time to consider other things?

A doctor outside the brain said: "The surgeon is to avoid greater brain surface damage. After the operation, he can tightly suture the dura mater, but the steps the patient did are too fine, as if every step was calculated."

Wang Yang discovered the hematoma shown on the film, which was removed from thin to thick. The thicker or harder hematoma is often bleeding points below. Wang Yang would use bipolar electrocoagulation to burn and stop bleeding or use surgery to compress it or gelatin sponge to stop bleeding.

After removing the necrotic tissue of the brain contusion, Wang Yang re-examined the patient's intracranial condition and found that there was another hematoma outside the range of craniotomy. Wang Yang could not continue craniotomy, which would cause too much damage to the patient's brain surface.

"Prepare 50ml of physiologically warm saline."

Wang Yang ordered.

The nurse on the tour immediately prepared. Wang Yang used normal saline to discharge the hematoma and re-checked it again. He found that there were no abnormalities or hematomas. He sutured the bleeding points one by one, sutured the dural tightly, and then repaired it with the fascia, and indulged the drainage tube in the epidural and subcutaneous.

After the operation, Wang Yang did not carry it at all, so he asked Qin Wen to take the patient to the general public ward first. This kind of intracranial hemorrhage surgery had very serious postoperative complications.

What bothers doctors the most is acute brain swelling, which usually occurs after surgery, and there are many reasons for it, including tissue edema and swelling, as well as neo-hematoma or hypotension.

This kind of patient is a real severe patient, but the doctors and nurses of the county hospital have all gone to the front line and have to go to the general surgery department for supervision.

"This is too strong. I feel that the surgeon does not suture the vein and insists on the operation because the surgeon dares to determine that his operation time will definitely not exceed the golden time of venous bleeding."

"We can't learn how to control this time. The surgeon can do so quickly and accurately without making any mistakes throughout the process. If I were to go up, I wouldn't get out of this operation every three or five hours."

The live broadcast was discussing Wang Yang's surgery wildly, and the most shocking thing was the critical surgery.

"Suddenly I didn't feel good about watching it. I felt like I wanted to watch it again. Has any older brother recorded the screen?

Buy it at a high price!”

"Oh, it's time to part again. Goodbye, brothers, I... Damn, is this going to have the second surgery?"

The doctor who was originally talking and going to work suddenly found that the live broadcast room was not closed, so the surgeon started moving again.

With the same disease and the same operation, the patient's intracranial hematoma was a little more serious than the previous one, but for Wang Yang, it was simply not worth mentioning. It was like making money. It was the same as earning 10,000 a day and earning 10,000 twenty-four hours, but it took a little more time allocation.

"Big Boss, this reminds me of that appendix surgery, which is also a continuous surgery, but it is more impactful without this intracranial hematoma removal."

"The surgical levels are different, and intracranial surgery is not something that any surgeon dares to do."

"Suddenly I really want to know which part of the support the boss is in Huzhou Province. I'm going to set out to support him soon. I don't know if I have a chance to meet him."

The doctor discussed in the live broadcast room until Wang Yang finished the operation and the live broadcast room fell into a black screen again.

Everyone in the live broadcast room was also familiar with this rhythm. It was already very satisfying for them to watch two intracranial hematoma removal surgeries today. At least in some special times, they can also use some practical tips they saw today.
Chapter completed!
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