Doctor: It's reasonable to perform surgery on yourself.

"Everyone."

Xu Qiu said loudly.

As soon as the words fell, everyone's eyes followed closely, with surprise and a hint of doubt in their eyes.

Ear canal surgery... Director Xu seems to have never done it.

Is this possible?

Although Xu Qiu's current status is almost transcendent, let alone a small clinical doctor, the president of Union Medical College dare not disrespect Xu Qiu's title of academician.

But, medicine is like mathematics.

No, it's no.

Even the king of heaven can't do it.

"Doctor Xu?"

"What can Director Xu do?"

"If it's Director Xu, it's very reasonable..."

Although there are still doubts in my heart, Xu Qiu's miracle maker has long been deeply rooted in people's hearts.

Unless Xu Qiu rubs the surgical robot on the spot, everyone has only one thought in their hearts: he is worthy of it.

…

“The patient’s skull base lesion is located in the jugular foramen, and has invaded the labyrinth, cochlea, and endolymphatic sac, and further extended to the foramen magnum and the middle ear…”

Xu Qiu summarized the danger of the child in just a few words.

The only obvious external manifestation of this disease is intermittent deafness.

But in fact it is very complicated.

For example, the mass in the left mastoid area, although it is clearly separated from the brain tissue, it protrudes upward into the skull and compresses the temporal lobe.

If surgery is to be performed, it is completely intracranial surgery.

Therefore, otolaryngologists may not dare to use the knife, and neurosurgeons must perform multidisciplinary diagnosis and treatment to have a certain chance.

But Xu Qiu happens to be very good at cranial surgery...

He can replace several surgical teams by himself.

If Xu Qiu is the one who performs this multidisciplinary joint operation, it may be enough for Xu Qiu to perform it alone, and other departments can only send some people symbolically...

Thinking of this, everyone looked at Xu Qiu with expectation.

"The core purpose of the operation is threefold. The first is to preserve the patient's hearing as much as possible, the second is to eradicate the lesion to the greatest extent, and the last is to prevent recurrence."

Xu Qiu spoke slowly.

He marked on the screen and drew a concise surgical demonstration on it:

"If you want to preserve hearing and eradicate it, then do a radical mastoidectomy.

Conventional surgery cannot completely remove cholesterol granulomas, but what if the cortical bone on the outside of the mastoid is removed?"

While speaking, Xu Qiu drew a line on the bone across the surgical area.

Everyone looked slightly surprised.

The originally narrow surgical cavity was instantly widened by Xu Qiu's incisive cut.

But compared to being surprised, the directors were more incredulous.

However, it can be done this way?

Pediatricians, general surgeons, otolaryngologists and others fell into deep thought.

After a long time, several people raised their heads in surprise.

Although it is a bit unbelievable to do this, removing the cortical bone on the outside of the mastoid will not damage hearing.

At the same time, the surgical field can be further expanded to leave enough space for radical resection.

If this is done, theoretically, there is a possibility of completely removing the cyst wall. As for whether it can be done, it depends on the ability of the surgeon.

But the surgeon is Director Xu... That's fine!

At this moment, many doctors attending the meeting felt happy.

"According to this method, radical resection can indeed be performed."

"Dr. Xu's method is clever enough. If it were me, even if I could think of this method, I would not dare to use the knife..."

"But there is still a problem... How to protect the jugular vein?"

As everyone relaxed a little, they began to discuss the next question.

There are four biggest difficulties in carrying out this operation.

The first one is "how to enter the surgical area without damaging the developing hearing system."

The solution given by Xu Qiu is very simple and crude-remove the cortical bone on the outside of the left mastoid and artificially expand the surgical field.

This is a radical move, and it is also a thrilling operation that only Xu Qiu can handle.

As for the second difficulty, it is how to protect the exposed dura mater, sigmoid sinus and jugular bulb during the operation.

Facing this problem, Xu Qiu was obviously well prepared.

He pressed the PPT page turn key, and a vivid diagram appeared on the screen.

The sharp-eyed doctor recognized these structures. The picture showed the internal view of the deep part of the ear canal. The dura mater, sigmoid sinus, etc. can be seen in the surgical cavity.

Immediately afterwards, Xu Qiu pressed the page turn again.

A layer of gelatin sponge was neatly covered on it, just covering up the exposed dangerous structures.

"This..."

"Sponge covering? A protective measure during the operation!"

Many people's pupils shrank.

Xu Qiu's voice of explanation sounded at the same time: "To be precise, it is an antibiotic gelatin sponge."

This thing has many functions.

First, it protects important structures.

Second, antibiotics themselves have a therapeutic effect on inflammation.

It can reduce the incidence of postoperative infection as much as possible and reduce the chance of wound exudation.

This design can be said to be ingenious, but... a thin layer of gelatin sponge, can it really play a protective role?

If the force of the knife is a little stronger, it might just go through.

Thinking of this, many people showed embarrassment... Ordinary doctors, even with this layer of gelatin sponge, dare not go on stage easily.

"Director Xu, the protective effect of this measure is not very strong, right?" Someone asked tentatively.

Xu Qiu nodded: "Indeed, so you need to have a strong control over the scalpel and a steady hand to do it."

Sure enough...it's this method that is unique to Director Xu.

If they send it to Union Hospital, they may be able to find a few doctors who meet the requirements.

But here in Linyi, it is estimated that only Xu Qiu can meet the conditions he mentioned.

Xu Qiu continued: "The specific resection plan will be discussed later, and how to prevent recurrence first."

Hearing this, everyone's mind was focused again.

The last two problems that need to be solved in the operation are the specific resection strategy and the prevention of recurrence.

The latter is also one of the treatment principles.

Whether this disease can be cured and how effective it is actually depends on the recurrence rate.

To a certain extent, "eradicating granuloma lesions" and "preventing recurrence" are not much different, and the purpose is the same.

But when it comes to clinical practice, there is still a world of difference.

The former tests surgical skills.

The latter tests nursing experience more, as well as the understanding and use of the pathogenic mechanism of the disease.

It was expected that Xu Qiu could think of a method of eradication.

After all, he is a top surgeon.

But... how to prevent recurrence?

It's not just about cutting the lesion clean!

Everyone looked at Xu Qiu, with a little more worry in their eyes.

At this time, Xu Qiu clicked the next page, and a slightly unfamiliar medical material appeared on the screen.

"This is..."

"Tube silicone rubber plate?"

"What do you use the tubular silicone rubber plate for..."

Everyone's face was confused again.

Silicone rubber plates are used a lot in medicine, such as intraoperative brain pressure plates in neurosurgery, or as repair materials, extension materials, etc. for various surgeries.

But... can this thing be used in this operation?

Repair the bone cortex that was removed from the left mastoid?

Or support the ear canal structure?

The latter possibility can be basically ruled out. The operation does not damage the hard structure of the ear canal, and theoretically there is no risk of ear canal collapse.

"Doctor Xu, this thing is used..." The director of the otolaryngology department asked the doubts in everyone's mind.

——

My friends, Happy New Year!