Sleepless Doctor

The chg incision is known as the best scalp incision design in history.

　　In the field of early neurosurgery, because of serious postoperative complications, many people question whether this type of brain opening operation should be done.

　　 Chg, who was teaching at Yale University at that time, paid great attention to the principle of strict aseptic treatment of wounds, which greatly reduced the incidence of serious postoperative complications.

　　 This allowed the neurosurgery to survive and thrive in the early stages of the development of neurosurgery that faced doubts from all sides.

　　 Because some complicated neurosurgery operations not only open the skull, but face countless difficulties and obstacles after entering the brain, even the skin is very important.

　　 Neurosurgeons are accustomed to designing surgical incisions in advance before performing operations.

　　 For the scalp incision designed in advance, the following factors must be considered: scalp vessel anatomy, non-invasive tissue treatment, incision suture and reconstruction technology.

　　Everything is very important, but it is quite difficult to take these aspects into consideration.

　　 Ren Haitao didn't know much about this. He still remembered that once he was only responsible for neurosurgery anesthesia, and the invited Professor Modu used the chg incision.

　　 At that time, the incision was completed, and the professor was very proud.

　　 From the migration of fibroblasts to the disordered collagen under the scalp, to the blood vessels and nerves under the scalp, such as the supraorbital artery, supratrochlear artery, superficial temporal artery, posterior auricular artery and occipital artery.

　　 The design of the surgical incision should avoid these arteries as much as possible and avoid transecting most of the branches of these arteries; this way can preserve as many vascularized **** as possible.

　　 Because it has nothing to do with anesthesia, Ren Haitao just listened and knew that the chg incision was awesome. Unexpectedly, under the knife of the delicate and weak Chu Zhixi, a smooth chg incision appeared directly without any hesitation.

　　 is like drawing the path with Methylene Blue in the morning, except that it is an invisible Methylene Blue that Ren Haitao can't see.

　　 How long did Professor Modu use before? It seems that at least 5 minutes, with the help of an assistant, the skin peeling was completed. Looking at his expression, he should be quite satisfied with this speed.

　　 And how long did Chu Zhixi use it? Second?

　　 Ren Haitao was in a daze. No wonder it was said that Professor Chu had done a good job with meningiomas in the rock oblique area, and the average survival time after malignant tumors was more than 3 years. It turns out that his level is really high.

　　 A person, a knife, a hemostatic forceps, usually complete the chg incision.

　　 This has to be done by familiarizing with local anatomy!

　　 Ren Haitao was taken aback for a while, and the surgical incision was completed about 10 vertically long and 7 horizontally.

　　 Facing Yin Hong's blood, Chu Zhixi was no longer the weak girl, she transformed into the legendary hot girl without warning.

　　Before hot moms and hot girls became popular, there was a saying of hot girls in the operating room. Refers to female surgeons who are not specialized in obstetrics and gynecology, especially surgeons.

　　 Courageous and careful, the delicate body bears the same pressure as a male doctor, and the talent in the operating room is called a hot girl.

　　 I didn't expect that Professor Chuzhi Xichu was also a professor, how could he not be a hot girl because he is a professor. Ren Haitao immediately changed his mindset and corrected Chu Zhixi's "wrong" perception.

　　 Less than 2 minutes, Chu Zhixi stopped bleeding.

A blood-stained gauze was handed over to the instrument nurse. Chu Zhixi did not lift her head. She continued to incise the skin, subcutaneous tissue and nape ligament from the midline, and peeled off the spinous process and the attached muscle and soft tissue on the lamina underneath the periosteum. Dry gauze blocks the pressure to stop bleeding.

　　 Then she exposed the occipital tubercle and the second and third spinous processes of the neck up to the largest position of the second spinous process as a landmark for the operation.

　　 The technique is the same as Teacher Wu, simple and clean, Ren Haitao has judgment in his heart.

　　 It seems that it is not difficult, but to achieve this step, it is completely impossible without more than ten or twenty years of tempering.

　　 At least none of the neurosurgery professors and directors of the Second Hospital of Medical University have such a neat technique.

　　 Then Chu Zhixi's movements slowed down, no longer unrestrained, but entered the nuanced rhythm of neurosurgery.

　　 The operation was done cleanly, Ren Haitao could see clearly that Chu Zhixi was freeing the atlas nodules. The 15 left and right sides of the midline of the atlas vertebral arch belong to the restricted area for surgery, and that side is the vertebral artery. Once injured, the consequences will be disastrous.

　　 The surgical incision is very large, almost 20, which is extremely unrestrained. But at the level of nuances, Chu Zhixi freed the tissues in the operation area around 2 and had plenty of power.

　　 This operation is a really long experience, and Ren Haitao sighs in his heart.

　　 From time to time, he took a look at the values ​​of the ventilator, monitor, and micro-pump, first take care of his own work, and then watch the top surgeons perform operations.

　　 He scanned it again, and when his eyes returned to the surgical area, there was a sudden addition of people.

　　 Wu Mian Wu teacher didn't know when she stood opposite Chu Zhixi and began to assist her in drifting away.

　　 "Teacher Wu, are you finished?" Ren Haitao asked in surprise.

　　 "Huh? What do you mean?" Wu Mian asked faintly while touching the hemostatic forceps to assist Chu Zhixi in the operation.

　　 Ren Haitao raised his head and glanced at the iliac surgery area. The suture has been completed. A freshly removed iliac bone graft is placed in the sterile area of ​​the instrument nurse, fresh with blood.

　　 I am so stupid, how can I ask such a low-level question! Ren Haitao then became nervous ~www.wuxiaspot.com~ but he can't make this stupid mistake again, or what if Mr. Wu does not bring himself to the operation in the future.

　　 "Drill." Wu Mian said softly, and then Chu Zhixi stretched out her left hand.

　　 It took a full 10 seconds before the special safety fine drill bit and related drilling equipment were handed to Chu Zhixi's hand.

　　Because they are not fixed-cooperating equipment nurses, even the equipment nurses are not familiar with this kind of complicated operation, so the cooperation is a little strange.

　　 If this is a professor who changes his temper, he will already start to curse, Ren Haitao thought to himself. But whether it was Wu Mian or Chu Zhixi, they all looked peaceful and quiet, and seemed to be familiar with this rhythm a long time ago.

　　 Teacher Wu is really a strange surgeon, Ren Haitao sighed.

　　 Under the operating table, most of the time, he is gentle and kind, but occasionally he gets irritable and irritable towards the dean-level people.

　　 For example, the one from the county hospital, and the one from the nursing home just now. Although the hospitals are not comparable, they are both deans.

　　 Once on the operating table, Mr. Wu was immediately quiet, as if a virgin.

　　 "buzzing"

Ren Haitao's thoughts were interrupted by the reputation of 　　, and the special safety fine drill bit began to drill.

　　 is near the brainstem. One accidentally popped the drill in 05, and the patient immediately lost his breath.

　　 "32."

　　 After opening the stage, Wu Mian communicated with Chu Zhixi for the first time.