"Don't you use a ventriculoscope?"
Originally, it is not necessary to use a ventriculoscope for ventriculoperitoneal shunt surgery. It is only used when the doctor is unsure. Using a ventriculoscope is equivalent to multiple operations, which is time-consuming and laborious. In addition, the hole of a ventriculoscope is larger than that of a simple intubation.
Doctors need to think of every possible way to help patients. Sometimes it is not a question of money and has nothing to do with money.
Dr. Wang again expressed a hint of surprise at her confidence.
Wealthy patients need to be treated with more caution. After thinking for a while, Deputy Director Lu said, "You don't need to use the 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 mm needle insertion through the frontal approach should be sufficient," said Xie Wanying.
She answered so quickly that Deputy Director Lu was almost speechless and could only ask: "Do you think there are other issues that need attention?"
"Not for now." After performing a hydrocephalus surgery, she gained some experience and became more confident.
Deputy Director Lu and Doctor Wang were silent for a moment, probably thinking to themselves, "Can she really do it? Is she just bragging?"
...
...
Forget it, he was the one who proposed it to Cao Yong, let her do it, and he will finish it if there is something wrong. I can't slap myself in front of Cao Yong. Deputy Director Lu finally thought about it and stomped his feet and said, "You do it, go wash your hands."
Her assistant, Dr. Wang, determined the incision site, disinfected the area, and laid out the surgical towel.
Doctor Wang is an experienced doctor, and his positioning and other operations are much more reliable than those of Wei. After returning, Xie Wanying took a quick look and knew that there was no need for review.
When holding the scalpel, this time she changed her posture to a grasping style.
Others could see her growing ease and proficiency.
For this reason, the teachers in General Foreign Affairs 2 were most shocked: Is Xiao Xie going to be reborn again?
The cut was accurate, drilling the hole and opening the dura mater in one smooth motion.
Doctor Wang, who was an assistant, was almost overwhelmed.
The tip of the shunt tube is placed into the puncture needle channel and enters the lateral ventricle.
Without using a ventriculoscope, the hole in the dura mater was only 2 mm as Xie had mentioned before. During insertion, no cerebrospinal fluid flowed out from the gap outside the shunt tube, which was very tight. It can be seen that this can effectively prevent cerebrospinal fluid from overflowing into the subcutaneous tunnel in the future, which is very beneficial to the patient.
Deputy Director Lu started to “hmm” as he watched.
For example, the current shunt surgery often uses an adjustable pressure shunt tube, and the pressure regulating valve inside can be adjusted after surgery according to the changes in the patient's condition. How to adjust the pressure? The doctor will adjust the initial pressure before inserting it. This value is determined based on the patient's lumbar puncture pressure and CT reports before the operation. The above steps are not difficult for doctors, just follow them step by step.
Soon we will get to the subcutaneous tunnel stunt that Dr. Jin wants to see.
For this reason, after seeing that his friend was back in the ward and was fine, Dr. Jin hurried back to the operating room to take a look.
The patient in bed 2 is much fatter than the patient in bed 23. Xie said that the patient in bed 23 can open one to zero relay points. Can we do the same for the patient in bed 2?
Everyone felt that there was a big question mark.
"Please prescribe one." Xie Wanying said after repeatedly glancing at the patient's upper body.
For this type of surgery, the relay point incision is usually made below the mastoid process, below the clavicle, or below the xiphoid process in the right upper abdomen. Doctors may make all of these or just two.
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