Damn, how did this little girl do it?
When we got to the head and neck area, which everyone was worried about before, the place with the biggest difference in three-dimensional space should be the most challenging section for doctors. I just remember that Xie didn't seem to have done the pre-bending of the rod before.
What is the use of pre-bending the rod? There is no opening of the mastoid and subclavian relay points.
The thrilling scene that a large group of people were worried about was discovered to have not happened after a while.
The improved loom continued to move forward steadily, with the shunt tube passing steadily through the neck.
The entire expression on Doctor Wang's face just said "Ahhhh".
"Really..." Doctor Jin couldn't hold back his words. Like everyone else, he couldn't figure it out. It was really strange. After watching all the way, the chief surgeon Xie was very confident about the whole process of inserting the wire. Since the neck can be easily passed through, why should another relay port be opened under the xiphoid process?
She said that it was possible to achieve zero relay ports. She had doubts before, but now she fully believed that the surgeon was capable of performing a miracle.
You should ask professionals or professional teachers about this question.
...
...
It's not just about neurosurgery.
After all, neurosurgery may need to consult general surgery even for the procedure of placing a shunt tube in the abdomen.
"Have the doctors outside the liver and gallbladder arrived?" Wei Tianlang looked back.
It stands to reason that Tao Zhijie's Buddha should come. Tao Zhijie had been keeping an eye on him when he was doing internship in the Second General Surgery Department.
"It seems that the surgery outside the hepatobiliary system is not over yet." Someone answered.
Nothing else happened except the liver and gallbladder.
People on the scene can only rely on themselves to do the analysis.
"Does this patient have an enlarged liver?"
"I remember that the neurosurgery department can put the end of this shunt tube into the liver."
There were many big guys at the scene, and the level of their speech was completely beyond the technical level that elementary school students were talking about.
Here we need to mention again that the end of the peritoneal shunt tube is placed in the peritoneal cavity to allow the cerebrospinal fluid to be absorbed. The peritoneum actually absorbs the cerebrospinal fluid.
What is peritoneum? I have learned about it during my internship in the second department of general surgery, hepatobiliary surgery. The key point in this operation is that the peritoneum migrates from the pelvic wall to the surface of the organs and forms the omental mesentery and ligaments between the surfaces of the organs. Among them, the greater omentum is a double-layer peritoneum that hangs like an apron between the greater curvature of the stomach and the proximal duodenum. It is very mobile and filled with peritoneal fluid. This is the place where the end of the shunt tube is most likely to be trapped. Therefore, the doctor's operation is to avoid the greater omentum as much as possible.
If we avoid the greater omentum, where can we put it? Perhaps we can choose to put the end of the shunt tube in the lesser omentum. The lesser omentum is much less mobile than the greater omentum, and will not move the end of the shunt tube to death. The lesser omentum is the hepatogastric ligament and the hepatoduodenal ligament.
For this purpose, some doctors will make a median or paramedian incision under the xiphoid process to expose the left lobe of the liver, place the end of the peritoneal catheter of the shunt tube on the septum of the liver and sew the catheter to the round ligament of the liver to prevent it from falling off, so that it will not be trapped by the greater omentum.
The bosses were discussing whether the surgeon wanted to put the shunt tube in the liver.
This possibility is very low because this is usually the first choice of non-neurosurgeons. This is because the absorption of the peritoneum is stronger in the upper abdomen than in the lower abdomen. This is one of the reasons why patients with abdominal inflammation and postoperative surgery are often placed in a semi-recumbent position.
For patients with ventriculoperitoneal shunts, it is not a good thing if the absorption is too strong and the shunt tube over-shunts.
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