Brain tissue is as soft as tofu, and its outer surface is like a walnut with grooves, so doctors can use the natural anatomical morphology of the grooves on the brain to separate and reduce damage to the brain. The pterional approach uses large grooves such as the lateral fissure to expose a wider surgical area in the brain.
Comparatively speaking, the superciliary arch approach also uses the bone sutures and grooves for entry. Another advantage of it is that it does not damage the temporalis muscle and is safer, but it will leave a scar on the brow and the exposed surgical area in the brain is relatively narrow.
No matter whether it is narrow or wide, what is more important is where the doctor can think of the worm and where he can clip the worm most conveniently.
When the junior sister asked where it would be more convenient to pick the insect from, Huang Zhilei could only say: The junior sister is so thoughtful.
With his experience as a neurosurgeon, he was thankful that the worm was found quickly. Before the operation, he would have never dared to think about which part of the worm to clip.
Huang Zhilei picked up his phone and was about to urge Song the cat to come back, but as the door of the operating room opened, Song Xuelin walked in.
Then, the others entered the operating room. Everyone gathered around the three-dimensional diagram and listened to Xie explain the surgical approach.
Cao Yong finally arrived at the operating room. He looked at the image on the 3D navigation map and listened to the discussion of his fellow students. As long as the general direction was correct, he said, "Let's do it first."
Neurosurgery is the same as other surgical operations. You never know what variables may occur during the operation. You can only speak up after making sure of the situation and then adapt to changes.
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The final surgical approach chosen was the eyebrow arch. If we could think of the path to clip the worm here, it might be safer for the child.
Who will perform this operation?
Generally speaking, the surgeon is the one who chooses the surgical approach.
Xie Wanying's heart was pounding, but she had to pretend to be calm on the surface.
Cao Yong looked at her face, and this time, perhaps remembering the bet someone had mentioned, he looked at her expression very carefully, and finally said, "Do you want to be the lead surgeon?"
She had never performed a microscope surgery as the main surgeon, usually just watching from the side, and had only tried one to assist Senior Brother Huang. It was obvious that microscope surgery was very difficult, and should be much more difficult than the ventriculoscopy she had performed last time. Ventriculoscopy was mostly about observation, and there were very few actual surgical operations involving the knife.
After thinking it over for a while, I wanted to do it but didn't dare to say it out loud.
"You do it, and I'll help you." Cao Yong understood something and said.
In an instant, her mood was as joyful as a flower blooming, and Xie Wanying immediately turned around and went out to wash her hands.
This was her second surgery since she came to the neurosurgery department. Although it didn't look like a very difficult operation, it was still very satisfying. She didn't get such treatment in other departments. She could only say that it was great to learn from Senior Brother Cao. Xie Wanying thought.
Everyone seemed to be able to understand her inner world just by looking at her movements.
Cao Yong stared at her running back. He used to think she was very active in study and work, but now that there was a bet, he felt that it was not the case.
(Lin Jiayin: Look, I am 100% going to win this bet.)
There is no need to shave the hair when performing surgery on the eyebrow arch. After disinfection, the scalp is incised, a hole is made with an electric drill, a coin-shaped bone window is created, and the operation is performed under a surgical microscope.
The surgical microscope is just like what is shown on TV. The doctor sits on a chair with his eyes trained on the telescope-like tube, observing the fine details of the surgical field through the huge magnification.
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