Chapter 2867 【2867】More Familiar
"Don't you use a ventriculoscope?"
Originally, ventriculo-peritoneal shunt did not say that a ventriculoscope must be used. It is only used when the doctor is not sure. Using a ventriculoscope is equivalent to multiple operations that are time-consuming and labor-intensive. And using a ventriculoscope is a bit bigger than the hole for simple intubation.
Doctors have to help patients in all aspects to find ways to make a good plan. Sometimes it is not a matter of money or not, and it has nothing to do with money.
Dr. Wang once again expressed a little surprise at her confidence.
Wealthy patients need to be treated more cautiously. After thinking about it, Deputy Director Lu said: "You don't need a ventriculoscope, you have to tell me whether the depth of the intubation is sure."
"This patient's head circumference is slightly larger. The forehead approach should be 7.8 inches." Xie Wanying said.
She answered so quickly that Deputy Director Lu was almost speechless, so he could only ask, "Do you think there are any other questions that need attention?"
"No need for the time being." After undergoing a hydrocephalus operation, she was a little more experienced and more confident.
Deputy Director Lu and Dr. Wang were silent for a moment, probably beating drums in their hearts, tug-of-war, hesitating: whether she can do it, is there any element of bragging?
Forget it, he suggested to Cao Yong himself, let her do it, and he will finish things by himself. You can't slap yourself in the face in front of Cao Yong. Deputy Director Lu finally made up his mind, if he stomped his feet, he said, "You do it, go wash your hands."
As her assistant, Dr. Wang fixed the location of the incision, finished disinfection, and spread the surgical drape.
Dr. Wang is an old doctor, and his operations such as positioning are far more reliable than that of Wei. After returning, Xie Wanying glanced at it and knew that there was no need for a review.
When holding the scalpel, this time she changed her posture and changed to grasping.
Others could see her increasingly proficient chic.
For this reason, the teachers of the 2nd and 1st group of general foreign students were the most shocked: Xiao Xie, is it going to be reborn again?
One knife down, very accurate. Drilling, and then opening the dura mater, the action is done in one go.
Dr. Wang, who was the first assistant, was almost overwhelmed.
The tip of the shunt tube is put into the puncture needle channel and enters the lateral ventricle.
Without the use of a ventriculoscope, the hole in the dura mater that Xie said beforehand was opened to only 2 mm, and no cerebrospinal fluid flowed out from the outer space of the shunt when it was inserted. It was very compact. It can be seen that this can well prevent future The cerebrospinal fluid overflows to the subcutaneous tunnel, which is very beneficial to the patient.
Deputy Director Lu began to "hmmm" while watching.
The pressure-adjustable shunt tube is commonly used in current shunt operations, and the pressure-regulating valve inside can be adjusted after the operation according to the patient's condition. How to adjust the pressure, the doctor will adjust the initial pressure before putting it in. This value is judged according to the preoperative lumbar puncture pressure and CT reports. The above steps are not difficult for doctors, just follow the steps.
Soon we will come to the subcutaneous tunnel show that Dr. Jin wants to see.
For this reason, after seeing that his friend was back in the ward, Dr. Jin hurried back to the operating room to have a quick look.
Two-bed patients are much fatter than twenty-three-bed patients. As classmate Xie said, patients with 23 beds can have one to zero relay points. Can it be done as usual for patients with 2 beds?
Everyone felt that there was a big question mark.
"Let's have one." Xie Wanying said after scanning the patient's upper body again and again.
The relay point incision of this kind of operation, generally speaking, the doctor will choose below the mastoid process, under the clavicle, or under the xiphoid process of the right upper abdomen, all or only two.
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