bookmarkrole Chapter 183
Chapter 183
Chapter 183
The car hurried to the Third Provincial Hospital.
“Director, this is the patient’s case, transferred from Pengshi Second Hospital.”
A medical staff holding PAD in his hands said to Director He Wenwu.
Nowadays, the Internet is extremely developed. If a patient has a problem, it is easy to find the corresponding hospital in the medical system through the ID card, and then retrieve the medical records.
“Let me see……”
He Wenwu took the pad.
I saw the case clearly stated:
·Male, 49 years old
·Medical record time: December 12, 2021
·CT results show that the boundary of the cerebellar vermis is not very clear. During the enhanced scan, it can be shown as no enhancement, necrosis and other manifestations can be seen, with calcification…
·Preliminary diagnosis: glioma, 1X1cm, malignant, grade: first class…
Wang Miaoke looked at the medical records on the PAD next to him, and then he only felt a chill in his back!
I really said it to Lin Feng!
It’s really not ordinary epilepsy, but it is caused by glioma tumor occupying the nerve and compressing the nerve. It’s not right…In addition to the tumor, some tumors have already encapsulated the nerve.
Lin Feng’s technique is horrible!
Doesn’t use the instrument, just check the physical examination?
Radiation machine walking at this time.
What Wang Miao does not know is that Lin Feng has too much experience of the world’s top doctors. In his career, every doctor will always accumulate a lot of intuitive, private, and self-diagnosing tips. These tips cannot be formed on the one hand. The thesis, on the one hand, is to keep the cards for yourself and will not be published.
…
Island, the third provincial hospital.
Brain.
Director He Wenwu sent a message to the work group:
“Let’s pay attention, there will be a brain surgery on September 27, which will be performed by Dr. Lin Feng from the First Hospital of Pengshi City. All doctors who are not on duty will come to learn.”
One stone stirred up a thousand waves.
“What? Lin Feng from the First City Hospital?”
“Is that Doctor Lin with 30 million fans? Is he here?”
“The director asked us to’study’?”
“The director thinks that Dr. Lin’s brain surgery skills are much better than ours? Are you kidding?”
“Yes, Dr. Lin is full of calculations, so he only has internship + regular training, two and a half years, and the brain surgery department is very difficult. Can Dr. Lin do it?”
Many doctors expressed ‘distrust’ of this.
Surgery is not a little futility, it will kill you. If you have 30 million fans, can you still give you the blessing experience?
certainly,
The nurse girls in the brain department don’t have this idea.
At this time, they are already very excited!
“Wow, the male god is coming!”
“Hurry up and touch up makeup!”
“Uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu last night I did a mask to replenish water…”
“I don’t know if Dr. Lin is hungry, I have some snacks here and I haven’t finished eating…”
One by one, the nurse girls, before Lin Feng arrived, their hearts were bumped.
Male doctor: “……………………”
Looking at each other~~~~
Feel offended!
When we go to work every day, when have we been treated like this? Not even a second!
…
soon,
The news spread from the brain department to other departments in the Third Provincial Hospital.
Especially the chat group between female doctors and nurses, the group is extremely lively.
“What? Lin Feng is coming?””Wow, you can see the male god!”
“(1 photo in Lin Feng ambulance · jpg, 2 photo in Lin Feng ambulance · jpg)”
“Wow, so handsome~~~~”
“He is the director of the brain department next to him? He really came to our hospital!”
then,
Many male doctors have discovered that the nurse sisters in their department suddenly become like whispering and yelling…
Male doctors: “…”
At a loss!
Confused!
Then after knowing the truth!
Wow~~~ Tears couldn’t help but flow out.
…
Beep Beep Beep Beep~~~~
The ambulance came to the gate of the Third Provincial Hospital.
The patient was admitted to the imaging department for a comprehensive examination…
The examination results in the medical record are only the previous examination results and cannot be used as the basis for the operation.
“Should you? Let me come?”
Lin Feng told his colleagues in the imaging department.
“Huh? Doctor Lin, do you know this operation too?”
The female doctor with the CT machine looked at Lin Feng in surprise. She was surprised. This is considered a cross-discipline. Does Dr. Lin understand?
Lin Feng nodded modestly: “A little bit…”
Female doctor: “Okay, okay…”
The power of idols is so great, female doctors obviously also respect Lin Feng, strength and beauty coexist, rare men, high-quality idols!
Lin Feng sat down.
Start operating the CT machine.
In the CT room (radiation room), the patient is lying on the bed, and the CT tomography scans his head, moving little by little, starting at the location where the tumor is encountered, scanning and taking pictures very carefully.
Seeing Lin Feng’s skillful operation techniques, the female doctor looked very surprised.
Director He was equally surprised!
Lin Feng actually knows CT!
And it seems to be amazing!
Soon after, Lin Feng completed CT for the patient…
I have a general understanding of the patient’s condition in my mind.
· Cerebellar vermis, glioma, 2X3cm, more than doubled compared to the last examination in 2021, and the grade jumped from grade 1 (tumor cells occupy less than 25% of tumor tissue) to grade 2 (tumor cells) Account for 25%-50% of tumor tissue)…
·Occupying space, compressing nerves, causing pressure…
Finish CT.
The middle-aged male patient left the CT room and looked at Lin Feng with worry.
“Doctor Lin, how is my illness?”
“Not so good…” Faced with the patient’s inquiry, Lin Feng couldn’t hide it and told the patient the CT results truthfully.
“Your glioma. This tumor is a malignant tumor, not a benign tumor. I assessed it. It is a second-level tumor. Although it is considered to be a relatively low grade (four-level in total) among brain tumors, it is difficult to operate. It’s bigger, and I saw your tumor. It occupies a position that belongs to the motor center and cannot be removed completely…”
actually,
For glial tumors,
There are different surgical methods for different parts:
·The first type: For large tumors located in the frontal or temporal lobes, lobectomy can be performed, together with the tumor.
·The second type: The tumor involves more than two lobes of the cerebral hemisphere and has hemiplegia but has not invaded the basal ganglia, thalamus and the contralateral side. Cerebral hemisphere resection can also be performed.
·The third type: the tumor is located in the motor and speech area without obvious hemiplegia or aphasia, care should be taken to maintain the nerve function and remove the tumor properly to avoid serious sequelae.
And this middle-aged patient in front of him is the most unlucky third!
Can’t cut at all!
However, for the patient in front of him, the tumor has reached 2X3cm, so Lin Feng naturally chose to use “tumor resection·subtotal resection” as much as possible!
“Dr. Lin, I want to ask? Is it okay not to have an operation?” the middle-aged patient asked.
Lin Feng: “………………”
Do you still want to drag?
“I’m afraid it won’t work. Just like this time, your big tumor compresses the nerves, causing epilepsy, and increased intracranial pressure. If you don’t get treatment in time, you may be killed at any time… In fact, when the tumor was detected last year, you should The operation will be done. The sooner this operation is done, the better…”
Lin Feng was a little puzzled.
Brain tumors will definitely grow bigger and more troublesome. Some people just like to drag it!
This patient is dragged from 1X1cm to 2X3cm!
Drag from level 1 to level 2.
Now, I still want to drag! !
The middle-aged patient smiled bitterly and explained: “At that time, the oncology professor of the hospital told me that my brain tumor cannot save nerves during the operation, so it cannot be cleaned… In other words, after the operation, even if it is 0.1%, it is not clean. It will continue to spread…so, I didn’t cut it at that time.”
“Yes, it is difficult and clean, but now, the tumor is bigger, I suggest you cut it off surgically…”
The middle-aged male patient looked at Lin Feng: “Dr. Lin, did you perform the operation for me?”
Lin Feng nodded: “Yes, I can do this surgery for you…”
The middle-aged male patient nodded: “Dr. Lin, I believe you, I did this operation. I don’t want to be cured, but the prognosis is as good as possible!!”
This patient, who happens to be from Pengshi, obviously trusts Lin Feng very much.
Lin Feng nodded: “Since you have decided to have surgery, I still have to tell you that the possibility of a clean resection is still not great, so you have to face new tumor problems…”
The middle-aged patient nodded: “Dr. Lin, you say!”
Lin Feng said: “Because the human brain has a blood-brain barrier, it is difficult for chemotherapy drugs to reach the tumor. Therefore, chemotherapy has almost no meaning for brain tumors…so the only choice: radiotherapy.”
“Radiotherapy has a significant short-term effect on brain tumors, but the toxic side effects of radiotherapy are great. It kills cancer cells, but also kills normal tissue cells and reduces the body’s immunity… Many TVs have filmed hair loss and pale face after radiotherapy. What, you should know…Of course, you can leave it alone and continue to let the tumor grow…”
The patient nodded: “I understand…”
Lin Feng: “You can also choose follow-up traditional Chinese medicine treatment. Some specific medicines that promote blood circulation and remove blood stasis have a better therapeutic effect on brain tumors. ……..”
Chinese Medicine…
Lin Feng just knows a little bit!
“Okay!”
“Then you sign…”
The patient signed the operation consent form without hesitation on the spot.
Then the patient advanced into the operating room.
…
Operating room,
In preparation for surgery…
The nurse shaves the patient’s hair, cleans and disinfects…
The anesthesiologist intubated the patient for anesthesia…
The brain doctors are here.
The older doctors were not convinced, and felt that Lin Feng did not have the teaching qualifications.
The young doctors are excited. After all, Lin Feng can be said to be a role model for many young doctors across the country.
soon,
The operation is ready!
The operation officially begins!
Lin Feng stood on the operating table.
The brain doctors who are watching and studying, especially the young doctors, have been looking forward to it.
“It’s started, it’s started!”
“I don’t know if Doctor Lin is really good!”
“It should be amazing…”
…
Surgical plan: subtotal tumor resection!
first step,
Craniotomy!
Use a skin marker (a pen, gentian violet solution as ink, non-toxic and non-irritating, widely used in general surgery, plastic surgery, orthopedics, neurosurgery, cardiovascular surgery and radiotherapy and other operations.)
On the left side of the skull, draw a ‘? ‘No……
Lay a towel on the surgical section (a large hole, covering the area outside the scope of the incision)…Then continue to lay the towel (the area within the incision range)…
Spread the third layer of drape (similar to the first drape)…
Syringe anesthesia, along the question mark (incision), local anesthesia…
“Scalpel!”
Lin Feng used a scalpel to cut the skin, then Fangreni clamped, clamped along the incision (all incisions)…
Then free…
Uncover the brainskin, spread the brainskin with a cloth towel (the one that was lifted up), and then fix it with a clamp…
“Electric drill…”
Perforate the rotor, drill three holes in three positions, and the three holes form a 10X15cm bone flap…
Cut…
Then he uncovered the bone flap…
There are 4 bleeding points, Lin Feng used electrocoagulation forceps to stop the bleeding…
Cut open the meninges, square Zhang Kai…
Thoroughly reveal the surgical vision of the brain tissue inside the skull…
The culprit: God-level glial tumor, suddenly appeared in front of everyone!
at this time,
Those older doctors put away their contempt, and their expressions became solemn.
Lin Feng knew if there was one as soon as he shot it.
Lin Feng’s skill and speed alone are enough to surprise people!
The eyes of these old doctors at this time are very much like kindergarten and elementary school students, listening carefully to the teacher’s 2.2 appearance.
And the young doctor has already called 666~~~
This is the fastest craniotomy speed they have ever seen, even Director He can’t compare it!
“Could it be that Doctor Lin’s strength is stronger than Director He?”
…
Next, is the focus of surgery!
How to dissociate and remove the entire tumor while preserving important cranial nerves!
In the surgical field of view,
A god-level glial tumor smaller than a ping-pong ball, with a small head, appeared in front of everyone…
“microscope!”
Next, is a long battle!
·Surgery principle: Removal of tumors as much as possible while preserving nerve function.
Give the sharp knife and rubber band to the glove to help the microscope, operate under the microscope, use the non-invasive suction head and bipolar coagulation forceps, little by little, slowly and gently push the surrounding tissue away…
Then fix the brain tissue with a snake-shaped pull hook with a brain pressure plate to pull away the brain tissue tumors…
Continuously use bipolar electrocoagulation forceps and micro strippers to gradually and carefully separate the tumor and normal brain tissue…
For the blood vessels that need to be cut off, use bipolar coagulation forceps to coagulate the blood vessels…
Use scissors to cut the tumor piece by piece…
Use the tumor forceps to take them out one after another, put them into the saline container…
Repeat the above steps…
One hour……
Two hours…
Time passed by a little bit,
Lin Feng heartily demonstrated a highly difficult level 4 brain tumor operation at the Provincial Third Hospital!
The doctors around were dazzled.
“too fast!”
“Can’t come over!”
“My thinking can’t keep up with Doctor Lin’s speed!”
“impressive!”
Doctors keep exclaiming~~~
. .