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  Xie Wanying said bluntly: "Mr. Jin, I estimate that if a shunt is performed, she can only be given two or three cuts."

   "Yeah." Doctor Jin answered first, then suddenly, "ah" like a soprano.

  Dr. Kim is a neurologist, of course he understands how the ventriculoperitoneal shunt is performed in specialist surgery.

   Hearing Dr. Jin's surprised cry, a group of young doctors and medical students at the scene had questions.

   "What does Yingying mean by two or three knives?" Wei Shangquan asked classmate Pan for advice in a low voice.

  What did Dr. Kim call?

   "Wei Shangquan, did you know that you are here for an internship in neurosurgery?" The other two students, Pan and Geng, suspected that he was not doing his job properly and did not seriously review his neurosurgery homework, otherwise he would not even know this common neurosurgery operation.

The process of ventriculoperitoneal shunting is as follows: a hole is drilled in the head, a drainage tube is inserted into the ventricle of the "pool" containing cerebrospinal fluid, the excess cerebrospinal fluid is drained, and the cerebrospinal fluid that is released goes where, like a urine tube. Will the urine bag be thrown away again?

   Hanging a bag all day long will reduce the quality of life of the patient and is prone to infection.

  CSF infection is much more serious than urinary tract infection.

  It is best to keep the cerebrospinal fluid drawn out and drain it to a place where the body can recover cerebrospinal fluid.

   As mentioned above, ventriculostomy.

  What are the places in the human body that can absorb "water"?

  Theoretically speaking, as long as there is a pipeline in the human body with liquid flowing, it can recycle "water", such as the heart, such as the bladder, which are all good pools for collecting "water".

   In terms of medical history, many patients became guinea pigs for these operations. The final statistics were screened out, and the best route was drainage to the abdominal cavity. Therefore, there is the most common hydrocephalus ventriculoperitoneal shunt, in which the other end of the drainage tube is placed into the abdominal cavity.

   One end of the tube is on the head and the other end goes to the stomach, where the cerebrospinal fluid to avoid contamination is passed.

   How long should this pipe be.

   In addition, if the patient who has undergone shunt surgery can't solve the cause, he can only carry the tube for a lifetime.

Can    allow patients to wear external drainage tubes for the rest of their lives?

  Better not to do this. Burying the tube inside the human body, as if it becomes a blood vessel in the human body, can better avoid accidents such as contamination, twisting and breaking of the tube.

   An important step in this procedure is the opening of the subcutaneous tunnel.

  If the human body is covered with skin, the skin is like a container, which contains all kinds of organs and tissues.

  The tube goes under the skin. Unlike blood vessels, there are walls under the skin that can bind the tube. It is a relatively free world.

  The doctor needs to make sure that the tube goes smoothly from the most convenient and smooth shortcut to the target abdominal cavity, rather than letting the tube move around in the middle of nowhere or get kinked in circles.

  Under the skin is not a completely free world at the same time, there may be obstacles in some places, and it is difficult for the tube to pass.

  The main reason is that the distance from the head to the abdomen is too long. Sometimes the doctor sometimes wants to wear it hard and sometimes it is difficult to use force, and it is difficult to detect what is causing it, and it is easy to fail.

   The relay point must be turned on in this case.

   This surgical practice is to open two or three openings in the middle to grab the tube for relay piercing.

   Xie said that it only takes two or three cuts, and the incisions at the beginning and the end are unavoidable, which means that she thinks that she only needs to open one or zero relay points.

   Don't blame Dr. Jin for asking first: is it true or false?

   Thank you for your support! ! Good night dears~

  

  

   (end of this chapter)