BXBX NOVEL Chapter 2867: 【2867】More and more familiar
Originally, ventriculoperitoneal shunt did not say that ventriculoscope must be used. It is only used when the doctor is unsure. Using a ventriculoscope is equivalent to a number of operations that are time-consuming and labor-intensive. Moreover, the hole of the ventriculoscope is larger than that of the simple intubation.
Doctors need to help patients in all aspects to think out all the way, and sometimes it is not a matter of money or not, but it has nothing to do with money.
Dr. Wang once again expressed a little surprise at her confidence.
Rich patients need to be treated with more caution. Deputy Director Lu pondered and said, "You don't need a ventriculoscope. You have to tell me if you are sure of the depth of the intubation."
"The head circumference of this patient is slightly larger. The forehead approach should be able to insert 7.8 needles." Xie Wanying said.
She answered so quickly that Deputy Director Lu was almost speechless, so he could only ask, "Do you think there are other issues that need attention?"
"I don't need it for now." After a hydrocephalus operation, she felt a little more confident with experience.
Deputy Director Lu and Dr. Wang were silent for a moment. They were probably playing drums in their hearts, tug-of-war, and hesitating: Can she do it? Is there any bragging?
Forget it, he proposed to Cao Yong himself, let her do it, and he will finish it when he has something. 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 and wash your hands."
As her assistant, Dr. Wang fixed the incision position, disinfected it, and spread the surgical towel.
Dr. Wang is an old doctor, and operations such as positioning are far more reliable than that of classmate Wei. After returning, Xie Wanying glanced at it and knew that there was no need for review.
When holding the scalpel, this time she changed her posture and changed to the grasping style.
Others could see her increasingly skilled dashing.
For this reason, the teachers of Puwai 21st Gang were most shocked: Xiao Xie, are you going to be reborn again?
One knife down, very accurate. Drilling holes, then opening the dura mater, the action is done in one go.
Dr. Wang, who was a helper, was almost too busy.
The tip of the shunt tube is placed into the puncture needle channel into the lateral ventricle.
In the absence of ventriculoscopy, the hole for opening the dura mater as mentioned by classmate Xie beforehand should be only 2 mm, and no cerebrospinal fluid would flow out of the external gap of the shunt when inserted. It is very compact. The cerebrospinal fluid overflows into the subcutaneous tunnel, which is of great benefit to the patient.
Deputy Director Lu began to "hmmm" while watching.
Like the current shunt surgery, the pressure-adjustable shunt tube is commonly used, and the pressure-regulating valve inside can be adjusted postoperatively 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 based on the patient's lumbar puncture pressure and ct reports before surgery. The above steps are not difficult for doctors, just follow the steps.
will soon come to the subcutaneous tunnel dazzling part that Dr. Kim wants to see.
For this reason, after seeing his friend returning to the ward all right, Dr. Kim hurried back to the operating room to have a quick glimpse.
The two-bed patient is much fatter than the twenty-three-bed patient. Xie said that one to zero relay points can be opened for 23-bed patients. Can it be done as usual for two-bed patients?
Everyone feels that there is a big question mark.
"Let's open one." Xie Wanying said after scanning the patient's upper body again and again.
The relay point incision for this type of surgery is generally performed under the mastoid, under the clavicle, or under the xiphoid process of the right upper quadrant, all or only two.
Thank you for your support! ! Good night dears~
(end of this chapter)