After raising a cat, the goddess doctor became popular in the interstellar
Chapter 441 Vascular Transplantation
Chapter 441 Vascular Transplantation
on the big screen.Tao Le calmly pulled out the previous needle.
The corresponding veins have been cut off after clipping, so even if the needle is pulled out, there will be no further bleeding.
Everyone present has either seen or heard about golden needles controlling the veins to stop bleeding.
In addition, before the video was released, Hou Bo also mentioned it, so there is no doubt about it.
Tao Le threw these needles into the tray, and immediately took out three more needles, and stuck them in several other places.
Is this still bleeding?But now there is no bleeding anywhere?
While everyone was in doubt, they saw Tao Le's hand steadily release the non-invasive blood vessel clamp that had previously blocked the parent artery.
Hou Bo was so startled that he almost jumped up from his seat.
How can I let go!What should be done now is not this, but to carefully consider whether the middle and posterior arteries of the bilateral brain are strong enough and whether there is any problem with the posterior circulation after the A2 and posterior blood vessels are cut off.
If not, you can go directly to the steps of removing the hematoma and closing the skull and suturing it!
As long as it is carried out smoothly, this is already an extremely rare model surgery that can stand out from the domestic gods and the outside world!
But why do you have to make extra troubles?
After thinking this way, Hou Bo found that no blood flowed out of the opened artery.
By the way, this is the effect of the three needles just now.
Everyone's tone of relief just now, followed by Tao Le's movements, became tense again.
Her hands are already gently peeling off the adventitia at both ends of the previously severed A2 artery.
But in the blink of an eye, the two ends were stripped off by about five millimeters, and then they began to trim the broken ends again.
At this time, how can the people here not understand what she wants to do.
"This is to do vascular anastomosis!" Luan Daoying said.
Director Le shook his head: "The excised part is too big, and the distance between the two ends is too far away. It's impossible to get an end-to-end anastomosis. Could it be that she still wants to do another blood vessel transplant?"
What he said is also the voice of the experts.
If the truncated aneurysm is not large and the distance between the blood vessels at both ends is about [-] cm, then end-to-end anastomosis can be used directly.
Otherwise, you have to connect a section of blood vessel to get it.
It's just that even an ordinary end-to-end anastomosis is not easy to do.
Because this is inside the brain, facing the most delicate cerebral blood vessels.
A slight omission will result in anastomotic stenosis, occlusion, vasospasm, or thrombosis.
These consequences, put in the mind, are all big problems.
Neurosurgery operations have a small scope of operation and high precision, and the anastomosis of blood vessels is quite difficult, which has always been taboo by many doctors.
There are very few doctors who dare to do it, and even fewer can do it well.
So Tao Le's choice at the moment is very puzzling.
Gu Jiadi sneered secretly in his heart.
You can't die if you don't work, this Tao member is really a newborn calf who dares to challenge the anastomosis and transplantation of cerebral blood vessels.
For such a young doctor, no matter how good Chinese medicine is, he still has to practice suture. He still doesn’t know what can be done with ordinary trauma suture, and he dares to talk about intracranial vascular anastomosis.
Even he, Gu Jiadi, who has spent so many years scrambling outside of the gods, involving the extremely delicate anastomosis of blood vessels in the brain, still knows how to beat the drums. Relaxed like a little girl.
Moreover, the surgical resection of the aneurysm before was all ad hoc, so this step must be the same.
I didn't do any calculation design before the operation, so I just came up to mend it directly. If it can be successful, it would be too fantastic.
He silently calculated the remaining time of the video.Very good, there are still ten and eight minutes.
Vascular anastomosis and possibly grafting, plus removal of hematoma and suturing
Anyone would have to do it for hours, right?Ten 8 minutes, what a joke.
No matter how wonderful the first half of the surgery was, the later ones would definitely be rougher.
What he thought, others also thought of.
Immediately, someone asked Hou Bo: "Old Hou, in your plan, did you make preparations for vascular bypass?"
"Yes." Hou Bo understood the meaning of the other party, and immediately replied: "The materials must be complete, and artificial blood vessels of various lengths are ready."
Director Fang of Haishi No. [-] Hospital nodded: "Although the effect of artificial blood vessels is definitely not as good as autologous transplantation, if it succeeds, it can ensure the blood supply to the child to the maximum extent, which is particularly beneficial to brain development."
"Yes, the premise is that the transplantation is successful." Gu Jiadi interjected.
What does this mean, hope Xiao Tao fails?Hope simply glared at him.
"Actually, I have no other intentions. Is it just thinking about surgery? In fact, sometimes it is a compromise."
"It's enough to ensure the safety of the patient's life as much as possible. In order to improve the perfection of the surgery by 30.00% or 50.00%, but add [-]% or even [-]% of the surgical risk, is it worth it?"
His words caused a lot of experts to think deeply.
Indeed, is it worth it?Clinically, everyone's choice is different.
But most people will definitely choose the safest and relatively easy solution, and will not make more meaningless attempts.
This is not only for the safety of patients, but also for their own sake. It can be regarded as a win-win situation, right?
Tao Le on the screen has already finished flushing the lumen of the broken end, cleaning out the coagulated blood clots to avoid the formation of thrombus.
Afterwards, she did not choose an artificial blood vessel, but directly cut open the aneurysm in the tray.
Unsurprisingly, a large number of blood clots were revealed in front of everyone.
She quickly cleaned them up, and then directly cut off a piece of the aneurysm's periphery.
"Could it be that she wants to use this as a transplant material?" Director Le of the Beijing Third Hospital suddenly stood up.
"It seems so. The old wall was demolished, and then the bricks were cleaned and brought back for repairs. There is no problem at all!" Hao Jun also said.
"Wonderful idea, why didn't I think of it!" Tony clapped his hands and laughed, "Using your own blood vessels is definitely better than artificial ones—but it saves the effort of transplanting other blood vessels from your own body."
The huge aneurysm has long stretched the parent artery wide and big.
Tao Le only cut off a piece of it, and it was enough to resew it into a blood vessel with the same thickness as the A[-] artery.
She seemed to cut it randomly, but in fact it was the result of countless experiments in the golden finger space and seared into her memory.
But everyone in the conference room didn't know.
They only saw that she cut it so easily, cleaned and disinfected it for a while, and then sewed it up with 4-0 thin silk thread easily.
The shadow of a needle dances like a butterfly piercing a flower, it is astonishingly fast, with a very beautiful rhythm.
Before everyone could react, the stitching was over.
(End of this chapter)
on the big screen.Tao Le calmly pulled out the previous needle.
The corresponding veins have been cut off after clipping, so even if the needle is pulled out, there will be no further bleeding.
Everyone present has either seen or heard about golden needles controlling the veins to stop bleeding.
In addition, before the video was released, Hou Bo also mentioned it, so there is no doubt about it.
Tao Le threw these needles into the tray, and immediately took out three more needles, and stuck them in several other places.
Is this still bleeding?But now there is no bleeding anywhere?
While everyone was in doubt, they saw Tao Le's hand steadily release the non-invasive blood vessel clamp that had previously blocked the parent artery.
Hou Bo was so startled that he almost jumped up from his seat.
How can I let go!What should be done now is not this, but to carefully consider whether the middle and posterior arteries of the bilateral brain are strong enough and whether there is any problem with the posterior circulation after the A2 and posterior blood vessels are cut off.
If not, you can go directly to the steps of removing the hematoma and closing the skull and suturing it!
As long as it is carried out smoothly, this is already an extremely rare model surgery that can stand out from the domestic gods and the outside world!
But why do you have to make extra troubles?
After thinking this way, Hou Bo found that no blood flowed out of the opened artery.
By the way, this is the effect of the three needles just now.
Everyone's tone of relief just now, followed by Tao Le's movements, became tense again.
Her hands are already gently peeling off the adventitia at both ends of the previously severed A2 artery.
But in the blink of an eye, the two ends were stripped off by about five millimeters, and then they began to trim the broken ends again.
At this time, how can the people here not understand what she wants to do.
"This is to do vascular anastomosis!" Luan Daoying said.
Director Le shook his head: "The excised part is too big, and the distance between the two ends is too far away. It's impossible to get an end-to-end anastomosis. Could it be that she still wants to do another blood vessel transplant?"
What he said is also the voice of the experts.
If the truncated aneurysm is not large and the distance between the blood vessels at both ends is about [-] cm, then end-to-end anastomosis can be used directly.
Otherwise, you have to connect a section of blood vessel to get it.
It's just that even an ordinary end-to-end anastomosis is not easy to do.
Because this is inside the brain, facing the most delicate cerebral blood vessels.
A slight omission will result in anastomotic stenosis, occlusion, vasospasm, or thrombosis.
These consequences, put in the mind, are all big problems.
Neurosurgery operations have a small scope of operation and high precision, and the anastomosis of blood vessels is quite difficult, which has always been taboo by many doctors.
There are very few doctors who dare to do it, and even fewer can do it well.
So Tao Le's choice at the moment is very puzzling.
Gu Jiadi sneered secretly in his heart.
You can't die if you don't work, this Tao member is really a newborn calf who dares to challenge the anastomosis and transplantation of cerebral blood vessels.
For such a young doctor, no matter how good Chinese medicine is, he still has to practice suture. He still doesn’t know what can be done with ordinary trauma suture, and he dares to talk about intracranial vascular anastomosis.
Even he, Gu Jiadi, who has spent so many years scrambling outside of the gods, involving the extremely delicate anastomosis of blood vessels in the brain, still knows how to beat the drums. Relaxed like a little girl.
Moreover, the surgical resection of the aneurysm before was all ad hoc, so this step must be the same.
I didn't do any calculation design before the operation, so I just came up to mend it directly. If it can be successful, it would be too fantastic.
He silently calculated the remaining time of the video.Very good, there are still ten and eight minutes.
Vascular anastomosis and possibly grafting, plus removal of hematoma and suturing
Anyone would have to do it for hours, right?Ten 8 minutes, what a joke.
No matter how wonderful the first half of the surgery was, the later ones would definitely be rougher.
What he thought, others also thought of.
Immediately, someone asked Hou Bo: "Old Hou, in your plan, did you make preparations for vascular bypass?"
"Yes." Hou Bo understood the meaning of the other party, and immediately replied: "The materials must be complete, and artificial blood vessels of various lengths are ready."
Director Fang of Haishi No. [-] Hospital nodded: "Although the effect of artificial blood vessels is definitely not as good as autologous transplantation, if it succeeds, it can ensure the blood supply to the child to the maximum extent, which is particularly beneficial to brain development."
"Yes, the premise is that the transplantation is successful." Gu Jiadi interjected.
What does this mean, hope Xiao Tao fails?Hope simply glared at him.
"Actually, I have no other intentions. Is it just thinking about surgery? In fact, sometimes it is a compromise."
"It's enough to ensure the safety of the patient's life as much as possible. In order to improve the perfection of the surgery by 30.00% or 50.00%, but add [-]% or even [-]% of the surgical risk, is it worth it?"
His words caused a lot of experts to think deeply.
Indeed, is it worth it?Clinically, everyone's choice is different.
But most people will definitely choose the safest and relatively easy solution, and will not make more meaningless attempts.
This is not only for the safety of patients, but also for their own sake. It can be regarded as a win-win situation, right?
Tao Le on the screen has already finished flushing the lumen of the broken end, cleaning out the coagulated blood clots to avoid the formation of thrombus.
Afterwards, she did not choose an artificial blood vessel, but directly cut open the aneurysm in the tray.
Unsurprisingly, a large number of blood clots were revealed in front of everyone.
She quickly cleaned them up, and then directly cut off a piece of the aneurysm's periphery.
"Could it be that she wants to use this as a transplant material?" Director Le of the Beijing Third Hospital suddenly stood up.
"It seems so. The old wall was demolished, and then the bricks were cleaned and brought back for repairs. There is no problem at all!" Hao Jun also said.
"Wonderful idea, why didn't I think of it!" Tony clapped his hands and laughed, "Using your own blood vessels is definitely better than artificial ones—but it saves the effort of transplanting other blood vessels from your own body."
The huge aneurysm has long stretched the parent artery wide and big.
Tao Le only cut off a piece of it, and it was enough to resew it into a blood vessel with the same thickness as the A[-] artery.
She seemed to cut it randomly, but in fact it was the result of countless experiments in the golden finger space and seared into her memory.
But everyone in the conference room didn't know.
They only saw that she cut it so easily, cleaned and disinfected it for a while, and then sewed it up with 4-0 thin silk thread easily.
The shadow of a needle dances like a butterfly piercing a flower, it is astonishingly fast, with a very beautiful rhythm.
Before everyone could react, the stitching was over.
(End of this chapter)
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