Chapter 338 Such a simple major operation
After talking about the anatomy, the little girl with light brain transformation continued: "After performing a nostril sphenoid sinus approach to brain pituitary tumor resection under micro-endoscopy is a very complicated operation. Now that you have understood the local structure, we will start to explain the process of the operation..."
"Patients should be lying on their backs, with their heads tilted back, twenty-five degrees below the level. If you had tracheal intubation during your previous life, you should have general anesthesia on the patient. Now, you need to perform paralysis on the patient. Please note that after the paralysis on the patient, someone must take care of the patient's breathing."
"Then, through one nostril, the mucosa of the nasal septum is cut open, and the bone nasal septum is bluntly separated, the mucosa is separated from the bones of the cartilage and the anterior inferior wall of the sphenoid sinus, and enter the sphenoid sinus."
In front of the little girl with a light brain, the specific anatomical structure of the sphenoid sinus is shown in the light and shadow. The sphenoid sinus has many approaches and openings, complex like an overpass in the city.
"Open the anterior wall of the sphenoid sinus and process the sphenoid sinus mucosa to determine the location of the saddle bottom."
With the explanation of the light brain, the light and shadow in front of Jiang Junming was like the light brain was performing an endoscopic operation through the perspective of a feather snake. The picture was very realistic, and Jiang Junming vaguely felt that this was true. "How to solve the problem of the attraction device?" Jiang Junming asked.
"The feather snake can be used as an attraction device. It will gently suck the blood away without harming the brain tissue. You don't have to worry about this, just use your mental power to control the feather snake." said the little girl with light brain transformation.
"Open the saddle bottom dura in the middle of the saddle base or slightly on the side of the tumor. See the tumor."
"You also know that this step requires extreme caution and is the key to the success or failure of the operation." The little girl with a light brain transformed expression explained to Jiang Junming with a serious expression: "After the feather snake is transformed, you can treat it as a bipolar electrocoagulant, attraction and curett you have seen. Carefully separate the outer membrane of the tumor and then fully expose the tumor. Your mental power finally completes these subtle movements. The feather snake will also help you. Next, you must protect the normal brain tissue to avoid damage to the normal tissue of the patient. Clean the tumor bed
Afterwards, complete cuts are performed under the vision of the feather snake. "The bottom of the saddle is closed with muscles, gelatin sponges and biological protein glue, exits layer by layer, plug the nasal cavity with blocked iodine oil yarn, and pulls it out in a few days." When the operation was completed, the little girl with light brain transformation continued to explain: "The pituitary gland drapes and the bottom of the brain, and is connected to the hypothalamus through the funnel shank. The hypothalamus integrates nerve regulation and body fluid regulation into one through close connection with the pituitary gland, regulates the body's endocrine activities, regulates and coordinates physiological functions or physiological processes such as appreciation, growth, development stress response and questions.
Endoscopic surgery with the nasal approach has little trauma and the patient recovers quickly after surgery. And the biggest advantage is that others cannot see the existence of the feathered snake, and there will be no scenes of heavy bleeding, and people will not mistake you as a deceased magician."
Speaking of this, the little girl with a brain-like transformation smiled, and Jiang Junming also laughed. This is indeed. It is important not to be mistaken for a deceased magician. In this world, every time Jiang Junming undergoes surgery, someone will clamor and accus you of being a deceased wizard. Jiang Junming is tired of hearing this stupid statement.
"Now, you can try it yourself." The little girl with a brain-like transformation waved her hand, and an operating table appeared in front of Jiang Junming. There was a patient on the table. It seemed that she was the last time Jiang Junming had a limb replantation surgery.
Pure brain is also very lazy, and I don’t know how to change someone. Jiang Junming smiled and thought. It was just a joke. The patient’s appearance was not important at all. Jiang Junming just laughed at Pure brain because he looked familiar.
Jiang Junming followed the instructions of Guangzhu to lie down the patient flat, lean back twenty-five degrees, and then cast the paralysis magic technique. At this time, the benefits of the instant divine technique were fully displayed. Jiang Junming had already conceived the picture of the real operation in his mind. While comforting the patient, he instantly exerted the paralysis magic technique when the patient was not prepared. Complete anesthesia was completed, and the patient would not have any symptoms such as pain, tension, anxiety, etc.
Of course, this is just an idea, and Jiang Junming was not stupid enough to comfort the sim.
After simulating the human beings being paralyzed by the paralysis magic, Jiang Junming then summoned the feathered snake with his mental power. It turned into a fiber bundle like a dragon, entered the patient's nostrils, entered the patient's nasal cavity from the light brain, and separated the nasal septum.
Jiang Junming used a feather snake as a gastroscope to observe abnormally growing tumors in Sir Slo's intestines. But now he needs to use a feather snake to separate the mucosa of the nasal septum and enter the brain. Although this fine operation is not done with hands, it requires extremely fine mental power to maintain it.
When separating the mucosa of the nasal septum, Jiang Junming's subtle thoughts will be learned by the feather snake and made. The two horns of the feather snake, which are like dragon horns, turn into surgical instruments like fiber hair, perfectly performing Jiang Junming's ideas.
Each step was very fine, with a little bleeding. The feathered snake immediately sucked away the blood with a slender dragon kiss, which was extremely considerate. With the feathered snake and the strengthened mental power, Jiang Junming felt that the operation was not as difficult as he imagined.
When Jiang Junming opened the sphenoid sinus and isolated the tumor, he controlled the feather snake to move around in the narrow area, peeling off the outer membrane of the tumor bit by bit, and the bleeding was about three to four milliliters. Jiang Junming had a preliminary estimate of this. Even Jiang Junming had never expected such a small amount of bleeding.
Until the end, the tumor was removed, and the feather snake swallowed the tumor in one bite, and then gradually exited the nasal cavity of the simulated human. Jiang Junming was a little troubled. In the last step, he had no muscles, and the gelatin sponge and biological protein were used to close the bottom of the saddle. But in a moment, Jiang Junming thought of completely replacing muscle tissue. Removing a small amount of muscle tissue around was actually muscle fibers. This level of resection will not cause much damage to the patient, nor will it cause bleeding. After blocking the saddle bottom, Jiang Junming completely retreated the feather snake.
Looking at the simulator, Jiang Junming was a little dazed. Could it be that a single nostril sphenoid sinus approach to pituitary tumor was completed like this? In the previous life, this was a very advanced surgery. Jiang Junming had never studied related things, and he had never even seen it. However, under the guidance of the little girl who transformed into a light brain, he actually completed it through the endoscope turned into a feather snake!
It's amazing, incredible.
The little girl with light brain transformation stood beside Jiang Junming, watching Jiang Junming calmly complete the operation. Then, with a wave of her hand, the operating table and the simulator turned into light spots scattered, disappearing without a trace.
"In fact, this surgery is not too difficult than the relatively difficult replantation of the broken limbs." said the little girl with a brain-like transformation.
Jiang Junming agrees with this sentence very much, because the most difficult part of this operation is the equipment. With the existence of a feather snake, the most difficult point has been solved. Operation is another difficulty, but the feather snake is connected to its own mental power. As long as its mental power can keep up, this operation will not be a problem.
Therefore, the little girl with a brain-like transformation said this, and Jiang Junming understood this.
"Let's have a rest, we still have something to do." said the little girl with a light brain.
"And?" Jiang Junming asked in surprise.
"I have said it many times. This time I have obtained enough 'high-quality energy' to transform you enough and teach you a lot of new knowledge." The little girl with a light brain said coldly, but then changed her expression and asked strangely: "Actually, I calculated before that, you are most likely to choose to enhance strength or agility. Because in your human body, especially in the male body, the level of hormone secretion indicates that you are a very warlike and fickle creature. Can you tell me why you are not dominated by hormone secretion and choose to improve your mental power?"
Why do you feel strange when listening to the light brain explaining the human body like this? It is dominated by hormone secretion... This is really strange, Jiang Junming thought speechlessly.
When Guangnao saw that Jiang Junming didn't speak, he didn't speak, and stood opposite Jiang Junming, waiting for his answer.
But what Guangna says makes sense is that human history is the history of war. From the time when humans appeared, stone tools were produced for hunting. The application of fire, turning raw meat into cooked meat is the symbol of the dividing line that can be used as a dividing line in the history of human evolution. Since then, humans have never escaped from war. Even though they came to this world, they have always been gentle and humble and kind to others, have they experienced few battles? The bullying of those gangsters, the battle between young students, and the battle between believers of different beliefs...
"I was born in a peaceful era in my last life." Jiang Junming thought through his previous choice, and Guangnao asked. After thinking about it, he said it. There was nothing to hide from Guangnao. "At that time, I was an ordinary medical school student, and I didn't have too high ideals and ambitions, so I just wanted to live and wait for death and have a happy life. When I arrived at university, I studied every day, and I had no ideas at that time.")
Chapter completed!