Chen Tianlin saw that Director Jiang had done secondary disinfection before surgery, and estimated the patient's brain based on the surgical site he drew. He immediately picked up the craniotomy instrument and began to operate on the patient.

Perhaps because of his habit of teaching students in his previous life, Chen Tianlin introduced to the observing doctors while performing the operation: "We can usually use three methods to treat normal aneurysms."

"First: middle cerebral aneurysm clipping is suitable for mild cases of middle cerebral aneurysm rupture and can be performed within 3 days."

"Second, "After the middle cerebral aneurysm ruptures and the condition becomes serious, the patient must wait until the patient's condition stabilizes or his physical condition improves significantly before surgery can be performed."

"Third: If a middle cerebral aneurysm ruptures and a life-threatening intracranial hematoma develops like the patient's current condition, surgery must be performed immediately."

"However, during this period, we must first determine whether the patient has serious systemic diseases, such as heart disease, diabetes, kidney disease, lung disease, etc. If the patient's aneurysm ruptures and is complicated by severe cerebral vasospasm and cerebral edema, surgery

It can be postponed.”

While speaking, Chen Tianlin carefully incised the patient's dura mater and introduced: "We must be very careful when incising the patient's dura mater. If the aneurysm is adherent to the dura mater, it will easily tear and bleed when it is opened.

There are three main ways to reveal an aneurysm in the brain."

"First: The medial approach starts from the base of the Sylvian fissure and gradually separates it laterally. It is suitable for patients whose aneurysm is located in the main trunk of the middle cerebral artery or its bifurcation."

"The advantage of this approach is that it is easy to control the proximal segment of the middle cerebral artery and prevent and control aneurysm rupture and bleeding. The disadvantage is that the frontal lobe is lifted before opening the Sylvian fissure, which puts a heavy pull on the brain.

When the middle cerebral artery is in the M1 segment, it is easy to injure the branches from this segment, such as the anterior temporal artery and the lenticulostriate artery."

"Second: Lateral approach, starting from the outside of the Sylvian fissure, incise the arachnoid on the frontal lobe side of the superficial vein of the Sylvian fissure, gradually separate the Sylvian fissure medially, find the branches of the middle cerebral artery in it, and separate in the reverse direction until

Revealing an aneurysm.”

"The advantage of this approach is that the Sylvian fissure is open, which puts less traction on the brain. Opening the Sylvian fissure and releasing cerebrospinal fluid can further retract the brain. However, the disadvantage is that the proximal segment of the parent artery cannot be exposed first, making it difficult to control the aneurysm once it ruptures.

In case of bleeding, if the aneurysm top is ruptured, you can first use an aneurysm clip to clamp the tumor body proximal to the breach to temporarily stop the bleeding and then continue to separate the aneurysm neck."

"Third: Transsuperior temporal gyrus approach. This surgical method is suitable for the patient's current symptoms. It incises the cerebral cortex of the superior temporal gyrus, enters the hematoma, and removes the hematoma. However, during this process, care must be taken to leave behind tight adhesions to the aneurysm.

A small amount of blood clots do not need to be removed to avoid rupture."

"The disadvantage of this approach is that it cannot expose the proximal segment of the parent artery first, and it is also difficult to find the aneurysm in the hematoma. The advantage is that clearing the hematoma helps collapse the brain and avoids the steps of separating the basal cistern and the Sylvian fissure.

But in the end, you still have to enter the Sylvian fissure to fully expose the aneurysm and aneurysm neck. If the hematoma is in the frontal lobe, you can also incise the frontal lobe to gain access."

Time passed by minute by second. At this time, Chen Tianlin was like a medical professor with very rich clinical experience, focusing on performing surgery while imparting surgical knowledge to the observing doctors.

In the observation room outside the glass wall, all the doctors observing the operation carefully watched the details of the operation while recording the surgical precautions introduced by Chen Tianlin. In addition to the sound of Chen Tianlin speaking in the entire observation room, the only sound was the sound of pens scratching on the notebook.

.

Night gradually fell, and the operating room was still brightly lit. The Yao brothers stood in the observation room, watching Chen Tianlin who was concentrating on the operation, praying in their hearts that the operation would be successful.

At around 11 o'clock at night, an operation that lasted more than nine hours was finally completed successfully. Running all the way and the long operation made Chen Tianlin feel exhausted for the first time, which made him unable to help himself.

I recall what the Medical Assistance System said back then. A good doctor first needs a strong body so that he can provide enough physical strength for long-term operations.

After confirming that the patient's physical characteristics were basically stable, Chen Tianlin dragged his exhausted body out of the operating room. When Yao Qingdong saw Chen Tianlin, he quickly walked forward and asked Chen Tianlin uneasily: "Xiao Chen! My dad's operation was successful.

?"

Chen Tianlin heard Yao Qingdong's inquiry and saw the anxious expressions of the Yao brothers and sisters, and replied: "Mayor Yao! Fortunately, you have lived up to your fate! The operation was very successful, and the patient's life has been saved."

"As long as the post-operative care is done properly, the patient's condition will be stable. Director Jiang is currently conducting post-operative examinations on the patients in the operating room. After the examination is completed, you will be able to see the patient."

For the Yao brothers, the existence of the old man is related to their future development. When all the Yao brothers learned the news that the old man had been successfully rescued, expressions of excitement appeared on their faces.

Yao Qingbei held Chen Tianlin's hand tightly, shook it vigorously, and thanked Chen Tianlin: "Doctor Chen! Thank you for saving my dad!"

It took more than six hours to set off from Jiangcheng to Yanjing, and the operation took another nine hours. Chen Tianlin didn't eat for a full fifteen hours. The long operation consumed a lot of Chen Tianlin's physical strength, making Chen Tianlin feel very tired.

.

Chen Tianlin let Yao Qingbei keep shaking his arm, and said to Yao Qingdong slightly tiredly: "Mayor Yao! The operation has been completed. I have already told Director Jiang the specific conditions that need to be paid attention to after the operation. There is nothing going on here now.

I will take the first step."

When Yao Qingdong heard Chen Tianlin's words, he clearly felt Chen Tianlin's tiredness. Then he remembered that Chen Tianlin had been running all the way and hadn't eaten anything until now. He suddenly woke up and said to Chen Tianlin apologetically: "Xiao Chen! Look at my memory.

In order to perform an operation on our old man, you traveled all the way from Jiangcheng to Yanjing."

"You haven't eaten anything all this way, and you've had nine hours of surgery. You're as good as steel! Now you need to replenish energy. Let's go! I'll take you to a hotel to stay first, and then

Let me take you to taste our Yanjing specialties."

At this time, what Chen Tianlin wanted to do most was to eat something casually and then find a place to have a good sleep. When he heard Yao Qingdong's words, he subconsciously shook his head and replied: "Mayor Yao!

The patient still needs someone to take care of him, so I can just find a place to eat by myself..."

"How can this be done? If this spreads out, people will not rub the bridge of my nose, Yao Qingdong, and say that I, Yao Qingdong, don't know how to be a human being." Yao Qingdong saw Chen Tianlin and wanted to reject him, but before Chen Tianlin could finish his words, he directly rejected Chen Tianlin's decision.
Chapter completed!