First of all, Chen Wenwei's operation was carried out. The operating room was located in a class I special clean operating room of neurosurgery on the 10th floor of the surgical building.
Grade I is the highest air cleanliness level in operating room, with the least dust particles and the lowest bacterial concentration. It is suitable for craniocerebral and organ transplantation operations.
At this time, in the spacious operating room, Chen Wenwei was lying on the operating bed in a supine position, sleeping under general anesthesia. Compared with the early hours of the morning, the patient's young face and haggard atrophy a few minutes, both sides of the cheek more depression.
Anesthesiologists and nurses were waiting, and soon the clean corridor door was opened and a group of medical staff in sterile clothes came in.
Gu Jun walked among them, looking at the surrounding bright lights, complete surgical environment, quite a bit touched, back.
It's just Although it is not a simple stone road, what will be done is more barbaric.
"The patient's signs are stable." Guo Jun, an anesthesiologist sitting by the anesthesia machine, told them, "anesthetics can still inhibit the central nervous system of patients."
Gu Jun looked at the electroencephalogram on the screen of the anesthesia monitoring system. The signal lines showed that Chen Wenwei was in a deep hypnotic state, and the figure looked like ordinary people. However, no one here has any experience in whether the operation will cause any stress reaction.
The standard surgical method of lobar leukoencephalectomy originated from the age of backward conditions, which can not guarantee the accuracy, which is also the reason why it has been criticized.
But now there are some more mature ways and more advanced imaging equipment, such as using MRI to accurately locate the target, greatly improving the accuracy of surgery.
Resection of this site will still be applied to contusion, tumor lesions, etc.
It is only because the patients with nightmares are still in a mild stage, their immunity and functional status are not as good as before, and the surgical plan should consider the postoperative recovery. So the plan is to combine the new technology with the old way, which can effectively destroy the white matter of the brain lobe, and with less trauma.
However, the chief swordsman, Ke Xian, Yizhu song Yilong, and others are all ready for battle.
Although each of these middle-aged men is the best neurosurgery expert in Dongzhou medical department, even the four assistants are no exception. All kinds of craniotomy are routine, but they lack experience in this barbaric way and can not tolerate any mistakes.
"Just do it as an ordinary operation." Sikouxian encouraged everyone and himself.
People set their positions beside the operating table - neurosurgery has different positions. The chief surgeon stands above the patient's head, the anesthesia machine is set on the left side, and the power system and instrument table are set on the right side. And Gu Jun is standing behind the instrument nurse looking around.
At the same time, through the camera with no shadow lamp above the operating table and several monitoring cameras around, the situation here is playing in real time on the large screen of a conference room on this floor, as well as the research center of the psychological building and the Research Institute of the headquarters.
Numerous researchers are watching in silence, including Professor Qin and Tang Zhifeng.
Soon, images of the beginning of the operation were shown on each screen. Chen Wenwei's head was fixed by a three nail head rest and rotated 90 degrees to the opposite side of the surgical approach. His hair had already been shaved, and the EEG monitoring electrode sensing half hood avoided the operation Department.
The blood gushed, and the blood was stopped. They made a scalp incision first, and then did subcutaneous dissection
Gu Jun has been watching in the distance. Before coming, he has read some materials and attended the preoperative meeting just now. He knows what he is doing.
Each side of the patient's head will be drilled with a small hole, and the operation will be carried out in three different positions on each side.
At present, SIKO's main knife uses a monopolar electric knife to cut the temporal fascia, temporal muscle and periosteum, and then separate the corresponding small muscle flap under the periosteum and fix it with a retractor. The skull inside is exposed.
"Craniotomy drill." The chief surgeon said that the instrument nurse would give it.
Sikoxian took a Midas Rex craniotomy drill with a small drill in his hand, and leaned over the patient's skull of the operation Department, that is, just above the ear canal, ready to drill. The drilling position has been accurately calculated.
At the same time, the sound of electric drill broke the silence of operating room, command center and other places, and the tense undercurrent was surging.
In the operating room, they are all used to craniotomy. Gu Jun is the least used to it. Moving hands and feet to the head is always more chilling than the limbs.
So he looked at the high-speed drill that couldn't be seen clearly, and bit by bit broke the patient's hard skull
Then he helped song Yilong clean up the bone debris under the drilling hole with a curette, while sikouxian took over a "brain white matter cutter", which was like a big screwdriver. The handle of the pole was connected with a long and thin probe that stretched into the brain. The side was opened and had no tip.
However, there is a steel wire coil hidden in the opening of its end. As long as the handle is pulled, the steel wire will pop up and turn around under the pulling effect to cut off the nerve fiber.
At this point, skoshim extends the cutter probe into the patient's brain from the borehole, reaches a preset position, and stops.Song Yilong took the probe of the surgical navigation system to probe. The computer screen nearby combined with the MRI image data obtained before the operation in real time, showed the brain situation in 3D image, and let sikoxian adjust the position of the cutter probe accurately.
"This is a Nobel Prize winning operation."
Sikouxian murmured, then pulled the handle of the cutter, and it seemed that there was a click. The invisible steel wire popped up and destroyed a part of the patient's prefrontal lobe
This side completes one, and there are two more positions.
The air in the operating room seems to be coagulated. Gu Jun looks expressionless. It's really impossible to predict what brain damage this will cause.
But he knew that if there was no progress in the treatment of nightmares, it would only be the beginning, and there would be a lot of surgery.
Bilateral cingulate gyrus lesion, hemispherectomy
In short, the medical department will cut a little bit of the patient's brain here and there to see what happens.
This seems to be a violation of humanitarianism, but patients have no choice, nor do their doctors.
In the face of the plague that can't find a cure, for a moment, they return to the old age of bloody ignorance.
Sikoxian has not adjusted the cutter yet. Suddenly, a sudden alarm sounds from the operating room, which they are worried about. Anesthesiologist Guo Jun said urgently: "the patient's heart rate is too fast! The EEG has also deviated, which... " The data on the monitor's screen are all out of order.
Do not wait for the public how to do, hoarse strange whimper a ring, from the patient's head there.
"Ah." The instrument nurse first exclaimed, as well as the itinerant nurse and a group of doctors, all changed their faces.
Chen Wenwei, who had a hole in his head on the operating table and had a cutter inserted in it, suddenly opened his eyes and made a sound. In his eyes, there was only haze in his eyes
"Command center, patients The patient wakes up. " Si Kexian's first reaction to this scene was stunned.
Although there are long-standing plans for patients to respond to stress - that's just functional changes under anesthesia.
For a long time, a very small number of patients will suddenly wake up in the process of various operations, can feel pain, can hear the voice of medical staff, but can not move and speak. Because the anesthetic is ineffective, but there are muscle relaxants, patients can't control their muscles.
At this time, Chen Wenwei can open his eyes and speak.
"Wen Wei?" With a steady expression on his face, Sikou immediately asked, "Wen Wei, can you hear me?"
But Gu Jun looked over there, and his heart was filled with a sense of danger
“Ph……” Chen Wenwei's body didn't move and his head didn't move, but his face became strange and pale. His eyes were full of blood like bleeding. His hoarse and strange voice continued to say from his mouth, "nglui nafh…… Cthulhu……”
Gu Jun immediately stares at eyes, can hear, is that sentence!
"Ph'ngluimglw'nafhcthulhur'lyehwgah'naglfhtaggn"
almost at the same time, he felt that there was a huge spiritual shock wave, like a huge wave of tsunami, rushing furiously from Chen Wenwei.
"Ah Sikouxian and song Yilong, who were nearest to each other, suddenly screamed. Their hands instinctively pressed their heads in pain. Most of their faces were covered by masks, and their faces turned pale and their bodies were already crumbling.
Then, the second assistant, the third assistant, the fourth assistant, the anesthesiologist and a group of nurses, all the medical staff in the operating room except Gu Jun were drowned in fierce pain!
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