From small clinic to medical empire

Chapter 235 I Want It All
Facts have proved that there are more ways to cut brain gyri than to write fen.

Wang Bin talked about seven different methods of ostomy, all of which can reach the deep part of the brain.

While Wang Bin was talking, Zhang Zifan used the [Eye of Default] to preset.

Obviously, these surgical methods summed up through the experience of several generations of brain surgeons are better than Zhang Zifan, a half-assed person, who has pondered on his own.

Zhang Zifan's bold innovation in surgical techniques in the field of head and neck surgery is mainly due to his good experience accumulation.

The previous operations such as pneumonectomy were not so much a surgical innovation as a improvement of the original surgical method by using the control of the microstructure.

The same is true for the first half of this brain operation.

……

With Wang Bin's strong guidance, Zhang Zifan quickly found out the most suitable operation plan for Schumacher.

That is to enter the surgical field through the sylvian fissure and arachnoid space fistula.

According to the prompts of [Eye of Preset], walking this channel will cause less than 12% functional damage to this area of ​​the brain.

With the general direction in mind, Zhang Zifan tried to make some improvements, and finally reduced the damage to 10.7%.

In fact, if you spend a little more time, it is possible to reduce the local damage to less than 10%.

But now that the patient is in the state of craniotomy, time is very precious, and Zhang Zifan is not allowed to use exhaustive methods to find the best solution.

Therefore, after obtaining a relatively reliable surgical technique, Zhang Zifan immediately picked up the minimally invasive scalpel again.

"Are you really going into deep surgery!!?"

Professor Wang Bin was startled when he saw Zhang Zifan's posture.

Although he had a vague premonition when answering the question, he really didn't expect Zhang Zifan to be so courageous.

Those who can understand Chinese at the scene are all from our own people.

Professor Wang Bin said without any hesitation: "Principal Zhang, I admire your surgical skills and sense of smell. When you pick up the scalpel, everyone can see this kind of thing."

After a pause, he seemed to think about the words, and then he continued, "But I don't think you will deny that your grasp of the anatomical structure of the brain nerves is relatively poor. When the basic skills are not solid, you rashly take action. This is a big taboo for clinicians!
Moreover, this case is not ordinary. On the one hand, the patient is a public figure. Once a medical accident occurs, it will inevitably attract the attention of the public.

On the other hand, he has been treated repeatedly by top European brain surgeons before, and it is not an exaggeration to say that he is incurable.

For this operation, we don't seek meritorious service, but seek no faults. As long as the patient's condition improves a little bit, it is our great contribution, and there is no need to take risks. "

"Thank you, Brother Wang!"

Zhang Zifan knew that what Wang Bin said was sincere, for his own benefit, as an old man in the medical field speaking from the bottom of his heart to young people.

So he didn't mind at all, and he didn't want to show off his skills to face the opponent.

Zhang Zifan nodded and said: "I will try my best to be careful, but I still want to try. If I see a lesion and don't deal with it, as a doctor, I will feel guilty for the rest of my life."

"The focus? Where is the focus you mentioned?"

Wang Bin looked at the CT images and MRI images in confusion.

Due to severe injuries and multiple surgeries, Schumacher's brain situation is very complicated, but Wang Bin has seen it at least ten times before the surgery, and the pits that should be discovered should have been discovered.

"Under the axis of the visual cortex, about 5 centimeters from the central posterior gyrus, and at a 45-degree angle between the angular gyrus and the sulci, brother, take a closer look."

Zhang Zifan said something, then, he lowered his head and landed the first knife.

Wang Bin was stunned for a moment, and then quickly asked the Swiss doctor beside him to adjust the angle and direction of the CT slice on the screen.

Sure enough, as the image gradually became clearer, a blurred high-density shadow indeed appeared indistinctly in the picture.

The so-called high-density shadow appears as a whitish area on CT.

Using CT software, the density of a certain area can be obtained directly with the mouse.

Generally speaking, because brain tissue is rich in fat, its density on CT is low, about 22.

If there is cerebral hemorrhage, the density will rise above 60.

However, the high-density shadows appearing now are extremely blurry, and compared with the surrounding tissues, they are only slightly lighter. Without Zhang Zifan's reminder, it is completely difficult to find.

The Swiss doctor measured the local density, which was only about 28, and the highest did not exceed 30.

Although his native language is French, Wang Bin clearly heard a word starting with F from the mouth of this Swiss.

It can be seen from this, are the squinted eyes of Asians so able to focus the light?
Of course, he didn't dare to say that.

Instead, he immediately apologized for his vulgar words just now, "Professor Wang, I'm so sorry, I'm really surprised, you and your partner's skills are amazing!"

Wang Bin smiled and shook his head, expressing his understanding.

This feeling of knowing that the other party doesn't like me, but having to lick me, is so cool!

Wang Bin's delicious juice.

……

About 10 minutes later, Zhang Zifan established the fistula according to the operation method provided by Wang Bin and improved by himself.

Compared with cutting other tissues and organs, Zhang Zifan's cutting this time obviously took more time.

The God of Cookery said that the dish that most tests knife skills is tofu carving.

Similarly, operating a knife on brain tissue is also an ultimate test for surgical knife skills.

Wang Bin and Sun Hui, who were assisting at the side, quickly used the brain pressure plate to gently push aside the tissue, and the lesion marked by the red icon was finally directly exposed to Zhang Zifan's field of vision.

This is not a bleeding point.

In fact, it has been so long since the injury, it is certainly impossible for there to be active bleeding points.

But Zhang Zifan estimated that 7 years ago, there should indeed be a hidden tiny contusion, and there were indeed small bleeding spots.

However, due to the small damage, it was not taken seriously by the surgeons at that time.

However, in the subsequent self-healing process, the contusion and laceration of the brain tissue did not recover normally, but gliosis and brain tissue adhesion scars appeared.

To put it simply, the original neuron synapse cannot be connected normally.

This is an extremely troublesome situation.

Generally speaking, clinically, non-surgical treatment is advocated for this kind of old sequelae of brain contusion.

The so-called non-surgical treatment is to give patients some functional training such as hyperbaric oxygen, physical therapy, massage, and acupuncture.

But how effective these functional trainings can be, can be summed up in one sentence: "Do your best and obey the destiny."

Or it can be said that "a dead horse is treated as a living horse doctor".

In fact, when Corinna asked her son to invite Zhang Zifan to come to Switzerland, she asked him to be a masseur and give Schumacher functional training.

It's just that I thought Garfield was invited, but in fact it was an ambitious tiger.

What Zhang Zifan valued was not only tens of thousands of euros in physiotherapy fees, but also surgery fees and rehabilitation fees.

(End of this chapter)