Chapter 310 306. Spotted hemostasis

Modern neurosurgery requires drilling 4-6 bone holes during craniotomy. Especially when a small amount of non-coagulable blood is found in the extreme part of the temporal lobe, a large bone flap hematoma is removed.

This is the situation Kawi is facing now.

Sebasto's intracranial hemorrhage was not small, and had spread from the frontal lobe to the temporal pole. Judging from the scope, the hematoma had compressed the brain tissue. The bone flap had to be cut to remove the accumulated blood clot, so that the brain tissue could return to its original state.

original location.

But Kawei lacked the tool to cut the skull—a craniotomy milling cutter.【1】

In fact, in addition to the craniotomy milling cutter, he also does not have high-speed drills, scalp clamps, flap fixation hooks, and periosteal glass instruments. It is indeed too difficult to perform neurosurgery in this era. [2]

But compared to these latter things, the milling cutter is indeed more important.

Kawei had considered this situation before the operation began. When milling cutters have become the standard equipment of neurosurgery in major hospitals, few modern young neurosurgery doctors have seen the operating instruments and methods of craniotomy in the early years.

Even Kawei himself has somewhat forgotten about it.

Neurosurgery in modern hospitals uses electric pneumatic drills to open holes, and then use milling cutters to cut, which saves time, effort and worry. However, there are always some hospitals in developing countries or poor areas that do not have these things, so they can only choose older methods.

Cheaper cutting tool - scroll saw.

Compared with a milling cutter, a wire saw is much more troublesome because there is no protection like a milling cutter sheath, and it is easy to damage the dura mater when passing through the lower end of the skull.

Peon is just an ordinary surgeon, and his qualifications cannot be compared with those of professors and associate professors such as Serdieu and Kevin. But to work in the Palace Hospital, one must be rich or noble, and Peon has the title of baron on his head.

Now that Kawei does not have pituitary gland extract in hand, it is obviously unrealistic to ligate the blood vessels supplying the brain. After all, the brain is different from the uterus, and the blood vessels are originally buried under the skull. What Kawei wants to do is not to remove the brain, and there is no room for operation.

This includes the differential diagnosis in the ward, the continuous improvement of preparations by nurses and Payon, and the pre-operative drilling exploration. In the medical background of the 19th century, it was very efficient to be able to achieve this point.

"Tourniquet." Peang glanced at the director on the stand and said, "I remember there is a tourniquet, it should still be in the warehouse."

The mother joked: "Don't be ridiculous, Leos, there is a limit to trusting others. How can surgery be a sure success?"

"Mr. Edward, your words are as ridiculous as saying that Mr. Carvey can fly in the sky."

Leos took half a step back and patted his chest with his hand when the nurse touched him: "Why are you so anxious about boiling water?"

He and Kavi are no longer separate individuals. In the hot land of Paris, they are a community that prospers and suffers. If it succeeds, he might be able to return to Paris for promotion. If it fails, the worst he can do is continue to stay in Vienna and be himself.

ambassador abroad.

On the other side of the Atlantic, the American Civil War had just ended, and the immediate mortality rate for craniotomy surgery was over 60%, and most of the remaining half would die within two weeks after the operation.

"." Peang nodded, but he didn't move. "Dr. Kawei, if I leave, there will be no assistant here. How about you?"

"Come on, Porto." Leos, who was two years older, ignored his mother and glanced at his younger brother, "What's the point of saying these words now? Why didn't you stop me when we entered the surgery theater just now?

With?"

Just as he was about to speak, he saw the only two nurses in the surgical ward both busy at work.

Kawei looked at Sediyo: "I wonder if the professor is interested in coming down to help."

The development of the disease was beyond their imagination, and the person was in a coma all the time. The family members were doubtful about Kawei's judgment for a while. Fortunately, Edward and the bank president came forward and the situation was temporarily stabilized.

They waited anxiously outside the operating theater, discussing under the moonlight and oil lamp why the operation of such an important person was performed by an unknown young Austrian man. At the same time, they also hoped to hear something from the bloody operating theater.

Good news, at least someone needs to say whether Shebasto is still alive.

"I didn't expect that the surgery was not performed by Professor Sediyo, and he didn't even know that there would be such an operation. How could the management of the Palace Hospital be so bad? It's so puzzling!"

Just like when the uterus was removed, the main arteries and blood vessels were ligated before the incision. Coupled with the hemostatic effect of the pituitary extract, the risks of the operation will be greatly reduced.

"Mr. Edward, are you sure that this guy's operation will be successful?"

"Mom, don't blame the professor. He has been having bad luck in the past two days. Two surgeries in a row failed. I heard that a patient even died, the kind that died directly on the operating table!"

"He is sprinting for the surgical skills competition half a month later and is not in the hospital for the time being."

The two nurses cannot move.

"I need it urgently for surgery!"

"Mother, you don't understand this world too well. Humans have already had hot air balloons."

Nearly two hours have passed since Shebasto entered the main hospital.

"The hot air balloon only rises into the sky with the air flow, and it is far from achieving the purpose of flying." Boluoduo did not believe Edward's lies at all, but out of basic respect for the diplomatic ambassador, he still maintained restraint in his words, "

Dr. Kawei is so young, how can he be stronger than Professor Cediyo?"

He really didn't know whether giving people assurance like this was a blessing or a curse.

Today, when the nobility is declining, the energy of the baron is extremely limited, but the long-term imprint still makes people fear the nobility.

One person is responsible for monitoring the blower + heart rate and respiratory rate. If the respiratory rate is too low and shallow, she has to pump air into the patient's body to prevent hypoxia. At the same time, she must report the heart rate at all times to prevent accidents during the operation.

Edward didn't know what he was thinking, it was just a matter of urgency.

But when they arrived at the hospital, they realized that the injury to the back of Shebasto's head was the key.

As soon as these words came out, everyone didn't know whether to laugh or be surprised.

"Yes, if a young man in his 20s casually surpasses the best surgeon in France, then the so-called surgical center will become a joke."

"Everyone, please believe me. Believe in me who brought Kavi from Vienna to Paris." Edward grabbed everyone's attention with his voice. "I have always been Dr. Kavi's guarantor. His surgery is indeed reliable."

Like I said, it never fails."

My thinking is a bit simplistic and wishful thinking, but what I want now is this feeling of blood rushing straight to my forehead.

With some scattered laughter ringing around, everyone did not take what Edward said to heart. Surgical technology is indeed developing, and mankind is also making great strides forward, but if a surgeon can make people immortal

, this is obviously impossible.

The other one has to deal with leeches. Although they may not be used, they are still very important because they are related to possible heavy bleeding during the operation.

After saying that, the burly elder brother was about to go up and break down the door. Unexpectedly, the door was suddenly knocked on, and a fist as big as a sandbag almost hit Peang's face.

But the dark door opened and closed, and then the nurse, then Peon, and other family members of the patients who helped came and went so many times, but no one could give an explanation.

Edward looked at the mother and son, as well as the other people watching the show, and became more and more aware of the importance of tonight's surgery to him.

"It's better that you make a trip." Kawei glanced around and saw that there was indeed no one available. "We don't necessarily want patients and their families to help. Even if we are kind enough, they don't have permission to enter the warehouse to get things."

If Payon still has the title of baronet and can still gain the respect of these people even if his status is becoming less and less valuable, then this nurse who comes from a lower class has no such opportunity at all: "What do you mean? What do you have?"

Are you qualified to recommend me?"

There are many subordinates of the police station, including the theater owner who initiated the masquerade party, and the president of the bank who attended the masquerade party, Edward. When the news spreads tomorrow, there may be even more people coming.

As the chief of the Paris police department, not only his family members came to visit him, but also other people.

Peang didn't see what he was going to do for a while. He had a heavy burden on his shoulders and didn't think much about it. He thought he just wanted to knock on the door, so he said: "Can you be quiet? The operation is about to enter a critical stage. Now it's up to Serdieu

Professor took over my position. You should know him, he has very high requirements for the surgical environment."

"How did I know at that time that an Austrian would be operating on him?!"

"That's the fact you saw, not the fact we think!"

what to do?

Faced with the high possibility of massive bleeding, Kawei chose the same method as blowers and leeches, a unique 19th-century treatment method: "Does the Main Palace Hospital have a tourniquet to control bleeding on the head and face?"

The most common things they said were "just wait", "it's not ready yet", "we are just helping to move things", "I don't know" and the like. If Edward hadn't stopped him, Shebasto's

The two sons may have been unable to hold themselves back for a long time.

Kawei's operations have indeed always been successful. Even if the patient's condition is not good, the patient will not die on the operating table. This is also the prerequisite for him to stand here and deal with them. But now he is performing a craniotomy, and there is almost no chance of death.

How many people can survive a craniotomy.

Peang sighed and wanted to explain a few more words to them, but when he thought of the tourniquet Kawei wanted, he did not dare to waste time: "The operation is very difficult, but Dr. Kawei and Professor are working hard, please rest assured."

Don't be impatient."

"Yes, even Professor Cedieu's surgery still has a mortality rate of over 30%. Surgery is such a scary thing, and not many people who go to the operating table have a good ending."

The instruments are barely adequate now, but there are too many surgical steps, which will greatly delay the operation time. The longer the delay, the greater the probability of bleeding. In fact, as long as a large bone flap craniotomy is involved, intraoperative bleeding and brain damage will be raised.

Prevention schedule on Kawi.

Just when Edward was trying to talk to everyone, the door was suddenly opened again, and it was the nurse with the blower who rushed out: "Get out of the way! Get out of the way!!!"

Leos became more and more excited as he talked: "So, since the operation is so dangerous, why are you waiting? Just go in and snatch your father back."

"Yeah."

Boluoduo was speechless for a moment, but this did not mean that he did not respond: "Just now, my mother said that she trusts the main hospital. Of course I have to respect her decision."

However, in the eyes of outsiders, these busy tasks seem to be useless, which only increases their anxiety.

At first, they only thought that Shebasto had drunk too much. After all, old drunkards knew all about it. Wake up, spit out a few mouthfuls, and rest for a night and you would be fine.

"I"

Unfortunately, this stability is only temporary, and you can feel it from their tone of voice.

"That's true. But if that's the case, the replacement must be Dr. Kevin."

"OK."
To be continued...