The teachers are all sharp-eyed.
Xie Wanying said bluntly: "Mr. Jin, I estimate that if a shunt is performed, she can only be given two or three cuts."
"En." Dr. Jin answered first, and then suddenly said "ah" like a soprano.
Dr. Jin is a neurologist, so of course he understands how ventriculoperitoneal shunt is performed.
Hearing Dr. Jin's surprise, a group of young doctors and medical students at the scene had doubts.
"What does Yingying mean by two or three swords?" Wei Shangquan whispered to classmate Pan and classmate Geng for advice.
What is Dr. Jin shouting
"Wei Shangquan, do you know that you are here for an internship in neurosurgery?" The other two students, Pan and Geng, suspected that he had not done his job properly and hadn't seriously reviewed his neurosurgery homework, otherwise how could he not even know about this common neurosurgery operation.
The process of ventriculoperitoneal shunt, in simple terms, is as follows: a hole is drilled in the head, a drainage tube is inserted into the ventricle of the "pool" containing cerebrospinal fluid, and excess cerebrospinal fluid is drained out. Where does the released cerebrospinal fluid go? Connect it like a urinary catheter. Do you throw away the urine bag again
Hanging a bag all day long will reduce the patient's quality of life, and it is prone to infection.
Cerebrospinal fluid infection is far more serious than urinary tract infection.
It is best to keep the extracted cerebrospinal fluid and drain it to a place where the human body can recycle the cerebrospinal fluid itself.
Ventriculostomy as mentioned above.
What are the places in the body that can absorb "water".
Theoretically speaking, as long as there is a liquid flowing in the human body, the "water" can be recovered. For example, the heart, such as the bladder, are all good pools for collecting "water".
From the history of medicine, many patients have become guinea pigs for these operations. The final statistics screened out, the best path is drainage to the abdominal cavity. Therefore, there is the most common ventriculoperitoneal shunt for hydrocephalus, and the other end of the drainage tube is placed into the abdominal cavity.
One end of the tube is on the head, and the other end goes to the stomach, and the cerebrospinal fluid that needs to be polluted is passed inside.
How long should this pipe be.
What's more, if this kind of shunt patients can't solve the cause, they can only wear this tube for a lifetime.
Can a patient be left with a drain for the rest of his life
It's best not to do this. Burying the tube inside the human body, as if it becomes a blood vessel in the human body, can better avoid accidents such as contamination, twisting and breaking of the tube.
An important step in this procedure is the subcutaneous tunneling.
If the human body is covered with skin, the subcutaneous layer is like a container, which contains all kinds of organs and tissues.
The tube enters the subcutaneous area. Unlike blood vessels, the subcutaneous area has walls that can bind the tube. It is a relatively free world.
The doctor needs to ensure that the tube goes smoothly from the most convenient and unobstructed shortcut to the target abdominal cavity, instead of letting the tube move around halfway, go somewhere or get kinked in circles.
At the same time, the subcutaneous area is not a completely free world, and there may be obstacles in some places, making it difficult for the tube to pass through.
The main reason is that the distance from the head to the abdomen is too long. Sometimes it is difficult for the doctor to use force to wear it, and it is difficult to detect what is causing it, and it is easy to fail.
In this case the relay point must be turned on.
This surgical practice is to open two to three incisions in the middle to grab the tube and do a relay thread.
Classmate Xie said that only two or three cuts are needed, and the incision at the beginning and end cannot be avoided, which means that she thinks that she only needs to make one or zero cuts at the relay point.
Don't blame Dr. Jin for asking first: Is it true or false
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