Returning to ’90s, She Became Famous in Major Surgical Fields Chapter 2871: 【2871】Where to put it

   Chapter 2871 [2871] Where to put it

   Well, how did this little girl do it.

   When we got to the head and neck that everyone was worried about before, the place where the three-dinsional space gap was the largest should be the paragraph that tests the doctor the most. I just rember that Xie didn't seem to have done pre-bending before.

  What is the pre-bending of the strip? Neither the mastoid nor the subclavian relay point was opened.

  The thrilling scene that a large group of people was worried about, it was discovered after a while that it did not happen.

   One ntion and one wear made steady progress, the improvent of the loom continued, and the shunt passed steadily through the neck.

  Doctor Wang's whole look is just "Ahhh".

   "Really—" Dr. Jin couldn't hold back his words. He couldn't figure it out like everyone else. It's really strange. Looking at it all the way, the chief knife Xie Xie is very sure of the whole process of penetrating the strip. Since the sad neck can be easily passed through, why should a relay opening be opened under the xiphoid process.

   Ask her to say that it is possible to achieve zero relay ports. She was skeptical before, but now she fully believes that the chief knife has the ability to perform miracles.

  Ask a professional professional teacher about this question.

   is not just about neurosurgery.

   After all, neurosurgery may need to consult general surgery for the steps of placing a shunt tube in the abdon.

   "Have you co from outside the liver and gallbladder?" Wei Tianlang looked back.

   It stands to reason that Tao Zhijie's Buddha should co. Tao Zhijie stared at them as early as when they were intern at Puwai II.

   "The surgery outside the liver and gallbladder doesn't seem to be over yet." Soone replied.

   The outside of the liver and gallbladder did not co.

   The people at the scene can only do the analysis by themselves.

   "Is this patient's liver enlarged?"

   "I rember neurosurgery they put the end of the shunt to the liver."

   There are many bigwigs on the scene, and their speaking level is not the technical level that elentary school students are talking about.

  It will be ntioned again here that the end of this abdominal shunt tube is to be placed in the abdominal cavity to allow the cerebrospinal fluid to be absorbed. It is the peritoneum that absorbs cerebrospinal fluid.

  What is the peritoneum? I talked about it during the practice of general surgery and hepatobiliary surgery. The key point to be struck again in this operation is that the peritoneum migrates from the pelvic wall surface to the organ surface and forms the so-ontum and ligants between the organ surfaces. Among them, the greater ontum is a double-layered peritoneum that hangs over the greater curvature of the stomach and the proximal duodenum like an apron. It is very mobile and filled with peritoneal fluid. This is where the end of the shunt is most likely to get trapped. Therefore, the doctor's operation is to avoid the ontum as much as possible at the end of the shunt.

   Where can it be placed if it avoids the greater ontum, perhaps the end of the shunt tube can be placed in the lesser ontum. The lesser ontum is much less mobile than the greater ontum, and will not be trapped by moving the end of the shunt tube around. The lesser ontum is the hepatogastric ligant and the hepatoduodenal ligant.

For this reason, so doctors make a dian abdominal incision or paradian incision under the xiphoid process to expose the left lobe of the liver, place the end of the abdominal catheter of the shunt on the septum of the liver, and sew the catheter on the ligantum teres to avoid falling off. This will not be trapped by the ontum.

   The big guys were talking about it because the chief surgeon wanted to put this shunt tube in the liver.

   This possibility is very low. Because this is usually the first choice for non-neurosurgeons. This is because peritoneal absorption is stronger in the upper part of the abdon than in the lower part. This is one of the reasons why patients with clinical abdominal inflammation and postoperative patients usually take the semi-recumbent position.

   For patients with ventriculoperitoneal shunt, it is not a good thing if the shunt tube is too shunted if the absorption is too strong.