C114 (1/2)
The difficulty of this operation lies in its precise orientation, both to achieve the goal of treatment and not to impair the function of other nerves. The most important thing was how to open the head and reveal the patient's location.
If there was a CT, it would be able to locate the patient according to the CT. Now, this illusion was being used to locate the patient. However, Ji Tian Ning didn't know whether what she saw was real or an illusion. She didn't even know why an illusionary world had appeared. The appearance of this illusionary world, just what did it mean?
He had a faint premonition that an accident would happen during today's operation.
The first hole was drilled, and with the help of a traction forceps, the patient's right scalp was pulled open by a two-centimeter-long opening. After that, Ji Tian Ning carefully picked up the skull drill and ”drilled” the skull.
”Sha, sha, sha …”
The skull drill was thin and thick before and after, and during the ”drilling”, the skull and skull would occasionally emit rubbing sounds. Shake the handle vigorously with the hand drill prepared beforehand. A moment later, a hole the size of a soybean was pierced into the skull, and a passageway leading to the brain was opened up.
Because of the illusion from before, Ji Tian Ning had a clear understanding of the patient's brain. Thus, he had a greater confidence in himself.
Originally, in the modern era, it could be scanned layer by layer by CT, and then with the help of a computer, the 3D coordinates of the target could be calculated. This operation, to be exact, is called directional navigation surgery. It is done by opening two holes more than a centimeter in diameter in the head and then destroying the previously identified target with a radiofrequency needle.
However, he didn't have that kind of high-tech methods now. He would have to rely on manpower and guesswork to deduce everything. Fortunately, the illusion just now gave Ji Tian Ning confidence.
First, the skull to be cut is fixed with a drill hole, then the skull is sawed open and the bone is removed. Operation, put back bone flap, fix, seams end.
This was the entire procedure. It was just that this was the first time that Ji Tian Ning had performed such a major operation with a main knife.
Both Ke Wuji and Le Tianyi were nervous and excited. After all, this was the first time they had seen the inside of a human's head and had performed such a huge surgery on Ji Tianning as his assistants. If this operation was successful, their unit in the medical field of five nations would be raised to an unprecedented level.
The two of them used a wire saw to cut open the patient's skull, revealing the brain tissue within.
Meningiomas are derived from the meningeal space, accounting for 19. 2% of intracranial tumors, ranking second. The peak age of the disease is 45 years, rarely seen in children. Encephalic arachnoid granules and arachnoid villi are the most frequent sites of meningioma. Sagittal sinus, convex surface of brain, cerebral sickle are common, then sphenoid crest, sellar tubercle, olfactory groove, cerebellar pontine horn and tentorium, b position.
A dark red spherical body the size of a baby's fist appeared before Ji Tian Ning's eyes. It looked exactly the same as it did in the illusion.
Ji Tian Ning breathed a sigh of relief. It seemed like the illusion just now was a true representation of the illness in the patient's head.
This patient's meningioma, which grows beside the sagittal sinus, grows slowly, and when symptoms appear, the tumor is already large, epilepsy is the first symptom, a local or major episode, mental disorder presents as dementia, apathy or euphoria, the patient has a personality change, and the sagittal sinus meningioma located in the occipital lobe may present with visual disturbance.
”The treatment of meningiomas is based on surgical resection. In principle, complete resection and removal of the tumor from the meninges and bone should be sought with a view to radical resection. Meningiomas are tumors that grow out of the parenchyma, and most of them are benign. If they are diagnosed early, they should be completely resected before the tumor uses the surrounding brain tissue and the important cranial nerves and blood vessels to be damaged. ”
Ji Tian Ning softly explained to Ke Wuji and Le Tian, allowing them to further understand the nature and treatment of brain tumors.
Now that the skull had been sawed open, all that was left was to remove the meningioma, and then put the skull together and sew it together, and the operation would be successful. As for the prognosis, it wasn't something that Ji Tian Ning needed to worry about yet.
”Empress, can the patient be cured after resection?”
Ji Tian Ning shook his head and thought, ”The average survival rate after meningioma surgery is nine years, and the 10-year survival rate after meningioma surgery is 43% to 78%. Meningioma is a benign X tumor. The phenomenon of in situ recurrence is remarkable, and it is important to reduce the recurrence rate by raising the level of surgery. This person would at most have ten years of life left. In this place, you might not be able to live for so long. If you recover well, you might be able to live for a few more years. ”
However, she couldn't say it out loud. After all, if the White Horse Emperor or the empress dowager found out about it, it would be another crime.
”It's best if you can say just three words without saying a single word. The more you say, the more mistakes you will make!”
Thinking this way, he lightly said: ”It depends on the condition of the operation. The patient's physique and medication are very important. The postoperative care is also very important.”
”I drew a big circle in the Southern Champion Palace, letting the Baima Emperor and the unworthy empress dowager slowly burrow inside, saying that I am a unworthy sinner. I think that each person here is more unworthy of being called an unworthy sinner!”
Raising the scalpel in his hand, he slowly and carefully cut through the tumor. If the cutting was not clean, it would be very troublesome. The sweat on Le Tian's forehead continuously seeped out. He occasionally reached out his hand to wipe the sweat on Ji Tian Ning's forehead and neck with a piece of cotton cloth.
The patient quietly lay on the bed without any feeling. Ji Tian Ning had performed a general anesthesia on him. After all, if he performed a major craniotomy in this world, the patient might not die from the failure of the operation, but he would be scared to death by her.
Time ticked by. Outside, the sun slowly moved from the first rays of dawn to the middle of the sky. On the way, Ji Tianning had only drunk water twice. Neither Ke Wuji nor Le Tian had eaten anything at all.
”How is it? Quickly go and investigate, why hasn't there been any news for a long time? ”
Gong Huanfeng paced back and forth restlessly in Zhaoyang Palace, her hand resting lightly on her abdomen. According to the imperial physician's diagnosis, she was already pregnant, and a prince at that.
Her exceptionally beautiful face revealed a gratified smile as the corners of her lips curled up into a smile. How long had it been since she had been so happy? She could no longer remember.
”Prince, it's the prince!”
Her steps became lighter. After entering the palace, she revealed a genuine smile. At this moment, if anyone saw it, they would definitely be shocked to the core.
”That scoundrel really has the means to get me pregnant. But now, your operation must not be successful!”
A trace of an evil smile appeared on her face. What she wanted the most, had already been obtained. What more did she have to worry about? Her gaze turned to the Wind and Rain Pavilion, and her beautiful eyes became somewhat gloomy: ”Now, even if you really are sick and want to die, it doesn't matter. Because I already have your dragon seed. This child will become the future Emperor of Nanke! ”