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¡¾2831¡¿Is it true or false?

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    The teachers are all sharp-eyed.

    Xie Wanying said it bluntly: "Teacher Jin, I estimate that if we perform shunt surgery, we can only give her two or three surgeries."

    "Yeah." Dr. Jin responded first, then suddenly realized, and then said "ah" like a soprano.

    Dr. Jin is a neurologist, so of course he knows how to perform ventriculoperitoneal shunt, a specialized surgery.

    Hearing Dr. Jin¡¯s surprised voice, a group of young doctors and medical students at the scene had questions.

    "What does Yingying mean by two or three swords?" Wei Shangquan whispered to classmate Pan and classmate Geng.

    What did Dr. Jin shout?

    "Wei Shangquan, do you know that you are here for neurosurgery internship?" The other two students, Pan and Geng, suspected that he was not doing his job properly and did not review his neurosurgery homework carefully. Otherwise, how could he not even know this common neurosurgery operation.

    In simple terms, the process of ventriculoperitoneal shunt is as follows: a hole is drilled in the head, the drainage tube is inserted into the "pool" containing cerebrospinal fluid in the ventricle, and the excess cerebrospinal fluid is drained out. Where does the released cerebrospinal fluid go? It is connected like a urine catheter.  Will the urine bag be thrown away again?

    Hanging a bag all day long will reduce the patient's quality of life and make it prone to infection.

    An infection of cerebrospinal fluid is much more serious than a urinary tract infection.

    It is best to divert the cerebrospinal fluid without draining it externally to a place where the body itself can recover cerebrospinal fluid.

    As mentioned above, ventriculostomy.

    What are the places in the human body that can absorb "water"?

    Theoretically speaking, as long as there are pipes with liquid flowing in the human body, "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 doctors¡¯ guinea pigs for these surgeries.  The final statistics filtered out that the best route was drainage into the abdominal cavity.  So there is the most common ventriculoperitoneal shunt for hydrocephalus, where the other end of the drainage tube is put into the abdominal cavity.

    One end of the tube is on the head, and the other end goes to the stomach. What goes inside is cerebrospinal fluid that needs to be avoided from contamination.

    How long should this pipe be?

    Moreover, if the cause of the shunt cannot be solved, patients who undergo shunt surgery will have to wear the tube for the rest of their lives.

    Can patients be allowed to wear external drainage tubes for the rest of their lives?

    It¡¯s best not to do this.  Burying the tube inside the human body, as if it were a blood vessel in the human body, can better avoid accidents such as contamination, twisted tubes and broken tubes.

    An important step in this surgery is to create a subcutaneous tunnel.

    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 goes under the skin. Unlike blood vessels, the subcutaneous layer does not have walls to bind the tube. It is a relatively free world.

    The doctor needs to ensure that the tube reaches the target abdominal cavity smoothly from the most convenient and smooth shortcut, instead of letting the tube move around and wander around in circles or become kinked.

    The subcutaneous is not a completely free world at the same time. There may be obstacles in some places and it is difficult for the tube to pass through.

    The main reason is that the distance from the head to the abdomen is too long. Sometimes doctors want to force the insertion, but sometimes it is difficult to use force. It is also difficult to detect what is causing it, and it is easy to fail.

    In this case the relay point must be opened.

    The common practice in this surgery is to open two to three incisions in the middle to grab the tube for relay insertion.

    Classmate Xie said that it only takes two or three cuts, and the incisions at the beginning and end cannot be avoided. This means that she thinks she only needs to make one or zero relay points.

    No wonder Dr. Jin wanted to check first: Is it true or false?

    ©¤©¤©¤©¤©¤Digression©¤©¤©¤©¤©¤

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