Thenumbers added up.. Lives saved and morbidites prevented added up…. And of course nonbelievers added up too.. Some surgeons tried this out and told me it was afailure.. Then I decided to show it myslef to other people.. As a first step Iinvited another Neurosurgeon to my center and after a cup of tea and talks ,asked him whether he would want to scrub for a case of trauma with me.. He was sceptical.Understandable.. He has been practicing for 5 years and trauma was not veryinteresting for him.. However, I made him agree and showed him how I do it..Now he does it by himself..and hehas joined us.
随着病例数量增多,挽救的生命越来越多,当然怀疑的人也越来越多。一些医生试了这项技术但告诉我失败了。所以我决定亲自给其他医生演示。首先我邀请了另一位神外医生到我的中心来,我问他是否想和我一起做一例开放脑池的外伤手术。他很怀疑,可以理解因为他已经做了5年神外医生,已经对外伤没兴趣了。但是我给他展示了我是如何操作后他改变了看法。现在他已经离开原来医院加入到我的小组并且可以自己完成这项技术了。
Ourmortality for moderate and severe head injury was surprisingly low… and wenever had the troublesome brain swelling..and weunderstood that the phenomenon that was wrongly termed brain swelling wasactually a brain bulging..This hadseveral reasons and could be managed by opening cisterns.
我们这组病例中中重度颅脑损伤的死亡率出奇的低,我们从来没有遇到无法处理的脑肿胀,我们理解了术中脑组织突出被错误的定义为脑水肿而实际上是脑膨出,脑膨出的原因是骨瓣太小、脑池内积血或有其他部位出血,有些因素可能能经开放脑池来处理。
Nowwhat can this technque beused for ? Everything which you may have to open dura for…. Aneurysms, Tumours andof course…mainly trauma..
现在这项技术能用在哪些方面呢?任何需要打开硬膜来操作的手术包括动脉瘤、肿瘤,当然最主要的还是外伤。
Whatare the facilities required.. Most of the cisterns could be opened without amicroscope….but it is difficult to open the membrane of Liiliequistwithout a microscope and microscissors anda regulated suction..
那么需要什么器械来完成这项技术。大多数的脑池不用显微镜就可以打开,但如果要开放Liliquist膜没有显微镜、显微剪刀和可调节吸力的吸引器就很困难了。