This is an automatically translated article.
Brain tumor is one of the dangerous tumors causing movement disorders, language disorders affecting the health and psychology of patients. Cranial surgery for brain tumors is an important method in the treatment of the disease.
1. What is a brain tumor?
A brain tumor is a condition in which the cerebral hemispheres are damaged due to tumors originating from brain parenchymal cells, meningioma pressing on the cerebellum or brain tumors metastasizing from other primary lesions in the body. .
When having a brain tumor, the patient has symptoms such as: language disorder, movement disorder causing slow activity.
If not detected and treated early, brain tumors will cause dangerous complications.
2. Open the skull cap for brain tumor surgery
With the advancement of medicine, it has allowed doctors to open the skull cap to operate on a brain tumor, bringing hope as well as increasing life expectancy for patients.
Mở nắp sọ phẫu thuật u đại não đem lại nhiều hy vọng cho bệnh nhân
Bleeding, blood loss due to surgery; Ventricular dilation. Leakage of cerebrospinal fluid through the incision. Therefore, before undergoing surgery, patients need to consult their doctor to decide whether to proceed with surgery or not.
The method of opening the skull cap is indicated in cases where the patient has tumors in the cerebral hemispheres. In case, the patient is not healthy enough to perform surgery, surgery will not be indicated.
3. Surgical procedure
Step 1: Preparation
Before performing surgery, it is necessary to prepare a highly skilled and experienced surgical team. The surgical team needs 2 doctors (a main surgeon and an assistant doctor to assist the main doctor); 2 nurses. In addition, an anesthetic crew is needed to anesthetize the patient. Full equipment for a craniotomy including: Instruments and endotracheal anesthetics; Common craniotomy kit: knife, craniotomy, cranial saw, scissors, pin, toothed, toothless dissection, needle-bearing pliers, suction machine, unipolar and bipolar electric knife; Microsurgery glasses, ultrasonic aspirator, neural positioning system, Consumables such as gauze, skull cotton, bio-glue, hemostatic material,... On the patient's side: clean shaven hair to easily proceed to open the skull cap, disinfect with soap. The time of craniofacial surgery can take from 4-5 hours.
Người bệnh sẽ được cạo tóc sạch sẽ để thuận lợi cho quá trình phẫu thuật
The patient is placed in the position that best suits the location of the tumor to be removed. After that, the anesthesiology team conducts endotracheal anesthesia for the patient and installs a nerve positioning system (if any). The surgeon makes an incision in the skin, dissects the skin, and then scales the muscle to expose the bone to drill the bone and open the skull cap. Opening the skull cap opens the dura. Under the microscope, the doctor removes the tumor and uses an ultrasound knife. Always perform hemostasis with bipolar cauterization and Floseal hemostatic material. Use biological glue to close the sclera Step 3: Close the incision: muscle, fascia, subcutaneous, skin. The surgery is over.
4. Follow-up after surgery
After surgery, the patient is closely monitored in the recovery room, continuously monitoring blood pressure, temperature, .... The patient is mechanically ventilated and sedated. To avoid complications, patients need to be monitored for bleeding. When an accident occurs, the patient needs to be treated immediately.
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