21st Century Necromancer

Chapter 628: Craniotomy (Seeking Subscriptions, Seeking Monthly Tickets)



Under the arrangement of Kusanagi Ritsuko, an operations team composed entirely of Official-level Superhumans took over the security of Jounouchi Hiromi's laboratory.

They quickly changed the security measures at the entrance, with stricter checks on personal belongings in addition to inspections of carried items, and they also added explosive detection.

The potential security vulnerabilities around the laboratory were also identified and addressed by them one by one, greatly enhancing the laboratory's safety.

Under such scrutiny, they indeed discovered some prohibited items: someone attempted to bring containers filled with unidentified liquid into the test area, and others tried to install hidden cameras outside the laboratory to secretly record inside…

Although these were minor issues, the real and potential threats they posed to the laboratory were significant, which led Jounouchi Hiromi to be very satisfied with and appreciative of their work.

In fact, under normal circumstances, such issues should not arise; a medical laboratory, no matter what, should not be prone to terrorist attacks.

However, the experiment conducted by Jounouchi Hiromi was indeed ethically controversial, causing many religious groups to feel impacted, and, naturally, extremists and those with ulterior motives would not miss such an opportunity.

Instigating assemblies, organizing protests, and openly making aggressive statements were still considered normal tactics; more extreme were the violent attacks that had occurred before.

Although, for Jounouchi Hiromi, even if someone actually set off a bomb in the laboratory, it would not affect her much, as she possessed the Legendary Dragon Bloodline and a Legendary Class, it could nonetheless disrupt her experiment.

Originally Jounouchi Hiromi had planned to set up some defensive measures in the laboratory herself, but now that others were doing it, she was naturally spared a lot of effort.

This also meant she could focus her energy and time on preparing for Takashi Rokkou's surgery.

Although Takashi Rokkou's surgery was not especially complex, any brain surgery is delicate, and Jounouchi Hiromi had to carefully prepare, considering all the possibilities that could arise during the operation.

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In the operating room, preparations for the neurological navigation and the full set of intraoperative monitoring equipment had been completed, and Chen Yu had already taken his position in front of the operating table.

"Professor," Ayajichi Shoubu, a neurosurgeon, greeted him respectfully from the side of the operating table.

Despite previous misunderstandings, Ayajichi Shoubu now sincerely respected Chen Yu's surgical skills and, knowing that there was a chance to assist in Chen Yu's surgery, she would not pass it up.

In the Department of Neurosurgery, although Ayajichi Shoubu's surgical skills were not the best, among the non-professorial doctors, she, having trained in the United States, was definitely one of the top.

Moreover, not everyone was eager to be an assistant in such surgeries.

Indeed, working alongside Chen Yu could provide a lot of learning opportunities, but within the department, some still harbored resentment over the former department head being reassigned to Hokkaido because of Chen Yu.

Therefore, Ayajichi Shoubu's initiative to offer her assistance was something many were happy to see.

Chen Yu was unaware that just needing an assistant could lead to such complex internal politics; but even if he knew, he probably wouldn't care.

"We're starting the awake craniotomy for glioma removal now, please take care, everyone." Chen Yu nodded slightly, glancing at Jounouchi Hiromi, the anesthesiologist seated to one side.

"Vital signs: blood pressure 100, heart rate 80, sinus rhythm." Jounouchi Hiromi naturally reported the vital signs of Takashi Rokkou, who was under anesthesia on the operating table.

Chen Yu nodded slightly, extending one hand toward the scrub nurse: "Scalpel."

A craniotomy is a very meticulous procedure since it involves the most important organ of the body that controls all other bodily functions. Any damage could affect the entire body.

The steps of a craniotomy are generally divided into three parts, corresponding to the three layers of the head.

First is to cut open the scalp after disinfection and iodine removal. The scalp is the body's first layer of protection around the skull. Normally, the patient's hair needs to be shaved, but with the advancement of medical technology, there are methods that don't require shaving the head completely.

However, due to Takashi Rokkou's large tumor and the need for a craniotomy, his hair was still shaved off to prevent infection.

After cutting open the scalp and securing the incision with scalp clips to minimize bleeding, Chen Yu took out an electric drill to begin the second step of drilling holes into the skull.

The skull is the hardest part of the body, and clearly, a scalpel is not enough to open it.

But Chen Yu also couldn't possibly use a chisel to pry it open like ancient physicians or Mongolian doctors, which made the electric drill the obvious tool of choice.

However, it remained a highly technical task because just beneath the skull is the tough dura mater, and below that is the soft and fragile brain, which is much like tofu. A little too much force and the drill bit could pierce into the brain.

After drilling the holes, it wasn't yet possible to directly remove the piece of skull that needed to be opened. To lift the bone flap, a milling cutter was needed to make a slit in the skull at the surgical site, separating the bone flap to be opened from the rest of the skull.

Only after these steps could one see the dura mater enveloping the brain.

"Surgical scissors." On viewing the dura mater, Chen Yu reached out to receive the surgical scissors from the scrub nurse and cut open the dura mater: "The brain surface is exposed, time to wake up the patient."

"Got it." Jounouchi Hiromi, hearing Chen Yu's instruction, stood up from her chair and began operating the equipment: "Stop the propofol."

As Jounouchi Hiromi ceased the anesthesia, Ayajichi Shoubu, acting as the assistant on one side, instructed the nurse behind her: "Prepare the microscope."

On the other side of the operating table, another nurse lifted the surgical drape covering the patient's face and right hand, following Chen Yu's instruction.

Under Jounouchi Hiromi's precise control, Takashi Rokkou soon regained consciousness. Looking at Jounouchi Hiromi seated before him, he asked incredulously, "Am I in the middle of surgery right now?"

"Yes, you are." Jounouchi Hiromi replied, then looked towards Chen Yu: "Go ahead, lead surgeon."

Chen Yu nodded, instructing the scrub nurse: "Stimulating probe, set to 2 milliamps."

With his eyes fixed through the microscope, Chen Yu began stimulating Takashi Rokkou's brain to ascertain the areas that could be removed during the surgery, while Jounouchi Hiromi worked in tandem with him to monitor Takashi Rokkou's responses, giving timely feedback to Chen Yu.


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