After incision of the hypodermal tissue, Ruan Bin continued to incise the anterior sheath of rectus abdominis, separate the rectus abdominis to both sides, open the posterior sheath of rectus abdominis, wall the peritoneum, and enter the abdominal cavity!

All the actions are abnormally coherent, done in one go!

At this time, Ruan Bin did not feel panic like this for the first time in the stomach or duodenal ulcer perforation repair, because he had already done thousands of such surgeries in his mind. He had so much experience!

Even his hands were stable.

Just now, when I was separated from the rectus abdominis and opened the posterior sheath of the rectus abdominis, I was very familiar with the structure of this position, so I didn’t need to pause to identify or check the situation.

Next to him, Zhang Haoyu saw Ruan Bin entering his abdominal cavity so fast, and he was so scared that he trembled: "Ahem... Doctor Ruan, your surgery speed is a little slower, more steady, no hurry! If it is too urgent, I am afraid of a mistake. You should know the operation error, and the consequences are very serious."

He thinks Ruan Bin is still a new doctor. Although you have undergone more than a dozen such surgeries, don’t be too anxious to get close, right? Novice should take your time! Otherwise, if you make a mistake, where can you find a doctor to make up for it!

"It's okay, I'm familiar with it." Ruan Bin smiled.

As soon as this sentence was said, Zhang Haoyu felt very nervous. You are a new driver, not an old driver. Don’t do that kind of thing that turns and overtakes!

"Wash your hands and disinfect them." Ruan Bin said to the nurse beside him.

The nurse next to him quickly took out disinfectant water to wash Ruan Bin's hands.

Because he was about to stretch his belly with his hands.

After washing his hands, Ruan Bin began to stomp his abdomen.

First, check whether the gastric perforation is serious or not.

Gastric perforation surgery mainly depends on the size of the trauma area of ​​the patient's gastric perforation. If the trauma surface is relatively small, a repair surgery is generally performed directly, that is, the loopholes are sutured.

However, if the patient is in a serious condition and has a large gap in the stomach and cannot be sewn, then you can only cut off part of it. However, not all the stomach is cut off, but the part with the wound will not affect the patient's digestion and food.

"How is it, is it serious?" Zhang Haoyu asked nervously.

If the situation is serious, he is worried that Ruan Bin’s level will not be able to do it.

Because now, it is the critical moment for surgery.

"The abdominal cavity is filled with light yellow liquid. I will first suck out the gastric juice first and clean it up before I know." Ruan Bin picked up the tool and began to absorb and clean the gastric juice.

Ruan Bin's cleaning speed was very fast, and Zhang Haoyu's heart was thumping.

"Brother, don't you be so rude, okay? Gentlely, slowly, can you do it?" Zhang Haoyu still felt that Ruan Bin's speed was too fast, could he brake.

"Don't worry, I'm a good person. This way I can't hurt the patient's internal organs." Ruan Bin curled his lips. Dr. Zhang was a little timid, but he still couldn't trust his skills.

After cleaning, Ruan Bin saw five small holes in the middle of the stomach, the largest hole of about 0.7x0.8m, and light yellow gastric juice flowed out.

"The stomach perforation is quite serious." Ruan Bin frowned.

"Hiss... the five small holes, the largest one is as big as a little finger! My God!" Zhang Haoyu also saw it, very shocked.

"What should I do then? Can I still stitch it?" Zhang Haoyu asked.

"It probably won't work anymore. You can only remove the five perforations and then suture them. If you suture them alone, I guess the wound will not heal." Ruan Bin said lightly. Sun Feng's stomach perforation is a more serious type. It also causes acute peritonitis. It is estimated that heavy medicine will be given after the operation. If the effect is not ideal, another surgery may be needed!

Now, only part of it can be cut off and then stitched.

"Then, can you do it after the stomach is removed and then sutured?" Zhang Haoyu asked worriedly, "Do you want me to call other doctors? It's been more than ten minutes now, and I believe they should be almost done."

"No, I'm very fast." Ruan Bin finished speaking and began to have a stomach cut.

Brush!

The hand raises the knife and falls.

Resection is complete.

"Damn it, brother, you should slow down!" Zhang Haoyu's scalp was numb when he saw it.

Just when Zhang Haoyu was shocked, Ruan Bin began to stitch and repair it with No. 4 thread.

The suture speed is also very fast, which is the test of the level of suture technique.

After all, Ruan Bin has an expert-level superficial trauma debridement suture, plus he has a director-level stomach and duodenal ulcer perforation repair, so the suture surgical skills of the two surgeries overlap and are faster.

After all, the suture method of the stomach is different from that of ordinary skin wounds.

"How is it? The stitching is beautiful, neat and beautiful, right?" Ruan Bin asked Zhang Haoyu, who was shocked beside him with a smile.

"Uh, it's really pretty. You can hardly see the stitching gap. It's so amazing!" Zhang Haoyu swallowed. At this moment, he finally believed Ruan Bin's level, which was definitely awesome!

People really do stomach and duodenal ulcer perforation repair! And it took less than an hour.

After the suture was completed, Ruan Bin began to rinse the abdominal cavity with normal saline, place the drainage tube, and suture each tissue in turn after the suture is reduced and the tension is stretched...

…………

Outside.

Liu Junchi finally finished his radical gastric cancer surgery.

After washing his hands, he walked out of the operating room. He quickly found a nurse at the front desk and asked, "Didn't there be a patient with gastric perforation just now? How about it, is there a doctor going to do this surgery?"

"I have it! I've been in for half an hour." Nurse Xiaoli said.

He felt relieved when he heard that someone had gone for this surgery.

He also knew that although the gastric perforation surgery was only a secondary surgery, the disease could not be delayed!

Thinking of this, he asked again: "What did the doctor do it?"

"It seems that it is Dr. Ruan Bin!" Xiaoli said in a low voice.

"What? Ruan Bin!? Nonsense, nostalgia, nostalgia, nostalgia! Does he know how to do this surgery?" After hearing that it was Ruan Bin going to do this surgery, he was immediately angry. Ruan Bin is just a resident in a small county hospital. Will he have this kind of secondary surgery?

You should know that the stomach and duodenal ulcer perforation repair is a simple operation for him, but it is definitely a difficult operation for the resident. If the suture is not well-suited, it will cause gastric necrosis and bleeding. If the abdominal cavity is not cleaned, it will cause the infection to not be cured, and a reoperation will be required.

If other mistakes occur, causing wound cracks, bleeding, etc., then it will be bad!
Chapter completed!