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Chapter 46 Dig the wall!

Only half an hour!

Although Ruan Bin had a 19-minute laparoscopic cholecystectomy before, it was simply terrifying. However, laparoscopic surgery originally took less time than traditional laparoscopic surgery.

Besides, Ruan Bin is just a resident who comes to further studies. It is impossible for all the surgery to be so fast, right?

Yes, it must be like this! It is impossible for people to be proficient in everything.

It takes nearly 50 minutes to perform a abdominal cavity decompression surgery at the fastest! Ruan Bin will definitely not be as fast as himself. He must have encountered some difficulties and came to ask for advice? Yes, it must be like this!

Thinking of this, Liu Junchi asked, "Doctor Ruan, has the surgery been completed?"

"Yes, director, it's done, the operation goes smoothly." Ruan Bin nodded and smiled.

“…”

This script is wrong, it is wrong with my inner journey!

Damn it not for me to slap myself in the face?

"So fast? Are you using laparoscopic puncture to relieve stress?" Liu Junchi thought of this reason the next second. Abdominal space syndrome, which is not very serious, can use simple, effective and fast laparoscopic puncture drainage to relieve stress. It not only causes little trauma to the patient, but also short time, and is also quite safe.

"No, the patient's condition is not mild, I use abdominal distension and decompression!" Ruan Bin said.

“…”

After hearing this, Liu Junchi nodded heavily and thought to himself that this kid's surgery is good. Such a little genius appeared in Wucheng County Hospital. It is really rare to see in a century!

"Okay, come here and be my assistant." Liu Junchi decided to wait until he had finished the operation before going there to check it out.

After Ruan Bin passed by, he soon entered the state of assistant.

At this time, Liu Junchi's total colectomy had already been separated from the transverse colon and the transverse mesangial mesangial. Liu Junchi's right hand had a scalpel cut off the splenic colon ligament, and the hemostasis forceps in his left hand held the blood vessels, and he hurriedly said to Ruan Bin: "Lin the blood vessels here!"

"Okay." Ruan Bin quickly picked up the No. 3 line and started ligation and suture.

brush.

Brush!

As fast as lightning.

Originally, Liu Junchi wanted to remind Ruan Bin that he needed to pay attention to what kind of thread ligation to use. Ruan Bin had already sutured the blood vessel ligation here.

Neat, without any flaws, and even perfect to Liu Junchi, because he found that he could not even know this kind of ligation technique he had never seen before!

Learn about world-class debridement and suture techniques!

Originally, Liu Junchi couldn't help but want to ask Ruan Bin how fast he was and how well he ligated and sutured, but due to his position, he still didn't ask. Just kidding, if he asked, wouldn't he seem to be a deputy director?

At this moment, he seemed to really know Ruan Bin. This kid's cholecystectomy is so powerful, and he didn't expect that the most basic surgical skills were so terrible!

After more than ten minutes, the most important step was finally here to remove the entire colon.

The left mesocene was cut off near the intestinal wall and the blood vessels were ligated. Liu Junchi was still resecting the mesocene, and Ruan Bin was responsible for ligating the blood vessels.

"I see that there is a malignant lesions in the left colon, so it must be removed. After that, the submesenteric artery must be cut and ligated close to the abdominal aorta, and all the mesenterics in the left half of the colon should be removed. When you bandage it, you must bandage and suture it well. The best thing is best, because this is the place where you are most likely to cause major bleeding after the operation! Do you have confidence?" Liu Junchi asked Ruan Bin.

"No problem!" Ruan Bin nodded. Because at this time the cleavage point of the mesenteria was cut off near the abdominal aorta, the abdominal aorta! This is the major artery! Once bleeding is done, it is not a joke, it will kill you in minutes!

So he also understood Liu Junchi's worries and advice.

"Then I will start to remove it!" Liu Junchi was also very nervous at this moment, and his forehead was sweating with nervousness. Although he had performed less than dozens of surgery, he was still nervous. Because if he was not careful, it would lead to a disaster!

This is why he was unwilling to let an intern cooperate with him and be his assistant just now. That kind of rookie completely implicates him.

Liu Junchi was still an experienced driver. After sharp removal, he immediately used hemostasis forceps to clamp the small artery proximal to the abdominal aorta.

“Sewed!”

Ruan Bin quickly began to perform ligation and suture.

It is still so smooth, still so fast as lightning, and still so perfect in ligation and suture!

Liu Junchi was impressed by the sight, and even felt that he needed to learn debridement and suture from Ruan Bin again. For Mao, can you be so awesome?!

An hour later... the operation was finally completed and it went smoothly!

When the two walked out of the operating room, Liu Junchi breathed a sigh of relief: "Let's go and see how the Qigong master is doing."

Ruan Bin's face looked a little strange after hearing this. Was this guy attacked after the operation? I was afraid that there would be any problems with my surgery?

However, the deputy director said, how can he not go and take a look?

When the two of them went in, they happened to see Zhang Haoyu checking inside.

"Director, Dr. Ruan." Zhang Haoyu said hello.

"How is the situation?" Liu Junchi asked with his eyes narrowed.

"Director, the air pressure in the abdomen is almost normal." Zhang Haoyu said hurriedly.

"Are there any dysfunctions of the kidneys and intestines?"

"I'm waiting for the results, I guess it will be out in a few minutes." Zhang Haoyu said.

"Oh..." Liu Junchi walked over, "Hey, Doctor Ruan, you are so stubborn that you don't choose to open your abdomen?"

"This patient is only 26mmhg. After I opened my abdomen, I saw that the other party's ascites was not very serious, so I didn't choose not to turn the abdomen. Moreover, if it was not turned on the abdomen, it would directly compress the abdominal wall muscles and blood vessels, causing a decrease in the abdominal wall blood flow, local ischemia, edema, and decreased abdominal wall elasticity, aggravated the development of AH. In addition, abdominal wall muscles and fascia ischemia are infected with wounds, wound cleavage, hernia, gangrenosus fasciitis and other complications..." Ruan Bin explained.

"Well, that's right. His situation is indeed not at its worst."

Just as we were chatting, the inspection results were delivered quickly.

Respiratory and kidney function have improved well, and it seems that the operation is very successful.

When the three of them walked out of the operating room, Liu Junchi suddenly stopped and said to Ruan Bin with a thick face: "Doctor Ruan, have you considered returning to my group? If you want, I can talk to Director Jiang and exchange Zhang Haoyu with you!"

His idea is very simple. Ruan Bin is doing very well now. Although he is just a resident in further studies, his level is as good as that of the attending doctor in our hospital. He even stands out in the cholecystectomy operation. It is definitely not a loss to exchange Zhang Haoyu, the attending doctor in further studies! Because Xiao Zhang's level really needs to be improved! He now feels that even Ruan Bin is not as good as that, so what's the use of keeping it?

It’s better to switch back to Ruan Bin!

He felt that Ruan Bin was in charge when he entered the hospital at the beginning. Now that he plays the emotional card, he may have the chance to poach!

When Ruan Bin heard that Liu Laofu was going to poach him, he felt ten thousand unwilling to do so! It’s not good to follow the beautiful superior doctor? Is it angering man with you?

As for Zhang Haoyu next to him, he received a critical hit of 10,000 points at this moment! Isn’t I so worthless in your Liu Junchi group? I’ll lose it if I say it.
Chapter completed!
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