(Thanks to the ‘jayzou’ readers for rewarding 11,000 starting coins!)

"Is the bleeding serious?" Ruan Bin asked.

"It's not big. During the review just now, I found that blood was pouring into the peritoneum. In this case, the bleeding is generally slow. But I don't know the follow-up." Wei Haiyang said solemnly.

"The bleeding rate is not fast, some can be saved!"

"Now it seems that this operation can only be done with the risk. Let's communicate with the family first." Ruan Bin suggested.

"But the blood has not been solved yet... the most painful thing is that his son's blood type is different from his! Otherwise, he could draw blood from relatives. His grandson is the same as his blood type, but how much blood can a child draw for him..." Zhang Chao sighed.

Soon everyone found Li Hao again.

Li Hao heard that his father's aneurysm is now ruptured. Due to blood problems in the operation, his face was as bright as the ground.

"Doctor, then, what should I do now?" Li Hao was already a little confused.

"I think the surgery needs to be done. Then contact other cities to see if there is any blood and see if it can be delivered within three hours. In this case, your father will have to undergo surgery within two hours at the latest! Otherwise... it is very dangerous!" Zhang Chao said in a deep voice.

Fortunately, it is just because blood is pouring into the peritoneum. In this case, bleeding is generally slow and can be delayed for a period of time.

If the aneurysm is ruptured or a large number of people pour into the abdominal cavity, it is not necessarily possible to be rescued immediately after surgery.

Because this surgery usually takes about 7 hours!

To be honest, without sufficient blood volume, he was not sure about this operation!

Soon, the nearest city blood bank did not have this blood, and there were not many.

I asked a few other ones that were a little further away, but it took five hours to send it...

In this way, despair!

"First have a surgical consultation and see how to control the bleeding volume within a certain range!" Zhang Chao said solemnly. If the bleeding volume can be controlled at 500 ml, then the operation has an almost 70% chance of success.

He planned to get through his teachers and ask for help from the vascular surgery masters in several hospitals such as Huashan in Modu City, is there any solution?

"Dingdong... System temporary mission: Prove that you are omnipotent! You are the light of life, save the patient Li Nong! Complete the mission and reward three chances of lottery!"

A mission is coming again!

catch!

But before this, let’s take a look at upgrading the surgery to see if it can solve this difficult problem!

"system!"

【System Points】: 63,500

【Internal aortic arch replacement】: Not introductory+

"Recharge one hundred thousand!"

"upgrade!"

"Ding Dong... After deducting 6,000 points, internally covered aortic arch replacement - Introduction +!"

"Ding Dong... After deducting 9,000 points, the internally covered aortic arch replacement - proficiency +!"

...

"Dingdong... After deducting 21,000 points, the internally covered aortic arch replacement - innovative level +!"

boom……

A large amount of clinical experience and surgical skills are integrated into the brain.

"I have found a solution to this situation!" Ruan Bin was delighted.

at this time.

Seeing Zhang Chao walking out in a daze, Ruan Bin asked, "Director Zhang, are you sure? Or how confident is your department?"

He could clearly see that the other party was not sure!

Even, not sure!

"To be honest, I'm not sure now!" Zhang Chao stopped and spoke.

"Is it because I am worried about the large amount of bleeding during the operation? The inability to supplement the operation leads to the failure of the operation?" Ruan Bin asked.

"Well, you also know that the amount of bleeding in this surgery will definitely be large! Moreover, the aneurysm is relatively distant, and the visual field of surgery will not be good at that time. If there is more anastomosis, the amount of bleeding will definitely be larger at that time!" Zhang Chao sighed. Only if the surgery has less anastomosis, can bleeding be reduced!

"Ahem... Actually, I have a way to reduce the amount of bleeding! I can complete this surgery!" Ruan Bin said.

"Oh? What's your solution?" Zhang Chao was shocked.

To be honest, if another emergency department doctor said this, he would not believe it.

But Ruan Bin said this, he was not very suspicious!

After all, Ruan Bin’s reputation is now well-known!

Improve the technique, create new technique such as drinking water.

And it is also a development in multiple fields!

Now he says he says cardiovascular surgery, Thaksin!

He will listen to what the other party says then.

Even if the other party is not proficient in this surgery, maybe they have a novel surgical approach?

Let's hear what they say first!

"I have a novel internal aortic arch replacement surgery. Compared with the methods commonly used in the world, it is simple to operate and easy to master. In terms of the operation time, it has been reduced from the traditional method of at least 7 hours to 5 hours. At the same time, due to the small anastomosis, it also reduces bleeding, which solves the problem of a large amount of blood transfusion during the operation!"

“Advanced version?”

"Yes!" Ruan Bin paused and continued: "The surgery is simplified, and the three-branched blood vessels in the arch do not need to be replaced, reducing the anastomosis, avoiding complications such as artificial vascular distortion and occlusion; there is no need to remove the aortic arch and the distal arch anastomosis, and the possibility of intraoperative bleeding is reduced; 3) There is no need to widely free the aortic arch to reduce trauma and possible nerve damage..."

After hearing Ruan Bin's novel surgical ideas, Zhang Chao felt suddenly enlightened.

But he hesitated: "Dr. Ruan, have you done this modified version of the surgery?"

"I haven't done it! This is just a new and improved procedure that I have sorted out after seeing many traditional surgeries. But now patients are in this situation. Do we not have surgery? If we use traditional surgery, I think the risk is higher!" Ruan Bin said.

"That's true!" Zhang Chao nodded.

The patient's condition is complex, the distal anastomosis field is deep and difficult to operate. Moreover, bleeding from the anastomosis on the posterior wall of the arch is difficult to control. During the three-branch vascular replacement, the three-branch cephalic vessels need to be replaced regardless of whether they are involved in dissection, which increases the number of anastomosis and surgical difficulty, as well as complications such as artificial vascular distortion and occlusion.

At the same time, regardless of whether the dissection involves the whole aortic arch, three-branch vascular replacement requires a full aortic arch replacement, which undoubtedly increases surgical damage. In addition, the treatment of distal aortic arch is due to its deep field and a high chance of damage to the phrenic and recurrent laryngeal nerves!

In this way, Ruan Bin's new surgery is relatively simple to operate and easy to master than the methods commonly used in the world. It may also reduce the incidence of surgical complications and improve the success rate of surgery!

It mainly reduces the anatomy and reduces bleeding, solving the problem of large amounts of blood transfusion during the operation!

This is the key to the problem!

"Report to the medical department first, and then communicate with the family! If the other party agrees to take the risk, then do it! In fact, at this point, you have to do it if you don't do it!" Zhang Chao said.

"good."
Chapter completed!