"Ruan Bin, if it is really a mesenteric torsion in a while, then the problem is very serious. You must start your abdominal distension faster and check if it is this!" Jiang Yurong reminded.

"Okay!" He also knew that a patient's situation would be fought every second!

Ruan Bin walked into the operating room while looking at the patient's latest examination report.

Body temperature 37.9c, heart rate 109 times/min, blood potassium 2.0 mmol/l, albumin 22.10 g/l, blood lactate 7.6 mmol/l...

"Replenish potassium, infusion of albumin, and replenish fluid!" As soon as he arrived at the operating room, Ruan Bin said to the nurse Zhao Yaxue.

"Okay." Zhao Yaxue did everything quickly.

The anesthesiologist is also very quick and directly performs general anesthesia on the patient.

Fast, fast, fast!

Ruan Bin's hand speed was still very fast, so he took a caesarean section into the body.

He saw about 500 ml of bright red bloody liquid in his abdominal cavity, and a large section of purple-black small intestine piled up and twisted together in the right lower abdomen!

Of course, Ruan Bin and Huang Hongwen couldn't help but take a deep breath when they saw a large area of ​​necrosis of the intestinal duct. The condition was too serious!

To be honest, Ruan Bin has never encountered such a situation and does not know how to deal with it. After all, he has not yet lit up his surgical skills in this area!

"Old Huang, go out and report this situation to Director Jiang." Ruan Bin said to Huang Hongwen.

"Okay." Huang Hongwen hurried to find Jiang Yurong.

At this time, Jiang Yurong was injecting blood outside. When she heard the news, she looked solemn: "Tell Ruan Bin that the twisted intestinal duct and its mesangial duct are reduced. Cover the intestinal duct with semi-wet gauze and observe for 30 minutes! If the intestinal duct fails to recover after 30 minutes, she has to remove it and connect the normal small intestinal duct at both ends. Ask Ruan Bin, will he do a partial small intestinal duct? "

"Okay." Huang Hongwen hurriedly ran back.

I told Jiang Yurong about the words!

"Ruan Bin, you can do this surgery, right?" Huang Hongwen asked.

"Well, of course!" Ruan Bin lied seriously. It's time. Jiang Yurong can't undergo surgery in this situation. The difficulty depends on your Huang?

I can only bear to lose money!

"Forget it, no matter whether the patient needs to perform a small intestine removal in the end, it's better to click on this surgical skill. Anyway, it will be used in the future." Ruan Bin said in his heart.

Partial small intestinal resection is a secondary procedure.

"system!"

【System Points】: 3000!

This point was earned by him after completing the last mission.

【Small Intestinal Partial Resection】: Not Introduced+

"upgrade!"

"Ding Dong... After deducting 400 points, you will get started with partial small intestine resection!"

"Ding Dong... After deducting 800 points, the small intestine partial resection is proficient!"

"Dingdong... After deducting 1,600 points, the director-level of the small intestine partial resection!"

Points remaining: 200!

Such surgery does not require speed, so the director level is completely enough, and he is too lazy to continue to upgrade.

"Ruan Bin, then what are we doing now?" Huang Hongwen asked eagerly.

At this time, Ruan Bin had so many surgical experiences in partial small intestine resection in his mind. He was very clear that he should first reduce the patient's intestinal canal and mesangial tract as Jiang Yurong said!

"Let's read carefully when learning something. The first step to resetting the intestinal duct and mesangial tract is to find the culprit's fiber cord!" Ruan Bin acted as a mentor.

"Generally speaking, this thing should be in this position. Of course, there are special situations, that is, it will appear in this position!"

"Well, I found this location. Do you see it? Release him first!" Ruan Bin explained while doing it.

"After loosening, the fiber cord is removed and the twisted intestinal canal and its mesangial reposition..."

After a few minutes, Ruan Bin skillfully reduced the intestinal canal and mesangial tract.

However, at this time, the patient's intestinal duct was still purple-black, which looked very scary!

After Ruan Bin covered the intestinal tube with semi-wet gauze, he looked at the time and sighed, "Just wait thirty minutes. After thirty minutes, the intestinal tube cannot recover its vitality, so he can only remove it!"

Time in the operating room seems to pass very slowly!

The two of them stood here and waited quietly.

To be honest, Ruan Bin wanted to pass faster, but she was afraid that the result would not be good. She was slower, and she was afraid that the patient would have any danger.

"Ruan Bin, why do you do so many secondary operations?" Huang Hongwen, who had nothing to do at this time, began to gossip.

He has been here these days and has barely passed the two appendicitis surgeries. This has learned a lot of experience from Ruan Bin.

But look at Ruan Bin, it’s so good to have a lacrimal cholecystectomy!

Even Director Qian is not as fast as Ruan Bin.

There is also laparoscopic appendicitis surgery.

He has also seen Ruan Bin perform gastric perforation surgery. Except for appendicitis, the others are secondary surgery. Now partial small intestinal resection will also be...

He envies!

"Can you have expert advice before?" Huang Hongwen asked gossip.

"Ahem... Actually, I'm very genius. I'll read such a simple operation almost a few times!" Ruan Bin lied seriously.

"You will know how many times you read it? I believe you, this kind of surgery is very simple?" Huang Hongwen rolled his eyes! Are you fooling me, right?

"I really don't think it's very difficult. I think that at least a level 3 or above surgery is considered difficult." Ruan Bin laughed.

"Don't show off!" Huang Hongwen suddenly said with little confidence.

Genius, is there really a genius saying that?

Just as the two were boasting, time passed little by little.

Finally, half an hour has arrived!

The originally purple-black intestine ducts still did not regain their vitality, and the purple-black has become heavier!

"It's a pity that the necrosis has been completed, so I can only remove it!" Ruan Bin shook his head.

He only saw that the intestinal duct, which was about 90 meters long, could not recover its vitality. In this case, he had to remove it and connect the normal small intestinal ducts at both ends.

The operation went smoothly. Ruan Bin successfully removed the small intestine and then closed the abdomen.

There was no problem during the patient's surgery.

If this situation depends on how it will happen after the operation!

After the operation was completed, Ruan Bin came out.

I saw that Jiang Yurong was still injecting blood.

"The operation is completed?" Jiang Yurong asked.

"Well, it's very smooth. It depends on how the situation is after the operation, but I don't think the problem is big." Ruan Bin answered truthfully.

"Well, it's fine. Thanks to you this time, otherwise I really don't know if I should call Director Qian to take over. Because now we really don't even have a more powerful surgeon!" Jiang Yurong sighed.

She was more worried about this. After all, no one knew whether they would encounter a level 3 or level 4 surgery next. If they encountered it, she knew that Ruan Bin would definitely not be able to do it!

So I considered whether to call Director Qian or Deputy Director Liu now, let any of them come, or send a attending physician from their group to come.
Chapter completed!