(Thanks to 'jayzou' readers for tipping 11,000 starting coins!)

"Is the bleeding serious?" asked Ruan Bin.

"It's not big, when I rechecked just now, I found that the blood was pouring into the peritoneum, and in this case, the bleeding is generally relatively slow. But the follow-up is not known. Wei Haiyang said solemnly.

"The bleeding speed is not fast, some are saved!"

"Now it seems that this operation can only be done riskily, and I will communicate with the family first. Ruan Bin suggested.

"But the blood hasn't settled yet...... The most painful thing is that his son's blood type is different from his! Otherwise, he can draw blood from relatives. His grandson has the same blood type as him, 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 was ruptured now, and due to blood problems during the operation, his whole face was like dirt.

"Doctor, then, what now?" Li Hao was already a little dispossessed.

"I think the surgery has to be done, and then contact other cities to see if there is any blood, and see if it can be delivered within three hours. In your father's case, he will have to have surgery within 2 hours at the latest......! The danger is great!" Zhang Chao said in a deep voice.

Fortunately, now it is only because the blood is pouring into the peritoneum, in this case, the bleeding is generally relatively slow, which can be delayed for a while.

If the aneurysm is ruptured and a large amount of water is pouring into the abdominal cavity, it may not be possible to save it by surgery immediately.

Because it usually takes about 7 hours to do this surgery!

To be honest, without sufficient blood volume now, he is not sure that he will do this operation at all!

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

I asked a few others a little farther away, yes, but it took five hours to send them......

In this way, despair!

"Let's have a surgical consultation first and see how we can control the amount of bleeding within a certain range!" Zhang Chao said solemnly. If the amount of bleeding can be controlled at 500 ml, then there is almost a 70% chance that the surgery will be successful.

He is planning to contact his teacher, and the bigwigs of the vascular surgery department of several hospitals such as Huashan in the magic capital have any way.

"Ding-dong...... System Temporary Mission: Prove that you are omnipotent! You are the light of life, save the patient Li Nong! Complete the task and reward three lucky draw chances!

It's mission again!

Pick up!

But before that, let's take a look at the escalation of the surgery and see if we can solve this tricky problem!

"System!"

[System points]: 63,500

[Overlying aortic arch replacement]: not started+

"Recharge 100,000!"

"Level up!"

"Ding-dong...... Deduct 6000 points, overlying aortic arch replacement - Entry+!"

"Ding-dong...... Deduct 9000 points, overlying aortic arch replacement - proficient level +!"

......

"Ding-dong...... After deducting 21,000 points, overlying aortic arch replacement - innovative grade +!"

Rumble......

A great deal of clinical experience and surgical skills are integrated into the brain.

"I've found a surgical solution to this situation!" Ruan Bin was overjoyed.

At this time.

Seeing Zhang Chao walking out uncertainly, Ruan Bin asked, "Director Zhang, are you sure?" or how sure is your department?"

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

Even, not sure!

"To be honest, I don't know the bottom of my heart now!" Zhang Chao stopped and spoke.

"Is it because you are worried about the heavy amount of bleeding during the operation, and the operation will fail because it cannot be replenished?" asked Ruan Bin.

"Well, you also know that the amount of bleeding in this operation must be large!And the aneurysm is more distal, and the surgical field will not be good at that time, and the anastomosis will be more, and the amount of bleeding will definitely be greater at that time!" Zhang Chao sighed. Bleeding can only be reduced if there are fewer surgical anastomosis!

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

"Oh, what can you do?" Zhang Chao was taken aback.

To be honest, if it was another emergency physician who said this, he wouldn't believe it.

But when Ruan Bin said this, he wasn't very skeptical!

After all, Ruan Bin's name is now thunderous!

Improving the technique and creating new one is like drinking water.

And it's a multi-field development!

Now he says he says cardiovascular surgery, Thaksin!

He'll listen to what the other party has to say.

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

Let's hear what people have to say first!

"I have a novel method of overlying aortic arch replacement surgery, which is simple to operate and easy to master compared to the methods commonly used in the world, and the operation time has been reduced from at least 7 hours to 5 hours, and at the same time, the bleeding is reduced due to the small number of anastomosis, which solves the problem of requiring a large amount of blood transfusion during the operation!"

"Improved version?"

"Yes!" Ruan Bin paused and continued: "The operation is simplified, the three branches of the arch do not need to be replaced, the anastomosis is reduced, and complications such as distortion and occlusion of artificial blood vessels are avoided; 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, which reduces trauma and possible nerve damage......"

Zhang Chao listened to Ruan Bin's novel surgical idea, and instantly felt the feeling of being sudden.

However, he hesitated: "Doctor Ruan, have you done this modified version of the operation?"

"I haven't done it! It's just a new and improved procedure that I've seen a lot of traditional surgeries. But now the patients are in this situation. If we use traditional surgery, I think the risk is higher!"

"That's right!" Zhang Chao nodded.

The patient's condition is complex, and the distal anastomosis has a deep surgical field and is difficult to operate. And the anastomosis of the posterior wall of the arch is difficult to control. In three-branch vascular replacement, the three cephalic and brachial blood vessels need to be replaced regardless of whether they are involved by dissection, which increases the number of anastomosis, the difficulty of surgery, and complications such as distortion and occlusion of artificial blood vessels.

At the same time, regardless of whether the dissection involves the total aortic arch or not, three-branch vascular replacement requires total aortic arch replacement, which undoubtedly increases the surgical injury. In addition, the treatment of the distal aortic arch has a high chance of damage to the phrenic nerve and recurrent laryngeal nerve due to the depth of the surgical field!

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

The main thing is that it can reduce the number of anastomoses and reduce bleeding, which solves the problem of requiring a large amount of blood transfusion during the operation!

That's the point!

"Report to the medical department first, and then communicate with the family again! 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. ”