Chapter 116: Basic Operations, Don't Be Surprised!

"I feel like I'm up to the task. Ruan Bin said. "Ruan Bin, don't be kidding, I remember that you haven't had an acute appendicitis operation in our emergency department, right?" Huang Hongcai said disdainfully.

This kind of joke is not funny!

"I did it when I was studying at the First Affiliated Hospital of Modu. Ruan Bin spoke again.

"Ruan Bin, this is not an ordinary appendicitis operation, this is a pregnant woman who is 8 months pregnant, even if it is a city hospital, I estimate that a doctor above the deputy director will dare to do it! Because the risk of surgery in the later stage of pregnancy is too high, and the difficulty not only increases, but it is also easy to cause contractions and premature birth!" Lu Jingping explained.

"I know, I mean that I have performed appendicitis resection on many pregnant women in the late and early stages of pregnancy in the First Affiliated Hospital of Modu, at least dozens of cases, and many of them are 9 months pregnant. Ruan Bin said lightly. He wasn't lying! After he showed his talent in laparoscopy, he performed several surgeries on several pregnant women in the third trimester of pregnancy. As a result, many hospitals in Modu sent the surgeries of pregnant women in the late stage of pregnancy to the First Affiliated Hospital of Modu, so he had a lot of similar surgeries in just over a month.

"What? You have done dozens of cases in the First Affiliated Hospital of Modu, and you have also performed appendicitis resection on a pregnant woman who is 9 months pregnant?" Lu Jingping was stunned in an instant.

Huang Hongcai and Xie Da next to him were also stupid!

"You...... Are you kidding again? No way! No way!" Huang Hongcai felt that Ruan Bin was wrong today, why did he always like to joke?

"Ruan Bin, you speak seriously, now is not the time to joke. Shocked, Lu Jingping said solemnly. He secretly said in his heart that Ruan Bin, this kid usually has a lot to say, why is he running the train with his mouth full today.

He didn't think that Ruan Bin, a resident doctor, could do such a tricky operation! He didn't dare to do it, and he couldn't do it!

"Director, if you don't believe me, you can call and ask the First Affiliated Hospital of Modu, I have Director Qian's phone number over there. Ruan Bin took out his mobile phone and said with a look of if you don't believe it, you can ask.

"This ......" Lu Jingping was stunned, it seems that Ruan Bin should not be lying!

Could it be that I went to the First Affiliated Hospital of Modu for further study, which made this kid's skills soar? Or did the First Affiliated Hospital of Modu have a very systematic teaching of this kind of first-level surgery, which made Ruan Bin progress rapidly?

"Let's hit one then. In the end, Lu Jingping still wanted to call to confirm.

A few minutes later, Lu Jingping confirmed that Ruan Bin had indeed done a lot of appendicitis resection at the First Affiliated Hospital of Modu, and it was done for pregnant women!

"Director, what did the First Affiliated Hospital of Modu say?" Seeing Lu Jingping hang up the phone, Huang Hongcai next to him couldn't help but ask.

"It's true, Ruan Bin, I didn't expect you to go to the First Affiliated Hospital of the Demon Capital and learn the essence of appendicitis surgery!" Lu Jingping smiled and patted Ruan Bin's shoulder.

"Is it true?" Huang Hongcai and Xie Da were shocked again!

"It seems that next time I will also strive for the opportunity to go to the First Affiliated Hospital of the Demon Capital for further study, and it is best to go to the regular training. Huang Hongcai muttered in his heart.

He felt that a resident doctor like Ruan Bin had come back from a trip and had such a high standard in this first-degree appendicitis surgery, and he should go for further study or regular training. Maybe second-level surgery and third-level surgery are all dripping?

"Director, this pregnant woman doesn't need to be sent to the city hospital, how about I?" Ruan Bin took the opportunity to ask.

"Since you have so much clinical experience in surgery in the magic capital, then this patient does not need to be sent to the city hospital, you can be the chief surgeon, and let us see what kind of means it is to do appendicitis resection for this kind of patient in the late stage of pregnancy!" Lu Jingping clapped his head.

Soon after the decision, a comprehensive examination is carried out, and then the patient's family is communicated and signed off before the operation.

After everything was done, laparoscopic appendicitis resection was used.

In the operating room, the operation began.

Ruan Bin is the chief knife, and Lu Jingping is the assistant.

Huang Hongcai and Xie Da watched from the side.

At this time, Ruan Bin has a world-class appendicitis resection, so this small operation is naturally without any pressure!

After the anesthesia was effective, Ruan Bin began to routinely create pneumoperitoneum in the patient's umbilicus, inserting a puncture device and laparoscope.

He's fast, he's smooth.

It was done in just 2 minutes, and the three people next to him were stunned.

At this time, Ruan Bin began to explore the whole abdominal cavity, and he only looked at it for five seconds, and he could see the situation in the patient's abdomen at a glance. Begin to place the operating trocar under direct vision.

In just a few seconds, Ruan Bin was lifted along the colonic belt to find the appendix!

"I found the appendix so quickly, oh my God! What I saw was a yellow mesangial adhesion, how could he tell where the appendix was in a few seconds?" Huang Hongcai exclaimed inwardly.

After lifting the appendix, there are triangular mesangial adhesions on it, and there are a lot of adhesions!

"There's a lot of mesangial adhesions. Lu Jingping frowned.

In the next second, Ruan Bin used an electric hook and ultrasonic knife to separate the mesangium.

There were many mesangial blood vessels on the mesangium, and I saw that he completely avoided all the blood vessels and did not cause a little bleeding. At the same time, the mesangial tissue adhered to the appendix was also cut down by his hand, and it was quickly cut off, without any harm at all.

"Ruan Bin, you, slow down! You are too fast, if you reach the mesangial blood vessels, you will have to be ligated to stop the bleeding......" Lu Jingping saw Ruan Bin's hands flying, and he was almost dazzled. That heart suddenly tensed.

"Basic operation, don't be surprised, I usually do surgery very quickly. Ruan Bin smiled.

“......”

"Slow down, slow down. ”

"Okay. Although he said it, his hands did not slow down in the slightest.

After the mesangium is cleaned, the appendix is pulled up, the base of the appendix is "opened", and the mesangium and the base of the appendix are ligated with a hemo-lock clip. Electrocautery of the appendix stump is used to remove the mucosa. The trocar is removed, the pneumoperitoneum is relieved, the fascia of the puncture opening of more than 1 cm is sutured, sutured, the abdomen is closed, and the operation is completed.

"It's over, it's done?" Lu Jingping was still in a trance at this time.

"Oh my God, it's only been 15 minutes!15 minutes to complete this appendicitis resection!" Xie Da looked at the time, stunned.

At this moment, the eyes of the three of them looking at Ruan Bin have changed!

Is this still the Ruan Bin they know?

"I've always had surgery very quickly. Ruan Bin said lightly.

Three: ......

That's scary, isn't it?

15 minutes!

Especially when I had the operation just now, the dazzling speed almost frightened Lu Jingping, for fear that there would be a mistake because the operation was too fast, but now there are zero mistakes!

The surgery was a success!