Chapter 329: Stop the bleeding in 10 seconds!

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"Hope?" said Shao Dagang.

"But don't get your hopes up too. Ruan Bin does not seem to have undergone rectal cancer surgery, and he does not know about the arteries and nerve structures near the sacrum. I don't know if he will be able to operate at that time. "Director Qian will get a preventive shot first.

"I know I know, but I have to let him come and talk about it. What if he can do it?" Shao Dagang said.

If Ruan Bin can complete the operation step by step under the guidance and command of Director Qian, maybe there is hope?

He heard that Ruan Bin, a genius, had tried to watch the operation video a few times.

Of course, they are all second- and third-level surgeries, like this complicated and tricky surgery that is also a forbidden area for surgery, I don't know if he can do it.

But now there is more hope than no hope, right?

"Okay, I'll call Ruan Bin. Director Qian nodded, and immediately called Ruan Bin and asked him to come here.

Ten minutes later.

Ruan Bin came here.

When he listened to the words of Director Qian and the others, he was slightly surprised: "Do rectal cancer pelvic recurrence combined with sacrum resection surgery?"

He knows that there are many blood vessels and nerves near the sacrum, and the amount of bleeding can be as high as 200 milliliters per second.

Even if the rectal cancer surgery is performed by the main surgery, the amount of blood loss during surgery is basically 2,000 to 3,000 milliliters for surgery where the tumor is very close to the sacrum.

Even once the artery is cut, it is not saved.

This is also the reason why the closer the cancerous tissue is to the sacrum, the higher the risk of surgery!

This is also the reason why so many hospitals refuse to operate on Shao Dagang, the so-called second uncle.

This is no longer a fight for a bicycle for a motorcycle, but knowing that there are tigers in the mountains and biasing towards the tigers, no, it should be that he knows that he will die if he goes to power, and he still has to go to power for Mao?

In addition to this, there is also the removal of this sacrum, the human vertebrae are like sugar cane, this operation is to cut off a few rotten bad sugar cane, to be accurate, fast and good, the knife is not allowed to drag mud and water.

So every step of the way is a huge risk!

"It's very risky, if you accidentally cut the nearby arteries, the consequences will be unimaginable!" Ruan Bin said.

"That's right, doing this kind of surgery can be said to be to open the 'blood valve'! 200 milliliters of blood will be lost every second! Once this happens, it needs to complete the hemostasis within 10 seconds, otherwise the result will be the death of the patient!" Director Qian nodded solemnly.

A normal human body has about 4,000 to 5,000 milliliters of blood.

If the blood loss exceeds 2000~2500ml (40%~50% of the total blood volume), severe hemorrhagic shock will occur, which can lead to death on the spot if not properly treated.

Suppose that in the event of massive bleeding in the arteries, 200 ml of bleeding per second, 2000 ml of blood can be drained in 10 seconds!

In other words, you can't stop the bleeding in 10 seconds, and you're quite hopeless!

Even if you are transfusing blood during surgery, can you transfuse 200 ml of blood in one second?

Obviously impossible!

And at the rate of losing 200 ml of blood per second, it is not a massive hemorrhage at all, but a large spurt of blood, and it can't be blocked.

"Ruan Bin, if the arteries bleed heavily, is it possible for your hand speed to stop the bleeding in ten seconds?" asked Director Qian expectantly.

"Ten seconds?"

"Ding-dong...... System Mission: Let this group of mortals see how Ruan Jiucheng created miracles! Complete the task and reward 3 lucky draw chances!"

Everyone looked at Ruan Bin in unison.

To be honest, ten seconds, it is estimated that no surgeon dares to imagine!

It's not just about your skill level, your proficiency and accuracy, it's also about your hand speed!

"It should be reluctantly!" said Ruan Bin.

I have an innovative debridement suture.

In ten seconds, I guess you can try it!

However, the specific situation still needs to see that this kind of problem occurs at times, whether the gap is large, whether the suture length is long, whether the position is good or not, and whether the surgical field is clear or not, all of which are uncertain factors.

Even if Ruan Bin has an innovative debridement and suture technique at this time, he does not dare to guarantee 100% of it! This is the first time he does not dare to guarantee 100% of it.

But there is a great deal of certainty!

When several people heard Ruan Bin's words, their eyes flashed in unison.

"It's good to have a certain degree of certainty, then our chances of winning are a little bigger!" Director Qian said with a sigh of relief.

"I've just worked out a surgical plan, you listen, which is to use an interventional surgery to completely block blood flow with an abdominal aortic balloon and reduce blood inflow near the sacrum. In this way, even if the artery is injured at that time, the risk of massive bleeding will be reduced. ”

"But the abdominal aortic balloon completely blocks the blood flow, and it can only be blocked for half an hour, and it has to be pulled out, not more than half an hour. More than half an hour can cause ischemic damage to other organs and the lower half of the body. ”

In other words, the first half hour is the safest. It would be nice if the surgery could be done in half an hour. ”

After listening to this, Ruan Bin gave a thumbs up to Director Qian, it is worthy of the bull's ear of the general practice, this surgical plan is indeed very good! This method can reduce the probability of heavy bleeding!

"It's impossible to do it in half an hour. Shao Dagang shook his head, sawing off the sacrum is also time-consuming and laborious.

"By the way, Ruan Bin, will you have radical rectal cancer surgery?" Dai Yaowen asked.

Everyone looked at Ruan Bin in unison.

They are afraid that Ruan Bin is not clear about the structure near the sacrum with rich blood vessels and many nerves, and even if there is guidance and command for the operation, it will definitely become slow, but the risk of the entire operation will increase.

"I haven't done it, but I've been researching it for a long time, and if I do, it should be fine. I also saw that Director Qian had many rectal cancer surgeries, and I was an assistant. Ruan Bin said.

Seeing Ruan Bin say this, Director Qian knew that there should be no problem for this guy to be so confident!

From the beginning to the present, he has never seen Ruan Bin say big things!

He dared to say that he could do it, and he never failed.

"So, what about grasping?" Shao Dagang asked nervously.

He can be regarded as the father of the second grandmother, ahhh, he has handed over the life of the second uncle to this Ruan Bin and Director Qian.

"Originally, I was only 30% sure, but now, I think I am 50% sure!" Director Qian said truthfully.

The first one is to get the assurance that Ruan Bin's heavy bleeding can barely stop the bleeding for ten seconds, and the other plus the surgical plan he came up with by himself has the hope of increasing the success rate.

In addition, Ruan Bin said that rectal cancer surgery can be done, which increases the chance!

"Fifty percent? It's worth the gamble!" Shao Dagang made up his mind! If you don't gamble, you will wait for death.