Chapter 118: I Can Play With This Operation (Fourth Update)

"You quacks are such rubbish, you can't do a small operation. I'm going to transfer to the city hospital! But if our wife has an accident on the road, none of you can escape!" Mei Wenjie heard that the other party hesitated, afraid of this and that, he was so angry that he almost wanted to cut people! But thinking that his wife is in crisis now, let's transfer to the hospital first!

Go back and settle accounts with these quacks!

Liu Mei has also encountered a lot of such short-tempered patients, so she tried her best to calm down the grievances in her heart and said, "Sir, do you want to transfer to the hospital?" But I told you in advance that if the patient is discharged from the hospital and there is an accident on the way, it will have nothing to do with us. ”

This point still has to be explained.

After all, it is none of their business to die from prolonged bleeding on the road. It was the patient's family who asked to be discharged, and they could not be responsible for the discharge.

"What? Are you trying to shake the pot? I'll tell you, when something happens, you will be fully responsible!" Mei Wenjie began to be unreasonable.

Who told his wife to have a caesarean section in this hospital, and now they have this kind of hemorrhage, and they still want to get out?

"If you do that, we don't dare to discharge patients. Liu Mei had a headache to explain.

Seeing that the two sides began to quarrel, Ruan Bin also had a headache, sometimes medical troubles often happen like this!

"This family, don't be noisy, I can do this operation! I don't need to remove the uterus to stop the bleeding. Ruan Bin said.

As soon as this sentence came out, everyone looked at Ruan Bin in unison!

"Ruan Bin, will you do uterine artery interventional embolization surgery?" Lu Jingping was stunned, this is a fourth-level surgery! It is not their general surgical operation.

How could you possibly do it as a resident?

He won't do it either!

Liu Mei next to her also asked in astonishment, "Doctor Ruan, are you sure you can play this operation?"

"Doctor Ruan, although you have gone to the First Affiliated Hospital of Modu for further study, you should not have been exposed to this kind of surgery, right? Even if you have been contacted, you must not have done it! This is an interventional surgery. Huang Hongcai felt that Ruan Bin must have run the train with his mouth full this time.

Last time, they thought that Ruan Bin was able to perform appendicitis resection on a pregnant woman, which was already extremely amazing and shocking.

But it's impossible to study for more than a month, and even interventional surgery will be done, right?

Unless the other party hangs up!

"I don't need to joke about my career and going to prison, Director Lu, if you don't believe it, I can call Director Qian of the Emergency Department of the First Affiliated Hospital of Modu, he witnessed that I had interventional surgery, and I also had a massive hemorrhage in the uterine artery, and I did it very successfully. Ruan Bin said lightly.

"This ......," Liu Mei and the two obstetricians looked at Lu Jingping after hearing this. They don't know what doctors do in the emergency department. So let's see what Lu Jingping thinks!

If the other party can really do interventional surgery, then this trouble should be completely solved!

"Alright, don't ask, I can trust you. Because of a previous phone call, Lu Jingping knew that Ruan Bin should not be able to lie now, and the idle egg hurts?

But what he was shocked at this time was how Ruan Bin went to the First Affiliated Hospital of the Demon Capital for further study, and after coming back, any operation would be the same!

Or was Ruan Bin's previous level not discovered by him?

After all, Ruan Bin is only a resident doctor, and he usually sutures the wound, does minor surgeries such as resection of benign tumors on the body surface, incision and drainage of superficial abscesses.

Not even appendicitis surgery has been done.

Could it be that this guy used to be at a very good level?

After all, even the first-level operation in their emergency department, appendicitis resection, was rushed by two attending officers, where is there a chance that the little resident doctor will take his turn to do it?

But big hospitals are different!

There are so many surgeries that you can't finish them, so the resident has a good chance of doing the first and second level surgeries.

"Forget it, let's see if this operation can be done successfully. To be honest, Lu Jingping was still a little worried about Ruan Bin at this time.

Communicate with Mei Wenjie before surgery, sign it, and prepare for surgery!

............

Since Ruan Bin's uterine artery interventional embolization was at the proficiency level at this time, he did not plan to upgrade.

Proficiency level, you can do this surgery, but the speed is relatively slow.

If you are careful, there should be no problem!

This interventional operating room is very brand new, and it has been renovated for less than half a year.

The number of times it has been used is also only a handful. After all, only Dean Sun can perform this kind of surgery.

At this time, in addition to Ruan Bin, there were also Lu Jingping and others.

Honestly, they all wanted to see this interventional procedure!

Especially Liu Mei and Sun Yue in the obstetrics department, they usually encounter a lot of postpartum hemorrhage, or miscarriage hemorrhage, or abortion hemorrhage.

If you are unwilling to remove the uterus, you will basically let the other party transfer directly to the city hospital.

There is no way, the small county hospital is still a remote and backward small county, and the brain drain in their obstetrics department is serious, and the doctors with good skills have gone to the city hospital. As a result, no one will have this type of surgery!

Finally, an interventional department was established, and their obstetrics department seemed to see hope, but at present, the interventional department is still an empty shell. Dean Sun is the only one who can perform this type of surgery. But the dean is also a big leader, and he often travels......

Liu Mei retracted her thoughts and saw Ruan Bin centered on the groin area and disinfected and laid out towels.

Then they saw that Ruan Bin used the Seldinger technique to cannulate through one side of the femoral artery, indwelling the arterial sheath, and using a 5F Cobra catheter to cannulate the common iliac artery, and performing DSA angiography of the contralateral iliac artery......

Ruan Bin's operation was not fast, and he explained: "After DSA angiography of the contralateral iliac artery, it is necessary to observe whether the opening of the contralateral internal iliac artery and the uterine artery are visualized. If the initiation, morphology, and presence or absence of fibroid staining of the uterine artery were observed by development......"

"After confirming that there is no problem, the catheter is further sent into the internal iliac artery, and a 0.89mm, 0.96mm white loach or black loach guidewire is used to look for the uterine artery.

"If a uterine artery is confirmed, a guidewire is used to introduce the catheter into the distal uterine artery. Sometimes the uterine artery is not easy to find with a Cobra or a single bend, but the uterine artery can be easily found by replacing a catheter of RH or other shapes. C-shaped arm angiography was performed to observe the DSA manifestations of uterine arteriography, the size, shape, structure, and margin of the tumor, and to confirm that there were no abnormal branches, especially to whether there was co-trunking with the bladder artery. If there is a cotrunk with the bladder artery, adjust the catheter to avoid the bladder artery......" At this time, Ruan Bin seemed to act as a senior doctor hospital, teaching this group of whites.