Chapter 91: This Ruan Bin Has Something

Wei Haiyang hurriedly found Jiang Yurong, who was undergoing surgery.

"Director Jiang, my patient in that operation is a fat man, there is too much fat in the abdominal cavity, I am a little inexperienced, and I haven't found a bleeding point yet, now can you find a master from the inpatient department to come over?" Wei Haiyang said to Jiang Yurong anxiously, sweating profusely.

"You can't handle it?" Jiang Yurong frowned. Suddenly, she remembered that the patient was a big fat man of more than 200 pounds, and due to the large amount of fat in the abdominal cavity, the difficulty of the operation was indeed not small.

"It can't be done. Wei Haiyang said a little embarrassed. I didn't expect to give the senior doctor the impression of a rookie within a few days of coming to Guipei.

"What did Ruan Bin say?" Jiang Yurong asked.

???

Wei Haiyang looked confused after hearing this, he had come to ask for help, why did he suddenly ask Ruan Bin what he said? Could it be that this operation still needs to listen to the opinion of a county resident doctor who came to study for further study?

"He said he could give it a try, but I said he was a resident doctor who came for further training, so I refused. Isn't this nonsense? We have to be responsible for the safety of patients!" Although Wei Haiyang didn't know why the other party asked this, he still said what he thought.

"He said he could give it a try?Well, then you can go back and let him give it a try!" Jiang Yurong knew that Ruan Bin said that he could give it a try, so he should be very sure.

Although it is not easy to operate on the big fat man, after all, it is only a second-level operation that can be done first-hand, and I believe that Ruan Bin will not let her down.

After all, laparoscopic cholecystectomy in 19 minutes is indeed deeply rooted in the hearts of the people, giving people a reassuring feeling!

"Huh, let him try......? Wouldn't this be too much?" Wei Haiyang said with a look of astonishment. Is the director so relieved to operate on a chief doctor?

"It's okay, Ruan Bin's level is still okay, I'm relieved. Go ahead, it's okay!" Jiang Yurong smiled faintly.

"Uh...... All right. Hearing Jiang Yurong say this, Wei Haiyang dared to say more?

The boss said so, and he did it.

On the way back, Wei Haiyang wondered in his heart: "Could it be that Ruan Bin is very good at gastrojejunostomy and debridement and hemostasis......?

He knows a lot about Wucheng County Hospital, and there are almost no surgical masters, let alone a resident doctor!

"Could it be that Ruan Bin is a high-achieving student who graduated from a famous medical school? But a high-achieving student will definitely not choose to stay in a small county hospital!"

With a stomach full of questions, he went back.

"What did the director say?" Ruan Bin asked when he saw Wei Haiyang come back.

"The director said that if you think you can, you can take over this operation. Wei Haiyang still conveyed Jiang Yurong's meaning.

"Okay, then please ask Dr. Wei to be my assistant. Ruan Bin smiled.

"Well, no problem. To be honest, Wei Haiyang didn't expect that one day an attending doctor would be a surgical assistant for a resident doctor. The other party is also a resident doctor in the lower county hospital of his city hospital......

The operation continued, and Nguyen Bin took over.

At present, his first step is to find the bleeding point, ligage and suture to stop the bleeding. Then the gastrojejunostomy is done!

At this time, Ruan Bin has world-class debridement sutures and world-class gastrojejunostomy, and he clearly knows where the current patients will appear.

First of all, judging the amount of bleeding, it should not have hurt the abdominal aorta, which is very important! If it had injured the abdominal aorta, it is estimated that it would have bled to death by now.

However, the amount of bleeding is not small, so it is likely to be the superior mesenteric artery, the mesenteric root artery, the gastroduodenal artery, and the common iliac artery.

The most likely of these are still the superior mesenteric artery and the gastroduodenal artery. This mesenteric root artery is also very probable, especially because this mesenteric root artery is very close to the abdominal aorta, and the amount of bleeding is large, and it is difficult to surgically suture.

However, now the omentum, mesentery, gastric mesangium, and colon fat prolapse are all large and small cellulite, which is too difficult to find.

After observing for a minute, he saw that the bleeding spots were all overflowing from these fats, but he couldn't see the blood vessels, and the blood vessels were completely blocked by these thick fats!

You have no idea how thick the fat is, how close it is to the blood vessels, or even where the blood vessels are.

After all, the blood vessels of fat people have become thicker and larger, and even displaced due to the accumulation of fat.

This is one of the reasons why surgery for fat people is difficult.

However, at this time, Ruan Bin has a world-class gastrojejunostomy and has done tens of thousands of gastrojejunal surgeries, including hundreds of various 300-pound fat people's surgical experience and number, so he is full of experience in this kind of experience!

He began to judge as he watched the blood spilling from the mass of fat.

"At least one blood vessel in the superior mesenteric artery has been ruptured, at least one blood vessel in the root artery of the mesentery has been ruptured, and the amount of bleeding should be the largest, and the duodenal artery has also been ruptured!" Ruan Bin had a preliminary judgment in his heart.

"Let's stop the bleeding in the mesenteric root artery first. "He plans to stop the bleeding here as the first step, which is the closest to the abdominal aorta and has the most bleeding!

Ruan Bin began to use his hands to put his hands on the 'B' shaped mesocolon, and then groped upwards, yes, he planned to find the rectum first!

The location of the rectum is the location of the arteries at the root of the mesentery!

"The point of appearance is in the rectal position?" Wei Haiyang saw Ruan Bin's intentions and couldn't help but ask curiously.

"Well, one of the bleeding points, it should be the mesenteric root artery. Ruan Bin nodded.

"But this fat fat ......" Wei Haiyang frowned, in such a fat mesangial fat, how to find that small rectum among the many fats? It's like looking for a needle in a haystack.

Even if you find the rectum, you may not be able to find the blood vessels. Because the mesenteric roots, arteries, and blood vessels are surrounded by fatty lymphoid tissue. The fat lymphoid tissue at the root of the mesenteric blood vessels of ordinary people is very large, and now they are still fat, how big is the fat lymphoid tissue in that place?

It is not easy to find blood vessels inside, maybe because when cutting these fatty lymphatic tissues, the root blood vessels of other sections are also cut, and then you will have to be busy......

"Found it!" Ruan Bin suddenly groped out of his rectum among the many fats, and directly found the fatty lymphoid tissue at the root of his rectum.

"I really found it!" Wei Haiyang was shocked in an instant! He saw Ruan Bin groping for more than ten seconds before he found it. How much does this really know about the structure of this place?

"This Ruan Bin has something!"