Chapter 90: A Tricky Operation

"What's the situation?" Ruan Bin hurriedly walked up and asked. He saw that the patient's abdomen seemed to have been cut in a large piece, and the wound on the abdomen was large and deep, and the blood continued to flow out and spill all the way.

"I was stabbed in the abdomen with a chainsaw!" said one of the hospital doctors.

"Why are you so careless?" Ruan Bin secretly said in his heart.

"If it weren't for you, what kind of show effect would you want to make the fat man a model! Now it's okay, the fat man has been sawed!" a big man next to him roared at another middle-aged man.

"The cabinet props I made are very large, and there is no problem for the fat man to hide in it as a magic model! It's just that when I started sawing, the spring of the cabinet mechanism couldn't be opened, which led to this tragedy, and I don't want to! The props are the last ones you checked, and you don't check them carefully!" The middle-aged man blamed himself and scolded the man.

"You're performing chainsaw magic?" Ruan Bin only understood. It seems that there should be a problem with the prop, which caused the fake saw to become a real saw!

What a tragedy this is.

At this time, Jiang Yurong and Wei Haiyang also came over.

After understanding the situation, Jiang Yurong hurriedly said: "Send it to the operating room immediately for rescue!"

At this moment, another patient suddenly came in from outside.

Serious head injuries and multiple fractures, worse than this fat man.

"Doctor Wei, Ruan Bin, you two have no problem handling this patient, right?" Jiang Yurong hurriedly asked.

"No problem!" Wei Haiyang nodded hurriedly.

"Okay, I'll take care of another operation. ”

After being pushed into the operating room, the nurse administers the blood transfusion.

Ruan Bin also gave X-rays to patients.

Soon the results came in.

"The wound was deep, there were multiple breaks in the intestines and stomach, and there were many bleeding places. Fortunately, it didn't hurt the kidneys and spleen, which was a great blessing in misfortune. It was his thick fat that saved his life. Ruan Bin sighed. If it is replaced by a thin man, it is estimated that this chainsaw will go down, and it is estimated that it will definitely be breathed on the way here.

Like this fat man, he only needs to successfully stop the bleeding and then perform a gastrojejunostomy to repair the broken stomach.

"Dr. Ruan, you be my assistant. Wei Haiyang said to Ruan Bin.

"Hmm. Ruan Bin nodded, he looked at this fat man of more than 200 pounds, this operation is not easy to do!

The main reason is that the other party is too fat and has too much fat in the belly! The difficulty of the operation is several times higher than that of thin people, and even some very fat big fat people can hardly carry out some operations.

In the eyes of doctors, the last thing they want to face is the surgery for pregnant women and fat people.

Sure enough, when Wei Haiyang opened the incision, as soon as he cut the omentum, he saw that the omentum was pouring out of the incipient in a mess, yellow, red.

The yellow ones are fat with the omentum, as well as peritoneal fluid. The red ones are blood and blood clots.

If it is an ordinary person, the omentum is actually a thin layer, which is very easy to handle, but the fat person is different.

After Wei Haiyang pulled these omentums with a squeegee, the traction device enlarged the incision and saw the fat in the abdominal cavity full of eyes, which was on the intestinal fat of the omentum, gastric mesangium, mesentery and colon!

Not to mention whether you can see the bleeding spots, even the whole picture of the stomach and intestines can't be seen clearly, and most of them are blocked by these fats.

"It's tricky!" Wei Haiyang looked at his eyes, there was blood everywhere in his abdomen, and after rummaging through it, he couldn't find where the bleeding point was! Those thick fats made him feel like he couldn't start.

He rummaged through it with both hands, and his preliminary judgment was that the superior mesenteric artery or the blood vessels in the root had ruptured, or that the gastric artery had hemorrhage.

He checked and found that the blood vessels of the gastric artery were fine, and then looked for other possible bleeding, but except for finding a few intestines that were broken into a few small sections, he could not find the root of the mesentery at all. It's full of mesangial fat, and you can't tell where the bleeding spot is!

Instead, his gloves were covered in fat particles!

All of a sudden, Wei Haiyang's sweat came out.

The operation was a bit tricky, and if the patient wasn't a big fat man and didn't have that much fat in his stomach, he probably would have found the bleeding spot by now.

However, the fat man's belly is different, not to mention the fat in it, which will affect your surgical vision, and even have a displacement. It will also be because the mesangium and peritoneum are too thick, so you can't even find the blood vessels, and it will be easy to get out of the gap.

If you investigate a little bit, rely on guesswork a little bit, the ghost knows how long it will be investigated? It is estimated that when the patient is bleeding and burping, you will find the bleeding point!

That's not all, if you go to the wrong gap to go under the knife, all the knife blood vessels, then the next thing you can only be crazy to stop the bleeding, crazy to go to the wrong gap, crazy to stop the bleeding, infinite loop!

Therefore, it is not as simple as several times the difficulty of operating on a big fat man.

He has very little experience in operating on a big fat man, and even if he has operated on a fat man, he is not so fat. He was a little powerless.

"Doctor Wei, why didn't you do it?" asked Ruan Bin beside him.

"This operation is too tricky, I don't have enough experience, I can only find Director Jiang!" Wei Haiyang said.

"But now Director Jiang should be doing another operation, and he shouldn't have time. Ruan Bin said.

"I know, but I really can't do this operation, even if Director Jiang is not available, let her ask if there is anyone in the inpatient department!" Wei Haiyang said.

"I thought I could give it a try. Ruan Bin said. World-class debridement, world-class vacant intestinal anastomosis! For this situation, for this kind of big fat patient, he has no less than 100 surgeries in his mind!

"Don't be kidding! This operation is not an ordinary second-level operation, it is very tricky!" Wei Haiyang glanced at Ruan Bin and shook his head. The other party is just a resident doctor in a county hospital who came to study, and it is estimated that the first-level surgery is okay now, and even if he can barely do the second-level surgery, he is definitely not proficient. Even the attending doctor of the city hospital can't perform the operation, what can he do?

Isn't this nonsense?

Besides, he knows very well the level of the doctors in Wucheng County Hospital, the chief doctor may be okay, Ruan Bin can be as good as a resident doctor? It is estimated that the other party will not even be able to do many second-level surgeries, no, it is estimated that some of them are not proficient enough to do some first-level surgeries!

"I may ......" But before Ruan Bin finished speaking, he saw Wei Haiyang immediately take off his sterile gown, open the surgical door and run to find Jiang Yurong.

"Completely ignore me~" Ruan Bin sighed. No way, who calls himself a resident doctor, or a resident doctor in a county hospital.