"Ruan Bin, if it's really mesenteric torsion after a while, then the problem is very serious, you have to open your stomach quickly and immediately check if this is it!" Jiang Yurong advised.

"Okay!" he also knew that in a situation like a patient, every second counts!

Ruan Bin walked into the operating room while looking at the patient's latest examination report.

Body temperature 37.9°C, heart rate 109 beats/min, serum potassium 2.0 mmol/L, albumin 22.10 g/L, serum lactate 7.6 mmol/L......

"Potassium supplementation, albumin infusion, and fluid rehydration!" As soon as he came to the operating room, Ruan Bin said to nurse Zhao Yaxue.

"Good. "Zhao Yaxue is doing everything neatly.

The anesthesiologist is also very quick and directly administers general anesthesia to the patient.

Hurry, hurry, hurry!

Ruan Bin's hand speed was still very fast, and he went in by caesarean section.

He saw about 500 ml of bright red bloody fluid in the abdominal cavity, and a large section of purple and black small intestine in the lower right abdomen was piled up and twisted together!

Of course, Ruan Bin and Huang Hongwen couldn't help but take a deep breath when they saw a large area of intestinal necrosis, this condition is too serious!

To be honest, Ruan Bin has not encountered this situation and does not know how to deal with it. After all, he hasn't lit up his surgical skills yet!

"Lao Huang, you go out and report the situation to Director Jiang. Ruan Bin said to Huang Hongwen.

"Good. Huang Hongwen hurriedly went to find Jiang Yurong.

At this time, Jiang Yurong was receiving an infusion outside, and when she heard the news, her face was also solemn: "Tell Ruan Bin that the twisted intestine and its mesangium are reset." Cover the bowel with semi-wet gauze and observe for 30 minutes! If the bowel does not come back to life after 30 minutes, it has to be removed and the ends of the normal small intestine are anastomosed. You ask Ruan Bin, will he have a partial resection of the small intestine?"

"Good. Huang Hongwen hurriedly ran back again.

Narrated Jiang Yurong's words!

"Ruan Bin, will you have this surgery?" asked Huang Hongwen.

"Well, of course!" Ruan Bin lied seriously. It's all at this time, Jiang Yurong can't have surgery in this situation, and the difficulty depends on you Lao Huang?

Lao Tzu can only bear to lose money!

"Forget it, no matter whether the patient wants to have a small bowel resection in the end, let's order this surgical skill, and I will use it in the future anyway. Ruan Bin said secretly in his heart.

Partial resection of the small intestine is a second-class surgery.

"System!"

[System Points]: 3000!

These points were earned from the last mission he had completed.

[Partial resection of the small intestine]: Not started+

"Level up!"

"Ding-dong...... Deduct 400 points, partial small bowel resection – get started!"

"Ding-dong...... Deduct 800 points, partial small bowel resection - proficient!"

"Ding-dong...... Deduct 1600 points, partial resection of the small intestine - director level!"

Points Remaining: 200!

There is no speed in surgery like this, so the director level is completely sufficient, and he is too lazy to continue to upgrade.

"Ruan Bin, then what are we going to do now?" Huang Hongwen asked eagerly.

At this time, Ruan Bin had so much experience in the operation of partial small bowel resection in his mind, and he knew very well that he should first reset the patient's intestine and mesangium according to what Jiang Yurong said!

"The first step in repositioning the intestinal tube and mesangium is to find the culprit - the fibrous ribbon!" Ruan Bin played the role of mentor.

"Generally speaking, this thing should be in this position, of course, there are special circumstances that arise, that is, it will appear in this position!"

"Well, I've found this position, do you see it, let him go first!" Ruan Bin explained as he did.

"After the release is removed, the fibrous ribbon is removed and the torsion of the intestine and its mesangium are reduced to ......"

A few minutes later, Ruan Bin skillfully reset the intestinal tube and mesangium.

However, at this time, the patient's intestinal tube is still purple and black, which looks very terrifying!

After Ruan Bin covered the intestinal tube with semi-wet gauze, he looked at the time, sighed and said, "Just wait for thirty minutes, after thirty minutes, the intestinal tube will not be able to recover its vitality, and it can only be removed!"

Time in the operating room seems to pass very slowly!

The two of them stood here and waited quietly.

To be honest, Ruan Bin wanted to live faster, but he was afraid that the result would not be good. If you go slowly, you are afraid that the patient will be in danger.

"Ruan Bin, why do you have so many secondary surgeries?" At this time, Huang Hongwen, who had nothing to do, began to gossip.

He has been here for the past few days, and he has barely passed two appendicitis surgeries, which he has learned a lot from Ruan Bin.

But look at Ruan Bin, laparoscopic cholecystectomy can play 6!

Even Director Qian, the big director, is not as fast as Ruan Bin.

There is also laparoscopic appendicitis surgery.

He has also seen Ruan Bin have gastric perforation surgery, except for appendicitis, the others are secondary surgeries, and now partial resection of the small intestine will also ......

He was envious!

"Could it be that you used to have a high finger?" asked Huang Hongwen gossip.

"Ahem...... Actually, I'm a genius, I'll see a simple operation like this almost a few times!" Ruan Bin lied seriously.

"How many times will you see it? I believe you are a ghost, this kind of operation is very simple?" Huang Hongwen rolled his eyes!

"I don't really think it's difficult, I think it's at least a third-level surgery or higher, it's difficult. Ruan Bin said with a smile.

"Don't pretend to be forced!" Huang Hongwen suddenly said with some lack of confidence.

Genius, is there really such a thing as a genius?

Just when the two were boasting, time passed little by little.

Finally, half an hour has arrived!

The original purple-black intestine still has not recovered, and the purple-black has become heavier!

"It's a pity that the completion is necrotic, so it can only be removed!" Ruan Bin shook his head.

He saw that the intestinal tube, which was about 90 cm long, had not recovered its vitality, so he had to remove it and anastomose the ends of the normal small intestine.

The operation went smoothly, Ruan Bin successfully removed the small intestine and closed the abdomen.

There were no problems during the procedure.

In this case, it depends on what happens after the surgery!

After the operation, Ruan Bin came out.

saw that Jiang Yurong was still infusion.

"Is the operation complete?" Jiang Yurong asked.

"Well, it went well, it depends on how the postoperative situation is, but I don't think it's a big problem. Ruan Bin replied truthfully.

"Well, it's okay, thanks to you this time, otherwise I really don't know if I should call Director Qian to take over. Because now we really don't have a powerful surgeon!" Jiang Yurong sighed.

She was more worried about this, after all, no one knew if she would encounter a third-level or fourth-level operation next, and if she did, she knew that Ruan Bin would definitely not be able to do it!

Therefore, I should consider whether to call Director Qian or Deputy Director Liu now and ask either of them to come, or send an attending physician from their group to come.