After cutting the lower skin tissue, Ruan Bin continued to cut the anterior sheath of the rectus abdominis muscle, separated the rectus abdominis muscle to both sides, opened the posterior sheath of the rectus abdominis muscle, the wall peritoneum, and entered the abdominal cavity!

All the movements are exceptionally coherent, all in one go!

At this time, Ruan Bin did not have the slightest sense of panic when he did this gastric and duodenal ulcer perforation repair surgery for the first time, because he had already done thousands of such surgeries in his mind. With so much experience!

Even his hands are a steady one.

When I separated the rectus abdominis muscle just now and opened the posterior sheath of the rectus abdominis muscle, I was very familiar with it, and I knew the structure of this position very well, so there was no need to pause to identify or investigate the situation.

On the side, Zhang Haoyu saw that Ruan Bin entered the abdominal cavity so quickly, and he was a little frightened: "Ahem...... Dr. Ruan, the speed of your surgery is a little slower, more steady, not in a hurry! If you are too urgent, I am afraid that there will be mistakes. What you should know about surgical mistakes, the consequences are serious. ”

He thinks that Ruan Bin is still a rookie doctor, although you have done this kind of surgery more than a dozen times, but don't be too anxious? Novice, you should take your time! Otherwise, if you make a mistake when the time comes, where can you find a doctor to remedy it!

"It's okay, I'm familiar with the road. Ruan Bin smiled.

As soon as this sentence came out, Zhang Haoyu was very panicked. You're a new driver, not an old driver. You don't want to do that kind of thing about overtaking in a corner!

"Wash your hands, disinfect them. Ruan Bin said to the nurse beside him.

The nurse next to her hurriedly took out disinfectant and washed Ruan Bin's hands.

For he was ready to go to the abdomen with his hands.

After washing his hands, Ruan Bin began to explore his abdomen.

First, check whether the gastric perforation is serious.

Gastric perforation surgery mainly depends on the size of the wound area of the patient's gastric perforation, if the wound surface is relatively small, it is generally directly sutured, that is, the hole is sewn up to it.

But if the patient's condition is more serious, the hole in the stomach is relatively large, and there is no way to sew it up, then only part of it can be cut off. However, instead of cutting out all the stomach, the part with the wound is cut out, which does not affect the patient's digestion and eating.

"How's it going, is it serious?" asked Zhang Haoyu nervously.

If the situation is serious, he is worried that Ruan Bin's level will not be able to do it.

Because now is the technical critical moment for surgery.

"The abdominal cavity is filled with pale yellow fluid, and the gastric juice is sucked out first and cleaned first. Ruan Bin picked up the tool and began to suck and cleanse the gastric juice.

Ruan Bin's cleaning speed was very fast, and Zhang Haoyu's little heart was fluttering.

"Big brother, don't be so rude, okay? Zhang Haoyu still felt that Ruan Bin's speed was too fast, could he brake.

"Don't worry, I'm measured, so I can't hurt the patient's internal organs. Ruan Bin pouted. This Dr. Zhang is a little timid, but he still can't believe in his own skills.

After cleaning, Ruan Bin saw five small holes in the middle of the stomach, the largest one was about 0.7x0.8cm in size, and there was light yellow gastric juice flowing out.

"Stomach perforation is more serious. Ruan Bin frowned.

"Shhh...... Five small holes, the largest one is the size of a little finger! Oh my God!" Zhang Haoyu also saw it, and was very stunned.

"So, what should I do? Can I still stitch it up?" Zhang Haoyu asked.

"I guess it won't work, so I can only cut off the five perforations and then stitch them up. If it were sutured alone, I don't think the wound would heal. Ruan Bin said lightly. This Sun Feng's stomach perforation belongs to the more serious one. It also caused acute peritonitis, and it is estimated that heavy drug treatment will be required after surgery, and if the effect is not ideal, it may be necessary to operate again!

Now, only a part of it can be cut off and stitched back.

"Then, remove the stomach and then stitch it up, can you?" Zhang Haoyu asked worriedly, "Do you want me to call other doctors, now that more than ten minutes have passed, I believe they should be almost done." ”

"No, I'm fast. After Ruan Bin finished speaking, he began to cut his stomach.

Brush Brush Brush!

Hand up and knife down.

Excision is complete.

", big brother, you slow down!" Zhang Haoyu saw that his scalp was numb.

Just when Zhang Haoyu was startled, Ruan Bin began to take the 4th line to suture and repair.

The speed of suturing is also very fast, which is the level of testing suturing.

After all, Ruan Bin has expert-level superficial trauma debridement and suturing, plus he has director-level gastric and duodenal ulcer perforation repair, so the suture skills of the two surgeries overlap and the speed is faster.

After all, the suture method of the stomach is different from the suturing method of ordinary skin wounds.

"How's it going, the stitching is beautiful, neat and beautiful, right?" Ruan Bin asked with a smile to the stunned Zhang Haoyu next to him.

"Eh, it's really beautiful, I can barely see the stitching gaps, it's too powerful!" Zhang Haoyu swallowed his saliva, he finally believed in Ruan Bin's level at this moment, it was definitely a bull fork!

People can really do perforated gastric and duodenal ulcer repairs! And it takes less than an hour.

After the sutures were completed, Ruan Bin began to flush the abdominal cavity with normal saline, place drainage tubes, suture reduction sutures, and then suture the tissues in turn......

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

Outside.

Liu Junchi finally finished his radical gastric cancer surgery.

After washing his hands, he walked out of the operating room, and hurriedly found a nurse at the front desk and asked, "Didn't there be a patient with a perforated stomach just now?"

"Yes! It's been half an hour since I went in. Nurse Xiaoli said.

He was relieved to hear that someone had gone for this surgery.

He also knows that although the gastric perforation surgery is only a second-level operation, this disease cannot be delayed!

Thinking of this, he asked again, "What did the doctor do?"

"Looks like it's Dr. Ruan Bin!" Xiaoli whispered.

"What? Ruan Bin!? Nonsense, nonsense, nonsense! Does he know how to do this surgery?" After hearing that it was Ruan Bin who had this operation, he immediately became angry. Ruan Bin is just a resident doctor who came to a small county hospital for further training. Will this kind of secondary surgery be done?

It is important to know that gastric and duodenal ulcer perforation repair is a simple operation for him, but it is definitely a difficult operation for a resident doctor. If the sutures are not good, it will cause necrosis of the stomach and bleeding. If the abdominal cavity is not cleaned, the infection will not be cured, and the surgery will need to be re-operated at that time.

If there are other mistakes that cause the wound to crack, bleed, etc., that's bad!

"Dr. Ruan Bin said that he would do this operation, and he had done more than a dozen of them in his county. Xiaoli lowered her head and said. She didn't dare touch her head. But let's explain.