(Thanks to [Haha Two Joys] 3,000 coins, thanks to [Crazy Chubby Wash] 2,000 coins!)

"Hehe, director, don't be angry, you will always be so tall in my mind. Ruan Bin smiled and apologized.

"Flim tongue!" Director Qian glanced at the other party with disdain.

"That...... Then I'll transfer my friend's child to us, and I'll operate on him tomorrow. Ruan Bin looked at Director Qian and asked.

"Since you are ninety percent sure, then you can do it yourself!" Director Qian waved his hand at Ruan Bin, who wanted to beat him up when he saw Ruan Bin now. It's infuriating!

"Okay, the little one retires~"

......

"Ruan Bin, can my son's illness be cured?" Su Guhua saw Ruan Bin coming over, and quickly stood up and asked.

"Don't worry, I'll do your son's surgery, and I'll do it tomorrow. Ruan Bin said.

"Huh, you can do it too?" said Su Guhua in disbelief.

"Well, don't worry, if I'm not sure, I won't operate on my nephew, you can rest assured, I promise to return you a healthy son. Now you can go with me to go through the hospitalization procedures. ”

"Good. Su Guhua didn't know Ruan Bin's level, but he could only blindly believe Ruan Bin now.

After all, he knew that Ruan Bin was not the kind of person who would pit himself.

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

After completing the hospitalization procedures, Ruan Bin returned to his home at eleven o'clock.

Took a shower and lay down on the bed.

"System!"

[System Points]: 1000

[High Complex Anal Fistula]: Beginner + (Traditional, Minimally Invasive)

"Recharge 30,000 to go in!"

After rushing 30,000, he still has 57,000 left.

"Level up!"

"Ding-dong...... Deduct 2000 points, [High Complex Anal Fistula Surgery] - Beginner+!"

"Ding-dong...... Deduct 4000 points, [High Complex Anal Fistula Surgery] - Proficiency Level +!"

"Ding-dong...... Deduct 6000 points, [High Complex Anal Fistula Surgery] - Director Level +!"

"Ding-dong...... Deduct 8000 points, [High Complex Anal Fistula Surgery] - Expert +!"

"Ding-dong...... Deduct 10,000 points, [High Complex Anal Fistula Surgery] - World-Class +!"

[System Points]: 1000

"World-class, enough!"

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

The next day.

Consultation room.

After all, if you have to have surgery, this operation is also more tricky.

Director Qian still came over to talk to Ruan Bin about how to do this operation.

"Ruan Bin, what are you going to do with this surgery?" asked Director Qian.

"The child is so young, there is definitely no need for traditional surgery, I plan to use natural channel surgery! Because with this surgery, it can be cured at one time, and there is no need for a second or third operation! In this way, there is no need for the child to suffer more general anesthesia. Ruan Bin said. High complex anal fistula surgery is divided into conventional surgery and current minimally invasive surgery. Traditional surgeries include: 1. Internal suture drug decapitation method, 2. Internal mouth closed pipe drainage method, 3. Vacancy plus incision or suture (fenestration), etc.

And he intends to use minimally invasive surgery - natural channel surgery!

This procedure is known as the least invasive surgery, also known as transgung minimally invasive surgery (TAMIS). This surgical method makes up for the shortcomings of the transanal approach that cannot achieve large transabdominal trauma, fast recovery, short hospital stay, and definite curative effect.

"Natural passage surgery?" Director Qian was slightly surprised, he didn't expect Ruan Bin to also have this minimally invasive high-level complex anal fistula surgery, which is currently the most advanced. Natural passage surgery is a minimally invasive surgery performed through the anus by inserting a single-port laparoscopic channel into the anal canal and using conventional laparoscopic instruments to complete local resection of rectal tumor or radical rectal cancer through the anal route. It is suitable for 5-18 cm from the anus, wide pedicle or recurrent adenoma, middle and low rectal cancer, rectourethral fistula repair, pelvic abscess drainage, rectal foreign body, etc. The safety and efficacy of minimally invasive transanal surgery have been confirmed by a number of foreign studies.

Director Qian also only knew it one year ago, and so far he has only done dozens of surgeries.

"Although this operation is the least invasive to the patient, the child is only one year old, and the natural passage is definitely not as big as that of an adult. Director Qian was a little puzzled by Ruan Bin's choice.

This is because this surgery is from the 'natural channel' and does not require surgery.

"Also, the child has a cord-like mass next to the gang, which extends under the rectal mucosa to 6 cm from the anus, and the general transanal surgery can only treat the lesion within 5 cm from the anus, and the exposure is relatively reluctant, the lesion continues to the middle of the rectum, far from the gang, which has exceeded the limit of transanal surgery. How do you solve this?" Director Qian asked again.

"Of course, I made a surgical tool by myself~" -->>

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