"But this operation is too difficult, I don't have a certain certainty! Even if I try, I think I should send it to the pediatric hospital in Beijing to see." After all, they have operated on 5-month-old babies over there, and their surgical accumulation is a little better than ours. Zhang Zhong said in a deep voice.

Their Yangcheng Hospital, after all, is a general hospital, not a pediatric hospital.

"I'm afraid that the hospital over there won't dare to take any chances. Another doctor spoke.

"Why don't you let Dr. Ruan take a look, maybe he can?" Qi Zhoucheng suggested.

"He has completed several domestic firsts, and this time it is also an endoscopic operation, and I feel that it is a little less difficult than neuroendoscopic transnasal-disc surgery, maybe he is sure?"

Hearing this, Zhang Zhong's heart was shaken!

"Okay, then let's ask Dr. Nguyen to come and have a look. ”

Ruan Bin, who had just taken a nap, was woken up by the phone.

It was Zhang Zhongzhen's call.

"Doctor Ruan, I'm Zhang Zhongzhen, are you free now?"

"Is there anything?" asked Ruan Bin.

It's annoying to be woken up, but it's not a big deal.

"I have a tricky operation here in the pediatrics, I don't know if you can do it with confidence?" Zhang Zhong said.

"What surgery?" Ruan Bin frowned. Yangcheng Hospital has a lot of pediatric talents, although it is slightly inferior to the top pediatric specialty hospitals in China, but he didn't expect that even they find the operation tricky?

How difficult is it?

"The baby is one month old and suffers from congenital pyloric hypertrophy!" At present, the youngest age in the world is 3 months old, but the baby's current condition is serious and cannot be delayed...... Zhang Zhongzhen explained.

"It's only a month old?" Ruan Bin frowned after hearing this.

At such a young age, the baby's esophagus and stomach walls are extremely thin, and surgical instruments can rupture and bleed if they are not careful. When the time comes, it will rupture and bleed, then it will be troublesome.

"Ding-dong...... System Temporary Task: Refresh the surgical record of the surgical task every day, complete the task, and get 2 lucky draw chances!"

"Ahem...... Although the operation is very difficult, as long as the technique is excellent, there is still no problem! Don't you dare to do it?" asked Ruan Bin.

"......" Chapter was speechless, do we dare to do it and ask you?

"Well, I'm not sure. ”

"I'm pretty sure, but I'll need to go over and see for myself. Ruan Bin said.

"Really?" said the shock.

"Hmm. ”

Soon, Ruan Bin came to the consultation room.

After reading all the examination results and the child's condition, he said: "Although the baby's esophagus and stomach wall are extremely thin, and the endoscope and other surgical instruments will be like thin ice for internal operation, I still have a lot of confidence!"

"How sure are you?" everyone looked at Ruan Bin.

"Ninety percent. ”

"Hiss......"

In the end, Zhang Zhongzhen and the others still believed Ruan Bin and planned to hand over this operation to Ruan Bin to do!

After all, even if you go to other hospitals, other hospitals have no experience in such surgery, and you have to take risks, since now Ruan Bin said that he is ninety percent sure.

Then you might as well do it here.

Ideological work was done for the family, and they still agreed.

"System!"

[System points]: 219,400.

[Gastroscopic pyloric sphincterotomy] - not started+

"Level up!"

"Ding-dong...... Deduct 3000 points, [gastroscopic pyloric sphincterotomy] - Beginner+!"

"Ding-dong...... Deduct 6000 points, [Gastroscopic pyloric sphincterotomy] - proficiency level +!"

"Ding-dong...... Deduct 9000 points, [gastroscopic pyloric sphincterotomy] - director level +!"

"Ding-dong...... Deduct 12,000 points, [gastroscopic pyloric sphincterotomy] - expert level +!"

"Ding-dong...... Deduct 15,000 points, [Gastroscopic pyloric sphincterotomy] - world-class +!"

[System points]: 171,400.

This surgery is a tertiary endoscopic procedure.

If it weren't for the fact that the child was relatively small, the operation would be difficult, in fact, the surgical technique was not very deep, and the most important thing was to operate this part.

Ruan Bin Ruan Bin thought that he needed to upgrade to the innovation level, but now looking at the world class is enough to complete this operation.

World-class surgical techniques coupled with his delicate skills in nano-manipulation are more than sufficient.

"If I upgrade to the innovative level, I can probably improve or create new procedures: such as the optimal mucosal incision size, the optimal submucosal tunnel length, the optimal myometrial length and depth, whether there is a pyloric sphincterotomy site with less perforation and bleeding risk, and choose a complete sphincter incision or selective annular incision. Ruan Bin secretly guessed in his heart based on the surgical skills and experience in his mind.

Finally, the operation began.

Ruan Bin is the chief surgeon, Zhang Zhongzhen's No. 1 assistant, and the other assistant is a deputy chief doctor.

Obviously, they were very worried about this operation.

However, Ruan Bin is still calm.

The anesthesia is complete.

He began to put the endoscope into the baby's mouth.

Slowly through the esophagus and then to the stomach.

This step is very crucial!

To be honest, Zhang Zhongzhen and the others are even more nervous than Ruan Bin now.

With such a fragile esophagus and stomach, it is a big problem if the endoscope is bruised.

Or crack......

Hiss, I dare not imagine!

How can it be remedied?

Then the fragile stomach.

However, when they saw Ruan Bin's god-level operation, they were shocked one by one!

"Shhh...... Good and precise operation, one step to the stomach!"

"In such a thin esophageal and gastric operation, although the smallest caliber endoscopic instruments are used, this manual operation has opened my eyes! It is completely a millimeter cheaper!" Zhang Zhongzhen was shocked again.

At this time, Ruan Bin made an incision in the mucosa of the anterior anterior antral wall of the anterior antral 0.8 cm from the pylorus under the field of high-resolution gastroscopy, injected normal saline, epinephrine and methylene blue mixture into the submucosa to lift the submucosa, and took a 0.9 cm long longitudinal mucosal incision to establish a submucosal tunnel to the mucosa of the duodenal bulb......

"The myotomy is usually terminated at 0.5 cm into the duodenal bulb, but because the baby is too small, it only needs 0.2 cm. Ruan Bin explained as he did it.

It's still smooth!

It's still all in one go!

After the myomectomy is completed, the mucosal incision is closed with a metal clip, and the pylorus opening is observed endoscopically, and the scope is withdrawn.

The surgery was successful!

"Well, Dr. Ruan, is this a new record for this operation? Tell a 1-month-old baby that the operation was successful?"

"If I hadn't dreamed, it would have been a record!"

"It's time to make a name for yourself again. ”

"Ahem, no, although this operation is very difficult, it is not a modified operation or a new operation developed after all, at most it is just a media appearance. ”

"It's also a big name for me!"

"It's not your ......"

“......”

()