Chapter 435: Universal Emergency Department!
Listening to Ruan Bin's words, Wang Tao showed an expression that was more ugly than crying with a smile!
It's all so grim, where can he still maintain an optimistic attitude?
It's not bad if you don't commit suicide!
Looking at Wang Tao with a depressed face, Ruan Bin smiled and said: "Don't be so pessimistic, fertility is one of the functions of men, will replantation after interruption affect normal reproductive function? I think this is what you are concerned about now, right?"
"Yes, yes, yes!" Wang Tao nodded like a chicken pecking rice.
"If it is sutured through delicate microsurgery, the treatment is timely, and the blood supply is restored well, the injured person can recover most of the function. In addition, bird eggs mainly have two functions: raw jing and providing male hormones, as long as the eggs recover well, then even if the recovery state is not very good, you can still take sperm for IVF to try. Ruan Bin comforted.
In fact, what he didn't say was that if the third leg was broken and then connected, the situation would be much better than the situation of the bird egg falling and then picked up!
If the connection is not good this time, or the recovery is not good, then Wang Tao is really going to die!
However, Ruan Bin is still a little confident in his surgical level.
He knows that after the breakage of tissues such as fingers, toes, and third legs, the best time for replantation is within 6 hours, so as to avoid the formation of blood clots due to ischemia, and the shorter the time, the greater the success rate of surgery.
If the severed genitals can be debrided and replanted with a third leg in the optimal replantation time, then the chances of recovery are relatively high, and in terms of the difficulty of debridement and suturing, it is obviously easier to deal with a neat section, in other words, it is easier to deal with a sharp blade than a blunt object.
Now that Ruan Bin won the world-class egg transfer in the last lottery, coupled with his innovative debridement and suturing surgery, he feels that he is still very sure!
Soon, the ambulance arrived at the hospital.
Wei Haiyang looked at Wang Tao who was advancing, looked at it, and subconsciously asked, "So miserable?
Bitten by a dog?
You can figure it out!
What a dark thought.
"Hang the railing!" Ruan Bin said in a low voice.
???
"The bleeding hasn't completely stopped, let's stop it first. Ruan Bin said, and together with Wei Haiyang and the nurse, he pushed Wang Tao into the operating room.
"Check your blood type, rehydrate ......"
Everything is going in order.
I lost a lot of blood and had to have a blood transfusion.
Ruan Bin ligated the distal end of the blood vessel of the bird's skin sac, clamped the proximal end with a miniature vascular clip, and dripped heparin procaprocaine solution around the blood vessel, and saline gauze protected for later use.
The bleeding stopped all at once!
"Shhh...... I'm going to contact the urology department right now and ask them to send someone over?" Wei Haiyang asked Ruan Bin.
"It's night, and I guess the urology department has to call the directors who have left work, at least half an hour. The patient's condition should be picked up as soon as possible, and the recovery may not be so good if it is delayed for half an hour! Ruan Bin said lightly.
"Will you do this egg and then have surgery?" Wei Haiyang was stunned.
"Yes, you won't?" Ruan Bin looked at Wei Haiyang.
The latter's old face flushed: "I'm not a urologist!"
But he was extremely envious in his heart, how could Ruan Bin do anything?
I feel that they have Ruan Bin and Director Qian in their emergency department, and they have become a universal emergency department.
"But this egg requires super high technology to be connected again, in case it is not good...... In the future, the injured will become eunuchs. Wei Haiyang was still a little worried. He felt that Ruan Bin didn't need to take this kind of risk, and it was better for professional people to do it professionally!
"It's not that I'm black, no one in the urology department is perfect for me!" Ruan Bin pouted.
"......" Wei Haiyang was speechless, Ruan Bin was getting more and more inflated!
Well, the demons are more arrogant!
Soon, Ruan Bin began to talk to Li Rong before the operation.
The other party swiped it and signed it!
There is nothing to hesitate about in this situation, how to pick it up!
In the operating room, everything is ready and the operation begins.
Ruan Bin put the eggs that Li Rong had taken down and preserved before into a curved dish filled with 4°C isotonic saline, and rinsed the internal arteries and veins of the spermatic cord with heparin isotonic saline solution. Trim the adventitia and paramembrane of the vessel stump under the microscope.
In his world-class egg transfer, he didn't know enough about the structure of the egg, so it was done in 10 minutes.
The distal end of the vessel is then ligated, and the adventitia and paramembrane of the severed end of the vessel are cut under a surgical microscope at the proximal end. Heparin isotonic saline flushes the lumen of the blood vessels.
After the cleaning, the real surgery begins!
It was seen that Ruan Bin was free of the infusion tube, the artery of the infusion tube was retained, the infusion tube was cut at the mouth of the inner ring, the distal end was retained for standby, and the proximal (egg sac) end was ligated.
Then the vascular anastomosis, although the blood vessels are very thin, but for Ruan Bin, who has an innovative debridement and suture, there is no difficulty at all!
After the vascular suture anastomosis is completed, the next step is the infusion tube anastomosis, and the infusion tube anastomosis is feasible. Ruan Bin uses a two-layer kiss legal!
Multiple insurances!
Finally, the sac is detached with a finger from the deep fascia of the abdominal wall at the lower corner of the incision to the sac, separating the space between the skin and the flesh membrane large enough to accommodate the egg.
Finally, the eggs are fixed by placing them in the outer space of the flesh membrane under the skin of the bird cyst and fixing them.
The partially torn sac is sutured and a rubber drain is placed inside the sac......
The whole operation went smoothly and in one go!
Almost perfect!
"Half an hour...... It's done?" Wei Haiyang, as an assistant, looked at the operation time, and only half an hour had passed.
"Go to the general ward and see how the 24-hour cycle goes. Ruan Bin said.
The two eggs were wrapped in half of the sacs and hung on the railing, but the eggs were still undamaged.
Let's look at the post-operative situation.
"Good. ”
Walking out of the operating room, Ruan Bin found Li Rong, who was smoking outside the emergency department, and two other young men, both of whom seemed to be Wang Tao's parkour playmates.
"Doctor, how is my boyfriend?" Li Rong immediately stood up and asked.
"The operation was successful, and whether the eggs can be saved depends on 24 hours after the operation. See if the blood circulation can be successful, if necrosis occurs, then either consider egg replantation, or it will be a lifetime. Ruan Bin said.
"Thank you, doctor!" Li Rong was startled, but finally thanked Ruan Bin.
"Well, no thanks. After speaking, Ruan Bin walked back to the emergency department.
At least the operation has been successful so far, and in the end, it can only be resigned to fate.
But fortunately, Wang Tao's recovery was good 24 hours after the operation, at least the eggs replanted were well transported.
This almost equates to a successful operation!
It depends on whether the function is feasible after another six months of restoration.