(Thanks to [Feng Wu Xuanqi and Fang] book friends for their 2,000 coin reward!)

Director Qian also fell into deep thought slightly after listening to Ruan Bin's words, of course he also knew what kind of harm would happen when a person had no spleen.

He also understood what Ruan Bin meant, this patient has no spleen at such a young age, and maybe it will lay a hidden danger for future diseases!

At this time, Jiang Yurong outside of course also heard the conversation inside, and when she heard Ruan Bin's words, she was also a little unbearable and hesitant. Yes, this child is only so young, if there is no spleen, the chance of developing tumors in the future will be greatly increased. Not only that, without the spleen, the physique must be much worse than before, and the blood in the whole body has no filter.

"I don't want to do that, but if this level of damage is forcibly sutured, there is only a half-tenth, or half-tenth, chance that the spleen will be able to regain its vitality. And even if the sutures are completed, it is difficult to guarantee that there will be no second bleeding during the recovery process!" Director Qian shook his head helplessly, unless you sutured this spleen crack seamlessly and reached a super high level.

He admits he can't do it!

Seeing that Director Qian still planned to cut it all, Ruan Bin suddenly became anxious, if he refused, he would not have the opportunity to do this task at all.

"Director Qian, even if it's a 1% chance, you have to give it a try, what if, what if it succeeds?" Ruan Bin tried his best to persuade.

"Ruan Bin, you tell Director Qian, or try to suture, wait for half an hour, if the spleen still can't circulate normally and recover after half an hour, then make a full cut!" Jiang Yurong at this moment was also moved by Ruan Bin's words.

This kid is so young, he should be given a chance!

"Good. ”

Soon, Ruan Bin conveyed Jiang Yurong's words to Director Qian.

"Alas~ Even if I agree to try suturing, this penetrating wound is so deep that it is almost difficult to suture, and it will even cause secondary damage. To be honest, if I suture, I dare not say whether it can be sutured perfectly!"

Everyone knows that the spleen is brittle and is one of the most difficult organs in the body to suture.

"Why don't I try?" said Ruan Bin volunteering.

"You?" Director Qian frowned. Although he had heard from people in the emergency department before, Ruan Bin's debridement and suturing skills were very high. But he didn't see it. To be honest, he didn't think that the other party's suturing skills were higher than his dignified emergency department director.

Ruan Bin had tried to perform laparoscopic cholecystectomy on a 9-month-pregnant woman before, and it only took 19 minutes, and it would take him 50 minutes to replace it. However, in the area of removal and suture, with his more than 20 years of experience in medicine and surgical accumulation, he feels that his debridement and suture are definitely among the best in the emergency department.

"Director Qian, why don't you let Ruan Bin try it, I have seen his debridement and suturing techniques, and he is more clever than mine. Jiang Yurong's voice came from the Bluetooth headset.

Since the operating room was quiet, Qian Haomin could hear it.

Seeing that Jiang Yurong said this, Director Qian finally nodded: "Then give it a try!"

To be honest, he didn't have much hope, and at the same time, he also wanted to see if this Ruan Bin was as powerful as Jiang Yurong boasted!

The stitching began.

"I'm going to continue to pinch the spleen pedicle to stop the bleeding, and you can suture the blood vessels first. Director Qian said.

"Good. "Nguyen Bin began to suture the ruptured arterial and venous vessels.

He is very fast, and it is actually much more difficult to suture blood vessels than wounds, and blood vessels must be sutured tightly and firmly, especially arterial blood vessels. If there is a point where the sutures are not tight enough, then it will cause bleeding again!

"Huh~" Director Qian was also slightly surprised when he looked at Ruan Bin's blood vessel sutures, because the other party's sutures were very good, and to be honest, he couldn't do it to this extent!

After a few minutes, the arteries and veins were broken and stitched together.

"I'm going to let go of the spleen pedicle now to see if there will be any blood spilling out of the rupture and sutures of the arteries and veins. Director Qian said.

"Hmm. Ruan Bin nodded.

Director Qian slowly loosened the spleen, and the blood at the end of the artery flowed into the entire spleen again.

All three of them stared at each other with wide eyes.

Five minutes later......

"Whew...... There is no sign of bleeding at the fracture, Ruan Bin, you have good stitches!" Director Qian couldn't help but praise.

"But...... Next, suturing the spleen cleft is the most critical. ”

"I know. Ruan Bin also said with a serious face.

"Doctor Huang, give me the smallest curved needle, the smallest round needle, and two smallest sheep intestines!" Ruan Bin said to Huang Hongwen.

"Do you use the smallest sheep intestines? I am afraid that the tenacity of the sutures is not enough, the tensile strength is insufficient, and it is easy to suture tightly enough, and even let the crack crack crack again!" There is also a doubt, that is, there are many curved needles used to suture the spleen, why does Ruan Bin need a round needle?

"Director, the smallest sheep gut is the easiest to absorb, and the suture needle is not easy to create a second tear in the spleen. Ruan Bin explained slightly, "As for the lack of tightness and toughness of the sutures, I can actually use sutures to make up for it." ”

As soon as these words came out, Director Qian felt that Ruan Bin was a little suspicious of pretending, do you mean that you use technology to offset the shortcomings of this small sheep gut?

However, he didn't say anything more, but planned to see what this Ruan Bin would do to achieve the effect he said!

I hope that the time will not be lifted to shoot myself in the foot!

Ruan Bin began to suture, the first needle Ruan Bin was very careful, very slow, and tried to control the force very gently, because the needle insertion is stable, the smaller the tear caused by the needle to the spleen. If you push too hard into the needle, it will cause the spleen to shake and tear violently.

"Sure enough, the texture is very crispy!" Ruan Bin said secretly in his heart.

However, he has world-class debridement and suturing technology at the moment, so in the face of this brittle spleen, the control of strength is also challenged to the most appropriate strength.

Suturing such a brittle spleen, with too much force, will cause a second severe wound tear, and too little force will cause the suture to be not tight and firm enough.

Especially when pulling the thread, the strength and the direction of the thread should also be extremely cautious and appropriate, otherwise when you pull the thread, you will directly pull out a small tear wound on the internal structure of the spleen!

"What are you...... "Director Qian saw that Ruan Bin had two stitches, and it seemed that the sutures were very good, and there was no sign of a second injury, and the sutures were also very tight.

But he suddenly found that Ruan Bin's suturing method was not the usual one for the spleen - vertical mattress sutures!

Suddenly, he was shocked! What the hell is this?