Chapter Seventy-Six: A Belated Newbie Package!
(Thanks to [Feng Wu Xuanqi and Fang] book friends for a reward of 1,000 coins!)
Although he was full of questions, he was shocked to see that Ruan Bin had sutured a short section and found that the sutures were very tight, and there was no cracking of the spleen during the suturing process.
At this moment, Ruan Bin cut off the sheep intestine and ligated, then replaced it with a round needle and started a new suture!
Each stitch is slow and steady, as if embroidering a landscape painting, and avoids arterial and venous vessels.
"It's ...... Is this — parallel varus suture?"
At this moment, Director Qian was shocked in his heart, can the spleen wound be sutured with parallel varus sutures and vertical varus sutures? Generally speaking, spleen sutures are generally closed with mattress sutures.
Because mattress sutures are the most suitable for suturing spleen wounds, this is the experience of countless surgeons from generation to generation.
But today, Ruan Bin's hand show opened his eyes!
The most important thing is that he sees that the other party's stitching is very perfect, so that he can't find fault with it at all.
Originally, he thought that Ruan Bin would be done with only these two sutures.
But I didn't expect that after a few stitches, people began to use parallel mattress sutures again, and finally used vertical mattress sutures!
"Whew...... It's finally stitched up. Ruan Bin breathed a sigh of relief.
This time it took him seven minutes to stitch up!
Because he stitched more carefully and slowly, it took a little longer. The most important thing is that this spleen is not easy to suture and has a brittle texture, so it needs to be done slowly.
But in the eyes of Director Qian, it's already very fast!
"Director Qian, do you think this is okay?" Ruan Bin looked up at Qian Haomin.
Director Qian looked at the stitched wound, which was very thin, almost like a gap in a thick piece of paper, which proved that the wound was pulled very closely, and there was no place to see the rupture!
Overall it looks perfect!
"Great, your suture method is a combination of several suture methods?" Qian Haomin couldn't help but ask.
"That's right, according to local conditions, I think the rules are different for this kind of wound, and I don't just use vertical mattress sutures. Instead, the most appropriate suture method is used according to the different parts of the wound dehiscence. Ruan Bin explained.
"Something!" Director Qian said lightly.
In addition to this, he also saw that Ruan Bin's suturing level was really high, and the level of steady, accurate, tight, and non-damaging sutures just now really opened his eyes! No wonder Jiang Yurong herself admitted that debridement sutures were not as good as Ruan Bin. Now that he has seen it, he also feels that his suture level of more than 20 years of medical practice is not as good as others.
Moreover, people use the thinnest sheep intestines, but with this perfect suture method, it really makes up for the shortcomings that he thought that the smallest sheep intestines were not tightly sutured and compact.
"Let's wait for half an hour, if the spleen still can't circulate and can't recover for half an hour, you can only have a full section. Director Qian said.
"Hmm. Ruan Bin nodded.
To be honest, he didn't know if the boy's spleen would ever come back to life!
Although he thought that the sutures were perfect, his spleen had been damaged and he had also hemorrhaged, and the veins had been broken and could not be returned, and his spleen was bloodless. This may lead to partial necrosis of the spleen.
Although it was later surgically repaired, only God knows if it can be brought back to life!
Time passes little by little.
Ruan Bin and several others have been staring at the instruments on the side of the operating table during the difficult time.
"It's been half an hour!" Director Qian said in a deep voice.
"Vital signs are stable, blood pressure of 92,63 is considered normal, and heartbeat of 75 is normal, hemodynamically stable!" Huang reported.
"Well, the spleen looks more ruddy, not purple-black, it should be no necrosis!" Ruan Bin was also relieved to see this.
"Yes, I think I probably saved this spleen. Ruan Bin, you clean the abdomen, and then go to him for a B-ultrasound after the abdomen is closed. By the way, how is the red blood protein tested. If it's normal, it should be preserved. But whether it will bleed or not, the spleen will bleed after surgery, we have to observe for a few days!" Director Qian was also relieved at the moment, to be honest, he didn't expect that this patient's spleen could be saved. It's really thanks to Ruan Bin's superb debridement and suturing skills!
"Good. ”
............
Get out of the operating room.
"How is it?" Jiang Yurong was much better after hanging a drip, but when she saw Ruan Bin and them coming out, she hurriedly asked.
"So far, there is no necrosis of the spleen, it should be saved, it depends on how the postoperative recovery is in the next few days. Ruan Bin said with a smile.
"Great!Ruan Bin, you're awesome!" Jiang Yurong couldn't help but give him a thumbs up.
On the other hand, the family members heard that the operation went smoothly and that their spleens were saved from being removed, so they hurriedly came over to thank them.
Soon, Ruan Bin and Huang Hongwen gave the patient a B-ultrasound and red blood protein test. When the inspection report came out, he hurriedly looked at it.
"Fortunately, the B-ultrasound showed no spleen and no blood, and although the red blood protein was a little low, it was still in the normal category. ”
"But...... Why hasn't the system prompted the task to be completed yet?"
"I guess we still have to wait for the patient to recover?" Ruan Bin thought at this time that the patient was fine now, but he didn't dare to guarantee that there would be bleeding or tearing of the spleen tomorrow or the day after tomorrow.
It is estimated that the system is also waiting for the result, right?
The next night shift has a rich director in charge, of course, it is very stable.
The busy, boring, and feeble night shift passed, and the next day he slept in the dark.
When he was at work early in the morning of the third day, suddenly the sound of the system task being completed came to his head!
In this way, the boy's spleen should have been truly preserved!
"Ding-dong...... Congratulations to the host for completing the quest!3000 points will be awarded. ”
"Ding-dong...... Congratulations to the host for successfully completing the task more than ten times in a row, and the newbie gift package is being distributed, please check it out by yourself!"
When the second reward sounded, Ruan Bin was a little confused, and when he heard clearly that there was an unexpected reward, he was shocked and wanted to scold his mother!
"Damn, I've been using the system for more than half a month, and you're only now sending a newbie gift package to Lao Tzu? You are definitely the wonder of the golden finger, the garbage system in the system!" Ruan Bin was heartbroken.
Spit and spit out, now let's hurry up and see what good things are in the newbie gift package.
"Bless me with 10 million points!"
"Open!"
The Starter Pack is a bag that, when opened, reveals a golden card with three words written on it – Scratch Ticket!
"System, can I hit you, what if it's a thank you for your patronage?"