In the operating room, the operation began.

To be honest, this is the second time Ruan Bin has seen Jiang Yurong have surgery. He really wanted to judge what level Jiang Yurong's surgery level had reached. Expert? or world-class!

This time the puncture surgery was a minimally invasive procedure!

At the moment, the patient is lying flat.

Jiang Yurong took the skin of the 7th and 8th intercostal spaces of the right midclavicular line under the guidance of B-ultrasound.

"Local anesthesia!"

After determining the position, Jiang Yurong said to Sun Xiaoyin, the anesthesiologist next to her.

Local anesthesia should not be a big problem for this patient in his 80s.

After confirming that the anesthesia was effective, Jiang Yurong made a 0.13cm incision on the skin, and pierced the PTCD needle through the liver tissue and gallbladder bed to the direction of the gallbladder!

To be honest, when doing a gallbladder puncture, the most difficult part of the technique is when the puncture is done. Because at present, the piercing is only carried out under the guidance of B-ultrasound. It is a great test of the surgeon's feeling and judgment, whether he can successfully puncture the gallbladder, if the position is shifted, it is necessary to continue the second, third, or even multiple puncture tests!

Of course, if it can be done the first time, it is of course the best, and the patient is the least traumatized. If multiple punctures are not successful. It also proves that the level of the chief surgeon needs to be improved. At the same time, how much harm is also caused to the patient.

Ruan Bin also has a slight expectation in his heart, if he has an expert-level level, he will definitely succeed at the first time. If you can succeed within five times, it will definitely be at the director level!

(Ahem, of course I can't hear it)

But Jiang Yurong felt it, and felt a breakthrough when she penetrated the gallbladder.

"Succeeded!" Jiang Yurong said lightly.

"Awesome!" Zhou Tianlei next to him gave a thumbs up.

"Don't make any noise!" Jiang Yurong glared back at the other party.

Zhou Tianlei covered his mouth resentfully......

Then Jiang Yurong pulled out the needle core, extracted purulent bile, took part of it for bacterial culture, and then threaded the guidewire from the needle tube into the gallbladder to place the guidewire, pulled out the needle, inserted the guidewire with a pig's tail tube, and sent the tube into the gallbladder 4cm along the guidewire. Remove the guidewire, secure the catheter to the skin, and attach the sterile bag.

"You two pay attention, if the bile is thick, you can inject saline or metronidazole into the gallbladder, and dilute the bile to draw it out. Jiang Yurong explained.

"Yes. ”

This time, the liver and gallbladder puncture catheter drainage was a success!

And it took a short time, and Ruan Bin could also see that at least Jiang Yurong had an expert level in this operation. He is worthy of being a high-achieving doctoral student who graduated from Harvard!

After the operation, the next step is to wait for the 80-year-old man to recover from the medication treatment in the next few days, and if the recovery is good, the second step of the operation can be performed.

At least for now, the patient's condition is stable.

After this operation, at three o'clock in the morning, several minor surgeries came one after another. All of them are some first-level surgeries with low technical requirements, such as incision and drainage of superficial abscesses and resection of benign tumors on the body surface. Jiang Yurong was handed over to Ruan Bin to practice.

Zhou Tianlei also got one, and he did a benign tumor resection on the body surface, but this product is worthy of a dish, and it was done very slowly, although there were no mistakes. But it also made Jiang Yurong frown.

Just past three o'clock in the morning, the entire emergency department is finally not so busy.

After working for most of the night, the doctors and nurses were very tired.

"There shouldn't be any patients coming at this point, I'll invite everyone to have supper, what do you want to eat to sign up, I'll order takeout." Jiang Yurong said to everyone.

"Thank you, Director!"

"Let's make pork offal. ”

"I want a fried dumpling!"

"Fried pho!"

Just when Jiang Yurong had just ordered takeout, suddenly her phone rang. She took it out and saw that it was her cousin Lin Yatong calling.

"What's the matter?" Jiang Yurong said in a cold tone.

"Cousin, where are you now?"

"Hospital, what's wrong?" Jiang Yurong didn't know.

"Great, can you come to my plastic surgery hospital, my hospital is diagonally opposite your hospital!" Lin Yatong was a little anxious on the phone.

"I'm at work, I'm not available!"

"Oops~ I have something urgent to ask you!"

"Not available!"

"Then I'll go find you!" Lin Yatong stomped his feet and said busily.

"It's useless for you to look for me!"

Doodoo ......

Jiang Yurong: ......

Three minutes later, I saw Lin Yatong rushing into the emergency department in a hurry.

"Cousin, I have something to tell you. I couldn't help but say, Lin Yatong, who rushed in, pulled Jiang Yurong and walked to a corner.

"What are you doing? I said I wasn't available, I was on duty. Jiang Yurong broke free from the other party's hand.

"Cousin, there is a customer in my hospital who has an arterial hemorrhage, and my doctor tried his best to stop the bleeding, but it is still beneficial, so I want to ask you to help stop the bleeding. This is a life-saver!" Lin explained.

"You can send it here!" Jiang Yurong rolled her eyes. Why don't you just bring it here? Do you have to go there yourself?

"The identity of the patient is a bit special, so I can only ask you to come over, I believe that with your skills, it will be soon!" Lin Yatong suddenly became anxious.

"I'm on night duty right now, and the emergency department can't be without me! If an emergency patient comes later, can it work?" Jiang Yurong shook her head. It's not that she doesn't want to help her cousin, it's that she's at work right now!

She knows very well the strength of Ruan Bin and Zhou Tianlei, Ruan Bin's strength is passable, so don't count on Zhou Tianlei. Besides, if you encounter the kind of patient who needs to undergo tertiary surgery or quaternary surgery, Ruan Bin believes that he will not be able to take charge on his own.

"I'm begging you, okay? This is the first time I've begged you, cousin. Lin Yatong said sincerely.

"Cousin, what is special about your patient's identity that can't be sent here?" Jiang Yurong frowned slightly.

"Well, keep it secret! Can you help me once?"

"No, I'm responsible for my work!" And she thinks it's just a bleeding artery, the problem is not serious, and she only blames the plastic surgeons at her cousin's hospital. This little problem can't be handled well. What a doctor!

"But...... I can send a doctor to help you. In the end, Jiang Yurong was still a little unbearable.

"Is it reliable?" Lin Yatong asked subconsciously.

"Rest assured, it's okay to stop some bleeding. Jiang Yurong believes in Ruan Bin's level.

"Where's the person, let him go with me!" Lin Yatong knew that her cousin would definitely not want to go with her, so she had to do this.

"Ruan Bin, come over here. Jiang Yurong said to Ruan Bin.

After a few brief words with Ruan Bin, Ruan Bin followed Lin Yatong away. As for stopping bleeding from the wound, Ruan Bin said that it is still not a problem.

After all, he is an expert in superficial wound debridement and suturing. This class skill also includes the skill of stopping bleeding from wounds.