"Lao Zhang, contact the anesthesiology department and ask them to send an experienced anesthesiologist over! This operation needs a master to come and help with anesthesia!" Ruan Bin said to Zhang Haoyu. Due to the extensive and narrow tracheal scar area of the patient, it is necessary to be very careful when anesthetizing it, and accidents will occur if you are not careful.

Therefore, you have to be careful with anesthesia, and you have to come over.

"Okay!" Zhang Haoyu also knew that it was indeed difficult for this patient to be anesthetized.

Soon he contacted the anesthesiology department.

Soon, the general inpatient of the anesthesiology department came over, and this is the general inpatient with old seniority.

"System!"

System points: 194,300 points.

[Cervical tracheal sleeve resection, broken end anastomosis]: Not started+!

"Ding-dong...... Deduct 6000 points, cervical tracheal sleeve resection, broken end anastomosis - Beginner+!"

"Ding-dong...... Deduct 9000 points, cervical tracheal sleeve resection, broken end anastomosis - proficient level +!"

"Ding-dong...... Deduct 12,000 points, cervical tracheal sleeve resection, broken end anastomosis - director level +!"

"Ding-dong...... Deduct 15,000 points, cervical tracheal sleeve resection, broken end anastomosis - expert level +!"

"Ding-dong...... Deduct 18,000 points, cervical tracheal sleeve resection, broken end anastomosis - world-class +!"

"Ding-dong...... Deduct 21,000 points, cervical tracheal sleeve resection, broken end anastomosis - innovative level +!"

In one breath, Ruan Bin has reached the innovation level!

In the operating room.

Preparations for surgery begin.

Anesthesia begins.

Everyone stared nervously at the anesthesiologist because the patient's trachea is narrow, and the intubation is likely to fail to pass through the narrowed area, or damage the narrowed area. Once the intubation fails, the patient's life will not be guaranteed and the operation will not be possible.

So the experienced anesthesiologist's hand slowed down, and the movement was like a high-class chef making a sculpture out of tofu.

"Okay!" After more than 10 intubations by the anesthesiologist, the anesthesiologist gently said two words, which made everyone in the operating room breathe a sigh of relief.

"The anesthesia effect is up to standard, Dr. Ruan, it's your turn. The anesthesiologist smiled.

"Good. Ruan Bin nodded.

The next surgery is to cut the original narrowed trachea and then anastomoses the stump. It's easy to say, but it's hard to do.

Because the patient's condition is too complicated.

I saw Ruan Bin having a tracheal resection in the neck segment, and a transverse neck incision was selected; tracheal resection of the thoracic segment above the aortic arch with a transverse neck incision plus a split of the upper half of the sternum; Tracheal resection below the superior edge of the aortic arch should be performed with a right posterolateral thoracic incision.

After seeing that the trachea is fully exposed, explore and judge the location, adjacency, and external invasion of the tracheal tumor. Then, thick silk sutures were sutured at both ends of the tracheal resection plane at the LCM for traction. The trachea is cut at a distance of 0.5 cm from the lower edge of the tumor, and the distal trachea is then inserted into an endotracheal tube of appropriate caliber to control breathing.

Everything works together without any gaps!

Ruan Bin's operation was also deeply convincing to everyone.

Because, it's completely a sword and a sword!

Zero mistakes!

Flowing water.

Soon, Ruan Bin cut the trachea 0.5cm from the upper edge of the lesion and removed the lesion. The two disconnected ends of the trachea have an intermittent full-thickness anastomosis, and the extraluminal ligation is done.

He first sutures the poorly exposed tracheal wall, then removes the endotracheal tube in the surgical field, inserts the original transoral tracheal tube through the anastomosis into the distal trachea to complete the tracheal anastomosis, and then closes the anastomosis with a suture adjacent to the pleura or pericardial valve.

Finally, the thick silk thread is used to suture the skin of the lower jaw and the anterior chest to maintain the postoperative neck flexion position of 15°~30°.

After more than 3 hours of intense surgery, the operation was finally completed, and the patient's entire 5 tracheal rings were removed!

"Whew...... There is no danger, and it has succeeded!" Zhang Haoyu exclaimed.

"Working with Dr. Nguyen, I am most relieved. The anesthesiologist was also relieved, after all, during the operation, he needed to cooperate in controlling the patient's breathing.

Once the control is not well controlled, suffocation occurs, it can be fatal in minutes. Luckily, there were no problems during the whole process.

I have to say that Ruan Bin is really powerful!

When they walked out of the operating room, they saw Xiao's father and Xiao's mother rushing up in a hurry: "Doctor Ruan, how is my daughter?"

"The operation was a success!" said Ruan.

"Can we take a look at our daughter, then?"

"Not yet, I need to be sent to the ICU, in a few days. Ruan Bin said.

"Well, thank you, Dr. Nguyen!" both were grateful.

However, although the surgery was successful, there were constant concerns about postoperative complications. But fortunately, under careful care, the girl was treated in the ICU for a week and safely passed the postoperative dangerous period. Half a month later, Xiao Feifei was finally discharged from the hospital safely. After the stitches were removed and the girl was recovering well.

Of course, that's another story.

......

Inside the laboratory.

Ruan Bin looked at the batch of mice in his hand, it had been a week now, and there was no problem with them.

"That's a good start. Let's take a look at the results in half a month!" Ruan Bin said secretly in his heart. One-third of these ten groups of mice are mild diabetes, so after half a month, they should be curable.

A third of the group was moderate, and the rest were severe.

It takes a month to see how it goes.

If there is a problem, then there is a problem with the SF diabetes serum he developed, and it has to be redeveloped and re-experimented.

Until it's exactly right!

After all, whether the SF diabetes serum developed by himself is perfect or not, it depends on the experiment of the mice, after all, he is not a god, even if the drug developed according to the data, there may be mistakes, once this drug makes mistakes, the consequences will definitely be different.

After observing for a while, I was ready to go home.

"Wife, what do you want to eat tonight? I'll buy it for you!" Ruan Bin called Jiang Yurong back.

It's raining today, and his parents shouldn't have gone out to buy groceries.

So he took up this job as a grocery buyer.

"I want to eat pork ribs and lotus root soup, sweet and sour fish, plum cabbage and pork, and hairy crab......!

No way, now she finds that her appetite has increased.

However, she didn't get much weight after giving birth, and she was still very satisfied with her physique.

"Okay, I'll buy it for you!" Ruan Bin said with a hesitant smile.

I bought a bunch of vegetables in one go.

When he was shopping for vegetables, he selected a piece of selected pork belly, began to cook it in water, pricked the skin with a toothpick, and then began to fry it.

Scoop it up, cut it open, and start ......

Two hours later, a table of fragrant and delicious food was served! The family ate happily, and the daughter also looked at it with a blank eye, well, this is a happy life.