Chapter 118 I can play this surgery
"You group of quack doctors are really trash. You can't even do a small operation. I want to transfer to the city hospital! But if our wife has an accident on the road, none of you can escape!" Mei Wenjie heard the other party hesitation, afraid of this and that, and he was so angry that he almost wanted to kill people! But thinking that his wife is in crisis now, it's better to transfer to the hospital first!
Let’s settle the score with these quack doctors!
Liu Mei also encountered many patients with such bad tempers, so she tried hard to calm down her grievances and said, "Sir, do you want to transfer to the hospital? Well, let's make arrangements for you immediately. But I'll tell you in advance that if the patient is discharged from the hospital and any accidents on the road will have nothing to do with us."
This point still needs to be explained clearly.
After all, if you die due to excessive bleeding on the road, it is not their business. The patient's family requested to be discharged from the hospital, and they would not be responsible for it after they were discharged from the hospital.
"What? Are you trying to get rid of the blame? I tell you, you will be fully responsible if something happens at that time!" Mei Wenjie began to become unreasonable.
Who told his wife to have a caesarean section in this hospital? Now that they have such heavy bleeding, they still want to get out?
"If you do this, we dare not discharge the patient." Liu Mei explained with a headache.
Seeing that the two sides started to quarrel, Ruan Bin also had a headache. Sometimes medical disputes often happen like this!
"Sister, please stop arguing. I can do this surgery! It can stop bleeding without removing the uterus." Ruan Bin said.
As soon as this sentence was spoken, everyone looked at Ruan Bin in unison!
"Ruan Bin, how can you do uterine artery interventional embolization surgery?" Lu Jingping was stunned. This was a level 4 surgery! It was not their general surgery.
How could you, a resident, do it?
He won't do it either!
Liu Mei next to her also asked in surprise: "Doctor Ruan, are you sure you can do this surgery?"
"Doctor Ruan, although you have gone to the First Affiliated Hospital of the Magic City to study, you probably haven't been exposed to this kind of surgery yet, right? Even if you have been exposed, you must have never done it! This is an interventional department surgery." Huang Hongcai felt that Ruan Bin must have been running the train this time.
Last time they thought that Ruan Bin was able to perform an appendicitis removal on a pregnant woman, which was extremely amazing and shocking.
But it is impossible to continue studying for more than a month, and even perform interventional surgery, right?
Unless the other party cheats!
"I don't need to joke about my career and going to prison. Director Lu, if you don't believe me, I can call Director Qian from the Emergency Department of the First Affiliated Hospital of the Magic City. He witnessed myself that I had an interventional surgery and it was also a severe uterine artery bleeding. I did it very successfully." Ruan Bin said lightly.
"This..." After hearing this, the two obstetricians Liu Mei looked at Lu Jingping in unison. They didn't know the basics of the doctors in the emergency department. So see what Lu Jingping's opinions!
If the other party can really undergo interventional surgery, then this trouble should be completely solved!
"Okay, no need to ask, I can trust you." Because of the previous call for consultation, Lu Jingping knew that Ruan Bin would not be able to lie now. Is it so painful to have idleness?
But he was shocked at this time, why Ruan Bin went to the First Affiliated Hospital of the Demon City to study, any surgery would be the same!
Or is it that Ruan Bin’s previous level not discovered by him?
After all, Ruan Bin is just a resident doctor. He usually sutures the wound, performs benign tumor resection, superficial abscess incision and drainage and other minor surgeries.
Even appendicitis surgery has not been performed.
Could it be that this guy was very good in the past? He just didn’t have the chance to perform?
After all, in their emergency department, even the first-level surgical appendicitis removal was rushed by two main subjects. Where is it a small resident turn to do it?
But big hospitals are different!
There are so many surgeries that you can’t finish, so the inhabitants have a great chance to do the first and second-level surgery.
"Forget it, let's see if this operation can be successful first." To be honest, Lu Jingping was still a little worried about Ruan Bin at this time.
Communication with Mei Wenjie before surgery, sign and prepare for the operation!
…………
Since Ruan Bin's uterine arterial interventional embolization was proficient at this time, he did not plan to upgrade.
Proficient in this surgery, you can do it completely, but the speed is relatively slow.
If you are careful, there should be no problem!
The interventional surgery room is very new and has been renovated in less than half a year.
There are only a handful of times that have been used. After all, only Dean Sun can perform such surgery.
At this time, in addition to Ruan Bin, there were also Lu Jingping and others.
To be honest, they all want to see this interventional surgery!
Especially Liu Mei and Sun Yue from obstetrics, they usually encounter many postpartum bleeding, miscarriage bleeding, or abortion bleeding.
If you are unwilling to remove the uterus, you will basically be transferred to the city hospital directly.
There is no way, the small county hospital is still a remote and backward small county town. Their obstetrics talent is severely lost, and doctors with good skills have all gone to the city hospital. As a result, no one can do such operations!
I finally found an interventional department. Their obstetrics department seemed to see hope, but the interventional department is still an empty shell at present. Only Dean Sun can do this type of surgery. However, the Dean is a great leader and often travels on business...
Liu Mei took back her thoughts and saw Ruan Bin disinfecting and laying towels with the groin area as the center.
Then they saw Ruan Bin used seler technology to intubate the femoral artery through one side, indwell the artery sheath, and use the 5F Obra cannula opposite the common iliac artery to perform DSA angiography of the contralateral iliac artery...
Ruan Bin's operation was unfast, and he also explained: "After DSA angiography of the opposite iliac artery, we must observe the opening of the opposite internal iliac artery and whether the uterine artery has developed. If the uterine artery is developed, it is necessary to observe the beginning, shape, and whether there is fibroid staining..."
"After confirming that there is no problem, the catheter is further sent into the internal iliac artery. Use 0.89mm and 0.96mm white loach or black loach guidewires to find the uterine artery. If you see the front end of the guidewire spiral into the distal blood vessel, it may be the uterine artery!" Ruan Bin pointed to the picture of the angiography.
"If it is confirmed that it is an uterine artery, use a guidewire to introduce the catheter into the distal uterine artery. Sometimes it is difficult to find the uterine artery with an Obra tube or a single bend tube. You can replace the RH or other shapes of catheters, which can easily find the uterine artery. Perform a shaped arm angiography to observe the uterine artery dsa manifestations, the size, shape, structure, and edges of the tumor, and confirm that there are no abnormal branches. Pay special attention to whether it is co-trunk with the bladder artery. If it is co-trunk with the bladder artery, adjust the catheter so that it avoids the bladder artery..." At this time, Ruan Bin seemed to have acted as a superior doctor hospital to teach these novice people.
Chapter completed!