Chapter Nineteen
"What about the first type?" the woman asked hurriedly.
"The first traditional open cholecystectomy has an incision of about 15 cm. The wound is relatively large, the trauma is relatively high, the postoperative recovery is slow, and there are many postoperative complications. However, the price is the lowest, and the operation cost is more than 1,000 yuan." Ruan Bin could also see that this woman was dressed in ordinary clothes and was probably an ordinary working-earning family. To be honest, she was indeed hesitant to take out tens of thousands of yuan in treatment costs at once.
After hearing this, women hesitated a little. Although the first type is cheap, they have a long recovery time and have a larger wound. Maybe they will have an impact on their husband's work and heavy work in the future.
"What about the second one?"
"Although the second small incision cholecystectomy is also a traditional open laparotomy, its incision is small, the incision is only 4 to 6 cm, and the trauma is small. Although recovery is not faster than laparoscopic surgery, it is much faster than the first one, and the safety factor is also very high! The cost of this surgery is 4,000." Ruan Bin introduced.
Small incision cholecystectomy was developed in traditional surgery and was a combination of minimally invasive concepts and high-tech. This surgery is not only reflected in the tiny incision, but also in every step inside the abdomen.
Since it is improved, there is no need for general anesthesia and artificial pneumoperitoneum, no need for gastric tubes and urethra, and the recovery is faster than traditional surgery!
"Doctor, then use this!" After hearing this, the woman immediately made a decision. The laparoscopic surgery cost 20,000 yuan, which was indeed unbearable for her family.
This small incision cholecystectomy sounded good to recover and had a high safety factor, so she decided to choose this surgical plan.
"Okay, there may be accidents during the operation, and I need to explain this to you clearly. After all, the operation is full of unknowns. If you feel agreeable, sign it." Ruan Bin handed over the operation consent form.
"I know." The woman ended up signing the surgery agreement form.
"Director, the family has signed it. She said she hopes to use a small incision gallbladder surgery." Ruan Bin walked to Jiang Yurong and said.
"Well, come in with me and be my assistant." Jiang Yurong said.
"OK."
But just as the two were about to enter the operating room, suddenly four or five people came in outside the door. One of the middle-aged women cried and shouted: "Save my husband, save my husband!"
"What's going on?" Jiang Yurong walked over hurriedly.
A traffic policeman sighed and said, "Drunk driving, car accident."
Ruan Bin glanced at the middle-aged man lying on a stretcher, and saw that his eyes were half closed, his right arm was reversing and deformed. His face was severely swollen, his forehead was scattered, his mouth was slightly opened, his pupils reflected on the light disappeared, and his whole body was filled with a strong smell of alcohol.
Jiang Yurong immediately conducted a simple examination and said solemnly: "There is no breath, and there is still a faint heartbeat!"
"Ah? I've lost my breath? Woooo... I told him not to drive after drinking. He just didn't listen, he just didn't listen... Woooooo..." The middle-aged woman cried even more and more collapsed.
"Send to the operating room immediately!" Jiang Yurong's tone was unprecedentedly serious. She knew very well that the patient's condition was in danger and she was unsure whether she could be rescued. Because the injury was too serious!
"Hurry and hurry!"
After being carried into the operating room, Jiang Yurong initially judged that she should try to rescue the first emergency cardiopulmonary resuscitation!
Ruan Bin hurriedly moved the patient to the bed in the emergency room with a few people. Nurse Xiaoli placed an automatic cardiopulmonary resuscitation massage machine and set up the parameter starting machine.
"Ruan Bin, you immediately establish an intravenous channel, Zhao Yaxue places electrocardiogram monitoring, Zhou Tianlei, please help with tracheal intubation!" Jiang Yurong said to the three people while performing cardiopulmonary resuscitation on the patient.
Ruan Bin naturally had a good grasp of the establishment of venous channels, after all, it was an expert venotomy!
Zhou Tianlei, who was on the side, was anxious and hesitant: "I, I..."
When Jiang Yurong saw Zhou Tianlei's behavior, she knew that the other party probably wasn't confident enough in him.
"You come to perform cardiopulmonary resuscitation on the patient, and I will insert the trachea into the patient!" Jiang Yurong said in a deep voice.
"Okay!" Zhou Tianlei was granted a general amnesty, and he believed that he was still very stable in cardiopulmonary resuscitation.
The next moment, when Jiang Yurong was injecting the patient's trachea, she found that her throat was all covered with blood. However, although the patient's oropharynx was covered with blood, after being attracted, she quickly successfully intubated, which was not a loss for an old driver.
Successfully inserting the trachea allows the patient to breathe, Ruan Bin successfully established an intravenous channel at this time.
Complete in 2 minutes!
Jiang Yurong was slightly surprised. This speed was so fast!
"Give him 3 units of plasma and one unit of epinephrine!"
"Okay." Nurse Xiaoli was busy using it for the patient.
"How much heartbeat?"
"Just 23 just now, now 30!" Zhao Yaxue said.
The situation has improved, this is hope!
"Oh no, no one went to the patient with acute cholecystitis who was in shock just now for surgery?" At this time, Nurse Xiaoli remembered this and said hurriedly.
"Now I can't walk here, so you might as well go to the inpatient department to call a surgeon to come down." Jiang Yurong frowned. Obviously, the patient here will die at any time, and this is more important here!
"Dingdong... The system temporary task: stand alone and perform acute cholecystitis surgery on the patient, and the successful operation is rewarded with 1,000 points."
System tasks echoed in his mind, and Ruan Bin immediately spoke, "Director, will I go?"
"Can you have cholecystitis surgery?" Ruan Bin had said before that most secondary surgery would be performed, but she asked hesitantly.
"It's totally OK! I've done more than 20 cases in my original hospital." Ruan Bin nodded very seriously.
"Uh..." Zhou Tianlei was stunned for a moment. Do you have this second-level surgery? I have also studied in a small county hospital. I can't even have the most difficult appendicitis surgery in the first-level surgery. Have you done more than a dozen cholecystectomy during your second-level surgery?
Everyone has a county hospital at the same time, why is the gap so big?
In fact, Ruan Bin had never had a cholecystectomy at all, but if he didn't say that, Jiang Yurong would definitely not be assured to let him do it. So, she could only show off.
"Okay, then you go. This time you are the only one, no problem, right?"
"No problem!" Ruan Bin nodded and walked out of the operating room quickly.
Outside, the wife of the patient with acute cholecystitis had long been as anxious as an ant on a hot pan. No doctor has ever had one!
Seeing Ruan Bin come out, he rushed up: "Doctor, my husband..."
"Sorry, I delayed it just now. I will do your husband's surgery now. Don't worry, it's okay!"
Chapter completed!