"Ruan Bin, open your stomach and check it out!" Jiang Yurong's voice came from the Bluetooth headset on Ruan Bin's ear.

"good!"

After confirming that the anesthesia was effective, he made a transverse incision under the left costal margin.

After the incision was opened, he saw a dark red blood and abdominal fluid in his abdomen.

"Attractor!" Ruan Bin said to Huang Hongwen next to him.

"Give."

Take the suction device and start to absorb and remove blood and abdominal fluid from the cavity and abdomen.

After cleaning up the blood and abdominal fluid in the abdomen, the organs in the abdomen are suddenly exposed.

At this time, a crack appeared in the middle of the spleen that penetrated most of the spleen. The thickness of the crack was also very deep, almost two-thirds of the depth of the spleen! I also saw a splenic artery rupture and a splenic vein rupture, and blood was still emerging continuously.

Seeing this, Ruan Bin's face instantly became extremely solemn, because for the spleen, it is usually blood supply to the spleen artery and the spleen vein is back. Now there are two such blood vessels inside, and the damaged part of the spleen cannot circulate. So the problem is very serious!

To be honest, Ruan Bin felt a little panicked when he saw that he was only in the entry level. He didn’t know how to deal with such heavy bleeding. Direct removal? Or part removal? Or repair?

Anyway, he didn't have a clear answer in his mind!

At this time, Jiang Yurong outside saw the patient's spleen damage, and her eyebrows frowned.

"Although the spleen did not have complete fragmentation, the penetration wound was too big and deep, and there was almost a high probability that it would be completely removed!" Jiang Yurong immediately determined how to deal with it.

"Although the wound is quite big, as long as the blood is stopped, can I save it after suturing it?" Ruan Bin asked while trying.

"It's hard, too difficult! Because the spleen is relatively brittle and the suture is difficult, even if the suture is good, it is easy to cause secondary bleeding. Generally speaking, the thickness of the spleen cracks exceeds 2 cm, and you will generally choose to remove part or cut them all!" Jiang Yurong shook her head and explained.

"The thickness of 2 cm through is not very large?" Ruan Bin felt that with his world-class suture technique, could he give it a try?

"Indeed, a penetrating wound of 2 cm is nothing to other organs, but the texture of the spleen is very crisp, just like the cooked duck blood we eat in hot pot. When stitching, a second injury will occur if the suture is pulled and a little harder. Of course, some experts in spleen surgery have tried to suture the cracks to reach 3 cm (normal spleen thickness is 3.5 cm), and the surgery has also been successful. However, there are few examples of such success! Even experts have less than half a chance."

"If the second injury and bleeding occurs after suture, the abdomen will be opened again, and the risk of abdomen will be higher." Jiang Yurong shook her head and said.

Just as she was about to instruct Ruan Bin on how to stop the bleeding quickly, Director Qian Haomin ran in sweating!

"Director Jiang, where is the patient?" Director Qian said gasping.

"In the operating room! By the way, why did you arrive so quickly? I heard that it takes fifteen minutes to drive here at the fastest?" Jiang Yurong was a little curious. It has only been six or seven minutes since she called someone to call the other party!

"I happened to be shopping with my wife nearby, so I came here faster!" Director Qian explained.

"By the way, someone in the operating room is operating the patient?"

He heard that he had been sent to the operating room, so he couldn't help asking.

"Well, Ruan Bin is in there to check the patient's abdomen, and you still have to do the resection surgery." Jiang Yurong said quickly.

"I'll go now!" Director Qian walked to the operating room quickly.

After entering, dressed up and walked to the operating table.

"Director Qian." Ruan Bin had a big Bluetooth headset just now and the conversation outside was very big.

"Yes." Director Qian glanced at Ruan Bin and nodded.

He took a quick look and found that Ruan Bin had just opened his stomach for examination and had not started the surgery. He felt that Ruan Bin should not have this third-level surgery either. It was probably Jiang Yurong outside directed him to open his stomach for examination, and tried to shorten the time!

"The bleeding has not been short, right? Now we have to stop the bleeding first!" Director Qian said, stretched out his hands and took it in.

Ruan Bin only saw Director Qian pinch the spleen pedicle with his index finger and thumb with his right hand, and together with his left hand, he held the entire spleen out of the incision.

"Put the big gauze pad to fill the spleen bed!" Director Qian said to Ruan Bin.

"Okay." Ruan Bin immediately filled the spleen bed with gauze, and then he was shocked to find that the ruptured spleen wound was no longer bleeding!

Huang Hongwen on the other side also had a look of a ghost, and he obviously discovered it.

The blood was still scattering just now!

At this time, Director Qian seemed to have noticed the shocked expressions of the two, and smiled and said, "Faced with this severe splenic artery bleeding, the circulation is unstable. At this time, life-saving must be put first, so as long as you quickly control the spleen, control the arteries and veins of the spleen, and block the source of it, it will not be able to produce blood."

"So that's it!" Ruan Bin nodded admiringly. He is worthy of being the director of the emergency department. This hemostatic method is really simple and practical.

"But the patient's spleen penetrates the wound too deep, reaching 3 cm thick. In this case, it can only be a complete cut." Then Director Qian observed carefully and sighed helplessly.

Hearing this, Ruan Bin frowned. Director Qian and Jiang Yurong's judgments were still the same, and they could only be completely removed!

But when he thought that the patient was only thirteen or fourteen years old, his entire spleen would be removed!

"Dingdong... System Temporary Task: Show the host's world-class debridement and suture technique to save the poor teenager. If the patient can recover, he will be rewarded with 3,000 points!"

Originally, Ruan Bin seemed to have tried it, but now the system has a task, and he was immediately moved!

"Director, can you try to suture it? What if it can be restored to life? This patient is so young and loses his temper. What can I do in the future~" Ruan Bin said in a deep voice.

Once the spleen is removed, the immune response will be damaged. The functions of immunoglobulins and complement are insufficient, which affects the regulating effect, causing macrophages and multinucleated leukocytes to move slowly, and weaken the phagocytic ability of pneumococcals and other pneumococcals. Simply put, the spleen has the functions of storing blood and regulating the pressure of the portal system. Many substances in the blood cells and blood are processed through the spleen. In other words, the spleen is a filter for blood throughout the body, which can remove pathogens mixed into the blood and its own decayed cells.

The spleen is also an important base for various immune cells to live, proliferate, and perform immune responses and produce immune effector substances (such as antibodies, etc.); the spleen also produces immune active cells to exert immune functions, such as macrophages, T cells, etc. T cells have an immune effect on tumor cells. The spleen is the only organ that produces T cells, so tumors are very likely to occur after the spleen is cut! That is, cancer!

If the patient is in his forties or fifties, Ruan Bin certainly doesn’t want to take risks and supports the removal of the spleen! After all, even if it is possible, it may get a tumor in the future, and that will be in his seventies or eighties. It doesn’t matter whether there is a tumor or not.

But now this patient is only thirteen or fourteen years old. He is so young and his life will be so long in the future!
Chapter completed!