Chapter 90 Tricky Surgery
"What's the situation?" Ruan Bin hurriedly walked up to ask. He saw that the patient's abdomen seemed to have been cut into pieces, and the abdominal wound was very deep, and blood kept flowing out and spilling all the way.
"The abdomen was sawed by a chainsaw!" said a doctor in the foreign hospital.
"Why are you so careless?" Ruan Bin said in his heart.
"If it weren't for you, what kind of program effect would be used to make the fat man a model! Now, the fat man was sawed!" A big man next to him roared at another middle-aged man.
"The cabinet props I made were made very big, and there was no problem for a fat man to hide from it as a magic model! It was just that when I started to saw the springs of the cabinet mechanism were not opened, which led to this tragedy. I don't want to! The props were the last ones you checked, so you don't check them carefully!" The middle-aged man blamed himself and criticized the man.
"Are you performing chainsaw magic?" Ruan Bin understood at this time. It seemed that there was a problem with the props, which led to the fake saw becoming a real saw!
What a tragic thing this is.
At this time, Jiang Yurong and Wei Haiyang also came over.
After understanding the situation, Jiang Yurong hurriedly said: "Send it to the operating room for emergency treatment immediately!"
At this moment, another patient suddenly came in from outside.
Car accident! Severe head injury and multiple fractures, the situation is even more serious than this fat man.
"Doctor Wei, Ruan Bin, there is no problem with you two dealing with this patient, right?" Jiang Yurong asked hurriedly.
"No problem!" Wei Haiyang nodded quickly.
"Okay, then I'll handle another surgery."
After pushing the operating room, the nurse gave blood transfusions while taking medicine.
Ruan Bin also quickly performed an x-ray examination on the patient.
The results will come out soon.
"The wound is very deep, and there are more fractures in the intestines and stomach, and there are many bleeding. Fortunately, it was not hurting the kidneys and spleen. Unfortunately, it was his thick fat that saved his life." Ruan Bin sighed. If it were a thin man, it would probably be that he would die on the way to come if he sawed it.
Like this fat man, he only needs to successfully stop the bleeding and then perform gastrojejunal anastomosis to repair the damaged stomach and intestines.
"Doctor Ruan, be my assistant." Wei Haiyang said to Ruan Bin.
"Yes." Ruan Bin nodded. He looked at the fat man who was over 200 pounds. This surgery is not easy to do!
The main reason is that the other party is too fat and the belly is too fat! The difficulty of the operation is several times higher than that of the thin man, and some very fat fat men are almost unable to continue some of the operations.
In the eyes of doctors, surgery for pregnant women and fat people is the last thing they want to face.
Sure enough, when Wei Haiyang made an incision, he saw that the incision was pouring out of the incision in a mess, yellow and red.
The yellow ones are fat that entrains the omentum, and abdominal fluid, and the red ones are blood and blood clots.
If you are an ordinary person, the omentum is actually a thin layer, which is very easy to deal with, but it is different for fat people.
After Wei Haiyang used the pulverizer to open these omentums, the traction device expanded the incision and saw the fat in the abdominal cavity full of fat. These fats hang on the intestinal lipids of the large omentum, mesgastric, mesenteria and colon!
Not to mention whether you can see the bleeding point, even the whole picture of the stomach and intestines is unclear, and most of the vision is blocked by these fats.
"It's tricky!" Wei Haiyang looked at the eyes and abdomen and couldn't find the bleeding point! The thick fat made him feel like he couldn't start.
He rummaged through it with his hands, and he initially judged that it should be that the superior mesenteric artery or the blood vessels at the root had broken, or that the gastric artery was bleeding.
He checked and found that the gastric artery blood vessels were fine, and then looked for other possibilities of bleeding. However, except for finding a few intestines that were broken into several bars, the root of the mesenterology could not be found. It was full of mesangial fat, and it was impossible to tell where the bleeding point was!
On the contrary, his gloves were covered with fat particles!
For a moment, Wei Haiyang felt anxious and sweating.
This operation is a bit tricky. If the patient is not a fat man and does not have that much fat in his stomach, he probably should have found a bleeding point now.
But the fat man's belly is different. Not only does it have too much fat inside, it will affect your vision during surgery, and even dislocation occurs. It will also cause the mesangial and peritoneum to be too thick, which will make you unable to find the blood vessels and it will easily walk out of the gap.
If you check it little by little, relying on guessing to check it little by little, what do you know when to check it? I guess the patient will be burping heavily and he will be despaired before the time comes, you will find the bleeding point!
That's not all. If you go through the wrong gap and put a knife in the blood vessels, then you can only stop bleeding by crazy, go through the wrong gap, stop bleeding by crazy, and cycle endlessly!
Therefore, it is not as easy to perform surgery on a fat man several times more difficult.
He has very little experience in surgery for a fat man. Even if he has performed surgery on a fat man, he is not so fat. He is really helpless.
"Doctor Wei, why don't you do it?" Ruan Bin asked from the side.
"This operation is too difficult. I don't have enough experience. I have to find Director Jiang!" Wei Haiyang said.
"But Director Jiang should be doing another operation now, and there should be no time." Ruan Bin said.
"I know, but I really can't do this surgery. Even if Director Jiang is not available, let her ask if anyone from the inpatient department is coming down!" Wei Haiyang said.
"I think I can try it." Ruan Bin said. World-class debridement and world-class vacant intestinal anastomosis! For this situation, for such a fat patient, he had no less than a hundred surgical experience in his mind!
"You? Stop kidding! This surgery is not an ordinary second-level surgery, it is very difficult!" Wei Haiyang glanced at Ruan Bin and shook his head. The other party was just a resident doctor from a county hospital who came to study. It is estimated that the first-level surgery is OK now. Even if he can barely do the second-level surgery, he is definitely not proficient. Even the attending doctor of the municipal hospital cannot take the surgery. What can he do?
Isn't this nonsense?
Besides, he knew very well the level of the doctors in Wucheng County Hospital. The chief doctor might be okay. How good can Ruan Bin be the best at just a resident? I guess the other party can't even do many secondary operations. No, I guess some of the first-level surgery are not proficient enough!
"I may..." But before Ruan Bin finished speaking, Wei Haiyang immediately took off his sterile clothes, opened the surgical door and ran to find Jiang Yurong.
"I completely ignored me~" Ruan Bin sighed. There is no way, who called himself a resident or a resident at a county hospital.
Chapter completed!