A full attack would mean significant casualties among his men, which could shake his foundation.
So, he vented all his anger on Gem Atkinson.
Although the surgery was set in River State, and River State was not his base, he still had connections there.
Therefore, he re-planned the escape route and strategy.
From the hospital's janitors to volunteers, and even its patients, anyone he could get into the hospital was sent in by his people.
Just in case, they also planned in advance to kidnap Mr. Atkinson as a hostage. On the one hand, it would be a vengeance for Gem Atkinson's past destruction of his plans, forcing him to flee to River State. On the other hand, if they kidnapped someone else, the criminal investigation team might not care. But if they took Mr. Atkinson as a hostage, the team would have to think twice.