After the preoperative discussion was over, Director Kong called Zheng Ren to his side with his hands behind his back, and said as he walked: "The method you just mentioned is too risky. Is there any other way?"
"Director Kong, I guess not." Zheng Ren said: "I don't think Director Miao can do the surgery anymore. Kidney transplantation should be the last resort. If the family doesn't agree to do it, there is really no good way."
"Removing a kidney can be done minimally invasively, and the distance is also close, which saves a step of preservation. However, it is a headache to think about doing invasive operations on the burned area of burn patients. How did you come up with this idea?"
"I was forced." Zheng Ren said honestly: "Both kidneys are broken. Even if they are barely stitched together, I can't say whether there will be bleeding after the operation, but there will definitely not be normal kidney function. The same is true for patients. Even if he died, he would not even reach the oliguric stage of hemorrhagic shock.
In 95% of burn patients with third degree or above burns, no skin flap can be found for skin grafting. I think even if it can be saved, the cost will be more than 2 million. With such a high price and slim chance, it is better to take a chance. "
Director Kong didn't have any good ideas. Similarly, he knew that others couldn't do anything either.
What Zheng Ren said is the only solution.
Vice President Yuan suddenly appeared in the operating room. This must be a big event. I heard Zhou Litao from the emergency department say before that it should have something to do with campus loans.
No matter how many twists and turns there are behind the incident, doctors must do their best to save the patient as long as he still has breath.
However, Vice President Yuan came to the scene to direct the rescue, but there was an advantage that involved multi-disciplinary cooperation, and someone made a decision. Especially the plan proposed by Zheng Ren also involves such a big thing as organ transplantation.
If irreparable damage to both kidneys is discovered, the plan will be reported step by step, and the medical office will ask the director for instructions. After a series of procedures, the patient will die on the stage.
But who would dare to do this kind of thing by dragging a severely burned patient directly onto the stage
Director Kong thought about it for a few times. Although he felt that Zheng Ren's plan was a bit risky, he had no more options, so he whispered a few words to him.
Just go back and wait, I don’t know when the surgery will be decided and the surgery will continue, so let’s just forget about it.
Back in the operating room of the Department of Surgery, Director Miao looked particularly unhappy. He moved a small round stool to sit in the surgery room, and the others knew enough not to go in and disturb him.
When this happens, if we go to a smaller hospital, the patient will stop the bleeding directly and then close the abdomen. Just go down and explain the condition to the patient's family. The patient will definitely die, sooner or later.
If your family approves, then you approve. If you don't admit it, you have no choice but to go to the Medical Commission and hand over the matter to the Medical Office for full authority.
Being unable to get off the stage, or knowing that the patient will definitely die when he gets off the stage, is the biggest headache for surgeons.
It's exhausting work, no sense of accomplishment at all, and you might get into a lot of trouble.
Director Miao sat in the operating room with a gloomy face, and no one came up to try to trouble him.
Zheng Ren also followed Director Kong obediently and became a little transparent. He was thinking, no wonder the system judged it to be an S-level surgery, which was higher than autologous liver transplantation. It turns out that there are many things that you cannot make the decision yourself.
The big pig's hooves probably didn't want to waste resources on calculations and evaluations, so they didn't give out rewards. If he can survive the operation, he will be rewarded. If it doesn't work, this mission is equivalent to non-existence.
"Boss Zheng, Director Miao is calling you." Zheng Ren was stunned when he suddenly heard Director Kong calling him.
Um? What did Director Miao ask him to do? Zheng Ren had already planned to paddle.
After the initial emergency rescue period, Zheng Ren also expressed his opinion. He thought that all this had nothing to do with him.
Unexpectedly, Director Miao, who had a look of displeasure on his face, would come looking for him.
Zheng Ren saw Director Miao looking at him through the leaded glass in a trance. He had no choice but to bite the bullet and walk in.
"Boss Zheng, have you ever had a kidney transplant?" Director Miao asked.
"No." Zheng Ren said, "I used to be a doctor in general surgery and have never been exposed to kidney transplantation."
"The last time I treated a patient with hepatic echinococcosis, I think you did a good job in autologous liver transplantation. Where did you learn it?" Director Miao asked.
Zheng Ren concluded.
Where did you study? in system space.
But can you say it? It’s definitely not possible.
"I have read some information and I have encountered similar patients in Haicheng before. I have no choice but to bite the bullet." Zheng Ren explained a few words randomly.
As long as his IQ is normal, no one will believe his words.
But Director Miao did not ask or question. He narrowed his eyes slightly and said after a few breaths: "I think the hospital will agree to the surgery. You can help me in a while."
"..." Zheng Ren was stunned for a moment, then smiled bitterly and said: "Director Miao, I'm not..."
"You're at 912. You're just a doctor in the interventional department. You're not uncommon for general surgeries." Director Miao suddenly opened his eyes, stared at Zheng Ren, and raised his voice slightly, "What's the matter? Do you want me to go to the hospital and tell you?"
"Look at what you said." Zheng Ren smiled bitterly.
"That's it." Director Miao said: "Kidney transplantation, it's not difficult. Autologous liver transplantation can be done, but there is nothing that can't be done with kidney transplantation. Besides, I didn't ask you to do it, just to be an assistant."
After saying that, he looked at Zheng Ren's fearful expression and smiled.
"Why panic?" He said softly.
Zheng Ren really didn't want to undergo this operation.
For no other reason than kidney transplantation, which is the least difficult operation compared to other surgeries, there was no reason why Director Miao couldn't do it.
If others can do it and do it well, why should you go out of your way to do it
This is completely different from patients with hepatic hydatid disease.
Whether it is hepatic echinococcosis or porcelain gallbladder, the difficulty of surgery is sky-high. Even with a master-level surgery, it still requires many trainings to complete.
Why bother with kidney transplantation
Zheng Ren was a little helpless, but looking at Director Miao's expression, Zheng Ren couldn't guess what he was thinking.
Just go up if you want, it doesn't matter, Zheng Ren thought to himself.
"If it's a transplant, I say yes." Director Miao suddenly said: "How much of the patient's remaining kidneys are you sure to keep?"
"Shangji, plus the adrenal glands, it is estimated that about 15% of the total body can be retained." Zheng Ren calculated and said.
"Okay." Director Miao said calmly: "15% of the right kidney is a good level."
As he was talking, someone came to inform him that Vice President Yuan had helped the patient's family and agreed to waive part of the hospitalization expenses as a humanitarian concern.
Director Miao stood up and arranged for a team of professors to communicate with the patient's family and sign the signature. He gave some instructions, and then said: "Boss Zheng, I'm going to wash my hands first, and you should also prepare yourself."