Because the entire hospital was in motion, Zheng Ren didn't have to face the huge troubles before the operation.
What are the various approval procedures before organ transplantation, communicating with the patient's family members, explaining to the crying family members, and why this weird trauma occurs.
Just having the two young men in critical condition and explaining their condition to their families is enough to give them a headache.
But fortunately, I only need to assist Director Miao with the kidney transplant, and that's enough.
This can be regarded as a kind of happiness. Being a simple technician and only performing operations is still very happy.
"Does your equipment nurse have experience in handling kidney transplants?" Director Miao asked.
Now the head nurse in the operating room is taking people to clean up another operating room, waiting for the patient with severe burns to be brought in, and then starting the operation to remove the kidney.
During the small interval in the middle, no one thought about anything else. They were all chatting, relaxing their tense nerves, and preparing for an emergency kidney transplant surgery.
"Let me ask." Zheng Ren was very surprised. Director Miao seemed to be in a low mood, but he allowed himself to come on stage and also asked Xiao Yi to come up. This is no longer just appreciation, there should be other things involved.
Zheng Ren picked up his cell phone and called Xie Yiren. Su Yun slipped out like a mouse. When Zheng Ren finished the call, he grabbed Zheng Ren and said doubtfully: "Boss, why do I feel that something is wrong with Director Miao today?"
"I feel the same way." Zheng Ren nodded and whispered, "But I don't think the risk is high."
"Be careful." Su Yun couldn't understand the reason. Even if something happened, there would still be someone tall to support him if the sky fell, so there shouldn't be any problems.
Would the dignified chief surgical director of 912 stumble upon a junior doctor? Although Zheng Ren can hardly be called a junior doctor now, without any entanglement of interests, the possibility of this happening is very low.
Zheng Ren returned to the operating room and whispered: "Director Miao, she has undergone two or three kidney transplant surgeries when she was an intern in Shanghai. She can cooperate."
"Let her come up and wash her hands." Director Miao brushed his hands and said, "I'm going to take out the kidney, and I'll go to the vascular department to put in the tube. On your side, stop the bleeding first and wait for me to come."
Zheng Ren was still a little confused, but didn't say anything. He sent a message to Xiao Yiren and asked her to come up.
Feeling the slightest abnormality, Zheng Ren still carefully took advantage of the intermission period to come to the system space.
He used the master-level skill book that he had just received, which had not been used for a few days, on the skill tree of the Department of Urology, which he usually ignored at all.
Watching the skill tree growing wildly, the surrounding skill trees echoing each other, the leaves rubbing against each other, and the sound of brushing and pulling making a sound. Zheng Ren knew that although his urology skills were only at the master level, they were much better than the average professor. .
After all, he is paved with master-level general surgical skills.
Is hepatobiliary and gastrointestinal surgery called general surgery? Because this is where surgery first started.
General surgery is the foundation of all surgeries.
Many years ago, in third- and fourth-tier cities, general surgery was synonymous with surgery. Neurosurgery, thoracic surgery, urology, and orthopedic surgery were all born out of general surgery.
Zheng Ren felt a wave of warmth, and immediately bought surgical training time and began surgical training for kidney transplantation.
His worst fears didn't happen.
In the system operating room, two experimental subjects did not appear. Zheng Ren was asked to remove the kidney first and then perform kidney transplantation. Even the skin grafting in the burn department had to be done by Zheng Ren.
If that were the case, a lot of surgical training time, which was already stretched thin, would be wasted.
The experimental subject was lying on the operating table of the system, and Zheng Ren concentrated on starting the surgical training.
Zheng Ren knew the procedure of kidney transplantation. In fact, this surgery is simple and unnecessary. Someone could do it nearly a hundred years ago. Is it still difficult for now
The skin and subcutaneous tissue were incised to expose and bluntly expand the right iliac fossa.
The transplanted kidney is not placed in its original position, but in the right iliac fossa.
Regarding the choice of left and right orientation, if circumstances permit, the right side will be chosen for transplantation because of the inertia of the artery's shape.
The right external iliac vein was exposed, and the vascular sheath and lymphatic vessels between it were cut and ligated.
The right internal iliac artery was exposed, and the upper vascular sheath was peeled off. The internal iliac artery of the experimental subject was short, only about 2cm from the bifurcation of the iliac artery to the branch of the internal iliac artery.
Zheng Ren took a Sabouraud clamp and blocked the blood flow of the right external iliac vein. Then use a sharp knife to make a small opening in the blood vessel wall, rinse with heparin water, and cut to the appropriate length with scissors. The donor kidney was placed into the right iliac fossa, and the donor renal vein and the recipient's external iliac vein were anastomosed end-to-side.
4-point method, 6-0 nylon thread continuous overlock stitching.
This is the focus of the surgery!
Anastomizing the arteries, Zheng Ren thought, and the microscope he purchased appeared above his head.
Everything is convenient in the system operating room. However, sometimes Zheng Ren would rather have the little white fox come alive and serve as his assistant.
It's really a bit lonely.
Training for dozens or hundreds of surgeries, this feeling of loneliness can drive people crazy.
Ordinary kidney transplantation does not require microscopic anastomosis.
But Zheng Ren voluntarily increased the difficulty of the operation, and the system did not prohibit it.
Unlike capillaries, the anastomosis of large blood vessels is relatively easy to perform.
Before the end of the anastomosis, rinse with heparin water, double-ligate the distal internal iliac artery, use two proximal vascular clamps, cut the internal iliac artery, and rinse with heparin water.
The donor renal artery and the recipient's internal iliac artery were anastomosed end-to-end (3-point method, interrupted suture with 6-0 nylon thread). Before the anastomosis was completed, the patient was flushed with heparin water and verapamil was injected.
Zheng Ren carefully checked and found that there was no blood leakage from the arteriovenous anastomosis and then opened the renal blood flow. After about 5 minutes, he saw a small amount of clear and light yellow urine flowing out from the broken end of the ureter.
After doing this, Zheng Ren let out a sigh of relief.
There's pee! So good!
He made a fist with his right hand and expressed his excitement!
Zheng Ren then put on a urethral catheter, injected water to fill the bladder, inserted the double J tube into the broken end of the ureter and the bladder, performed an anastomosis between the recipient ureter and the bladder, and performed anti-reflux treatment.
No active bleeding was found in the surgical field, and a plasma tube was placed around the renal and ureteral anastomoses. The surgical field was checked again and no active bleeding was found. Each anastomosis was checked and the incision was closed layer by layer.
The operation is over.
However, Zheng Ren discovered that the completion rate of the operation given by Big Pig Hoof was only 79%.
I'll go... Zheng Ren recalled carefully, there was no problem with the operation.
The difficulty in kidney transplant surgery is not the surgery, but the kidney source and matching.
The big pig's hooves must be broken. How come they only gave a figure like 79% completion rate of the operation
Looking back, there were no mistakes. To anastomose blood vessels, Zheng Ren also used neurosurgery microsurgery, which is more than 10 times more precise than general urological surgery.
There was nothing wrong with the subject's urine. It was light yellow, clear and bright, and there were no blood streaks in it.
Zheng Ren was confused.