Chapter 895 No More Peeing

Zheng Ren had a preliminary judgment on how difficult this patient's surgery was.

Hepatic echinococcosis, patients with autologous liver transplantation, and pig's trotters did not give task classification. And this patient actually gave an S-level judgment.

Is the surgery an S grade?

Zheng Ren was stunned for a moment, what is the difficulty? Want to keep your kidneys? !

He recalled the image of the kidney shown in the film and began to reconstruct it in his mind. The broken kidneys on both sides are extremely severe and it is difficult to preserve them. At least according to Zheng Ren's own level, it is indeed difficult to keep it.

I have a master-level skill book in my hand, and I can try to use it if I need it. Then there is still some time for surgical training, which should be able to support the completion of this operation.

However, the S-level operation, like a lingering shadow, hangs over Zheng Ren's heart.

Judging from the big pig's trotters, he knew that what Director Miao said, that is, try, the probability of success is less than 20%. But it's better than seeing the film by yourself and thinking that there is no way to have surgery and you have to wait for death.

"Let's go together, squeeze, hurry up, don't delay." Director Miao said.

Brush your hands and get on stage.

Fang Lin didn't even have a position. The director of the chest department should have heard from the emergency department that the chest trauma was not serious, so he had to come up later. Let Fang Lin come, and the next chest bottle is enough.

Hepatobiliary, Urology, Intervention, three departments opened at the same time.

The heated blood plasma was poured in bags one by one, and the blood pressure was still extremely low. Time is life, no one speaks in the operating room, only the sound of hurried footsteps echoing.

Making a list is a difficult task, but it's enough for everyone to deal with it.

Zheng Ren pressed Director Kong on the chair, and signaled that it was enough for him to do it alone. Then go put on lead clothes and brush your hands.

Professor Yang and Director Miao also wore lead clothes to brush their hands. They were not used to it. It was too awkward to wear things weighing more than ten kilograms on their bodies.

However, interventional embolization surgery for severe pelvic fractures takes about two hours, so how much thread does it take? !

It is possible that all the operations in the stomach have been completed, and the interventional operation cannot be over-selected.

So lead clothing must be worn, it should be awkward, it should be awkward.

The inpatients knew that time was running out, so they acted very quickly, so Yu Zong and Dong Zong quickly laid out the list. After Professor Yang and Director Miao came up, they stood on the right side of the patient, and the two hospital chiefs stood at the first assistant's position.

Zheng Ren stood by his leg, beckoned Su Yun to lift a corner of the sterile drape, and he immediately began to puncture the femoral artery.

The posture was particularly awkward, but Zheng Ren couldn't help it. Director Miao and Professor Yang had a brief exchange and chose an incision acceptable to both of them. Zheng Ren had already completed the puncture of the femoral artery, and the guide wire went in.

"Get ready to step on the wire." Zheng Ren felt that the guide wire was in place, and said in a deep voice.

Director Miao was a little surprised when the airtight lead door closed, how could it be so fast? But he didn't have time to think about things. He cut open the patient's abdomen from bottom to top and connected it with Professor Yang's incision.

Quickly separate the skin and subcutaneous tissue and enter the abdominal cavity.

After taking a look, Director Miao wanted to turn around and step down.

Huge hematoma near the kidney. Although it was covered with yellow fat, it was visible to the naked eye that the kidneys on both sides were shattered.

It is estimated that he came to the hospital early to have a chance of rescue. If it is three or five minutes late, there is really no chance at all.

Even so, Director Miao felt that it was too late.

However, the injuries to the liver and spleen were relatively minor, and Professor Yang had already begun to stitch them up.

Director Miao carefully separated and ligated continuously. What he wanted was to keep at least one kidney.

But five minutes later, it was discovered that the left kidney was no longer available.

It's almost all shattered, and the seams can't be sewn.

Immediately, the renal artery was blocked, and the left nephrectomy was started. For the rest, I can only pray that the patient's right kidney still has a chance to be preserved...

"How much urine?"

"No urine." The anesthesiologist replied immediately.

No pee! This is a manifestation of the complete disappearance of renal function.

If you want to remove the whole kidney, Director Miao should not be too skilled. For him, it was just a few minutes.

But making this choice is extremely difficult.

The left kidney was removed, the operation was simple, and the bleeding could be stopped immediately. But once the right kidney fails, what should we do?

However, the aspirator was sucking arterial blood, and the hissing sound reminded Director Miao that he could no longer hesitate.

The renal pedicle forceps clamped directly, cut off the ligament, and prepared for total left nephrectomy.

Because there are a lot of people on the operating table, there are two equipment nurses on the top and bottom to deliver the equipment, but Director Miao stands in the middle, which is very inconvenient.

He pinched his kidney pedicles, and just as he was about to ask for something, a pair of blunt scissors slapped into his hand. A sterile gloved hand took the kidney pedicle forceps from him.

Well……

Director Miao was taken aback.

This is... Boss Zheng?

"The operation is over?" Director Miao asked in surprise.

"Well, the embolism is over." Zheng Ren took the forceps, and instead of stepping off the stage, he stood on the operating table, acting as an assistant for Director Miao.

Su Yun got under the operating table, squeezed in low among the people, hid under the sterile drape, and used an extremely awkward posture to pressurize and bandage the puncture point.

Although the patient is now in a state of hemorrhagic shock, if the bleeding can be stopped, the blood pressure will definitely rise. Don’t wait until the surgery is done on the top, and look at the blood on the bottom, which wets the trousers.

The amount of bleeding should be at least 1000ml. The patient is already in hemorrhagic shock, and it would be nice to save some blood.

Director Miao looked up at the time. Zheng Ren's operation was finished within ten minutes after the stage opened?

"Is the retroperitoneal injury serious?" Director Miao asked seemingly casually while cutting the kidney.

"Five blood vessels are bleeding, all of them are blocked, no problem." Zheng Ren knew his doubts and answered the question irrelevantly.

Director Miao looked up at the opposite screen, and the screen stopped at the embolism interface, without postoperative contrast.

"Why didn't you have an angiography to confirm?"

"The patient has no urine, and taking less contrast medium will benefit postoperative recovery." Zheng Ren said naturally, "Can the right kidney be saved?"

"It depends." Director Miao cut off the left kidney neatly, and then he probed the right kidney. The left kidney residue was handed over to Zheng Ren to pick it up bit by bit, and put it in the pathological basin next to it.

The left kidney was broken like a rag doll that couldn't be sewn together, and the right kidney... was slightly better, but not much better.

Zheng Ren watched Director Miao sew up as much as he could and tried his best to keep his right kidney, knowing in his heart that this was just a dying struggle.

No wonder the system judged it to be an S-rank mission, which frankly couldn't be done at all.

"Su Yun, how much is your urine output?" Zheng Ren helped Director Miao repair it, and began to care about the amount of urine.

If there is a few milliliters of urine, it can also prove that the injured person's right kidney still has residual functions.

However, Su Yun's words made Zheng Ren fall into an ice cave.

"No urine, nothing left in the catheter." Su Yun said calmly.

Director Miao paused after hearing Su Yun's words.