Chapter 900 Why Is It only 79% Complete?

Because the whole hospital was in motion, Zheng Ren didn't face those troublesome things before the operation.

What are the various approval procedures before organ transplantation, communication and exchanges with the family members of the patients, and the family members who cried bitterly, and explained why this strange trauma occurred.

Just the fact that the two young men are in danger, and explaining their illness to their family members is enough to cause a headache.

Fortunately, I only need to assist Director Miao to do the kidney transplant, and that's enough.

This can be regarded as a kind of happiness. I am very happy to be a simple technician who only performs operations.

"Does your equipment nurse have experience in providing kidney transplantation?" Director Miao asked.

Now the head nurse in the operating room takes people to clean up another operating room, waits for the severely burned patient to arrive, and then starts to collect the kidney.

During the small interval in the middle, everyone didn't think about other things anymore, they were all chatting, relaxing tense nerves, and preparing for an emergency kidney transplant operation.

"Let me ask." Zheng Ren was very surprised. Director Miao didn't seem to be in a very high mood, but he asked himself to come on stage, and let Xiao Yiren come up. This is no longer pure appreciation, there should be other things in it.

Zheng Ren picked up his cell phone and called Xie Yiren. Su Yun slipped out like a mouse, and when Zheng Ren finished his phone call, he grabbed Zheng Ren and said in doubt, "Boss, why do I feel that something is wrong with Director Miao today?"

"I have the same feeling." Zheng Ren nodded and said in a low voice, "But I don't think the risk is too great."

"Be careful." Su Yun couldn't figure out the reason, even if something happened, there would be a tall one to support him when the sky fell, so there would be no problem.

The majestic chief surgeon of 912 will trip up a little doctor? Although it was hard to call Zheng Ren a little doctor now, but there was no conflict of interest, the possibility of this happening was very low.

Zheng Ren returned to the operating room and whispered, "Director Miao, she has performed two or three kidney transplant operations during her internship in Shanghai, and she is able to cooperate."

"Let her come up and brush your hands." Director Miao brushed his hands and said, "I'm going to get the kidney, and I'll go to the vascular department to re-establish the venous access. On your side, stop the bleeding first, and wait for me."

Zheng Ren was still a little confused, but he didn't say anything, and sent a message to Xiao Yiren to ask her to come up.

Sensing a trace of abnormality, Zheng Ren carefully took advantage of the intermission and came to the system space.

He used the master-level skill book that he had just obtained and hadn't been hot for a few days, and used it on the urology skill tree that he usually dismissed at all.

Seeing 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, Zheng Ren knew that although his urology skills were only at the master level, they were much better than ordinary professors. .

After all, there are master-level general surgery skills to pave the way.

Hepatobiliary and gastrointestinal surgery called general surgery? Because this is the field where surgery was first involved.

General surgery is the foundation of all surgery.

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 warm current, and immediately bought surgery training time, and began to do kidney transplant surgery training.

His worst fears didn't happen.

In the operating room of the system, there were no two experimental subjects. Zheng Ren was asked to take a kidney first, and then perform a kidney transplant. Even the skin grafting in the burn department had to be done by Zheng Ren.

If so, the already stretched surgical training time will be wasted a lot.

The experimental subject was lying on the operating table of the system, Zheng Ren concentrated on it, and began the surgical training.

Zheng Ren knew about the procedure of kidney transplantation. In fact, this operation is simple and unnecessary. Someone was able to do it nearly a hundred years ago. Is it still difficult now?

The skin and all layers of subcutaneous tissue were incised to expose and bluntly expand the right iliac fossa.

The transplanted kidney is not placed in place, but placed in the right iliac fossa.

Regarding the selection of the left and right orientations, if the general situation permits, the right side will be selected for transplantation because of the shape of the artery.

The right external iliac vein was exposed, and the vascular sheath and interlymphatic vessels 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 test subject was short, only about 2cm from the bifurcation of the iliac artery to the branch of the internal iliac artery.

Zheng Ren took Sabouraud forceps to block the blood flow of the right external iliac vein. Then use a sharp knife to cut a small hole in the blood vessel wall, rinse it with heparin water, and cut it to an appropriate length with scissors. The donor kidney was placed in the right iliac fossa, and the donor renal vein was anastomosed end-to-side with the external iliac vein of the recipient.

4 point method, 6-0 nylon thread continuous overlock suture.

Here is the point of the surgery!

Anastomosis of the artery, Zheng Ren thought, and the purchased microscope appeared above his head.

In the system operating room, everything is very convenient. But Zheng Ren sometimes didn't think about it, and would rather the little white fox come back to life and be his assistant.

It's really a bit lonely.

Dozens, hundreds of surgical training, this feeling of loneliness can drive people crazy.

Ordinary kidney transplantation is performed without microscope anastomosis.

But Zheng Ren voluntarily increased the difficulty of the operation, and the system did not prohibit it.

Unlike capillaries, the anastomosis of large vessels is relatively easy to perform.

Before the completion of the anastomosis, the internal iliac artery was rinsed with heparin water, the distal internal iliac artery was double ligated, the proximal upper vessel was clipped twice, the internal iliac artery was cut off, and the internal iliac artery was rinsed with heparin water.

End-to-end anastomosis of the donor renal artery and the recipient's internal iliac artery was performed using 3-point method with 6-0 nylon suture interrupted. Before the anastomosis was completed, heparin water was washed and verapamil was injected.

Zheng Ren checked carefully and found that there was no blood leakage from the arteriovenous anastomosis. After about 5 minutes, he saw a little clear light yellow urine flowing out from the broken end of the ureter.

After doing this, Zheng Ren let out a sigh of relief.

I pissed! How wonderful!

He clenched his right hand and expressed his excitement!

Afterwards, Zheng Ren inserted a urinary catheter, injected water to fill the bladder, inserted a double-J catheter into the stump of the ureter and the bladder, performed papillary anastomosis of the recipient ureter and the bladder, and performed anti-reflux treatment.

No active bleeding was found in the operative field, and a plasma tube was placed around the kidney and ureteral anastomosis. The operative field was checked again, no active bleeding was found, each anastomosis was checked, and the incision was closed layer by layer.

The surgery is over.

However, Zheng Ren found that the completion rate of the operation given by Big Pig's Trotter was only 79%.

I'll go... Zheng Ren recalled carefully, the operation is no problem.

The difficulty of kidney transplantation is not in the operation, but in the source and matching of the kidney.

The big pig's hoof is broken, right? Why did you give such a figure as 79% of the completion of the operation?

Looking back, there were no mistakes. Moreover, for the anastomosis of blood vessels, Zheng Ren also used the microsurgical method of neurosurgery, which is more than 10 times more precise than the general urological surgery.

There was nothing wrong with the test subject's urine, it was light yellow, clear and bright, and there was no blood in it.

Zheng Ren was confused.