Zheng Ren had a preliminary judgment of how difficult this patient's surgery was.
The System did not even give a mission grade for patients with liver hydatid disease and autologous liver transplantation. However, this patient actually gave an S-grade judgment.
Was the surgery an S-grade?
Zheng Ren was stunned. What was the difficulty? He had to preserve the kidney?!
He recalled the image of the kidney shown in the radiographic films and began to reconstruct it in his mind. Both kidneys were severely damaged and it was very difficult to preserve them. At the very least, with Zheng Ren's own level, it was indeed very difficult to preserve them.
He had a Grandmaster-level skill book in his hand. If he needed it, he could try to use it. Then, there was still some time for surgical training. It should be able to support him to complete this surgery.
However, the S-grade surgery was like a lingering shadow that could not be removed, shrouding Zheng Ren's heart.
From the System's judgment, he knew that Chief Miao was just saying that he would give it a try. The probability of success was less than 20%. However, it was still better than looking at the radiographic films and thinking that there was no way to perform the surgery and that he would have to wait for death.
"Let's go up together. Squeeze together. We have to hurry up. We can't delay," Chief Miao said.
They washed their hands and went on stage.
Fang Lin did not even have a seat. The chief of the thoracic department should have heard from the emergency department that the chest injury was not serious, so he would come up later. Let Fang Lin come. The next chest bottle would be enough.
The three departments of hepatobiliary, urology, and interventional surgery started at the same time.
The warm plasma bags were poured in one by one. His blood pressure was still very low. Time was of the essence. No one spoke in the operating theater. Only the sound of hurried footsteps echoed.
It was a difficult task to lay out the sheets, but everyone could just deal with it.
Zheng Ren pressed Chief Kong on the chair and gestured for him to go up alone. Then, he went to put on his lead apron and washed his hands.
Professor Yang and Chief Miao also put on their lead aprons and washed their hands. They were not used to it. It was too awkward to wear something that weighed more than ten kilograms on their bodies.
However, the interventional embolization surgery for a severe pelvic fracture would take about two hours. How much thread would they have to eat?!
It was possible that the surgery in the stomach had been completed, but the interventional surgery could not be completed yet.
Therefore, they still had to be awkward.
The chief residents knew that time was of the essence, so they moved very quickly. Chief Yu and Chief Dong quickly laid out the list. After Professor Yang and Chief Miao came up, they stood on the right side of the patient. The two chief residents stood on the first assistant's position.
Zheng Ren stood at the side of the leg and asked Su Yun to lift a corner of the sterile surgical drapes. He immediately began the femoral artery cannulation.
His posture was particularly awkward, but none of this was a problem for him. Chief Miao and Professor Yang had a simple exchange. When they chose an incision that both of them could accept, Zheng Ren had already completed the femoral artery cannulation and the guide wire went in.
"Get ready to step on the line," Zheng Ren said in a deep voice when he felt that the guide wire was in place.
The airtight lead door closed. Chief Miao was a little surprised. How could it be so fast? However, he did not have time to think about it. From the bottom up, he cut open the patient's abdomen and connected it with Professor Yang's incision.
The skin and subcutaneous tissues were quickly separated and inserted into the abdominal cavity.
After taking a look, Chief Miao wanted to turn around and leave the stage.
There was a huge hematoma near the kidney. Although it was wrapped in yellow fat, both sides of the kidney were clearly crushed.
It was probably because he came to the hospital early that he had a chance to be saved. If he had been three to five minutes late, he would have had no chance at all.
Even so, Chief Miao felt that it was impossible.
On the other hand, the injuries to the liver and spleen were relatively light. Professor Yang had already started to suture them.
Chief Miao carefully separated and continued to ligate. He wanted to save at least one kidney.
However, five minutes later, he realized that the left kidney could no longer be used.
It was almost shattered, and there was no way to suture it.
He made a prompt decision to block the renal artery and began to remove the left kidney. All that was left was to pray that the patient's right kidney still had a chance to be preserved …
"How much urine is there?"
"No urine," the anesthesiologist answered immediately.
There was no urine! This was a manifestation of the disappearance of kidney function.
Chief Miao did not need to be too familiar with removing the entire kidney. For him, it was only a matter of a few minutes.
However, making this choice was extremely difficult.
The surgery to remove the left kidney was simple, and it could stop the bleeding immediately. However, if the right kidney could not work, what should he do?
However, the aspirator was sucking the arterial blood. The hissing sound reminded Chief Miao that he could not hesitate anymore.
The kidney pedicle forceps directly clamped down and cut off the ligament, preparing to remove the left kidney.
Because there were many people on the operating table, two scrub nurses were delivering the equipment, but Chief Miao stood in the middle, which was very inconvenient.
He clamped the kidney pedicle. Just as he was about to ask for something, a pair of blunt scissors slapped into his hand. The hand wearing sterile gloves took the kidney pedicle forceps from his hand.
Uh …
Chief Miao was stunned.
This was … Boss Zheng?
"Is the surgery done?" Chief Miao asked in surprise.
"Yes, the embolization is done." Zheng Ren took the forceps. He did not step down from the operating table. Instead, he stood on the operating table and acted as Chief Miao's assistant.
Su Yun, on the other hand, crawled under the operating table and hid under the sterile sheet. He used an extremely awkward posture to bandage the puncture point.
Although the patient was currently in a state of hemorrhagic shock, if the bleeding could be stopped, his blood pressure would definitely rise. After the surgery was completed, the blood on the surgery table below drenched their pants.
The amount of blood loss would be at least 1,000ml. The patient was already in hemorrhagic shock. It was better to save as much blood as possible.
Chief Miao raised his head and looked at the time. It had only been ten minutes since the surgery started. Zheng Ren's side of the surgery was already done?
"Is the retroperitoneal injury serious?" Chief Miao asked casually as he cut the kidney.
"The five blood vessels are bleeding. They're all embolized. There's no problem." Zheng Ren knew his doubts and did not answer his question.
Chief Miao raised his head and looked at the screen opposite him. The screen stopped at the interface of the embolization. There was no postoperative angiography.
"Why didn't you confirm it with an angiography?"
"The patient has no urine. Eating less contrast agent will be beneficial for postoperative recovery," Zheng Ren said matter-of-factly. "Can the right kidney be saved?"
"That depends." Chief Miao cleanly cut off the left kidney. Then, he explored the right kidney. The residue of the left kidney was handed over to Zheng Ren. He picked it up bit by bit and placed it in the pathology basin beside him.
The left kidney was broken like a rag doll that could not be sewn up. The right kidney … was slightly better, but not by much.
Zheng Ren watched as Chief Miao tried his best to suture it and try his best to protect the right kidney. He knew in his heart that this was just a last-ditch struggle.
No wonder the System determined that it was an S-rank mission. It was impossible to complete.
"Su Yun, how much urine is there?" Zheng Ren helped Chief Miao repair it and began to care about the urine volume.
If there were a few milliliters of urine, it could prove that the injured person's right kidney still had some function.
However, Su Yun's words made Zheng Ren feel as if he had fallen into an ice cave.
"There's no urine. There's nothing left in the urethra," Su Yun said calmly.
When Chief Miao heard Su Yun's words, his hand paused for a moment.
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