There was no urine,
The left kidney was removed,
The right kidney looked slightly intact, but it was also severely injured. If it had been another surgery, the right kidney would have been removed a long time ago. There would be no need to desperately repair it like now.
"Chief Miao, should I go to the other side to help?" Zheng Ren felt that the position of the second assistant was awkward and asked in a low voice.
"Go ahead." Chief Miao did not object to Zheng Ren's initiative and let him go directly.
Professor Yang had already performed liver repair and spleen repair. The bleeding of the injured person had basically stopped.
There was only one problem now — how could he save the right kidney?
The surgery that should be done had been done. The operating table seemed much more empty.
Professor Yang first took off his lead apron, then came behind Zheng Ren and focused on the surgery.
With a glance, he immediately determined that the patient could not make it.
The kidney was fragile to begin with. After a segmental nephrectomy, it would still bleed a month later. For example, this kind of suture … After the surgery … The patient no longer had to pee, let alone after the surgery.
Chief Miao's surgery was getting slower and slower. It seemed that he was conflicted.
It was time to give up. Everyone on the viewing platform thought so. However, who could say it out loud?
This child might be a university student, or he might have just entered society. The best years of his life were about to wither before they could bloom?
Although he knew that it was impossible, Chief Miao still worked hard.
Even if there was only 1% hope, he did not want to give up.
A series of footsteps came from the corridor. Zheng Ren heard it but ignored it. The patient in front of him looked hopeless. Although his blood pressure was stable, he did not pee.
Even if he was sent to the IU after the surgery and had a dialysis machine, what awaited the patient was still death.
However, the System had never given an impossible task. This patient was judged to be an S-rank surgery by the System.
There was an S-rank surgery in the Department of Genitourinary Surgery? Bullsh * t. Kidney cancer and segmental nephrectomy were already the limit.
Wait, there seemed to be a kidney transplant.
But where could he find a kidney in such a short time?
The earliest case of a kidney transplant immediately appeared in Zheng Ren's mind.
In 1936, the Soviet doctor Voronoi successfully transplanted the kidney of a deceased patient with encephalitis to a 26-year-old patient with acute kidney failure due to mercury poisoning. (Note 1)
This was the first successful case of a kidney transplant between humans in the world. However, the patient did not live for more than a week after the surgery.
Because of the body's rejection.
"How is the patient's condition? Can he be saved? "Deputy Dean Yuan walked in and asked in a deep voice.
As their gazes converged, Chief Miao felt the pressure suddenly increase.
He didn't say anything and just shook his head.
"The kidney can't be saved?" Deputy Director Yuan asked. It seemed that he had a certain understanding of the patient's condition before he came.
"Yes, the left kidney was crushed. In order to maintain blood pressure, it was removed. Right kidney … "Chief Miao simply stopped and let Deputy Director Yuan take a closer look.
A tattered right kidney appeared in front of Deputy Director Yuan.
They were all clinical practitioners. They had never eaten pork before, but they had seen pigs run.
Deputy Director Yuan knew very well what a kidney was like and how difficult it was to suture it. When he saw the messy, broken kidney, he fell silent.
"Chief Miao, do your best," Deputy Director Yuan said. But in the end, he still sighed softly.
He could only try his best.
This sentence was similar to the understanding ordinary people had of surgery. When the doctor came out and said that they had tried their best, it meant that the surgery had failed, and the patient was definitely going to die.
The atmosphere in the operating theater was gloomy.
They had seen many life and death situations, so no one took it to heart. However, the boy was still very young. If they could save him, everyone wanted to try.
But …
There was a long sigh.
"If there's anything you need, just tell the hospital. We'll try our best to fight for it for you," Deputy Director Yuan said. He frowned and turned around.
Seeing this situation, he already knew what to do.
He had a clear idea of what to do next.
"The hospital has the qualifications for organ transplants, right?"
Just as Deputy Director Yuan was about to leave, a voice suddenly sounded in the operating theater.
Huh?
Organ transplants?
Deputy Director Yuan was stunned for a moment and said, "Of course."
"The patient's left kidney is completely shattered, and the right kidney should not be able to be saved. I suggest a kidney transplant," Zheng Ren said calmly as he looked at Deputy Director Yuan's back.
He did not know who Deputy Director Yuan was, nor did he know that when he was transferred to the Imperial Capital Hospital, it was Deputy Director Yuan and Director Yan who had agreed.
However, judging from his aura, this person should be the deputy director in charge of the clinical department. However, he did not know what had happened. He personally came to the operating theater to see the patient's condition.
Zheng Ren had been thinking about why the System had given him an S-rank mission standard. Shouldn't this kind of injured person be unable to be saved?
It was not until Chief Miao put down the equipment just now that everyone thought that the surgery would definitely fail and the patient would definitely die that Zheng Ren realized that the mission clearly marked the words' identical twins'.
How stupid! The kidney source was right there. Why hadn't he noticed it all this time?
Zheng Ren had a flash of inspiration. He immediately thought of the problem of organ transplants needing qualifications recognized by the country.
Therefore, he blurted out the question.
He did not care which big shot was opposite him.
Zheng Ren would forget everything when he was in the emergency department. Everything was centered on the patient. He would leave the hypocrisy and politeness for later.
"What about the kidney source?" Chief Miao was stunned for a moment and asked.
"I heard from the emergency department's chief resident who sent the radiographic films that it's a twin brother," Zheng Ren said. "We can use his kidney."
Silence reigned in the operating theater.
Chief Kong did not stop Zheng Ren. This Boss Zheng's bold and imaginative thinking had already exceeded the concept of ordinary interventional doctors.
However, what he said this time was really difficult.
However, Chief Kong immediately remembered that he had been in the emergency department of Sea City General Hospital that night. He could not remember how many surgeries Zheng Ren and his group had performed. In any case, Zheng Ren had been on the operating table all the time. It was either interventional surgery or general surgery until dawn.
It was really a talent in the wilderness.
"Are you confident?" Deputy Director Yuan did not question Zheng Ren. After all, it was a dying patient. No matter how wonderful his ideas were, it was still a way to solve the problem.
Otherwise, he could only watch the patient die.
"Joseph E. Murray, died in Boston in 2012. In 1954, he successfully completed the world's first kidney transplant. Yes, it was a success. The patient is a pair of identical twin brothers, "Zheng Ren said as he looked at Deputy Director Yuan.
"This is very similar to the problem we are facing."
Deputy Director Yuan looked at the monitor. Because the bleeding arteries had stopped bleeding, the patient's blood pressure was constantly rising.
He pondered for a moment and said, "Organize an in-hospital consultation. It's here!"
Chief Xu of the Department of Anesthesiology immediately found someone to go to the demonstration room. Then, he asked Deputy Director Yuan who he wanted to inform and began to call one by one.
The surgery was suspended.
..
..
Note 1: It was 19 years. In all kinds of information, the time is really different. Even the first kidney transplant surgery that won the Nobel Prize, in the specific literature, I found the time that was marked.
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