Because the entire hospital was in motion, Zheng Ren did not face the huge trouble before the surgery.
There were all kinds of approval procedures before the organ transplant, communication with the patient's family members, narration to the crying family members, and why there was such a strange injury.
Just the fact that the two young men were in danger and explaining their condition to their family members was enough to give them a headache.
Fortunately, he only needed to assist Chief Miao in the kidney transplant. That was enough.
This was also a kind of happiness. It was still very happy to be a simple technician and only perform surgeries.
"Does your scrub nurse have experience with a kidney transplant?" Chief Miao asked.
Now, the matron of the operating theater brought people to clean up the other operating theater. When the severely burned patient was sent over, they would open the operating theater to remove the kidney.
During the small interval in the middle, everyone did not think about anything else. They were all chatting, relaxing their tense nerves, and preparing to deal with an emergency kidney transplant surgery.
"Let me ask." Zheng Ren was very strange. Chief Miao did not seem to be in a good mood, but he still asked him to go on stage and asked Little Yiren to come up. This was no longer just appreciation. There should be something else going on.
Zheng Ren picked up his phone and called Xie Yiren. Su Yun was like a mouse as he slipped out. After Zheng Ren finished the call, he pulled Zheng Ren and asked curiously, "Boss, why do I feel that Chief Miao is not right today?"
"I feel the same way." Zheng Ren nodded and said softly, "But I don't think the risk is big."
"Be careful." Su Yun also could not understand the reason. Even if there was something, there would be someone higher up to support it if the sky collapsed. Logically speaking, there should not be any problems.
Would the dignified chief of the 912's surgery department trip up a junior doctor? Although it was difficult to say that Zheng Ren was a junior doctor now, there was no conflict of interest. The possibility of such a situation happening was very low.
Zheng Ren returned to the operating theater and whispered, "Chief Miao, she used to perform two or three kidney transplant surgeries when she was an intern in Sorcery Capital. She can cooperate."
"Let her come up and wash her hands." Chief Miao washed his hands and said, "I'll go get the kidney and find the vascular department to get the tube. On your side, go and stop the bleeding first. Wait for me. "
Zheng Ren was still a little confused, but he did not say anything. He sent a message to Little Yiren and asked her to come up.
Sensing a trace of abnormality, Zheng Ren still very carefully took advantage of the interval to enter the System space.
He used the Grandmaster Level Skill Book that he had just obtained, which had not been popular for a few days. He used it on the genitourinary surgery skill tree, which he usually did not care about.
The skill tree grew rapidly and the surrounding skill trees resonated with each other. The leaves rubbed against each other, creating a rustling sound. Although his genitourinary surgery skills were only at the Grandmaster level, they were much stronger than the average group of professors.
After all, he had the Grandmaster-level general surgery skills as a foundation.
The Department of Hepatobiliary and Pancreatic Surgery and the Department of Gastrointestinal Surgery are called General Surgery? Because this was the field that surgery first involved.
General surgery was the foundation of all surgeries.
Many years ago, general surgery was synonymous with surgery in third or fourth-tier cities. Neurosurgery, thoracic surgery, genitourinary surgery, and orthopedic surgery were all derived from general surgeries.
Zheng Ren felt a surge of warmth. He immediately purchased surgery training time and began his kidney transplant training.
What he feared the most didn't happen.
In the System's operating theater, there were no two test subjects. Zheng Ren had to remove the kidney first before performing a kidney transplant. Even the burn department's skin grafts had to be done by Zheng Ren.
If that was the case, the surgery training time, which was already stretched thin, would be wasted.
The test subject lay on the System's operating table. Zheng Ren focused and began the surgery training.
Zheng Ren knew the process of the kidney transplant surgery. In fact, this surgery was extremely simple. Nearly a hundred years ago, someone could do it. What was so difficult about it now?
The skin was cut open, the subcutaneous tissue was exposed, and the right iliac fossa was bluntly expanded.
The transplanted kidney was not placed in the original position but in the right iliac fossa.
In terms of the choice of left and right position, under normal circumstances, the right side of the transplant would be chosen because of the inertia of the artery.
The right external iliac vein was exposed, the vascular sheath and the lymphatic vessels between were cut and ligated.
The right internal iliac artery was exposed and the vascular sheath was peeled off. The internal iliac artery of the test subject was short, only about 2cm from the iliac artery fork to the internal iliac artery branch.
Zheng Ren took out the Sha forceps and blocked the blood flow of the right external iliac vein. Then, he used a sharp knife to make a small incision in the blood vessel wall, washed it with heparin water, and used scissors to cut it to a suitable length. The donor kidney was placed into the right iliac fossa, and the donor kidney vein was anastomosed with the recipient's external iliac vein.
The four-point technique, 6-0 nylon suture continuous edgelocking suture.
This was the key point of the surgery!
After anastomosing the artery, the purchased microscope appeared above Zheng Ren's head.
Everything in the System's operating theater was very convenient. However, sometimes, Zheng Ren would rather have the little white fox come back to life and be his assistant.
It was a little lonely.
The loneliness of training for dozens or hundreds of surgeries could drive a person crazy.
Ordinary kidney transplants did not require microscopic anastomoses.
However, Zheng Ren had voluntarily increased the difficulty of the surgery, and the System did not prohibit it.
Unlike capillaries, anastomoses of large blood vessels were relatively easy.
Before anastomoses, the distal internal iliac artery was doubly ligated, and the proximal superior vascular clamps were used to cut the internal iliac artery and irrigate it with heparin water.
The donor kidney artery was anastomosed with the recipient's internal iliac artery (three-point technique, 6-0 nylon suture). Before anastomoses, heparin water was rinsed and verapamil was injected.
Zheng Ren carefully examined the arteriovenous anastomoses and opened the kidney blood flow. About five minutes later, a small amount of clear yellow urine flowed out of the broken ureter.
Zheng Ren let out a long sigh.
There was urine! This was f * cking great!
He clenched his right fist to express his excitement!
Then, Zheng Ren put on the urethral catheter and filled the bladder with water. He placed the double-J tube into the broken end of the ureter and the bladder, anastomoses the recipient ureter and the bladder, and anti-reflux treatment.
There was no active bleeding in the surgical field. A plasma tube was placed around the kidney and ureteral anastomosis. He checked the surgical field again. There was no active bleeding. He checked the anastomosis and closed the incision layer by layer.
The surgery was over.
However, Zheng Ren found that the surgery completion rate given by the System was only 79%.
F * ck … Zheng Ren recalled carefully. There was no problem with the surgery.
The difficulty of a kidney transplant was not in the surgery, but in the kidney source and matching.
Was the System broken? Why did it only give a figure of 79% completion rate of the surgery?
Thinking back, there were no mistakes. Moreover, Zheng Ren had used neurosurgical microsurgery methods to anastomose the blood vessels. It was more than 10 times more precise than ordinary urology surgery.
There was no problem with the simulation mannequin's urine. It was light yellow, clear, and there was no trace of blood in it.
Zheng Ren was confused.
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