Because the entire hospital has moved, Zheng Ren did not face the huge troubles before the operation.
What kind of approval procedures before the organ transplant, communication and communication with the patient's family members, the family members who are crying and crying, and why this strange trauma occurs.
It’s just that two big men are at stake, and they have enough headaches to tell their families.
But fortunately, as long as you help Miao director to do a kidney transplant, it is enough.
This is also a kind of happiness. Being a simple technician, only doing surgery, is still very happy.
"Your equipment nurse, with kidney transplant, have experience?" asked Miao Director.
Now the head nurse in the operating room is taking someone to pick up another room, and patients with severe burns are sent, and then the kidney is taken.
In the middle of a small interval, everyone has already wanted to do something else. They are chatting, relaxing their nerves and preparing for an emergency kidney transplant.
"I asked." Zheng Ren is very strange. Miao Director looked at the emotions not very high, but let him go on stage, but also let the Xiaoyi people come up. This is not simply an appreciation, there should be other things in it.
Zheng Ren picked up his mobile phone and called the Xie. Su Yun is like a mouse. He walks out and waits for Zheng Ren to finish the call. He pulls Zheng Ren and wonders: "Boss, how do I feel that Miao is not right today?"
"I also have this feeling." Zheng Ren nodded and whispered, "But I don't think the risk is big."
"Be careful." Su Yun also did not understand the truth, even if there is something, there is still a high top in the sky, and there is no problem.
The director of the 912 department of surgery, will be a small doctor? Although Zheng Ren is now difficult to say that he is a small doctor, but there is no interest dispute, the possibility of this situation is very low.
Zheng Ren returned to the surgery and whispered: "Miao, she used to have two or three kidney transplants during her internship at the Magic, and she can cooperate."
"Let her come up and brush her hands." Miao Director brushed her hand and said: "I am going to take the kidneys, and look for the tube under the vascular department. On your face, go to stop bleeding, wait for me to come."
Zheng Ren still had some confusion, but did not say anything, sent a message to Xiaoyi people, let her come up.
Feeling a slight anomaly, Zheng Ren was very careful to take the break period and come to the system space.
He used the master-level skill book that he had just arrived and had not been hot for a few days, and used it in the skill tree of urology that he usually dismissed.
Looking at the skill tree is crazy, the surrounding skill trees echo each other, the blades rub against each other, and the sound of brushing and pulling sounds into a piece. Zheng Ren knows that his urology skills are only the master level, but they are much better than the general group professors. .
After all, there are masters of general surgery skills.
Hepatobiliary, gastrointestinal surgery called general surgery? Because the field that was first involved in surgery is here.
General surgery is the basis of all surgery.
Many years ago, in the third- and fourth-tier cities, general surgery was synonymous with surgery. What neurosurgery, thoracic surgery, urology, and orthopedic surgery are all bred.
Zheng Ren felt a warm current, then purchased the surgery training time and began to do the kidney transplant surgery training.
The situation he was most worried about did not happen.
In the operating room of the system, there were no two experimental bodies. Zheng Renxian took the kidneys and then did a kidney transplant. Even the skin grafting of the burn department must be done by Zheng Ren.
If so, the amount of surgery that has been stretched will be wasted.
The experimental body lay on the operating table of the system, and Zheng Ren was concentrating on the surgery.
Zheng Ren knows the surgical procedure of kidney transplantation. In fact, this operation is simple and should not be avoided. Someone can do it nearly a hundred years ago. Is there any difficulty for now?
Cut the skin, subcutaneous tissue, reveal and bluntly enlarge the right armpit.
The transplanted kidney is not placed in situ, but placed in the armpit on the right.
In the choice of the left and right azimuth, the general condition allows, the right side of the transplant will be selected, because of the inertia of the arterial shape.
The right external iliac vein was exposed, and the vascular sheath and its lymphatic vessels were cut and ligated.
The right internal iliac artery was exposed and the superior vascular sheath was dissected. The internal iliac artery of the experimental body was short, and only about 2 cm from the bifurcation of the radial artery to the branch of the internal iliac artery.
Zheng Ren took the Shake's forceps and blocked the blood flow to the right external iliac vein. Then use a sharp knife to cut a small opening in the vessel wall, rinse with heparin water, and cut it to the appropriate length with scissors. The donor kidney was placed in the right axillary fossa, and the renal vein was anastomosed to the recipient's external iliac vein.
4-point method, 6-0 nylon thread stitching.
Here is the focus of surgery!
Anastomosed the artery, Zheng Renxin thought, and the purchased microscope appeared on the top of the head.
Everything is convenient in the operating room of the system. However, Zheng Ren sometimes did not think about the four or six. He would rather live the little white fox and give himself an assistant.
Really a bit lonely.
Dozens of hundreds of surgical training, this feeling of loneliness can drive people crazy.
Ordinary kidney transplantation is an anastomosis without a microscope.
However, Zheng Ren volunteered to improve the difficulty of surgery, and the system was not banned.
Unlike capillaries, the anastomosis of large blood vessels is relatively difficult to perform.
Before the end of the anastomosis, the heparin water was rinsed, the distal internal iliac artery was double-ligated, and the proximal vascular clamp was clamped to the internal artery of the iliac crest. The heparin water was washed.
The renal artery and the recipient's internal iliac artery end-to-end anastomosis (3 points method, 6-0 nylon line intermittent suture), heparin water rinse before the end of the anastomosis, and injection of verapamil.
Zheng Ren carefully examined the blood flow of the kidney after the anastomosis of the arteriovenous anastomosis. After about 5 minutes, a little clear yellowish urine was seen from the ureteral end.
To do this, Zheng Ren took a deep breath.
Have a urine! What a special thing!
He made a fist in his right hand and expressed his excitement!
Subsequently, Zheng Ren was on the catheter, water was injected to fill the bladder, the double J tube was placed in the ureteral stump and the bladder, and the recipient ureter was anastomosed to the bladder, and the anti-reflux treatment was performed in parallel.
No active hemorrhage was seen in the examination area, and one plasma tube was placed in the perirenal and ureteral anastomosis. The scope was checked again, no active bleeding was observed, each anastomosis was examined, and the incision was closed layer by layer.
The surgery is over.
However, Zheng Ren found that the completion of surgery given by the big pig's hooves was only 79%.
I went... Zheng Ren carefully recalled that there was no problem with the operation.
Kidney transplantation surgery, the difficulty is not in surgery, but in the kidney source and matching.
The big pig's hoof is broken. How can it give a figure of 79% of the degree of surgery completion?
Recall, there are no mistakes. And anastomosed blood vessels, Zheng Ren also used neurosurgery microsurgery, more than 10 times finer than the general urology surgery.
There was no problem with the urine of the experimental body, it was pale yellow, clear and bright, and there was no bloodshot inside.
Zheng Ren is confused.
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