Chapter 901: Why Only 79% Completed?
Translator: EndlessFantasy Translation Editor: EndlessFantasy Translation
Because the entire hospital was moving, Zheng Ren did not face those troublesome matters before the surgery.
These included the various approval procedures before the organ transplant, communicating with the patient’s family members, talking to the family members who were crying bitterly, and explaining why there were such strange external injuries.
Just the fact that the two young men were on the verge of death and had to explain their condition to the family members was enough to give them a headache.
Fortunately, he only needed to a.s.sist Chief Miao in the kidney transplant.
This could also be considered a blessing. It was still very happy to be a simple technician who only performed surgeries.
“Does your scrub nurse have any experience in matching a kidney transplant?” Chief Miao asked.
The matron of the operating theater brought people to clean up the other operating theater. They waited for the patients with severe burns to be sent over before they opened the operating theater to take out the kidneys.
During the small intermission, everyone was already thinking about nothing else. They were all chatting, relaxing their tense nerves, and preparing for an emergency kidney transplant operation.
“Let me ask.” Zheng Ren was very curious. Chief Miao did not seem to be in a good mood, but he asked him to go on stage; he even asked Little Yiren to go on stage. This was no longer a simple appreciation. There was something else going on.
Zheng Ren picked up his phone and called Xie Yiren. Su Yun slipped out like a mouse. When Zheng Ren finished the call, he pulled Zheng Ren and said in puzzlement, “Boss, why do I feel that Chief Miao is not right today?”
“I have the same feeling.” Zheng Ren nodded and said in a low voice, “But I don’t think the risk is high.”
“Be careful.” Su Yun also did not understand the reason. Logically speaking, there should not be any problems.
Would the grand chief of surgery of the 912 cause trouble for a junior doctor? Although it was difficult to say that Zheng Ren was a junior doctor now, without the conflict of interests, the possibility of such a situation happening was very low.
Zheng Ren returned to the operating room and said in a low voice, “Chief Miao, when she was an intern in the Sorcery Capital, she performed two or three kidney transplants. She can cooperate.”
“Make her come up and scrub in.” Chief Miao scrubbed his hands and said, “I’ll go get the kidney and find the vascular department to re-establish the venous channel. 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 the slight abnormality, Zheng Ren carefully took advantage of the break period to enter the System s.p.a.ce.
He used the grandmaster-level skill book that he had just obtained and had not used for a few days. He used it on the Skill Tree of the Department of Genitourinary Surgery, which he usually did not care about.
As he watched the skill tree grow crazily, the surrounding skill trees responded to each other. The leaves rubbed against each other, and the sound of rustling could be heard. Zheng Ren knew that, although his skill in the Department of Genitourinary Surgery was only at the grandmaster level, it was much stronger than the average leading professor.
After all, he had the skills of a legend in general surgery to pave the way.
Was the Department of Hepatobiliary and Gastrointestinal Surgery called the General Surgery Department? Because this was the area where surgery was first involved.
The General Surgery Department was the foundation of all surgeries.
Many years ago, in third-and fourth-tier cities, the General Surgery Department was considered the synonym for surgery. Neurosurgery, thoracic surgery, genitourinary surgery, and orthopedic surgery were all born out of the General Surgery Department.
Zheng Ren felt a warm current. He immediately bought the time for the surgical training and began the surgical training for the kidney transplant.
The situation that he was most worried about did not happen.
The simulation mannequin did not appear in the operating theater of the System. He wanted Zheng Ren to take out the kidney first and then do the kidney transplant. He even wanted Zheng Ren to do the skin graft for the Burn Department.
If that was the case, the time for surgical training, which was already stretched to the limit, would be greatly wasted.
The simulation mannequin lay on the operating table. Zheng Ren focused his mind and began the surgery training.
Zheng Ren knew the process of the kidney transplant. In fact, this surgery was very simple. Someone had been able to do it nearly a hundred years ago. Was there any difficulty in doing it now?
The skin was cut open. The layers of tissue under the skin were exposed and the right iliac fossa was enlarged.
The transplanted kidney should be placed in the right iliac fossa instead of the original position.
The right iliac fossa was usually the choice of the left and right position because the artery was out of shape.
The right external iliac vein was exposed and the blood vessel sheath and the lymphatic vessels were cut and ligated.
The right internal iliac artery was exposed and the superior blood vessel sheath was peeled off. The simulation mannequin’s internal iliac artery was short. It was only about 2 cm from the bifurcation of the iliac artery to the bifurcation of the internal iliac artery.
Zheng Ren took a pair of Shah forceps and blocked the blood flow of the right external iliac vein. Then, he used a sharp knife to cut a small incision in the wall of the blood vessel. He rinsed it with heparin water and used scissors to cut it to a suitable length. He placed the donor kidney into the right iliac fossa and anastomosed the donor kidney vein with the recipient’s external iliac vein in an end-to-side anastomosis.
4-point method, 6-0 nylon thread continuous edge-locking suture.
This is the key point of the surgery!
After the artery was anastomosed, Zheng Ren thought of something and the microscope he bought appeared above his head.
Everything was very convenient in the operating theater. However, Zheng Ren sometimes did not have to think about it. He would rather that little white fox come back to life and be his a.s.sistant.
It was really a little lonely.
Tens or hundreds of surgeries had been practiced. This kind of lonely feeling could drive people crazy.
Ordinary kidney transplants did not need a microscope to perform anastomosis.
However, Zheng Ren had voluntarily increased the difficulty of the surgery, and the System did not forbid it.
Unlike capillaries, anastomosis of large blood vessels was relatively easy to perform.
Before the anastomosis was completed, the heparin was rinsed, and the distal internal iliac artery was double ligated. There were two clamps on the proximal end of the internal iliac artery. The internal iliac artery was cut off, and the heparin washed.
He anastomosed the donor renal artery and the recipient’s internal iliac artery at the end of the anastomosis. Then, he performed a three-point method and interrupted the suture with 6-0 nylon thread. Before the anastomosis was over, he washed the heparin with water and infused with verapamil.
Zheng Ren checked carefully and saw that the renal blood flow was opened after no blood leakage at the arteriovenous anastomosis. About five minutes later, he saw a small amount of clear light yellow urine flowing out from the end of the ureter.
Having done this, Zheng Ren heaved a sigh of relief.
Urine! Good!
He clenched his right hand into a 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. He anastomosed the recipient ureter with the bladder in a nipple-like manner and treated it with anti-reflux.
There was no active bleeding in the examination area. A plasma tube was placed around the kidney and around the urethral anastomosis. When he checked the operating area again, there was no active bleeding. He checked the anastomoses and closed the incision layer by layer.
The operation was over.
However, Zheng Ren found that the surgical progress bar given by the System was only 79%.
‘d.a.m.n…’ Zheng Ren thought about it carefully. There was no problem with the operation.
The difficulty of kidney transplantation was not in the operation, but in the kidney source and the matching type.
Was the System broken? Why was the surgical progress bar only 79%?
Thinking back, there were no mistakes. Moreover, Zheng Ren used the neurosurgery’s microsurgery method to anastomose the blood vessels. It was more than 10 times more detailed than the usual surgery in the Genitourinary Surgery Department.
There was nothing wrong with the urine of the experimental subject. It was light yellow, clear and bright, and there were no blood vessels in it.
Zheng Ren was confused.