Because the whole hospital was moving, Zheng Ren didn't face those huge troubles before the operation.

What are the various approval procedures before the transplantation, communicating with the patient's family, talking to the family members who are crying bitterly, and why this strange trauma occurs.

Just the two young men are in danger, and explaining their condition to their families is enough to give them a headache.

But fortunately, as long as I assisted Director Miao in kidney transplantation, it was enough.

This is also a kind of happiness, and it is still very happy to be a simple technician and only do surgery.

"Do you have any experience in kidney transplantation?" asked Director Miao.

Now the head nurse in the operating room is taking people to clean up another operating room, waiting for the patients with severe burns to be brought in, and then the table is opened to retrieve the kidney.

During the small interval, everyone didn't want to do anything else, they were all chatting, relaxing their tense nerves, and preparing for an emergency kidney transplant.

"I'll ask. Zheng Ren was very strange, Director Miao didn't look very emotional, but he let himself come to the stage and let Xiao Yiren come up. It's not just appreciation, there should be something else going on in it.

Jung Ren picked up his phone and called Shay. Su Yun slipped out like a mouse, and when Zheng Ren finished calling, he grabbed Zheng Ren and said suspiciously: "Boss, why do I think Director Miao is wrong today." ”

"I feel that way too. Zheng Ren nodded and whispered, "But I don't think it's too risky." ”

"Be careful. Su Yun couldn't figure out the reason, even if there was something, the sky would fall and there would be a high top, so it was said that there would be no problems.

Although Zheng Ren can hardly be said to be a small doctor now, there is no entanglement of interests, and the possibility of such a situation is very low.

Zheng Ren returned to the operating room and whispered, "Director Miao, she has undergone two or three kidney transplant surgeries when she was interning in the Demon Capital in the past, and she can cooperate. ”

"Let her come up and brush her hands. Director Miao brushed his hands and said, "I'll go to get the kidney, and by the way, find a tube from the vascular department." On your side, go and stop the bleeding first, and wait for me to come. ”

Zheng Ren was still a little confused, but he didn't say anything, and sent a message to Xiao Yiren to ask her to come up.

Feeling the slightest abnormality, Zheng Ren still took advantage of the interval to come to the system space very carefully.

He used the Grandmaster-level skill book that had just arrived and had not been hot for a few days, and used it on the skill tree of urology, which he usually disdained at all.

Watching the skill trees grow wildly, the surrounding skill trees echoing each other, the leaves rubbing against each other, and the sound of brushing and pulling resounded, Zheng Ren knew that although his urology skills were only at the level of a grandmaster, they were much stronger than ordinary group professors.

After all, there are master-level general surgery skills to pave the way.

Hepatobiliary and gastrointestinal surgery is called general surgery, because this is the first field of surgery.

General surgery is the foundation of all surgery.

Many years ago, in third- and fourth-tier cities, general surgery was synonymous with surgery. Neurosurgery, thoracic surgery, urology, and orthopedic surgery are all conceived from the general public.

Zheng Ren felt a warm current, and immediately purchased surgical training time and began to do surgical training for kidney transplantation.

His worst fears didn't happen.

In the operating room of the system, there were no two experimental subjects, and Zheng Ren was asked to take the kidney first, and then do a kidney transplant. Even the skin grafting in the burn department had to be done by Zheng Ren.

In that case, a lot of time will be wasted in the already stretched surgical training time.

The subject lay on the operating table of the system, and Zheng Ren concentrated and began surgical training.

The surgical process of a kidney transplant, Zheng Ren knows. In fact, this surgery is simple, don't want it. Someone could have done it nearly a hundred years ago, but is there any difficulty for it now?

The skin is incised, and the subcutaneous layers of tissue are exposed and bluntly enlarged in the right iliac fossa.

The transplanted kidney is not placed in situ, but in the right iliac fossa.

In the choice of left and right orientation, the right graft will be selected if the situation allows, because of the inertia of the arterial shape.

The right external iliac vein is exposed, and the vascular sheath and its interlymphatic vessels are cut and ligated.

The right internal iliac artery was exposed, and the superior vascular sheath was peeled off, and the internal iliac artery was short, only about 2 cm from the bifurcation of the iliac artery to the branch of the internal iliac artery.

Zheng Ren took Sha's forceps to block the blood flow in the right external iliac vein. Then use a sharp knife to cut a small infusion in the blood vessel wall, rinse with heparin water, and cut it to a suitable length with scissors. The donor kidney is placed into the right iliac fossa, and the donor renal vein is anastomosed to the recipient's external iliac vein.

4-point method, 6-0 nylon thread continuous seam stitching.

Here's the point of the surgery!

Anstomosis artery, Zheng Ren's heart moved, and the microscope he bought appeared on the top of his head.

In the operating room, everything is convenient. However, Zheng Ren sometimes doesn't think about it, and would rather that little white fox come back to life and be his assistant.

It's really a bit lonely.

Dozens or hundreds of surgical training, this feeling of loneliness can drive people crazy.

Ordinary kidney transplantation is anastomosed without a microscope.

But Zheng Ren voluntarily increased the difficulty of the operation, and the system did not prohibit it.

Unlike capillaries, anastomosis of large vessels is relatively difficult to operate.

Before the end of anastomosis, heparin water irrigation, double ligation of the distal internal iliac artery, two proximal upper vascular clamps, severance of the internal iliac artery, and heparin water irrigation.

The donor renal artery and the recipient's internal iliac artery were anastomosed end-to-end (3-point method, 6-0 nylon suture intermittent suture), and heparin water was flushed before the anastomosis was completed, and allopulsine was injected.

After careful examination, Zheng Ren found that there was no blood leakage from the arteriovenous anastomosis, and then opened the blood flow of the kidneys, and about 5 minutes later, a little clear and yellowish urine flowed from the broken end of the ureter.

Doing this, Zheng Ren breathed a sigh of relief.

It's so good!

He clenched his right hand into a fist and expressed his excitement!

Then Zheng Ren put on the urinary catheter, injected water to fill the bladder, inserted the double J tube into the broken end of the ureter and the bladder, and anastomosed the recipient ureter with the bladder, and underwent anti-reflux treatment.

There was no active bleeding in the surgical area, and a plasma tube was placed around the renal area and around the ureteral anastomosis. The surgical area was examined again, and no active bleeding was found, and the anastomosis was examined, and the incisions were closed layer by layer.

The surgery is over.

However, Zheng Ren found that the completion rate of the operation given by the big pig's trotters was only 79%.

I'll go...... Zheng Ren recalled carefully, the operation was no problem.

The difficulty of kidney transplantation is not in the operation, but in the source and matching of the kidney.

The big pig's trotters are broken, how can you give such a number as 79% of the completion of the operation?

In retrospect, there were no mistakes. Moreover, Zheng Ren also used the microsurgical method of neurosurgery, which is more than 10 times more refined than the operation of general urology.

There was nothing wrong with the subject's urine, it was pale yellow, clear and shiny, and there was no blood in it.

Jung in was confused.