902 The importance of the residual kidney
It is said that the general surgery reaches 79% completion, which is about the same.
At least, the patient will not die on the stage. After going down, everything is the ICU doctor to worry about.
The completion of this surgery has been able to ensure that the patient does not die. It's a blessing to be able to save it, what else do you want?
But that's not what Zheng Ren wants.
He looked at the test subject on the operating table, silently in a daze. I recalled the operation twice, but I couldn't find out what the problem was.
This pot must not be carried by the big pig's trotters of the system. Zheng Ren is still relatively compelling, and it must be that the surgery he did was not perfect enough, which led to the lack of completion of the operation.
But where, exactly?
Surgical training, start over.
Zheng Ren did every step carefully, trying to find the important points that the surgery missed.
However, when he finished stitching the skin, he saw that the completion of the operation was still 79%.
This is going to scold my mother.
Zheng Ren frowned, looked at the experimental subject, and didn't even dare to come out of the system operating room.
The outside is full of people, and only the operating room in the system space has a different time flow rate than the outside world, almost static. Zheng Ren usually does surgery training in the locker room, and no one will be surprised to sit there.
But today there are people outside, and it would be weird to hold one position for too long.
Waste a little, just waste a little, and there is no way not to.
Zheng Ren went through the operation twice, and there was a thought that kept circling in his mind, but he couldn't grasp it.
If this situation occurs outside, Zheng Ren will not dwell on it, but go with the flow. When it's time to think about it, it's natural to think about it.
But now that I'm in the operating room, every minute counts.
In desperation, Zheng Ren had no choice but to open another surgical training machine, preparing to make himself more proficient. And when I was doing the surgery, I wondered what I was missing.
76%……
75%……
Because I was thinking about things, the completion of the operation did not go up but down.
At the beginning of the sixth operation, Zheng Ren habitually prepared to remove the patient's remaining kidney. Suddenly, a thought tore through the dark curtain of thought like lightning.
Zheng Ren remembered what was wrong.
Director Miao asked himself how much the patient's kidneys could be retained if they were kept. Say it yourself, the adrenal pole can be preserved by up to 15%.
Once you open the head, everything else will fall into place.
Why does a kidney transplant basically not do nephrectomy, but make a "home" for the fresh kidney in the iliac fossa? It is because the original kidney will still have a certain function, more or less counted.
Moreover, glands such as adrenal glands should be preserved to avoid many diseases of the endocrine system after surgery.
Bilateral total resection, endocrine system secretion disorder, minutes can make a successful operation fail.
Thinking of this, Zheng Ren suddenly brightened.
This time, he did not directly cut off the remaining kidneys of the test subject, but repaired them little by little, trying to preserve as much kidney function and glands as possible.
But......
It's so hard.
The subject's kidneys are already shattered and in a mess, and it is quite difficult to save a certain amount of kidneys in such a situation.
After more than 10 surgeries, Zheng Ren gradually mastered the method, and the completion rate of the operation could only increase by 5% at the beginning, and finally the completion rate of the operation reached a high level of 98%!
That's it, Zheng Ren thought to himself.
Not at 100 percent, but he was satisfied. The difference of about 2% is estimated to be related to the state of the subject.
After all, it is a patient with hemorrhagic shock, and the probability of any surgery to 100% is not very high.
Seeing that urine was constantly being drawn out of the subject's urine bag, Zheng Ren was extremely relieved.
Let's go back to surgery after my surgical training.
……
Zheng Ren opened his eyes and consumed a grandmaster-level skill book, more than 20 hours of surgical training time, and it was just a blink of an eye outside.
In the corridor, the sound of flat cars sounded, and patients with severe burns were hurriedly pushed up under the protection of sterile hoods.
Director Miao had finished brushing his hands and called a professor to assist him in taking his kidney.
When leaving, he glanced at Zheng Ren and explained: "Boss Zheng, you can brush your hands on the stage first, and try to repair the residual kidney." I'll be able to finish it in more than 20 minutes, and I won't be delayed for too long. ”
After speaking, Director Miao left.
Zheng Ren recalled the operation process, and instead of brushing his hands directly, he asked Su Yun to go to the neurosurgery department to borrow a microsurgery device for himself.
"Boss, kidney transplant, you also want to be so delicate?" Su Yun was surprised.
Speaking of organ transplantation, Su Yun started much higher than Zheng Ren. What he learned and did was heart transplantation, and Zheng Ren's current level of organ transplantation was not as good as Su Yun's.
In Su Yun's view, kidney transplantation, a surgery with large blood vessels, is completely unnecessary.
"Residual kidney repair is needed. Zheng Rendao.
Su Yun was a little puzzled, but he still hurried up to borrow equipment from him.
Xiao Yiren also rushed to the operating room, and Zheng Ren brushed her hands with her.
It's a nice feeling.
In general surgery, the instrument nurse has to brush her hands on stage in advance and count the number of instruments with the itinerant nurse, so as not to miss any items such as pliers and scissors in the patient's stomach.
A long, long time ago, this happened a lot.
But since the emphasis on checking, there have been far fewer of them. Sometimes because of a hemostat clamped on a sterile sheet, the whole operating room can go crazy for an hour.
In the end, I have to scold the doctor who made the mistake for a bloody squirt.
This should be the first time to brush your hands with Xiao Yiren, Zheng Ren thought to himself.
"Zheng Ren, is it just a kidney transplant?" Shay asked.
It's just that...... Zheng Ren's expression of Xiao Yiren...... I'm very happy. If it were Su Yun, he would definitely spray him. But when Xiao Yiren said it, he was full of confidence.
"Before the kidney transplant, the residual kidney should be repaired, and as much residual kidney and adrenal gland as possible should be left. Zheng Rendao.
"Oh, I haven't seen anyone do it before. ”
"The patient is traumatic, so there's an extra step. Zheng Ren explained simply.
As he spoke, he peeked at Xiao Yiren brushing his hands.
The six-step hand washing is simple and straightforward, every step is extremely standard, and with her flawless appearance, it is completely ready to make a promotional video.
Especially when the water in the faucet falls on Xiao Yiren's white jade-like hands, the water droplets that burst up seem to have a soft fragrance.
It is like mountain spring water, tinkling and full of vitality.
After brushing his hands, Zheng Ren was still a little reluctant. But he had to hurry up and operate, and Director Miao said that he would only need more than 20 minutes to come over.
Next time, I want to wash vegetables with Xiaoyiren, Zheng Ren thought in his heart.
Brushing his hands, disinfecting, dressing, and wearing sterile gloves, Zheng Ren stood beside Yu Jianshui.
As soon as he stretched out his hand, the hemostat pliers slapped on his hand.