Chapter 901 The Importance of the Residual Kidney
It is said that for general surgery, 79% of the completion rate is about the same.
At least, patients don't die on stage. After going down, ICU doctors worry about everything.
The degree of completion of this operation has been able to ensure that the patient does not die. It's a blessing to be able to be saved, what else can I ask for?
But this is not what Zheng Ren wants.
He looked at the experimental subject on the operating table, silently in a daze. I recalled the operation process twice, but I couldn't find out where the problem was.
This blame must not be carried by the big pig's trotters of the system. Zheng Ren is still quite predictable. It must be that the operation he performed was not perfect, which led to the insufficient degree of completion of the operation.
But where?
Surgery training, start over.
Zheng Ren took every step carefully, trying to find the important points missed by the operation.
However, when the skin was sutured, he saw that the completion rate of the operation was still 79%.
This is going to be scolding.
Zheng Ren frowned, looking at the experimental subject, he didn't even dare to leave the operating room of the system.
There are people outside. In the system space, only the time flow rate of the operating room is different from the outside world, and it is almost static. Zheng Ren usually does surgery training in the locker room, sitting there blankly, no one will express surprise.
But today there are people outside, it will be weird if you stay in one position for too long.
If you waste it, just waste it, there is no other way.
Zheng Ren went through the operation process twice more, and there was a thought that kept circling in his mind, but he couldn't grasp it.
If this situation happened outside, Zheng Ren would not bother with it, but let nature take its course. When it's time to remember, I will naturally think of it.
But now that I am in the operating room of the system, every minute is extremely precious.
Helpless, Zheng Ren had no choice but to start another surgery training session, preparing to make himself more proficient in techniques. And when doing the operation, I wondered what I missed.
76%...
75%...
Because I was thinking about things, the degree of completion of the operation did not increase but decreased.
The sixth operation began, and Zheng Ren was habitually preparing to remove the patient's remaining kidney. All of a sudden, a thought tore through the dark curtain of thinking like lightning.
Zheng Ren remembered what was wrong.
Director Miao asked himself, if the patient's kidneys were preserved, how much could be preserved. According to myself, up to 15% of the upper pole of the kidney can be reserved.
Once you open your head, everything else falls into place.
Why is nephrectomy basically not performed for kidney transplantation, but a "home" for fresh kidneys in the iliac fossa? It is because the original kidney still has a certain function, more or less.
Moreover, it is best to keep glands such as the adrenal glands to avoid many diseases of the endocrine system after surgery.
Complete bilateral resection and the secretion disorder of the endocrine system will cause a successful operation to fail in minutes.
Thinking of this, Zheng Ren suddenly became enlightened.
This time, he did not directly cut off the remaining kidney of the experimental subject, but repaired it bit by bit, trying to keep as much kidney function and glands as possible.
But……
so hard.
The kidneys of the experimental subject had been broken into a mess, and it was quite difficult to keep a certain amount of kidneys under such circumstances.
After more than ten surgical trainings, Zheng Ren gradually mastered the method, and the completion rate of the operation was only increased by 5% at the beginning, and the completion rate reached a high level of 98% in the end!
That's it, Zheng Ren thought to himself.
Although not 100%, but he is satisfied. The difference is about 2%, which is probably related to the state of the experimental subject.
After all, it is a patient with hemorrhagic shock, so the possibility of 100% success in any operation is not very high.
Zheng Ren was extremely relieved to see the urine continuously coming out of the test subject's urine bag.
Finish your surgical training and go back.
...
Zheng Ren opened his eyes, consumed a master-level skill book, and spent more than 20 hours of surgical training, just blinking outside.
In the corridor, the sound of a flatbed car sounded, and the severely burned patient was hurriedly pushed up under the protection of a sterile cover.
Director Miao had finished brushing his hands, and called a professor to help him get the kidney.
When he was leaving, he glanced at Zheng Ren, and said again: "Boss Zheng, you should get on stage first, and try to repair the remaining kidneys. I can finish it in about 20 minutes on my side, and it won't take too long of."
After speaking, Director Miao left.
Zheng Ren recalled the operation process, instead of brushing his hands directly, he asked Su Yun to go to the neurosurgery department to borrow a microsurgery equipment for himself.
"Boss, you have to be so meticulous about kidney transplantation?" Su Yun was surprised.
When it comes to organ transplantation, Su Yun started much higher than Zheng Ren. What he studied and did was heart transplantation. Zheng Ren's current level of organ transplantation is not as good as Su Yun's.
In Su Yun's view, kidney transplantation, an operation with thick blood vessels, is completely unnecessary.
"Residual kidney needs to be repaired." Zheng Ren said.
Su Yun was a little puzzled, but he still took the time to borrow equipment for him.
Xiao Yiren also rushed to the operating room, and Zheng Ren brushed her hands together.
This feeling is really good.
In general operations, the equipment nurses have to brush their hands on the stage in advance, and count the number of equipment with the itinerant nurses, so as not to leave items such as pliers and scissors in the patient's stomach.
A long time ago, this kind of thing happened often.
But since the emphasis on checking, it has been much less. Sometimes because of a hemostat clamped on a sterile drape, the whole operating room can search like crazy for an hour.
In the end, I have to scold the doctor who made a mistake.
This should be the first time brushing hands with Xiao Yiren, Zheng Ren thought to himself.
"Zheng Ren, is it just a kidney transplant?" Xie Yiren asked.
It's just... Zheng Ren's expression to Xiao Yiren... is sincerely happy. If it was Su Yun, he would definitely spray him. But when Xiao Yiren said it, she was full of confidence.
"Before the kidney transplant, we need to repair the remaining kidney, and try to leave as many remaining kidneys and adrenal glands as possible," Zheng Ren said.
"Oh, I've never seen anyone do it before."
"The patient is traumatized, so there is an extra step." Zheng Ren simply explained.
As he spoke, he peeked at Xiao Yiren brushing his hands.
The six steps of washing hands are simple and clear, each step is extremely standard, and with her flawless appearance, she can be used as a promotional film.
Especially when the water from the faucet fell on Xiao Yiren's white hands like jade, the splashed water seemed to carry a soft fragrance.
Like mountain spring water, ding ding dong dong, full of vitality.
After brushing his hands, Zheng Ren was still a little bit reluctant. But that side needs to hurry up for surgery. Director Miao said that he can come over in just over 20 minutes.
Zheng Ren thought about washing vegetables with Xiao Yiren next time.
After brushing his hands, disinfecting them, putting on his clothes, and putting on sterile gloves, Zheng Ren stood beside Yu Jianshui.
As soon as he stretched out his hand, the hemostatic forceps patted on his hand.