325: Incomplete vascular anastomosis
Chapter 316
Organ transplant surgery is a surgery that requires sacrifice.
In order to prevent some illegal operations from occurring, my country abolished the regulations on the use of organs from executed prisoners in the early years.
This means that most of the organ sources are provided by end-stage patients.
Su Jie always heard people say that human nature is inherently evil, and the flower of evil grows on the cold soil deep in everyone's heart.
But when it comes to organ transplantation, the brilliance of human kindness is like a pink diamond in black sand and cannot be concealed at all.
The patient on the verge of death, overlooking the bottomless abyss, still remembers a stranger somewhere in the world.
The patient's family members endured the pain of the death of their loved ones, crying to the point of breaking their hearts. They held each other's still-warm hands, but they had to sign the consent form immediately.
This is an operation that requires sacrifice.
But at the same time, sacrifice is definitely meaningful.
After repeatedly confirming Hu Sen's idea, Su Jie immediately contacted Director Dou.
Changing the transplant recipient two days in advance sounds like a very complicated matter that requires the coordination of many parties.
But as Director Dou said, as long as the kidney source is not put into the patient's body, everything can be mediated.
Just leave the arrangements for the surgery to Director Dou. After Su Jie accompanied Hu Sen back to the Department of Urology, he returned to the dormitory.
After saying good night to Du Annan, Su Jie lay on the bed, closed his eyes, and then entered the space of the virtual operating room.
My mind sank into a black world, and the only light was the shadowless lamp on the operating table.
Su Jie did not rush to start practicing. Instead, he took advantage of the quiet space of the virtual operating room, sat cross-legged on the floor, and began to think about the transplant surgery the day after tomorrow.
Second-hand kidney transplantation is of great significance, as can be seen from the popular blog post of Xiangyuan.
Although there have been second-hand kidney transplant surgeries before, this is probably the first time Southeast Hospital has performed a transplant under such intense publicity.
Once this operation is successful, it will undoubtedly boost the confidence of major hospitals in second-hand kidney transplantation, which means that future patients with renal failure will have another important source of kidneys.
Su Jie couldn't help but think of a possibility. Both Hu Sen and He Rong had waited five years to receive such a precious type O kidney. But if He Rong's operation was very successful, second-hand kidney transplantation would be recognized by the industry.
, then is it possible that Hu Sen will wait for a precious O-type second-hand kidney source in the next few years?
All I can say is that it is possible.
Although the ending of the hero's sacrifice is very exciting, if placed in the real world, Su Jie would still prefer a family-friendly ending.
"The basis for all this to happen is the smooth success of the surgery the day after tomorrow."
Thinking of this, Su Jie started from the ground and walked to the operating table.
On the virtual operating table, the kidney transplant surgery model lay quietly there. Su Jie had practiced on it countless times during this period, and it could be said that he was extremely familiar with it.
But today, Su Jie felt that he wanted to transform it a little bit.
"The system, the renal artery is randomly cropped, simulates the status of second-hand kidney transplantation."
[Simulating, please wait...]
[The simulation is completed, the renal arteries are randomly cut, and the anastomosis difficulty increases by 10%]
Su Jie heard Director Dou say before that compared with other organ transplant surgeries, kidney transplantation is relatively entry-level.
The operation is not difficult and the risks are not high.
But if you encounter patients with vascular malformations, it will be a bit more difficult.
Second-hand kidney transplantation is a very typical vascular malformation.
In previous kidney transplant surgeries, no surgeon would operate with the thought that "this kidney may have a third owner." Therefore, the trimming of each blood vessel was only based on the needs of the immediate surgery.
Just like the kidney transplant surgery model in the simulated operating room of the Department of Urology, the renal artery is trimmed to a very short size and the section is extremely uneven. It is very unfriendly to the next doctor who wants to simulate and practice kidney transplant surgery.
But it is a simulated operating room after all, and the final destination of the over-tortured model is the trash can, but what should we do with the second-hand kidney source?
Even if the blood vessels were badly damaged by the previous surgeon, facing such a precious gift, the doctor who took over could only perform the anastomosis with tears in his eyes.
With the shadowless light pointed at the surgical field, Su Jie took the sutures and began to try to anastomose the blood vessels, which was 10% more difficult.
It has to be said that Su Jie's talent in suturing is indeed remarkable. When he first arrived in the emergency department, Su Jie slowly gained a foothold by relying on tendon suturing with one hand.
Although the difficulty of vascular anastomosis has gone up a level compared to tendon suturing, after all, Su Jie at this time is no longer the cute intern who just entered the clinic.
The needles and threads were flying, and the slender sutures grafted a kidney that originally belonged to another person into another person's body bit by bit.
Whether the blood vessel anastomosis is good or not directly determines the completion of the organ transplant operation.
The 10% difficulty did not seem to be a big obstacle for Su Jie. After a while, the blood vessels were anastomosed and dark red blood began to flow through them without any leakage.
【The 10% matching difficulty challenge was successful, do you want to increase the difficulty?】
"Improve." Su Jie said solemnly.
[Vessel trimming is completed, vasospasm occurs randomly, and the difficulty has been raised to 40%]
The system seemed to sense Su Jie's disdain for the 10% difficulty, and directly raised the difficulty to 40%, and also added the possibility of sudden vasospasm at any time.
Arterial spasm causes the smooth muscle of the blood vessel wall to contract strongly, causing the lumen to suddenly narrow, and the originally soft and elastic blood vessels to instantly become stiff and deformed.
This is very critical for anastomosis and suturing during surgery.
It can be said that once severe and persistent vasospasm occurs, no matter how skilled the doctor is in suturing, he can only look at the tense and deformed blood vessels and be helpless.
To avoid the occurrence of vasospasm, on the one hand, an anesthetic such as procaine can be used to infiltrate the blood vessels, but more importantly, the surgeon must operate concisely and effectively to minimize the stimulation of the blood vessels.
The difficulty suddenly increased by 40%, and at the same time, there was pressure that could cause vasospasm at any time. Su Jie became more cautious in his operations, and the needle and thread jumped between the incomplete blood vessels dexterously, like an elf.
However, no matter how careful he was, the first attempt still caused vasospasm. The fatal thing was that at the moment of vasospasm, Su Jie had just inserted the needle halfway.
The blood vessels tensed up without warning. The blood vessels suddenly locked and stiffened. Su Jie clearly felt that the needle in his hand seemed to be 'stuck' in the blood vessels, and the soft texture instantly became as tough as skin.
[40% difficulty challenge failed, do you want to continue? 】
"continue."
Su Jie let out a gentle breath, pinched his knuckles, and started knitting together again.
I don’t know how long it took, how many times I experienced vasospasm, and I don’t know how many times I successfully anastomized the damaged blood vessels. Su Jie seemed to be tireless, and his operations became more and more skillful and sophisticated.
until.
【100% matching difficulty challenge successful, do you want to increase the difficulty?】
Su Jie was stunned. Is there any higher difficulty than 100% difficulty?
Chapter completed!