Chapter 318 Imperfect Kidney Transplantation

The next day.

The second-hand kidney transplant operation in the Department of Urology began under the spotlight.

The equipment for the live broadcast of the surgery had already been set up in the operating room early, and the observation room on the second floor was also crowded with doctors.

When they saw young He Rong being pushed into the operating room, everyone couldn't help but focus on him.

"It's really changed? I thought it was fake news. Today's operation was performed, and yesterday the news of changing the patient was released. The Department of Urology is really brave."

He Rong looked very young, with fair skin, and a slightly immature face that had both nervousness and expectation expressions at the same time.

He lay down on the operating table with the help of the nurse, and the anesthesiologist immediately walked to his side and placed the anesthesia mask on his face.

The anesthetic gas combined with intravenous anesthesia quickly put He Rong into a deep sleep. His muscles began to relax and his slightly frowned brows became flat.

At this moment, Director Dou and Su Jie walked into the operating room together. They silently and tacitly began to disinfect, spread drapes, put on sterile gloves and surgical gowns, and finally stood on the operating table together.

As the chief surgeon came on stage, the surgical live broadcast room was also officially connected to the Internet, and the clear images were transmitted to the eyes of countless doctors through network cables.

In a very short period of time, the number of people in the live broadcast room exceeded 10,000.

"Director Dou of the Department of Urology of Southeast Hospital. I have listened to his lectures before, and I have the impression that he is a very courageous doctor."

"You are indeed very courageous. You dare to perform such an imperfect kidney transplant in front of so many colleagues. If something goes wrong, it will really become a joke."

"I know Director Dou. Who is the young man next to you? Why should such a young doctor be an assistant for such an important operation? Wouldn't it be better to find an experienced and experienced surgeon?"

The doctors in the live broadcast room came from all over the world, and they were a little unbelievable when they saw such a young face appearing on such an important operating table.

"His name is Su Jie, the latest talent introduced by Southeast Hospital. He is not yet thirty years old this year."

There were many doctors from Badu in the live broadcast room, and soon someone recognized Su Jie and named him.

"Talent? No matter how powerful the talent is, their age is here. How can a young man under thirty years old compare with an old surgeon who has been working in the clinic for more than ten years? The operating table is not publishing papers, but experience and technology.

live."

The doctors in the live broadcast room became even more confused for a while.

The decisions made by Southeast Hospital were indeed stranger than the last. First, they temporarily changed the transplant recipient, replacing the 75-year-old man with a young man of about 20 years old.

And now we have found a young doctor under the age of thirty to come on stage to assist Director Dou in completing such an important and complex transplant operation.

What kind of medicine is sold in Southeast Hospital?

On the operating table.

Director Dou was the surgeon and Su Jie was the assistant. The kidney source was still on the way. In order to race against time and start transplantation immediately after the kidney source arrived at Southeast Hospital, the two of them had to make all preparations before then.

"Kidney transplantation can use the method of orthotopic transplantation, where the recipient's kidney is removed and then the donor kidney is transplanted in situ."

"However, considering that patients will take immunosuppressants for a long time after surgery, this will reduce the patient's immunity and weaken the coagulation function, and orthotopic transplantation will inevitably cause bleeding, so clinical kidney transplantation

Right iliac fossa transplantation is often used."

"In other words, the patient's diseased kidney is not removed, but the donor kidney is directly placed in the patient's right iliac fossa and anastomosed with the blood vessels and urethra."

"This will reduce the trauma and facilitate postoperative observation. If there is a problem with the donor kidney, the difficulty of the second operation will also be reduced a lot."

Director Dou explained some basic knowledge about kidney transplantation to Su Jie and started to do it.

An oblique incision was made in the right iliac fossa area.

The skin, subcutaneous tissue, and muscles of each layer of the abdominal wall are incised in sequence to expose the peritoneum.

Pull the ureter apart from the peritoneum, find the external iliac artery, lift it with gauze, and separate its entire length to expose the vein in front or behind it...

As the leader of kidney transplant surgery in the Urology Department of Southeast Hospital, Director Dou has impeccable surgical skills. The ultimate surgery seems to be no difficulty under his hands. If the surgery continues like this, Su Jie feels that today is a perfect demonstration surgery.

.

But everyone knows that the real difficulty of this operation has not really come yet, it is still on the way...the imperfect second-hand kidney source.

Director Dou's surgical rhythm is very precise, which is also the result of countless cooperation.

The Department of Urology of Southeast Hospital can even roughly calculate where the kidney source will arrive based on the day's traffic congestion, and the surgery will start here. Once the kidney source arrives at the hospital, the preparations for the surgery can be completed.

Just like today, the time was just right.

Director Dou had just finished all the preparations and the iliac blood vessels were completely exposed. The sliding door of the operating room slowly opened, and the nurse walked in quickly carrying the precious second-hand kidney.

The blue transport box was opened, and a white cold air suddenly rose inside. When the cold air dissipated, a dark red kidney lay quietly inside.

"This is the second-hand kidney source. It looks no different from the ordinary kidney source."

In the live broadcast room, a doctor from the Department of Urology immediately asked.

"There is definitely no problem visible to the naked eye, but after one transplant, it has suffered host death, cryopreservation, reperfusion injury after replantation, and immunosuppressive injury... It looks the same, but its essence is completely different.

."

Someone concluded: "This is an imperfect kidney source."

Director Dou carefully examined the kidney source. When he saw clearly the blood vessels of the second-hand kidney source, his face suddenly became ugly.

The previous doctor who performed the transplant really left no way out, and the blood vessels were trimmed short and incomplete. This was worse than the worst case scenario that Director Dou expected.

"Su Jie, take a look." Director Dou suddenly said to Su Jie.

Su Jie came over and carefully observed this precious second-hand kidney source. After seeing the condition of the damaged blood vessels, he pondered for a moment, then nodded slowly and said, "I am confident."

"Are you really confident?" Director Dou said with some surprise. Su Jie's answer was so quick that Director Dou had to worry that he was trying to hold on.

Su Jie raised his head, looked at Director Dou and said, "Well, I don't think it's very difficult."

Su Jie's eyes were so calm that there was no ripple. Director Dou tried his best to see something from his eyes, but he seemed to see a deep pool. No matter how deep he looked, he still found nothing.

"Then you will be the surgeon." Director Dou finally gave up on reading something from Su Jie's eyes and instead followed his own heart.

The brilliance of MDT in the emergency department convinced him that Su Jie had the ability to solve any difficult surgical situation.

At the same time, the previous simulated anastomosis of the incomplete model in the Department of Urology gave Director Dou full confidence in Su Jie's vascular anastomosis technology.

"Okay, Director Dou." Su Jie agreed directly without any shirk.

While taking advantage of the time to retrieve the kidney source, the two of them just completed the exchange of positions. Su Jie stood at the surgeon's position, holding the soft and slightly cold kidney, and carefully placed it into He Rong's iliac

In the nest.

Just when Su Jie was about to start the anastomosis, Director Dou couldn't help but remind him:

"You must be careful during the anastomosis process. This is an imperfect kidney source. Compared with other first-hand kidney sources, it is much more fragile."

Su Jie's movements only stagnated slightly, and then returned to normal. He whispered:

"fine."
Chapter completed!