The system takes me for surgery

Chapter 219: In Operation

"What about now?" Xiao Wen asked.

"Not anymore, I'm used to it. Sometimes when transfer patients go to a higher-level hospital in the middle of the night, they can fall asleep in the car when they come back." Shan Linfei said with a smile.

She put the organ transfer box on her lap, clubbed her hands, and kept looking at Xiao Wen.

Xiao Wen looked at the glass on the ambulance window and asked, "Is there something dirty on my face?"

Shan Linfei looked at Xiao Wen's face and said, "No, I think you look good."

"I just thought you were beautiful. The first time I saw you, I couldn't help looking at you for a long time." Xiao Wen's words were not adulterated.

Both of them are very beautiful, but their temperaments are completely different. Shan Linfei has the smell of books, and one can tell at a glance that this girl is not low-educated and knowledgeable, while Xiao Wen will give people a cold and glamorous feeling, and feel that this woman is not simple , There is a powerful aura that ordinary men dare not approach between his eyebrows and eyes.

Shan Linfei likes Xiao Wen's cool feeling, which is something she is not born with, because her parents have arranged for her properly since she was a child, and she just needs to implement it seriously, but Xiao Wen envies Shan Linfei Only with a good family background can there be such a fresh smell of books, which is something she can no longer have in her life.

As soon as the chatterbox opened, Xiao Wen's tension gradually eased. Girls, there are always many topics, from beauty makeup to skin care, to clothing, some endless topics.

Chatting and chatting, they came to the Organ Donation Management Center. After registering, a staff member in a blue isolation suit took them to the organ storage room, which was filled with white and blue clothes, like a biological experiment. Everyone in the room wears protective clothing and goggles.

The staff put the kidney source into the organ transfer box, and told Shan Linfei and the others: "This is a 25-year-old guy, also a doctor. He was hit by a truck after working the night shift. After five days of rescue, he still left. I hope he His great love can make the recipients live a healthy life."

"Thank you." The two said in unison.

When Shan Linfei and Xiao Wen heard what the staff said, they felt an indescribable feeling in their hearts.

Another continuation of life after organ transplantation, the recipient has the responsibility to make the life of the donor more meaningful.

The two of them were silent for a moment, and Shan Linfei took over the organ transfer box.

Xiao Wen watched Shan Linfei take the transfer box carefully, and asked, "Is there only one kidney transplant needed?"

Shan Linfei explained: "Only one kidney transplant is enough, because the kidney has a very strong compensatory ability. Under the condition of normal kidney function, one kidney can bear the physiological needs of the body. This is why only kidney transplantation A kidney cause."

"So that's the case, is the question I asked really stupid?" Xiao Wen asked with some embarrassment.

"Sister Wen, it's normal for you to not understand this professional knowledge. Another kidney from that donor can also be given to another helpful recipient."

"Well, then I see, this will save two lives."

"Yes."

The two of them carefully sent the kidney source back to the affiliated hospital. Liang Yi and the others were already undergoing surgery.

All of them were replaced with front-line medical staff. This is the dean's thanks to Xiao Wen for his rescue.

Liang Yi is the chief surgeon, and Shan Linfei is the first assistant.

Xiao Wen was allowed to look through the glass window and the big screen outside the operating room, and could see the real-time situation of the operation on multiple screens.

Liang Yi has full confidence in this operation, because he has performed this operation no less than [-] times in the system in just two days.

He made the right incision, and the iliac vessels are exposed more superficially than the left side, which is relatively easier to operate and can shorten the operation time and reduce the probability of infection.

Make an oblique incision, incise the skin along the lateral edge of the rectus abdominis at the level of the umbilical cord, and end at the level of the anterior superior iliac spine in an arc inwards to the two transverse fingers above the midpubic symphysis.

The longitudinal part exposes the aponeurosis of the external oblique muscle, cuts the outer edge of the flat rectus sheath, cuts the transverse fascia to see the peritoneum; cuts the external oblique muscle and rectus fascia in the transverse part, and retracts the rectus abdominis muscle fibers.

Coming here has already completed the first step, and the next step is to remove the old kidney.

Although Xiao Wen wanted to watch it very much, she was still a little scared to see such a scene. Seeing Shan Linfei and Liang Yi's perfect cooperation, every time Liang Yi reached out, she knew what to hand him.

Xiao Wen knew that it took countless times of cooperation to have such a tacit understanding, she thought to herself, Lin Fei is really an excellent girl.

Liang Yi used an automatic spreader to expose the iliac fossa, cut open the fascia of the iliac artery sheath, and revealed the connecting area of ​​the internal and external iliac arteries, and then removed the old kidney.

Both Liang Yi and Shan Linfei looked at the camera and smiled. Although they were covered by masks, it did not affect their smiles at all. They were telling Xiao Wen that everything is going well and there is no need to worry.

After carefully identifying the location of the donor kidney's arteries and veins and the ideal anastomosis position, in order to avoid rewarming the donor kidney during the implantation process, he put the donor kidney into a kidney bag containing crushed ice. Cut a small hole in the middle to lead out the renal artery and vein, paying attention to the upper and lower ends of the kidney.

This step is very critical. In Liang Yi's hands, this kidney is as important as a robot's energy battery. Only with this kidney installed can Xiao Wu continue to live healthily.

At this point, the old kidney needs to be removed and replaced with a new one.

Artery connection is the most difficult of several operations. The renal artery needs to be anastomosed end-to-end with the internal iliac artery. When the internal iliac artery is anastomosed, the diameter of the recipient’s internal iliac artery is often larger than that of the donor renal artery, and the donor renal artery needs to be anastomosed The oblique cut was made to be similar to the caliber of the internal iliac artery, so that the blood vessel after anastomosis was bent in an arc to facilitate smooth blood flow.

After the anastomosis was completed, Liang Yi blocked the proximal end of the renal artery with a pug clip, tried to open the anastomosis, and checked whether there was blood leakage on the anastomosis and the wall of the renal artery. After confirming that there was no bleeding, he withdrew the pug clip.

Next comes the veins and ureters.

He looked up at Xiao Wen again to relieve the stiff muscles in his neck.

She slowly freed the external iliac vein and blocked both ends of the external iliac vein with Sardinian forceps. According to the caliber of the broken end of the renal vein, a small oval iliac vein of similar size was excised at the selected part of the external iliac vein. The wall of the external vein was anastomosed end-to-side between the renal vein and the iliac vein.

The next step is to verify the blood perfusion. Whether the operations just now are effective or not will have results immediately under this test.

Shan Linfei first opened the vein and then the artery, and released the renal vein blocking forceps first to avoid excessive tension in the kidney.Release the pug clip that blocks the renal artery to restore blood perfusion to the kidney. The kidney can immediately turn pink and feel pulsating.

After the blood flow of the transplanted kidney was opened, the transplanted kidney was rosy in color and had good tension. Urine flowed out from the ureter, and the blood supply of the transplanted kidney and ureter was good. Urinary tract reconstruction was performed next.