Chapter 38 Kidney Replacement Surgery
“Is the video on?”
Liu Xin looked to his side, with Miao Xiu as his second assistant in this operation.
“The recording has already started, what happened to you today? Don’t you usually care about it? Also, you secretly ask for so many days of leave, and honestly explain where did you go?”
Liu Xin looked at her, shrugged and walked to the operating table.
“Weidungen, you have no family members now, so you have to bear all the risks of the operation by yourself. Is there any problem?”
Wei Donggen took off the oxygen machine: “Brother, I was sent to the operating table by you, what else would you let me say?”
“Haha, Ma, start anesthesia injection.”
The old horse nodded lightly and gave acetoalfamethylphenolphthalanil an intravenous injection, but a rejection reaction soon appeared.
“Rejection occurred.”
Old Ma reminded.
Liu Xin peeled off Wei Donggen’s clothes and found that red particles appeared on his chest, and they were growing at a speed visible to the naked eye.
“How bad is this kid’s gene? Even anesthetics will be allergic. Should I continue to inject or switch to dexamethasone?”
“Wait a minute and look at the situation. If it doesn’t get worse, you don’t have to inject.”
Liu Xin glanced at the time. At three o’clock in the afternoon, he turned his gaze to Wei Donggen’s chest again. The allergic reaction never subsided.
“let’s hit.”
Dexamethasone was slowly injected, and Weidongen’s reaction began to ease.
“Then continue to inject the anesthetic?”
“hold on.”
Although dexamethasone can relieve allergies, if you still have anesthetic allergy, you can only inject it slowly. Although it takes time, it will not be life-threatening.
After a while, the allergic reaction to anesthesia began to subside, and Liu Xin signaled to the old horse to continue, slowly increasing the injection dose of the anesthetic to form the ability to adapt to the anesthetic, because very few people are allergic to anesthetics, and most of them are the first time. Adverse reactions caused by injection of anesthetics.
Sure enough, after slowing down the dose of the anesthetic, all of Wei Donggen’s body values returned to normal.
“The old horse needs light anesthesia one hour before. If there is no abnormal condition after one hour, increase the dose of anesthetic.”
“good!”
The shadowless lamp was irradiated on the operating table, and Liu Xin slowly incised Wei Donggen’s kidney.
“Doctor Liu, did you make the wrong cut?”
“Wei Donggen is a mirror-faced person, and he can’t make mistakes.”
“But shouldn’t the general kidney surgery be done in the right iliac fossa? Is the direction of the mirror person in the opposite direction?”
Liu Xin ignored Miao Xiu. He knew that the mirror person’s kidney transplant would be very different, not only because of the growth trend of the internal organs, but also because the various organs are not completely matched, leading to the loss of most of the functions.
“tweezers.”
Liu Xin stretched out his hand and slowly dived into the incision, and then used the endoscope to explore the kidney area under the incision.
“see it?”
Liu Xin pointed to the internal organs on the screen.
“This… what is this?”
“On the left is the right iliac fossa of an ordinary person, but in the CT images that Wei Donggen did before, although the kidneys on the right are mirror images, the difference is that his left and right kidneys grow positively.”
“Then how did he survive?”
Miao Xiu was surprised, a mirror-faced person with a normal kidney, if a normal person would definitely not survive.
“Because in addition to these two, he has also grown a kidney. If it is precisely because of this, it will lead to kidney failure, which needs to be removed and a normal human kidney must be reinstalled.”
While explaining, Liu Xin continued to expand the cutting edge, using a method that Lao Ma and Miao Xiu couldn’t understand.
“What kind of incision is this?”
Liu Xin slowly tore the incision open, forming a surprising cross-cut.
“How do you stitch such a large cross incision?”
“The advantage of the cross incision is that it can remove what is needed for the kidney, although it is very troublesome to suture.”
Liu Xin didn’t explain much. He slowly incised the right iliac fossa of Weidonggen’s kidney, opened the internal artery, and replaced it with an arterial clip. The positive organs that grew out of the internal organs in the mirrored body have a very unique mode of operation. Early in the morning, Xin discovered the small kidney hidden under the right kidney, which formed a function alone, resulting in the loss of the function of the large kidney.
“The incision is complete, and the internal iliac vein donor is removed.”
Liu Xin took the scalpel and used an endoscope to penetrate under the right iliac fossa, and touched the small kidney that had been enlarged by waste fluid due to kidney failure.
“Pay attention to incision contamination.”
The most troublesome thing about kidney surgery is that it can easily cause infection of the surgical wound. Liu Xin put away the knife and cut off part of the tissue to cut off the small kidney in half, and most of the tissue donor was removed.
“Will it affect his future life?” Miao Xiu asked.
“No, the internal donor organization has already formed a burden. Perhaps the biggest trouble is that the number of times to go to the toilet will increase in the future, and it will only take a few years to perform a kidney cleanse.”
Liu Xin’s choice was very decisive. He already had a complete process drill for this operation in his mind, and resection at the moment is also the best choice.
The removed small kidney was slowly placed aside. Liu Xin switched the scalpel, but found that it was stained with a lot of gravel. Even if it is small, these stones are enough to prove that the internal reaction caused by the small kidney has exceeded the load.
“Remove the kidney.”
On the side, Miao Xiu opened the kidney. He was very thankful that this kidney matched Wei Donggen. Miao Xiu slowly handed the kidney to Liu Xin. After he cut it, Liu Xin anastomosed his kidney artery end-to-end, and then cut out the ureter. Reconstruct the bladder with the kidney body.
After the ureter is cut and anastomosed, it is sutured one by one. Although the kidney is prone to rejection, compared to the entire operation, this can only rely on the patient’s own system to cooperate.
“Perfusate perfusion!”
Liu Xin injected the perfusion fluid into the switched kidney, but found that the kidney was filled in less than a while.
“No, why is the capacity so small?”
Liu Xin was puzzled.
“What’s wrong?”
Miao Xiu asked.
“Have you checked and checked the kidneys that were delivered?”
The two nodded. As the second assistant, Miao Xiu naturally has the obligation to check the kidneys. Now that there is a problem, Liu Xin is worried about whether it will cause rejection or affect the entire kidney.
“If nothing happens, it can only be due to the shrinking of the kidney capacity, but it is enough to have a matching kidney source.”
Liu Xin still trusts the two to sew up the cross wound. The center point uses a more perfect diamond stitch. After wiping the wound, the entire operation is declared complete.
“Turn off the video, send it out to the operating room, and place it in the ICU ward, and conduct various investigations at any time. The kidney transplant operation still needs close monitoring.”
“good!”
The nurse walked out of the operating room, and Liu Xin sent the video of the operation to Loew as soon as he changed his clothes.
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