Zheng Ren made a preliminary judgment on how difficult the operation of this patient was.

Patients with hepatic hydatosis and autologous liver transplantation did not give a task rating. However, this patient actually gave a s-level judgment.

Is the surgery a grade S?

Zheng Ren was stunned for a moment. What is the difficulty? Do you need to keep your kidneys?!

He recalled the images of the kidneys presented in the film and began to reconstruct his mind. The bilateral kidneys were severely broken and it was difficult to retain. At least, Zheng Ren looked at it at his own level, it was indeed difficult to retain.

I have a master-level skill book in my hand. Once needed, I can try it. Then there is still some time for surgery training, which should be able to support the completion of this surgery.

However, S-level surgery was like a lingering shadow that enveloped Zheng Ren's heart.

Judging from the big pig's hoof, he knew that what Director Miao said was to try, the possibility of success was less than 20. But it was better than watching movies by himself, and he thought that there was no way to operate and had to wait for death.

"Let's go together, squeeze in, and you have to hurry up and you can't delay it." Director Miao said.

Brush your hands and go on stage.

Fang Lin didn't even have a seat. The director of the chest department should have heard from the emergency department that the chest trauma was not serious, so he had to come up later. Let Fang Lin come and the lower chest vial would be enough.

The liver and gallbladder, urinary and interventional departments were opened at the same time.

The hot plasma is poured into it bag by bag, and the blood pressure is still very low. Time is life. No one speaks in the operating room, only the sound of hurried footsteps echoing.

Sending orders is a difficult task, but you can just deal with it.

Zheng Ren pressed Director Kong on the chair and signaled that it would be enough to go on it alone. Then he went to wear lead clothes and brush his hands.

Professor Yang and Director Miao also wore lead clothes and brushed hands. They were not used to it. It was too awkward to wear something worth more than ten pounds on them.

But interventional embolization surgery for severe pelvic fractures takes about two hours, so how much line does it take?!

It is possible that the surgery in the belly has been completed, but the interventional surgery cannot be completed yet.

So it should be awkward, but it should be awkward.

The hospitalized generals knew that time was tight and moved very quickly. Mr. Yu and Mr. Dong carefully prepared the list. After Professor Yang and Director Miao came up, they stood on the right side of the patient, and the two hospitalized generals stood in Yishui's position.

Zheng Ren stood on the side of his leg and asked Su Yun to lift the sterile seldom a corner. He immediately started to perform femoral artery puncture.

The posture was particularly awkward, but all this could not help Zheng Ren. Director Miao and Professor Yang had a brief conversation and selected an incision that both of them could accept, Zheng Ren had completed the femoral artery puncture and the guide wire went in.

"Prepare to step on the line." Zheng Ren felt that the guide wire had arrived, so he said in a deep voice.

The air-tight lead door was closed, and Director Miao was a little surprised. How could it be so fast? But he didn't have time to think about things, and incited the patient's abdomen from bottom to top, connecting it with Professor Yang's incision.

Quickly separate the skin, subcutaneous tissue, and enter the abdominal cavity.

After taking a look, Director Miao wanted to turn around and step down.

A huge hematoma near the kidneys. Although it is covered with yellow fat, the kidneys on both sides can be seen shattered.

I guess I came to the hospital early, so I had a chance to rescue me. If I were three or five minutes late, there would be no chance at all.

Even so, Director Miao felt that it was no longer possible.

The liver and spleen injuries are relatively mild, and Professor Yang has already begun to suture.

Director Miao carefully separated and kept ligating. What he thought was to keep at least one kidney.

But five minutes later, I found that the left kidney could no longer be needed.

Almost shattered, and the slits could not be slit.

Make a quick decision to block the renal artery and start a left nephrectomy. The rest can only pray that the patient's right kidney will have a chance to retain...

"How much urine?"

"No urine." The anesthesiologist replied immediately.

No more urine! This is the manifestation of the disappearance of the kidney function.

If you want to remove the kidneys as a whole, Director Miao should not be too skilled. For him, it will only take a few minutes.

But it is extremely difficult to make this choice.

After the left kidney is removed, the operation is simple and can stop bleeding immediately. But what should I do if the right kidney fails?

However, the suction device was sucking arterial blood, and the hissing sound reminded Director Miao that he could no longer hesitate.

The kidney pedicle forceps are directly clamped, the ligament is cut off, and the left nephrosis is prepared.

Because there are many people on the operating table, the nurse delivers the equipment with two devices, but it is inconvenient for Director Miao to stand in the middle.

He clamped the kidney stalks. Just as he was about to ask for something, he patted the hands with blunt scissors. His hand wearing sterile gloves took the kidney stalks in his hand.

Well……

Director Miao was stunned for a moment.

Is this...Boss Zheng?

"The operation is completed?" Director Miao asked in surprise.

"Well, the embolization is over." Zheng Ren took the pliers and did not step down. Instead, he stood on the operating table and became an assistant to Director Miao.

Su Yun was drilled under the operating table, squeezed in through the cracks of the human body, hid under the sterile sheet, and used a very awkward posture to apply pressure bandage to the puncture point.

Although the patient is in a state of hemorrhagic shock, if the blood can be stopped, his blood pressure will definitely rise. Don’t finish the surgery above, and look at the blood on the bottom, which makes his pants wet.

The amount of bleeding should be at least about 1000l. The patient has already suffered from hemorrhagic shock, so it is only possible to save some blood.

Director Miao looked up at the time. It took only ten minutes to start the stage. Zheng Ren's surgery was completed?

"Is the postoperative peritoneal injury severe?" Director Miao asked casually while cutting the kidneys.

"The five blood vessels are bleeding, and they are all embolized, no problem." Zheng Ren knew his doubts and answered the question.

Director Miao looked up at the screen opposite. The screen stopped on the embolization interface and there was no postoperative imaging.

"Why didn't the symptom confirm?"

"The patient has stopped peeing, taking less contrast agent will be beneficial for postoperative recovery." Zheng Ren said naturally: "Can the right kidney be protected?"

"It depends on the situation." Director Miao neatly cut off the left kidney, then he investigated the right kidney, and handed the residue of the left kidney to Zheng Ren to pick it up little by little, and put it in the pathological pelvis next to it.

The left kidney is broken like a doll that cannot be sewn, and the right kidney is slightly better, but not much better.

Zheng Ren watched Director Miao try his best to stitch it and try his best to protect his right kidney. He knew in his heart that this was just a dying struggle.

No wonder the system judges that it is an S-level task, so it cannot be completed at all.

"Su Yun, how much urine volume?" Zheng Ren helped Director Miao repair it and began to care about the urine volume.

If there are a few milliliters of urine, it can also prove that the injured person's right kidney still has residual functions.

However, Su Yun's words made Zheng Ren fall into an ice cave.

"There is no urine, and there is no place in the catheter." Su Yun said calmly.
Chapter completed!