This doctor has a system

Chapter 613, Page 675: Brother, this is your own nephew.

"This kidney is not easy to save," Gao Feng muttered to himself as he lay on the bed.

"What kidneys?" Li Xinyao, who had just caught her breath, asked.

“A relative of Director Deng of the Urology Department.” Gao Feng casually said a few words before his consciousness entered the system space.

Currently, the medical community lacks effective treatments for ureteral stricture caused by repeated surgeries.

After much deliberation, Gao Feng decided to try his luck by searching for literature within the system's space.

He typed in the keywords "long ureteral stenosis, ureteral replacement, rich blood supply" and then started searching through the articles one by one.

Two hours passed quickly, and Gao Feng was somewhat disappointed. Most of the scholars' opinions were to remove the incision or create a fistula. Occasionally, a few brilliant ideas were proposed, but they were not practical.

Does this mean that Xiao Deng's kidney is destined to be lost?
Gao Feng sighed. He felt the chances were slim, but he still decided to wait and see.

Soon, an article caught my eye. It was an SCI paper with an impact factor of only 1.5, published in a surgery-related journal.

The author of the article is a surgeon who summarized nearly a thousand appendectomy surgeries he has performed over the years to illustrate the impact of the appendix's location on the diagnosis and treatment of appendicitis.

At the end of the article, he jokingly said: "The appendix has a rich blood supply, but it is the most useless organ in the body. Its existence seems to be just to make you suffer a cut."

In an instant, Gao Fengfu was inspired.

Yes, appendectomy has no impact on health, and the mucosa has little absorption and abundant blood supply. Could it take on the role of replacing the ureter?

With that thought in mind, he tiptoed out of the bedroom, picked up his phone, and called Director Deng.

"Huh?" Director Deng on the other end of the phone thought he must be half asleep, which was why he didn't hear clearly. "Director Gao, what did you say?"

"I was wondering if we could use the appendix as a replacement material for the ureter at the narrowed point," Gao Feng said, raising his voice slightly. "Do you think it's a good idea?"

"I don't know," Director Deng said.

Director Deng arrived at the department early in the morning. He waited for more than half an hour before Gao Feng finally arrived.

"I'm going to have breakfast; there are just too many people drinking spicy soup," Gao Feng explained.

Director Deng waved his hand; he wasn't hungry and didn't care about that.

"The treatment plan you mentioned yesterday," Director Deng hesitated, "is it a new treatment method developed by some expert?" He had searched all night but couldn't find it.

"No, it just came to mind by chance," Gao Feng said.

"Huh?" Director Deng looked disappointed.

“But I think it’s feasible,” Gao Feng said to him. “Why don’t you have a professional assess it first?”

"Alright then," said Director Deng.

Soon, the provincial hospital contacted Professor Sun Zhongren of the Department of Urology at XH Hospital, who is a leading expert in the treatment of ureteral stricture in China.

"Replace the narrowed ureter with the appendix?" He burst out laughing upon hearing this. "Do you even need to listen to what you're saying?"

"Isn't this going in the opposite direction?"

"Ha ha ha ha."

Director Deng was a little embarrassed, and for a moment the scene was quiet.

After laughing, Sun Zhongren picked up his water glass and took a sip of yesterday's tea. It was fragrant, thirst-quenching, and had a unique flavor. He decided to reassign this graduate student under his command; the guy did absolutely nothing, not even bothering to pour a glass of water.

“Your idea is quite novel. This appendix, although it has a rich blood supply, also has mucosa.” Professor Sun paused at this point.

"Oh, it seems like there's a tiny bit of a possibility."

Director Deng

"Where is the patient from? Are the family members easy to communicate with?" Professor Sun asked.

“He’s my nephew, my own son,” Director Deng replied. “Then there’s no possibility of a medical dispute,” Professor Sun’s eyes lit up. “Let’s give it a try!”

"By the way, who came up with this idea?"

"Can't it be me?" Director Deng asked.

“If you had that kind of brain, you would have been sued into bankruptcy by your patients long ago,” Sun Zhongren said dismissively.

"You mean you want to remove the child's appendix first, and then sew the removed appendix back into the ureter?" Director Deng's brother was dumbfounded.

"Brother, this is your own nephew! Are you treating him like a little island?!"

"You don't know anything," Director Deng said impatiently. "Are you the doctor or am I?"

“Although I’m not a doctor, what you’re doing…” Director Deng’s brother said anxiously, “isn’t this just messing around?”

"Even if it fails, it's just an appendix anyway, there's no point in keeping it." Director Deng took out the informed consent form for the surgery. "Sign it quickly, don't delay things."

"Will you sign it?"

"If you won't sign, I will!"

Gao Feng, who was standing to the side, was about to lose his composure, but he wisely chose to remain silent.

With effective communication between the doctor and the patient, Xiao Deng was taken into the operating room.

"Uncle, I'm scared," said Xiao Deng.

“My uncle is also afraid,” Director Deng said.

Upon hearing this, Xiao Deng burst into tears.

"You can't be scared," the anesthesiologist came out to comfort you. "With such high blood pressure, how can I anesthetize you?"

"It's alright, your blood pressure will definitely come down once you start taking the medication," someone nearby said.

Xiao Deng became even more nervous.

"Director Deng, I haven't had an appendectomy this year yet," Gao Feng said.

"What do you mean?" Director Deng readily offered to be the surgeon. "Director Gao, you'd better be careful, this is my own nephew."

"Don't worry," Gao Feng said with a smile. He had spent 20 skill points specifically for today's surgery.

Appendectomy is used to treat acute appendicitis, suppurative appendicitis, gangrenous appendicitis, and other conditions. While the procedure is generally straightforward, it should never be considered a minor surgery.

The reason is simple: ectopic appendix.

The appendix is ​​usually located in the right iliac fossa, with its base attached to the posteromedial wall of the cecum, and is relatively fixed. However, due to the mobility of the appendix body and tip, the specific location of the appendix in the right lower abdomen can vary.

For example: preileum position, pelvic position, retrocecum position, subcecum position, lateral cecum position, retroileum position.

Different locations require different incision options; Xiao Deng's case involved a retrocecal position.

Surgical methods include open appendectomy and laparoscopic appendectomy. Currently, most hospitals perform laparoscopic appendectomy, which is less invasive.

But Xiao Deng's appendix still has a great use, so the only surgical option is open surgery.

Gao Feng made a clean cut, and bright red blood flowed out.

Seeing this, Director Deng's heart, which had been hanging in suspense, was completely relieved: the technique was so skillful.

"Director Gao, aren't you a graduate student in gastroenterology?"

“I remember you’re an internal medicine specialist,” Director Deng said. “But judging from your technique, it feels like you specialize in removing appendixes.”

(End of this chapter)