On Tuesday I first saw a tunneled dialysis catheter placement on an old woman. Interesting was to see the ultrasound machine used during the anesthesia and the real time x-ray machine used during the surgery. The second surgery that I saw was a fistula. The doctors wanted to put a vein closer to the skin and and sew it to an artery, thus creating a bridge between high and low pressure so that dialysis could be performed easier on this vein. Amazingly, the doctors were going to try a new method that they had never seen before! Instead of cutting 6 inches along the skin, they made two holes and cut and physically extracted the vein from the arm using a laparoscope!
On Wednesday I watched a kidney transplanted into an old woman. The kidney was cute according to the surgeon. Music was playing in the background. Two students were learning how to sew.. and hold the scissors right! Surprisingly to me, there was a second incision used for dialysis using the patients own tissue as membrane! Also surprising to me was that the intestines can be pushed around and pulled hard.. no problem!
Very little bleeding. Suddenly a squirt of blood coming out, but quickly sewed.
Finding the bladder was difficult, finally a lot of urine came out, indicating that he had cut into the bladder. At the end I learnt that when sewing back the tummy you have to be careful to sew the muscle, otherwise hernia will develop!