Font
Large
Medium
Small
Night
Prev Index    Favorite Next

Chapter 42

Kang Hong rushed to the emergency department.

A middle-aged male doctor standing next to Huang Yamei, named Huang Gaofeng, deputy chief physician of the emergency department and doctor of medicine.

Huang Yamei said to Kang Hong: "Kang Kang, I told Ah Huang that he was the one who was in charge of surgery in name, but you should not worry. He is the one I recognize and the relationship is strong. After all, you are a resident doctor, and the family of the patient knows that it is not appropriate to directly take the surgery."

"Okay, I understand, thank you!"

Dr. Huang said to Kang Hong: "My sister said that this thing should be done as her business, so it's okay. I'm just practicing surgery. I'll keep an eye on it, don't worry and do it boldly. I checked this patient today. The liver rupture is not very serious, and it was sent as soon as it was injured. It's not difficult to deal with it. The last time Mrs. Gao's surgery was very beautiful, and the surgery was fine."

Kang Hong nodded thankfully.

Huang Yamei said: "Go quickly, the patient has been sent to the emergency room."

Kang Hong and Huang Gaofeng entered the operating room and saw the patient first. If the patient had severe bleeding, they must immediately check the hemotomy. In the case of severe bleeding, they can temporarily lean back and find a way to stop the bleeding. Otherwise, after brushing the hand, the person will be finished.

The patient, twenty years old, was stabbed in the upper right abdomen. The ambulance has opened two venous channels and has notified the blood bank to prepare blood.

Kang Hong checked the electrocardiogram monitoring and the situation was OK and he used blood transfusion. He then went back to brush his hands.

Huang Gaofeng and Kang Hong were both good at it, entered the operating room, and put on surgical gowns and gloves with the help of the circuit nurse Jia Ju.

Huang Gaofeng pointed to the right side of the operating table and said, "Come on, I'll help you."

Kang Hong nodded and agreed and thanked him.

The patient had undergone general anesthesia with tracheal intubation and was lying on his back.

Kang Hong looked at it and said to Jia Ju: "Raise the patient's right rib a little."

Jia Ju immediately raised the patient's right rib.

Kang Hong held a scalpel in his hand and took an oblique incision under the right rib, up to the xiphoid process and down to the front line of the axillary line.

When I entered the abdominal cavity, I saw a lot of blood accumulation and fast coagulation, which made Kang Hong feel a little relieved.

The last time Old Mrs. Gao's blood did not coagulate, which made him a little scared. Now he coagulation is fast, which proves that the patient's coagulation function is normal.

Huang Gaofeng used a suction device to wash the blood accumulation and blood clots.

Kang Hong investigated the liver and found that the wound was in the middle part of the right posterior lobe, and blood continued to overflow from the wound.

He immediately poked a small opening in the avascular area of ​​the small omentum on the left side of the duofemoral ligament, and penetrated the thumb and index finger into the omental sac, directly clamping the three major pieces of the liver portal.

This time, wound bleeding was significantly reduced.

Huang Gaofeng used a medium-sized urethra leash to tie the liver vent belt.

Kang Hongli broke the right liver triangular ligament, fully exposed the surgical field, explored the wound tract, and cleared the injured blood coagulation and inactivated liver tissue. Then he used line No. 10 to suture the liver and penetrated the depth of the wound tract with almost impossible movements. This was very difficult and necessary. Huang Gaofeng's eyes were straightened.

This is OK? Why is his hands so clever?

Compared with his, my hands were like elephant legs. Their hands were as soft as willow branches. But they had a sense of willfulness to control the needle holder so agile and complete the deep suture of such a difficult wound path.

Huang Gaofeng originally wanted to remind him to pay attention to strengthening wound stitching to avoid infection, but the other person did it better and faster than him. Before he could speak, others had already completed it. And the entire suture was flawless.

Huang Gaofeng was stunned when he saw it and said embarrassedly: "Your surgery is much better than mine. Sister Huang asked me to guide you. She was wrong. I should learn from you. You are the real surgeon. My ability can be your assistant. You are strong!"

Kang Hong smiled and said, "Dr. Huang, be polite."

At this time, the system prompts the sound:

"Congratulations, you have completed the liver injury surgery and received a reward of 800 gold coins."

Kang Hong was very satisfied. He finally got the gold coins, but unfortunately he had to keep working hard.

He removed the blocking belt and said to Huang Gaofeng: "I've finished processing, you can check it."

Although the suture is very beautiful and strict, it is still necessary to check it out if there is any bleeding or bile leakage. As a superior doctor, Huang Gaofeng must check it out.

After some examination, there was nothing needed to be treated for other internal organs, and the wounds of the liver were treated perfectly. No problems were found, and the color of the liver was also normal.

Huang Gaofeng exclaimed: "You are so awesome. The surgery is so fast that it is dazzling, but it is so perfect. Awesome!"

In fact, Kang Hong deliberately slowed down the speed. He was worried that the speed was too fast and the other party would worry. He could actually do it faster so that the patient could bleed less. But for those who are new to the emergency department, it is better to be stable.

Even so, the speed and perfection of the operation have made Huang Gaofeng talk. The operation is so fast that the blood bag is not even used, the vital signs are stable, and the operation is very successful.

Huang Gaofeng said sincerely: "The difficulty of liver trauma surgery lies in debridement, stopping bleeding, eliminating dead cavity, suturing wounds and sufficient drainage. You have done these key steps very beautifully, really! It's just like a teaching demonstration, and I admire you."

"As soon as I came to the laparotomy, I didn't even figure out the injury and didn't think of the method to stop the bleeding, you had already accurately judged the type of bleeding and immediately used the pringle method to block the first liver port, and the bleeding at the wound was reduced immediately. I only realized that you had already determined that the bleeding at the wound was a breakdown of the hepatic artery and portal vein branches. It was so amazing. How did you accurately identify it?"

Kang Hong smiled: "Just just glance, maybe it's intuition."

Kang Hong did not brag, he had no regrets about his perfect level liver trauma surgery, and he had perfect level of insight. The combination of two swords was invincible. Others still needed to investigate, and he could see the injury at a glance and quickly took these measures.

But Huang Gaofeng was stunned when he heard this. - What's the matter? Maybe he was intuition? Can you not be so honest? Just one look at it and you will understand your heart clearly?

I am a doctor of medicine, but I didn't do anything, just staring at me, but you did it just by intuition?

I admit that you are excellent. Maybe you can't say it a little bit harder? Otherwise, how can I feel like a doctor of medicine?

We must hit the opponent's arrogance.

Huang Gaofeng thought about it, found a place that looked a bit flawed, and said, "It seems that the theoretical community does not agree with sutures when the liver laceration wound is too large. Because doing so may leave a dead cavity, causing complications such as liver abscess. I just saw that your flying needles were indeed very beautiful, but you didn't even check it. Are you afraid of leaving a dead cavity?"

"If deep stitching can achieve perfection, this kind of worry is unnecessary."

"Do you think your stitching is perfect?"

"You can tell by looking at the treatment effect, why do I think it doesn't matter?"

Huang Gaofeng was dumb again. What he said is right, the key is to look at the efficacy. He thought about it and found another problem that looked like that and hit the other party’s arrogance:

"When you ligate the suture, your speed is too fast, just like women wearing sweaters before. It's so swishing, your liver is very fragile, and if you pull the thread too fast, it will tear it, and it's not easy to grasp the tightness. I think you are still pursuing speed too much. This is not good, and you should pursue quality first!"

"Speedness and quality are not a contradiction between the rise and fall of the other, nor are they fish and bear's paws. Sometimes they can get both, under perfect surgical skills."

Can you still chat? Can you be more modest?

You are such a resident doctor who is not an ordinary person. You are so arrogant that you can hold on to the sky.

There is no way, people have such qualifications.

Because the surgery just now was really perfect.

Huang Gaofeng had a bitter face, but he had no choice but to ask that his surgery was really perfect!
Chapter completed!
Prev Index    Favorite Next