Kang Hong said: "I have read foreign literature. When encountering a penetration injury of the liver and injuring both ribs, the best method is balloon filling, which is simple and effective in treating severe liver trauma. This is much better than directly incision of the wound for debridement and hemostasis and repair. Especially for short and shallow penetration injuries. Our patient is in line with the intrahepatic balloon filling method, which is even more troublesome if it is incision."

Xu Cong and Director Du’s eyes were wide open. They actually had such an operation? Kang Hong is too brave.

This is the best choice for Kang Hong's surgery after the perfect level of liver trauma. This method can be come up without thinking about it.

He didn't need to explain more, he just needed to use the results of the surgery to confirm that his decision was right.

Soon, Lu Annie retrieved a Durex high-level condom and handed it to Kang Hong, saying, "I have already done sterile treatment."

Kang Hong said: "Wait!"

He first used a large catheter to insert it from the right liver rupture. After a distance, he encountered resistance and placed an appropriately sized three-chamber dicapsular tube for the type used when esophageal varicose rupture and bleeding.

Then he placed a large catheter in, handed it to Lu Annie, and said, "Please put the condom on me."

Lu Annie gave him a blank look, nodded, and skillfully put the condom on her.

"Please tie it tightly with silk thread."

After Lu Annie did as she did, Kang Hong put it into the liver from the left side of the liver. After resistance, she injected an appropriate amount of normal saline into the liver balloons on both sides.

Strangely, bloody bile leaks stopped immediately.

He was fixed on the left and right abdominal walls.

When they achieved this, Xu Cong and Du Qian suddenly realized it. Xu Cong nodded and said, "Your idea is really wonderful and interesting."

Du Qian said: "What are you going to do next?"

Kang Hong said: "Intrahepatic balloons are filled, and the balloon liquid is released every eight hours within three days. After five or six hours, the appropriate amount of normal saline is injected again. The drainage tube in the abdominal cavity will drain fluid. When the drainage tube does not overflow, remove the intrahepatic balloon stuff. Observe again, and then pull the abdominal drainage tube again, and biliary tract disease will be solved."

After all, Du Qian is a thoracic surgeon and is unfamiliar with the treatment of liver trauma. He said curiously: "Why are you using a three-chamber dicapsular tube on the right side, but using a condom on the left side. Can't both use condoms?"

"This should be selected according to the situation of the injured person. A large silicone urethra catheter should be used to detect whether there is obvious resistance in the wound. The patient's right tract is deep, so I used a three-chamber dicapillary tube to stop bleeding when the esophageal varicose veins rupture to implant it. It expands outside the wound to prevent falling off, and expands the balloon in the wound to stop bleeding and stuff. For the left tract, I used a urethra catheter to detect resistance, so I chose a large urethra catheter cover and tie the condom tightly. This is mainly determined based on the length of the initiation."

"Your idea is very creative, amazing."

Xu Cong agreed and nodded and said, "Yes, I was thinking just now, why did he look for condoms? It turned out to be used for balloon stuffing, which is really creative."

Kang Hong next deals with the common bile duct.

After incision, bloody bile was drained, the lower section of the common bile duct was unblocked, and then a No. 18 T-shaped tube was placed.

Director Du asked Kang Hong curiously: "What is the reason why you put this T-shaped tube drainage tube?"

"This acts as an auxiliary role for intrahepatic balloon filling, which can reduce the tension of the intrahepatic bile duct, facilitate the healing of damaged bile duct branches, and prevent blood clots from blocking and causing obstruction of bile ducts. In this way, it will lead to bleeding in the bile duct and bleeding in the wound. Moreover, this T-tube can be used to flush the bile duct and provide a way to administer the bile duct when necessary. It also has an effect on preventing bile duct infection, providing convenience for the latter bile duct angiography and bile duct anatomy in the liver."

After a while, both deputy directors nodded repeatedly.

Du Qian exclaimed: "Dr. Kang's surgery is very wonderful and perfect, and his ideas are very clear. Surgery is really a very magical science with endless fantasy ideas. As the saying goes, all roads lead to Rome, but the choice of roads is also very critical. If you choose well, you will walk smoothly. If you don't choose well, you have to take a long way to go. Dr. Kang chose a shortcut, which is also a smooth road."

The operation ended perfectly.

The operation was extremely fast, and he deliberately controlled the speed. It was almost one-fifth of other people's time, so it was done soon.

Kang Hong had just left the operating room and was about to return to the general surgery department, but was stopped by Huang Yamei again.

Huang Yamei said: "You can't leave anymore. The 120 dispatch center sent you a patient again. She is a middle-aged man who went to drink with his friends and was hit by a car on the way. 120 sent to our hospital, so you can continue to work."

Kang Hong nodded and immediately ran to pick up the patient.

Fortunately, I had half a boxed lunch at noon and could withstand it.

The 120 doctors who were on the train explained the patient's condition to Kang Hong.

The patient was a male, in a car accident, hit the upper right abdomen, breathed 20%, and had a pulse of 125, and had a subtle pulse, with a blood pressure of only 72 to 44, and the pupils on both sides were large, with normal light reflexes, clear consciousness, white complexion, slightly dry lips, weakening of breathing sound in the lower right lung, normal breathing sound in the left lung, a heart rate of 123 times per minute, without pathological murmurs.

The patient's right upper abdomen was initially examined, and the skin on the rib arch was purple and swollen. It should be the impact site, and there was tenderness throughout the abdomen, and the right ribs were obvious. Rebound pain, movement and turbidity, and intestinal rumbling sounds were weakened.

Kang Hong immediately sent the patient to the emergency room and had a B-ultrasound at the bed, which showed liver rupture and abdominal hemorrhage. The bedside electrocardiogram test found arrhythmia and myocardial ischemia.

I immediately had an abdominal puncture and did not coagulate.

Diagnosed as liver rupture, hemorrhagic shock, accompanied by contusion of the right lower lung.

Du Qian from the thoracic surgery department has already returned and was urgently called back.

Du Qian said to Kang Hong: "We are destined to be together today. We will work together again. Will you go or I go first this time?"

"Of course I'm going first. - The patient's right lower lung is not very serious, and he can compensate for it. However, his liver bleeding is very severe. If he does not stop the bleeding in time, he may not be able to hold on to you for hemothorax surgery."

Seeing Kang Hong's serious expression, Du Qian did not dare to neglect, so he quickly entered the operating room to change his surgical gown and wear gloves.

The patient had undergone general anesthesia with tracheal intubation and was lying on his back. The nurse raised the right side slightly as Kang Hong's request.

The ones who fought for them this time were still Xu Cong and Huang Gaofeng.

This kind of fourth-stage surgery for severe liver injury must be present with a superior doctor. Although they all know that Kang Hong's surgery is already quite powerful, even better than the director of the surgery, the rules are rules. If something happens, it is a big blame for the fact that the superior doctor is not present.

As a first assistant, Deputy Director Xu Cong assisted Kang Hong's surgery. Huang Gaofeng was responsible for knotting, cutting threads, and pulling hooks. Du Qian, who is in charge of thoracic surgery, temporarily acted as a third assistant and used a suction device to extract blood.
Chapter completed!