The thyroid patient's surgery was scheduled.
When people reach this critical moment, really, even those who don’t believe in God will believe in him. The patient's mother secretly knelt on the floor in the corridor at night and prayed. It could be said that she prayed to almost all the gods she knew.
In the early morning, when the first ray of sunlight entered the ward, the girl was lying on the treatment cart and was pushed out of the ward by the nurses. He tried his best to squeeze out a smile on his pale face.
The girl has really suffered these days. Because it is a wasting disease, the doctor specifically told me to eat high-calorie foods. She never eats fatty meat, so she eats pork knuckles in the morning, pork trotters at noon, and braised pork in the evening.
"Mom, don't worry, it's okay."
"Well, it will definitely be fine. It will definitely be fine!" As she spoke, the girl's mother was about to cry, but crying before the operation was a bit unlucky, so she tried her best to endure it.
However, the worry in his eyes could not be eliminated.
Glands, various glands, such as thyroid, pancreas, tonsils, thymus, etc. There are many, many glands in the body.
But what exactly are glands?
If you use professional language to describe it, it's nonsense. Not only do ordinary people don't understand it, but probably even many doctors who are not engaged in this specialty don't understand it either.
In fact, these glands are the drug leads, or the fuses of the bomb.
For example, many people know why the skin is rough because of vitamin A deficiency. But I almost turned into a rabbit after eating carrots, and I still lacked vitamin A.
This is because you don’t have thyroid hormone. Without it, the vitamin A you eat will go around in your intestines. How does it get in or how does it get out.
For example, many tough men look like Zhang Fei, glaring, but they are not interested in women. It's not that there's a problem with his orientation, it's that he doesn't have enough hormones.
Really, this thing usually doesn't secrete much at all, not even the amount of saliva of a normal Hydrasaurus.
However, without it, people not only tend to get sick, but also have no interest in life. Moreover, IQ will be significantly affected.
Especially the brain, this thing has a huge impact on the brain. Therefore, the brain can actually be called a drug-addicted commander. I just love eating something special like this.
Moreover, the thyroid gland has a brother called the parathyroid gland.
It has a particularly obvious impact on the absorption of calcium. If you eat calcium, it will be like flying up stairs. It is all fake. Without the regulation of the parathyroid gland, it will be useless even if you eat it and form stones.
"Don't worry, it's okay!" Zhang Fan saw the panic on the girl's face in the operating room and said with a gentle smile.
A warm word can make the winter warmer.
He comforted the girl. Zhang Fan greeted Ma Yichen to start the operation.
In the surgical observation room, the director of the double gland department, several directors of general surgery, and staff from the medical office were all present.
Just like the on-site report, now that you have returned from your studies, if you want to convince others, especially a group of directors, you must show it off.
"Master, I'm going to disinfect!" Ma Yichen said to Zhang Fan seriously.
Zhang Fan was stunned for a moment! Ma Yichen did not call Zhang Fan's job.
He and Ma Yichen entered the city hospital on the same foot. This guy has a master's degree and his level is not bad. In the past, my heart was probably not in the city hospital.
Unexpectedly, this time I went to the mainland, and now I have enlightened myself.
"Haha, okay!" Zhang Fan smiled and nodded.
Zhang Fan thought at first that it would take some effort to subdue this kid, but he didn't expect that after a trip to the Magic City, this kid...
Zhang Fan was lying when he said he wasn't proud. The person he admired eventually jumped into the bowl.
After starting the disinfection, Ma Yichen also knew that there were many hospital directors and experts in the observation room outside the operating room, so the young man was as serious as a big exam.
"Don't be nervous! Just show your level." Zhang Fan specifically explained.
Thyroid surgery is quite common in general surgery. However, this operation is much more difficult than appendix surgery.
In some hospitals, the most common surgery for general surgery residents is subtotal thyroidectomy.
Where is the thyroid? To put it crudely, both sides of Adam’s apple! For women and men who don’t have an Adam’s apple, where to find it, where the collarbones meet and two fingers upward! It's that simple.
Zhang Fan stood on the side of the operating table and looked at Ma Yichen, "This patient is a singer. He has high requirements for postoperative scars and voice.
The difficulty of the operation lies here. Do you have confidence? No need to feel pressure.
You don't have to worry about other people in the observation room. No matter whether you are sure or not, I have everything.
Now tell me truthfully, are you sure? "
Zhang Fan's voice was not loud, but other doctors and nurses were so envious that they almost drooled!
Ma Yichen thought for a moment and said, "Master, I am confident!"
"Okay! As long as you have confidence. Start!"
In the observation room, the female director of the Department of Glandular Surgery looked displeased and said to Zhao Quanping, a general surgeon: "You general surgeons are too domineering. Zhang Yuan is partial and not only allows your people to perform surgeries in our department." , and also take you abroad.
We are a separate department, how can we let your doctors do our surgeries? "
"Haha, okay, don't get the advantage and be good! We only have a few master's degrees in our department, and Xiao Ma is the one with the most potential among them.
Not only his surgical skills are good, but his character is also good. Now Zhang Yuan preferentially places him in your department, and I haven't even complained yet! "
Old Zhao said with a smile. He is now the number one surrounded by Zhang Fan. Since following Zhang Fan on a trip to the United Arab Emirates, his status in the family has become much higher.
What he said was listened to, and his wife was as gentle as she was when she first got married decades ago. Moreover, with the support of Song Ping, the work in the department has changed tremendously. It can be said that now he is old and pretty, and everything goes as he pleases.
The director of the Double Gland Department actually didn't care much about whether to perform the surgery in her department. What she cared about was that Zhao Diandian was taken out by Zhang Yuan.
The two bickered, and during the operation, Ma Yichen started the operation.
A thread gently drew a red mark on the patient's fair neck.
Because this surgery is on the neck, and the longer the neck, the more obvious the scars will be.
Therefore, if you want to not see it after surgery, you have to pay attention to the doctor's skills.
A line, a slightly red line. During the operation, the knife must be cut from the left side of the neck to the right side. There must be no backstroke, and no uneven force in ups and downs.
Otherwise, the patient's neck will be like being bitten by a toothless dog.
Ma Yichen took the knife and looked at Zhang Fan. Then gently, cut the knife into the skin.
Just like cutting paper with a paper knife, cleanly and neatly, a very thin surgical incision slowly appeared.
Make an arc-shaped incision along the skin lines 2 fingers above the suprasternal notch, with both ends reaching the outer edge of the sternocleidomastoid muscle; the incision is just inside the patient's skin wrinkles.
Steady, the hand holding the knife is quite steady.
Zhang Fan nodded.
Cut the skin, subcutaneous tissue and platysma muscle, use tissue forceps to pull up the upper and lower skin flaps, and use a knife to separate the loose tissue behind the platysma muscle, up to the lower edge of the thyroid cartilage, and down to the manubrium sternal notch.
In this kind of surgery, the incision looks small, but the depth is still enough to see. Because the gland is almost hidden together with the recurrent laryngeal nerve.
There are few blood vessels in this gap, and it is easy to bleed when the separation is too deep or too shallow. The incision must be protected with sterile drape.
Zhang Fan used a small retractor to open the incision and sutured the anterior jugular veins on both sides with No. 4 silk sutures.
As an assistant, he showed Ma Yichen the surgical field of vision cleanly and clearly.
