Thyroid surgery is scheduled.
When people come to such a critical juncture, they really believe those who do not believe in God. The patient's mother secretly knelt on the ground in the corridor at night and prayed. It can be said that almost all the gods she knew prayed.
Early in the morning, when the first ray of sunshine came into the ward, the girl lay on the treatment car and was pushed out of the ward by the nurses. A faint smile was squeezed out of the pale face.
The girl has really suffered these days. Because it is a consumptive disease, the doctor specifically explained to eat high calorie food. She never eats fat meat. She gets up in the morning with pig elbows, pig hooves at noon and braised meat at night.
"Mom, don't worry, it's okay."
"Well, it will be fine. Certainly! " As she spoke, the girl's mother was about to cry, but it was unlucky to cry before the operation, so she tried to bear it.
However, the worry in my eyes can't be eliminated.
Glands, various glands, such as thyroid, pancreas, tonsil, thymus, etc. there are many, many glands in the body.
But what is a gland?
If you use professional language to describe it, it's bullshit. Not only ordinary people don't understand it, but also many doctors who don't specialize in it.
In fact, these glands are the lead of medicine or bomb.
For example, many people know why the skin is rough. It is vitamin A deficiency. But Dunton carrot is almost a rabbit. It's still lack of vitamin A.
This is because you don't have thyroid hormone. Without it, the vitamin A you eat turns in your intestines. How did you get in or how did you get out.
For example, many strong men look like Zhang Fei, glaring, but they are not interested in women. It's not his orientation, but his hormone is not enough.
Really, it doesn't secrete much at ordinary times. It doesn't even have the saliva of an ordinary water dragon.
However, without it, people not only love to get sick, but also have no fun. Moreover, IQ will be significantly affected.
Especially the brain. This thing has a great impact on the brain. So, in fact, the brain can be called a drug commander. I love this special thing.
Moreover, the thyroid has a brother called parathyroid gland.
It has a particularly obvious impact on the absorption of calcium. What you eat calcium in calcium, like climbing stairs and flying, is all fake. Without the regulation of parathyroid gland, it's useless even if you eat stones.
"Don't worry, it's okay!" Zhang Fan saw the girl's panic in the operating room and said with a gentle smile.
Warm words, three winter warm.
Comforted a girl. Zhang Fan beckoned Ma Yichen to start the operation.
In the operation observation room, the director of the double gland department, several directors of general surgery and the staff of 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 pull it out and slip away.
"Master, I went to disinfect!" Ma Yichen said to Zhang Fan with a serious face.
Zhang fanleng! Ma Yichen didn't call Zhang Fan's post.
He and Ma Yichen are in the city hospital. The boy is a master and has a good level. In the past, it was estimated that the heart was not in the municipal hospital.
Unexpectedly, I went to the mainland this time and now I'm enlightened.
"Hehe, good!" Zhang Fan smiled and nodded.
Zhang Fan thought it would take some effort to subdue the boy. Unexpectedly, he went to the devil's capital, the baby
Zhang Fan said that it was false not to be proud. The person he valued finally jumped into the bowl.
After 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 the big test.
"Take it easy! Just show your level. " Zhang Fan specially explained.
Thyroid surgery is quite common in general surgery. However, this operation is much more difficult than appendectomy.
In some hospitals, the general examination surgery for general surgery is subtotal thyroidectomy.
Where's the thyroid gland? Roughly speaking, both sides of the Adam's apple! No Adam's apple and women, where to find, where the clavicle intersects two horizontal fingers upward! It's that simple.
Zhang Fan stood on one side of the operating table and looked at Ma Yichen. "This patient is a singer. The requirements for postoperative scar and sound are very high.
The difficulty of the operation is here. You have no confidence, no pressure.
You don't have to worry about the others in the observation room. Whether you are sure or not, everything has me.
Now tell me the truth, are you sure? "
Zhang Fan's voice is not loud, but the envy of other doctors and nurses is about to drool!
Ma Yichen thought a little, "master, I have confidence!"
"Good! Just have confidence. Start! "
In the observation room, the female director of the double gland Department looked as if she was unwilling to say to Zhao Quanping, a general foreigner: "you are too overbearing. Zhang hospital is eccentric. Not only let your people do the surgery in our department, but also take you abroad.
We are a separate department. How can you let your doctor do our surgery? "
"Oh, come on, don't be cheap and sell well! There are only a few masters in our department, and pony is the most potential master.
Not only the surgical technique is good, but also the character is good. Now Zhang Yuan is partial and wants to put him in your department. I haven't been wronged yet! "
Lao Zhao said with a smile. He is now surrounded by Zhang Fan No. 1. Since he followed Zhang Fan to the United Arab Emirates, his status at home has been much higher.
Someone also listened. His wife was as gentle as when she first got married decades ago. Moreover, with the support of Song Ping, the work in the Department has changed greatly. It can be said that it is old-fashioned and everything is satisfactory.
In fact, the director of the double gland department doesn't care much about whether to do the operation in her own department. What she cares about is that Zhao dough was taken out by Zhang hospital.
They mixed their mouths. During the operation, Ma Yichen began the operation.
A thread gently drew a red mark on the patient's white neck.
Because this kind of operation is on the neck, and the longer the neck is, the more obvious the surgical scar is.
Therefore, if you don't see it after the operation, you have to study the doctor's skills.
A line, a slightly red line. During the operation, a knife must be cut from the left side of the neck to the right side of the knife. There can be no back knife, ups and downs and uneven force.
Otherwise, the patient's neck is like being bitten by a dog with open teeth.
Ma Yichen took a knife and looked at Zhang Fan. Then gently, the knife into the skin.
Just like cutting paper with a paper knife, it is clean and neat, and a very thin surgical incision slowly appears.
At the two transverse fingers above the suprasternal notch, make an arc incision along the dermatoglyph, and both ends reach the outer edge of sternocleidomastoid muscle; The knife edge 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, pull up the upper and lower flaps with tissue forceps, separate the loose tissues behind platysma with a knife, up to the lower edge of thyroid cartilage, and lower the sternal handle notch.
This kind of operation, the knife edge looks very small, but the depth is still enough. Because the glands are almost hidden with the recurrent laryngeal nerve.
There are few blood vessels in this space. It is often easy to bleed when it is too deep or too shallow. The incision must be protected with a sterile towel.
Zhang Fan opened the incision with a small retractor and sutured the anterior jugular veins on both sides with No. 4 silk thread.
As an assistant, he showed Ma Yichen a clean and clear vision of the operation.