Two Hundred and Fifty-Six Jump In

Surgery for thyroid patients is on the agenda.

When a person reaches such a critical juncture, it is true that even those who do not believe in God believe in God. The patient's mother sneaked in the corridor at night, kneeling on the ground, praying. It can be said that almost all the gods she knew had prayed.

In the early morning, when the first ray of sunlight shone into the ward, the girl was lying on the treatment cart and was pushed out of the ward by the nurses. A faint smile was squeezed out of his pale face.

The girl has really suffered these days. Because it is a consumptive disease, the doctor specifically told me to eat high-calorie food. She never eats fatty meat. She gets pork knuckles in the morning, pork trotters at noon, and braised pork at night.

"Mom, don't worry, it's okay."

"Well, it will be fine. For sure!" As she spoke, the girl's mother was about to cry, but it was unlucky to cry before the operation, so she tried her best to endure it.

However, nothing could remove the worry in his eyes.

Glands, various glands, such as thyroid, pancreas, tonsils, thymus, etc., there are many, many glands in the body.

But what exactly are glands?

If it is described in professional language, it is nonsense. Not only ordinary people do not understand it, but even many doctors who are not engaged in this specialty probably do not understand it.

In fact, these glands are the primers of the medicine, or the fuse of the bomb.

For example, many people know why the skin is rough because of vitamin A deficiency. But I can eat enough carrots to become a rabbit, and I still lack 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 it gets in, or how it comes out.

For example, many macho men look like Zhang Fei, glaring angrily, but they are just not interested in women. It's not that there's a problem with his orientation, but that he doesn't have enough hormones.

Really, this thing doesn't secrete much at ordinary times, not even the amount of saliva of a normal hydragogue.

However, without it, people not only love to get sick, but also have no interest in life. Moreover, IQ will be significantly affected.

Especially the brain, this thing has a great impact on the brain. Therefore, the brain can actually be called a drug commander. Just love something special like this.

and,

The thyroid also has a sibling called the parathyroid.

It has a particularly obvious effect on the absorption of calcium. If you eat calcium in calcium, it is like climbing a building and flying.

"Don't worry, it's all right!" Zhang Fan said with a light smile when he saw the panic on the girl's face in the operating room.

Warm words, three winters are warm.

A word of comfort to the girl. Zhang Fan called Ma Yichen to start the operation.

In the operation observation room, the director of the double gland department, several directors of the general surgery department, and the staff of the medical department 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.

"Master, I'm going to disinfect!" Ma Yichen said to Zhang Fan with a serious face.

Zhang Fan was taken aback! Ma Yichen didn't call Zhang Fan's position.

He and Ma Yichen entered the city hospital one after another. This kid has a master's degree, and his level is not bad. In the past, I guess my heart was not in the city hospital.

Unexpectedly, I went to the mainland this time, and now I am enlightened.

"Hehe, good!" Zhang Fan smiled and nodded.

At the beginning, Zhang Fan thought it would take some effort to subdue this kid, but he didn't expect that this kid...

Zhang Fan was lying when he said that he was not proud, and the people he was optimistic about finally jumped into the bowl.

Starting to disinfect, 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 serious like a big exam.

"Don't be nervous! Just show your level." Zhang Fan made a special statement.

Thyroid surgery is quite common in general surgery. However, this operation is much more difficult than appendectomy.

In some hospitals, subtotal thyroidectomy is the total examination operation for general surgery hospitalization.

Where is the thyroid? To put it bluntly, on both sides of the Adam's apple! For those without Adam's apple and women, where can I find it? The place where the collarbone intersects and points 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 is placed here. Do you have confidence, no need to have pressure.

You don't have to worry about other people in the observation room, whether you are sure or not, everything is up to me.

Now tell me the truth, are you sure? "

Zhang Fan's voice was not loud, but the other doctors and nurses were almost drooling with envy!

Ma Yichen thought for a while, "Master, I have confidence!"

"Okay! As long as you have confidence. Let's start!"

In the observation room, the female director of the double gland department looked unhappy and said to Zhao Quanping, who was a general surgeon: "Your general surgeons are too domineering, Zhang Yuan is partial, not only let your people perform operations in our department , but also take you abroad.

We are a separate department, how can we let your doctors do our surgery. "

"Hehe, that's fine, don't get cheap and act good! Our department only has a few masters, and Xiao Ma is the one with the most potential among the masters.

Not only is the surgical technique good, but the character is also good. Now that Yuan Zhang prefers to put him in your department, I haven't complained yet! "

Old Zhao said with a smile. He is now surrounded by Zhang Fan's number one. Ever since he followed Zhang Fan to the United Arab Emirates, his status in the family has been much higher.

Some people listened to the words, and the wife was as gentle as when she was just married decades ago. Moreover, with the support of Song Ping, the work in the department has changed a lot. It can be said that everything is going well now.

In fact, the director of the double gland department didn't care much about whether to perform the operation of her own department. What she cared about was that Zhao Dian Dian was taken out by Zhang Yuan.

The two were arguing, during the operation, Ma Yichen started the operation.

A thread gently drew a red mark on the patient's fair neck.

Because this kind of operation is on the neck, and the more slender the neck, the more obvious the surgical scar.

Therefore, if you don't want to see it after the operation, you have to pay attention to the doctor's skills.

A line, a slightly reddened line. During the operation, one knife must be cut from the left side of the neck to the right side. There must be no return of the knife, and no uneven force.

Otherwise, the patient's neck is like being bitten by a dog with missing teeth.

Ma Yichen held the knife and looked at Zhang Fan. Then gently, the knife penetrates into the skin.

Just like a paper cutter cutting paper, a very thin surgical incision is slowly presented.

At 2 transverse fingers above the suprasternal notch, make an arc-shaped incision along the skin lines, 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, use tissue forceps to pull the upper and lower skin flaps, and use a knife to separate the loose tissue behind the platysma, up to the lower edge of the thyroid cartilage, and down to the manubrium notch.

In this kind of surgery, the incision looks very small, but the depth is still enough to see. Because the gland is almost hidden with the recurrent laryngeal nerve.

There are few blood vessels in this space, and it is easy to bleed when the separation is too deep or too shallow. The incision must be protected with a sterile drape.

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's surgical vision cleanly and clearly.