Medical road

Surgery for thyroid patients is on schedule.

When people reach this critical juncture, really, those who don't believe in God believe it.The patient's mother was secretly 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 morning, when the first rays of sunlight entered the ward, the girl was lying on the treatment car and 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 wasting disease, the doctor specifically explained that you should eat high-calorie foods.She never eats fatty meat. She wakes up with pork knuckles in the morning, trotters at noon, and braised pork at night.

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

"Well, it will be fine. Definitely!" As she said, the girl's mother was about to cry, but crying before the operation was a bit unlucky, so she endured it hard.

However, the worries in the eyes cannot be eliminated.

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

But what exactly is a gland?

If you use professional language to describe it, it's a joke. Not only ordinary people don't understand it, but even many doctors who don't engage in this profession don't understand it.

In fact, these glands are drug primers, or the leads of bombs.

For example, many people know why the skin is rough, because vitamin A is lacking.But after eating carrots, he is about to become a rabbit, and he still lacks vitamin A.

This is because you don't have thyroid hormone. Without it, the vitamin A you take in has a spin in your intestines. How it got in, or how it came out.

For example, many fierce men look like Zhang Fei, staring angrily, but are not interested in women.It's not that there is a problem with orientation, but that he has insufficient hormones.

Really, this thing usually doesn't secrete much, not even the amount of saliva of a normal drool.

But 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-riding commander.Just love to eat something this special.

Moreover, the thyroid has a brother called the parathyroid gland.

It has a particularly obvious effect on the absorption of calcium. Anyone who eats calcium in calcium is like climbing stairs and flying. They are all fake. Without the regulation of parathyroid glands, even if you eat into stones, it is useless.

"Don't worry, it's okay!" Zhang Fan said with a slight smile when he saw the girl's panic in the operating room.

Warm words, three warm in winter.

Comforted the girl.Zhang Fan greeted Ma Yichen to start the operation.

In the operating observation room, the director of the biglandular department, several directors of the general surgery department, and the staff of the medical office were all present.

Just like reporting on the spot, now that you have returned from your studies, if you want to convince others, especially if a group of directors are convinced, you must pull it out.

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

Zhang Fan was shocked!Ma Yichen did not call Zhang Fan's position.

He and Ma Yichen can be regarded as the city hospitals that went to the hospital. This kid has a master's degree and is of good level.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 getting better.

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

Zhang Fan felt that he wanted to surrender this kid, and he probably had to work a little bit. He didn't expect to visit the magic city. This baby...

Zhang Fan said that it is false not to be proud, and people who are optimistic about it eventually jumped into the bowl.

At the beginning of 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 very serious like a big exam.

"Don't be nervous! Just show the level you should be." 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 general examination surgery for general hospitalization is subtotal thyroidectomy.

Where is the thyroid gland?Roughly speaking, on both sides of the Adam's apple!Where do you look for women without Adam's apple, where the collarbone intersects with two fingers upwards!It's that simple.

Zhang Fan stood on the side of the operating table and looked at Ma Yichen, "This patient is a singer. The requirements for postoperative scars and voice are very high.

The difficulty of surgery is here.Do you have confidence without pressure.

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

Now tell me the truth, are you sure!"

Zhang Fan's voice is not loud, but the other doctors and nurses are almost drooling!

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

"Okay! It's fine if you have confidence. Start!"

In the observation room, the female director of the biglandular department looked like she was unwilling to say to Zhao Quanping of General Surgery: "Your general Surgery is too overbearing. Zhang Yuan is eccentric, not just letting your people perform operations in our department. , And also take you abroad.

We are a separate department, how can you let your doctor do our surgery?"

"Haha, okay, don't get cheap and sell well! Our department has a few masters, and Xiaoma is the most promising one among the masters.

Not only is the surgical technique good, but the quality is also good.Now Zhang Yuan is biased to put him in your department, and I haven't called him wronged yet!"

Old Zhao said with a smile.He is now surrounded by Zhang Fan No.1.Since traveling to the UAE with Zhang Fan, his status in the family has been much higher.

Someone listened, and the wife was as gentle as when she was married decades ago.Moreover, with the support of Song Ping, the work in the department has changed tremendously. It can be said that it is old and pretty, and everything goes well.

The director of the double gland department actually didn't care much about whether or not to do the surgery in her own department. What she cared about was that Zhao Dian was taken out by Zhang Yuan.

The two quarreled. During the operation, Ma Yichen started the operation.

A thread gently struck a red mark on the patient's white neck.

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

Therefore, if you want to be invisible after the operation, you have to study the doctor's skills.

A line, a slightly red line. During the operation, you must cut the right side of the knife from the left side of the neck with a single knife. There should be no return knife, and no undulations and uneven force.

Otherwise, the patient's neck will be bitten by a toothless dog.

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

Just like a paper cutter cutting paper, it was clean and neat, and a very thin surgical incision slowly emerged.

Make an arc-shaped incision along the skin lines at 2 transverse fingers above the upper sternum 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, pull up the upper and lower flaps with tissue forceps, 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 sternal stem notch.

In this kind of surgery, the incision is small, but the depth is still sufficient.Because the glands are almost hidden with the recurrent laryngeal nerve.

There are few blood vessels in this space, and it is easy to bleed when separated too deep or too shallow.The incision must be protected by 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 suture.

As a helper, he showed Ma Yichen the surgical vision cleanly and clearly.