After 100 Days Of Sign-In, The First Operation Shocked The World

Seeing that the fat man was so afraid of death, Lin Feng simply took out a picture of a person's throat structure.

Start to explain.

"You see, this is the thyroid gland. The thyroid gland is located below the thyroid cartilage in the neck and on both sides of the trachea. Its function is to control the speed of energy use, produce protein, regulate the body's sensitivity to other hormones, and regulate the balance of calcium in the body."

"If cancer occurs on the thyroid, thyroid cancer will form."

"Fortunately, thyroid cancer, different from other coquettish bitches, is the most [lazy] type of cancer. It is the most inert!"

"An autopsy of foreign bodies found that many people have thyroid cancer in their bodies. Some have existed for more than 60 years and have not metastasized! No adverse consequences have occurred! Many elderly people die without knowing that they have developed thyroid cancer. Thyroid cancer."

"Huh~~"

When the fat man heard that he was suffering from such a [lazy] cancer. Someone had been ill for more than 60 years without any problems, and he breathed out immediately.

"However, no matter how lazy the cancer is, it is still cancer in the final analysis!"

Lin Feng said solemnly: "So, you need to do a B-ultrasound and perform a needle biopsy. The result of the biopsy can tell whether it is benign or malignant. If it is malignant, surgery must be performed."

"Oh~~"

When it comes to malignant tumors, the fat man's heart just let go of it comes up again.

"Do not worry."

Lin Feng smiled: "In preliminary judgment, even if this nodule is cancer, it has not yet metastasized and can be operated on. Thyroid surgery is very mature, with a high success rate and a good prognosis. Minor surgery."

"Then if surgery is required, can my thyroid be kept?"

The fat man asked in a low voice.

"This is hard to say. It needs to be judged based on the operation situation, and it may not be able to keep it."

Lin Feng shook his head and said: "After all, this is cancer, your size and location, it is generally recommended to have a total thyroidectomy + peripheral lymphatic sweep. 843"

"Huh? Even the surrounding lymph?"

"Yes! Because of your current size, it is no longer small, and there may be adhesions with the surrounding lymphatic tissue."

Lin Feng looked at the B-ultrasound of his throat and shook his head: "To be on the safe side, you must clean it up, uproot it, and not save trouble, otherwise it will easily recur."

"Okay, doctor, I'm up to you."

The fat man takes his life very much.

Lin Feng nodded.

The obedient patient is the best patient.

Lin Feng is most afraid of encountering those who don’t know how to pretend to understand, or who have seen a doctor at a thousand degrees. He can't explain how to explain it.

The fat man went for some inspections arranged by Lin Feng, PET-CT examinations, etc. After Lin Feng further comprehensively judged, he arranged the fat man to be hospitalized, and then performed B-ultrasound and needle biopsy after hospitalization. After the biopsy pathological results came out, it was determined to be a malignant tumor, and a surgical plan was developed.

...

Director Zhou is happy today. Lin Feng's operation was successful, and the big rock in his heart was put down.

This is a rare level four surgery!

Director Zhou came to the door of the emergency office,

open the door.

Director Zhou is stunned~~

I saw that Lin Feng's office was jumping up and down! a mess!

Chief physician Zhang Yuan, attending physicians Song Ziming, Huang Ziqian, and a large number of interns, including Wu Haoming, were all clamoring.

"Lin Feng! Last time I asked you to eat hot pot, you promised me, this time the second assistant will give it to me!"

Intern Wu Haoming is pitiful.

"Give me a chance! Boss! Kneel down for you!"

"Hehe, you want to be a second assistant as an intern?"

Song Ziming and Huang Ziqian disagree: "Second help, no, first help, it must be ours!"

The interns cried.

"Senior Dogecoin! Come again?"

"Don't give me a chance? Too much, right?" (aicc)

"If you don't give it, don't give it!"

Song Ziming and Huang Ziqian were resolute: "Interns are watching outside! Don't go in the operating room! Try to make trouble? If you help me already..."

"Who said that?!"

Zhang Yuan said lazily: "One help, get you all? No points in my heart?"

He coughed twice and solemnly said to Lin Feng:

"Ichisuke is mine! Right?"

In fact, he wants to learn Lin Feng's surgical technique, no matter how simple the operation is, he can gain something.

Yesterday's "external liver tumor resection" operation benefited him a lot, and he didn't want to let it go this time.

Lin Feng: "...you "instruct" the superior doctor, so embarrassed to lay hands on me?"

What's more, it's a small operation like thyroid cancer!

You are too mean, right?

Zhang Yuan lowered his voice: "Do you want me to sign your surgery in the future?"

Lin Feng grasped Zhang Yuan's hand: "Welcome to guide!"

Talk and laugh with the evil forces. jpg!

Attending physician, interns: "..."

Director Zhou: "..."

Witnessed a dirty PY transaction!

...

...

The next morning.

The operation is about to begin!

Lin Feng led Zhang Yuan and Song Ziming into the operating room. The anesthesiologist was already in place, and the equipment nurse and patrol nurse were in place!

Pre-operative preparation is complete!

The surgical nurses are counting the equipment one by one: "Hyperthyroidism bag, clothes, cloth, filming cloth, ultrasonic knife, electrosurgical pen, suction device..."

The fat man has been lying on his back, with a soft pillow under his shoulders, so that his head is naturally reclined and his neck is in a hyperextension position.

The anesthesiologist completed tracheal intubation and general anesthesia.

Gesture: ok!

Lin Feng walked to the position of the surgeon and glanced at Zhang Yuan.

As a helper, Zhang Yuan immediately forced him to make a neck incision.

Incisions and abdominal closures were originally performed by lower-level doctors like Lin Feng.

But here, everything is upside down!

Intern Lin Feng, standing in the position of the master swordsman, is arrogant and directs his eyes.

Zhang Yuantang, the chief physician, has rich experience in surgery, but wants to lay hands on him!

But Zhang Yuan was not a bit unhappy, but rather happy.

At Zhang Yuan's level, there is no problem to complete a thyroidectomy, but he wants to learn!

Life-long learning!

...

Zhang Yuan cut it open!

Good guys!

This patient is too fat, too fat!

Such thick fat is a nightmare for every doctor!

Fat liquefaction and secondary infection are the most terrifying complications of the prognosis of surgery, and there is no good way to solve it completely!

It is one of the main reasons leading to poor healing of surgical wounds. At the same time, the capillaries in the adipose tissue are clogged due to coagulation, which further hinders the blood supply of the hypertrophic adipose tissue with poor blood supply.

This dead fat house, he certainly doesn't like sports at ordinary times!

Lin Feng curled his lips.

...

Zhang Yuan incised the skin.

The nurse started to disinfect the skin of the surgical field!

The nurse used 1% vital iodine to disinfect the skin 3 times. The range of disinfection was from the top to the bottom of the lip, the nipple of the lower limbs, and the sides to the front edge of the trapezius muscle.

Lin Feng started the next step!

He used 4# silk thread and 1 straight pliers as the incision mark, blade incision, 4# silk thread ligation, electrocoagulation hemostasis, and blade replacement~~~

The electric knife is in his hand, as if he has a soul, and even the smallest blood vessel will be stopped by a single knife!

The whole process is done now, and the amount of bleeding is very small, only tens of milliliters.

Different doctors have different surgical styles. Some doctors pursue less blood loss, and some pursue small surgical incisions, but in general they all pursue the ultimate.

Obviously, Lin Feng has made this simple and ordinary operation alive and well into a hall-level surgical technique display!

Zhang Yuan was aside, watching Lin Feng's technique, secretly happy in his heart.

"This technique is amazing~~~"

"Hey, I changed another technique, completely different from yesterday's operation..."

"Fuck, fuck~~~"

Experience +1+1+1+1+1……

Floating on top of the head 666~~~

...

Surgical ing~~

Lin Feng's hands are like flying butterflies.

One minute……

Two minutes...

three minutes……

The nurse next to him found that he had never had a chance to clean and attract the wound. The amount of bleeding in the wound was too little. No nurse's help was needed. The surgical field inside was also very clear.

These are the details!

Next, Lin Feng cuts off the anterior cervical muscles.

Silk thread ligation.

He continued to separate the external jugular vein with surgical scissors and ligate with silk thread.

Shuye was finally completely exposed.

The fat man's thyroid glands on both sides were revealed in the eyes of everyone.

Lin Feng's eyes are calm, without joy or sorrow.

Section and send for pathological biopsy.

Soon, the pathological biopsy reported the result: malignant tumor!

Lin Feng immediately acted like wind, using surgery to remove both thyroid glands.

But this is not over yet!

Next, remove the adhering lymph nodes!

Due to the malignant tumor of the thyroid gland, it is already very large, and even caused the patient to have symptoms such as difficulty in swallowing and coughing, reaching 3.6X4.5CM, and it has adhesion with the abundant lymph nodes in the neck.

Then thunder must sweep the acupoints and sweep the lymph nodes at the same time, so as to save the risk of nourishing carbuncle and leave the hidden danger of recurrence in the future!

Lin Feng began to separate the lymph nodes.

Cut the carotid sheath with a scalpel, confirm the internal jugular vein, common carotid artery and vagus nerve, protect the parathyroid glands and avoid damage to the recurrent laryngeal nerve, open the sheath with surgical scissors, and bluntly separate the enlarged lymph nodes with the stripping ball~~

This process requires special care.

Recurrent laryngeal nerve injury is one of the most common complications of thyroidectomy.

Once it appears, the result is that the patient's speech and swallowing functions will be affected, and even become disabled!

Not only must thunder sweep the acupoints, remove the roots, but also protect the recurrent laryngeal nerve, Lin Feng performed the operation carefully.

The lymph nodes are separated.

Gently pull the common carotid artery with gauze to clean the surrounding lymph nodes.

At this point,

That's it!

Lin Feng let out a sigh of relief!

Zhang Yuan on the side finally breathed a sigh of relief.

He asked himself!

He can also do thyroid surgery!

Zhang Yuan was born in basic surgery!

This kind of basic surgical operation, he has solid basic skills and profound strength!

But can it be done like Lin Feng, with every detail and every step so perfect?

Zhang Yuan asks himself~~

The conclusion is~~

Do, no, come!

It is said that in the chef competition to test the cooking skills, generally do not test the delicacies of the mountains and the seafood, but the practice of home-made eggplant, ground three fresh, and scrambled eggs with tomatoes!

The simpler the dish, the more sophisticated it is!

Ye Xuan had performed an ordinary Wuqi operation, but in the eyes of experts like Zhang Yuan, the more he did this, the heavier the weight.

In Zhang Yuan's heart, he once again admired the five-body cast!

Experience+100+100+100+100……

Keep floating 666~~~

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