Come on, Dr. Wu

Chapter 201 Open a new copy

The third heavy bed, which means the third critical bed, is the bed that needs to be focused on in the ward on the second floor.

When Duan Hao heard what the nurse on duty said, he didn't dare to delay and hurried over.

At this time, the patient's vital signs were already dropping. The doctor on duty was Wang Hu, who hurriedly reported to Duan Hao.

"Director, this is a patient with intestinal obstruction who was admitted the day before yesterday. He has been taking antibiotics for the past two days. It seems that the effect is not satisfactory so far. I am afraid he will need surgery."

Not only is it not ideal, there are probably some necrotic parts. The progress is so fast, there is no delay at all.

"Prepare for surgery."

Duan Hao did not dare to delay. Intestinal obstruction usually cannot kill people, but necrosis has to be an exception. Now the patient has been taking medicine in the hospital for two days, but the effect is not good. He has missed the best opportunity for surgery. He dare not No more delays.

Wang Hu hurriedly made arrangements, but he couldn't perform surgery for intestinal obstruction. Then he looked at Zhu Yun. Zhu Yun was also a little helpless. He had a rest today, so he threw it in again.

Who told Wang Hu to be the one who brought him out? However, Wang Hu's progress is not slow. If he does a few more intestinal obstruction resection surgeries, he should be able to do it.

Patients with gastric tubes are like this. They don't eat for half a month and rely only on extracorporeal gastrointestinal nutrition. The thought of gruel can make people cry.

"Well, I came back yesterday, how was it? Is it much better recently?"

Xiaolin received the checklist and film from her parents.

Wu Xiaofu looked at his new badge and was a little excited. He was the attending physician.

The hospital has a strict classification of surgeries. Resident doctors basically have first- and second-level surgical privileges. The operations that attending doctors can do are also very limited, and only some third-level surgeries are open.

But things are different now. From now on, when Wu Xiaofu undergoes surgery, he can just write his own name. It doesn’t matter whether he is a third-level or fourth-level surgery patient. There is no need to discuss it with other people.

What are you most afraid of after cancer surgery? Naturally, the tumor recurred.

"Doctor Wu, are you back?"

Very troublesome.

Xiaolin is recovering well, and it usually takes about a month to reach the discharge standard. But judging from Xiaolin's condition, it will be almost a week, and the tube will be removed soon. If she has a gastric tube, just eat slowly.

Before, I could feel at ease only when I heard Wu Xiaofu say that he was recovering well.

At present, there are no signs of recurrence.

Wu Xiaofu actually wanted to help, but he hadn't had an operation for several days and his hands were very itchy.

In the vice dean's office.

Wu Xiaofu went to the information department to update his information and received a new key, and an attending doctor with chief physician authority appeared.

Those are all about money and statistics on the number of surgeries. Later, Wu Xiaofu became famous for doing surgeries, and Yu Shifu also became the dean. Only then could Wu Xiaofu apply for third-level and fourth-level surgeries, so he had to do one and report it. One machine, authority is limited to approval from superiors.

It took three months from graduating in July to participate in the program to being hired as an attending physician today. It took three months to complete the transition from resident physician to attending physician, which was two years ahead of schedule. Except for a few darlings in the medical field, the second Wu Xiaofu, the fifteen-year-old chief physician, finally had his share.

It can be seen that Xiaolin's complexion is good. Even if it is a laparoscopic surgery, it is unimaginable to cut out a basin of organs and tissue, and the damage to the vitality will be unimaginable. A few days after the operation, Xiaolin's face can hardly be seen. To the color of blood.

Hearing this, Wu Xiaofu also laughed.

Yu Shifu was worthy of being his own master. Before Wu Xiaofu could finish enjoying this joy, he gave Wu Xiaofu another surprise.

These two patients are Wu Xiaofu's key patients, and they have been there for a week. Wu Xiaofu also wants to see them as soon as possible, otherwise he will not worry.

"Yes, you have indeed recovered a lot. Thanks to your youth, older people really can't expect to recover so quickly."

Especially for pancreatic cancer, the king of cancers, even if it is only half a month after the operation, if the surgery is not clean, the early recurrence rate is really high.

This is how Zhu Yun came here. It's just that the roles have changed. Now he has become an old man and has to continue to lead the new doctor on duty.

"Doctor Wu, I feel much better. I just started eating porridge yesterday. Don't tell me, I have never found porridge so delicious in my life. It's still the kind of soup without rice."

Really difficult surgeries, truly major surgeries at level 3 or 4, can basically only be performed by deputy chief physicians and chief physicians.

"Thank you, teacher."

Unfortunately, Yu Shifu sent a message asking him to find him after checking the room.

After leaving the Information Department, Wu Xiaofu went straight to the General Surgery Department.

However, this chief physician's authority is only valid in the First Affiliated Hospital, not outside the First Affiliated Hospital.

"Just check it once every six months or even a year. Forget about this matter, embrace a new life, and be discharged from the hospital in a week."

Lin Yuxiu, who had undergone laparoscopic extended radical resection of gallbladder cancer and liver transplantation, and Xiaolin, who had undergone laparoscopic pancreaticoduodenectomy for pancreatic cancer, both lived in the Department of Hepatobiliary Surgery.

Xiaolin was a little surprised to see Wu Xiaofu. During the National Day, doctors from the hepatobiliary surgery department came to check the ward. When Xiaolin and others asked about Wu Xiaofu, they all said that Wu Xiaofu went abroad to study. To be honest, Xiaolin recovered after the operation. It was good, but I was a little panicked after not seeing Wu Xiaofu for a few days.

Authority, this thing can really choke the doctor.

"How is it? How do you feel? I didn't get the treatment you did back then. Not only was it a promotion in professional title, but Dean Rong released your surgical authority. Later, after you go to the information office to change the key, you don't have to apply for level 4 surgery. , signed directly.”

When Wu Xiaofu had surgery before, he usually wrote Duan Hao's name or Yu Shifu's name.

"Come, let me take a look."

Of course, if some other hospitals are willing to grant Wu Xiaofu surgical privileges, that would be another matter.

"Doctor Wu!"

Now half a month has passed, but I am much better, and my face is rosy.

Wu Xiaofu stretched out his hand, and Xiaolin quickly handed it over. Wu Xiaofu liked to take pulses, and many people in the general surgery department knew this.

After hearing Wu Xiaofu's words, Xiaolin, her best friends, and her parents were very surprised.

Hospitalization represents illness, and discharge represents recovery. This is almost what most people think. After staying in the hospital for so long, Xiaolin just wants to leave here early. In the next few days, she is afraid that she will be counting the days until she is discharged. .

"Thank you Dr. Wu."

After leaving Xiaolin's ward, Wu Xiaofu went to see Lin Yuxiu.

To be honest, Wu Xiaofu was more worried about Lin Yuxiu's situation than Xiaolin.

He is older, has suffered a lot of damage, and has to worry about rejection. The surgery is really a hurdle, and it is possible that he cannot survive it. During his time abroad, Wu Xiaofu asked Zheng Hua to come over every day to check on the situation, but it was okay. and.

Yes, it's just okay. Lin Yuxiu seems to have a psychological burden. I heard that she had insomnia for several days.

It is understandable that such a major operation is easy to worry about. What's more, Lin Yuxiu's body is still her son's liver, which makes her even more psychologically burdened. However, this cannot continue like this. What the patient fears most is not being able to eat. Well, it was hard to sleep well, especially after such a major surgery.

Come to the ward.

The patient's family members were very happy after seeing Wu Xiaofu.

"Doctor Wu, are you back? Please check on Yuxiu quickly. I haven't been able to sleep well for several days."

Wu Xiaofu came to the patient.

I checked my pulse and found that it was okay. After all, it had only been a few days and my body was not really broken down yet, but I couldn't delay this.

"Where's the checklist?"

The patient's husband hurriedly brought it to Wu Xiaofu. After seeing the report, Wu Xiaofu also frowned. The indicators on the list were far from Xiaolin's recovery.

"Not bad, but it's not good if you can't sleep well all the time. It will slow down your recovery."

After looking at the drainage situation, it was also of normal quantity and quality. It seemed that there was no large amount of leakage or bleeding in the body.

"I've taken sleeping pills to no avail, and I don't dare to take more. My liver can't bear it. Other doctors can't help either. Dr. Wu, please give us a solution."

Shaking her head, sleeping pills, Lin Yuxiu's sleep has never been good. She had a history of taking sleeping pills for a long time, and the effects are getting worse. Now that she is more anxious, it is even more difficult.

"Mom, look at my hands."

Wu Xiaofu put his hand in front of Lin Yuxiu's eyes. Lin Yuxiu looked at Wu Xiaofu's hand and saw its various deformations. She didn't know why her eyelids began to droop.

Huhu.

"Fell asleep?"

The patient's family members were all confused and surprised at this time, so they fell asleep? Just move your hand twice and let the patient fall asleep?
It's amazing.

"Doctor Wu, you are really amazing. Just this, this, how did you do this?"

The patient's husband, son, and daughter were all making gestures to Wu Xiaofu at this time, but they all looked a little different, but the main idea was to ask Wu Xiaofu why Lin Yuxiu fell asleep directly.

"It's just psychological therapy. The patient should be able to sleep for five or six hours. I'll come back tomorrow."

The patient's surgery was successful. Now it's a matter of slow recovery. If you rest well later, you will definitely recover faster. Wu Xiaofu's hypnotherapy is really useful for patients. It was successful in one go. This is also because of his strong mental power. One benefit is that gestures are only auxiliary, and mental power is the main force.

It is especially effective for mentally ill patients like Lin Yuxiu.

The conditions of both patients are currently under control, and Wu Xiaofu is relieved.

Nail and Breast Surgery.

When Wu Xiaofu came today, he brought two gift boxes. Wang Meihong was staying at the Department of Acupuncture and Breast Surgery at this time. Zhang Feng had already returned to work. His medical qualifications were not suspended in the first place, but he was unable to carry out normal work because of trouble caused by his family members. It was just work. This time, the family members did not bother to trouble Zhang Feng after such an incident. Instead, they asked Zhang Feng to go to work normally and wait for the court inquiry later.

In order to facilitate the care of Wang Meihong, we simply arranged to live in the nail and breast surgery department. They are all hospital employees, so they still have this privilege.

What's more, Wang Meihong's neck injury is considered symptomatic.

Wang Meihong is a colleague in the emergency department. Now that she is hospitalized, these colleagues in the emergency department naturally want to see her. Everyone else has seen Wang Meihong during the National Day. Wu Xiaofu has been away for seven days and has just come back, so he has to come and see her. .

He took off his white coat and entered the nail and breast surgery department carrying a gift box.

Needless to say, the nail and breast surgery department is very different from the hepatobiliary and gallbladder surgery department. Compared with the nail and breast surgery department, the doctors in the hepatobiliary and gallbladder surgery department are rougher, but the doctors in the nail and breast surgery department are each more detailed than the last, and they are rare in surgery. Some female doctors gather in departments, and surgeries are generally rarely willing to recruit female doctors.

That is to say, in the Department of Nail and Breast Surgery, the number of female doctors in other departments is at most ten to one.

For example, in orthopedics, hepatobiliary surgery, and neurosurgery, there are almost no female doctors. Entering the nail and breast surgery department is much more eye-catching. Not only the doctors, but also the proportion of patients is different. There are more female patients in the nail and breast surgery department. Not only are the problems mostly affecting women, thyroid problems are also more common in women. Therefore, when you enter thyroid and breast surgery, you will find that 80% of the patients are women.

Wu Xiaofu had already inquired about Wang Meihong's ward in advance and walked in directly.

"Sister Wang."

Entering the ward, Wu Xiaofu saw Wang Meihong at the first glance, shouted and put down the things. Wang Meihong was also a little excited after seeing Wu Xiaofu, "Doctor Wu!"

Wang Meihong's eyes were really full of gratitude. You know, if it hadn't been for Wu Xiaofu, she would have probably died that day, and it was really like saying goodbye to her husband and children.

From that day on, Wu Xiaofu became a great benefactor to their family.

"Dr. Wu, I have always wanted to thank you. You saved my life that day. If it weren't for you, I'm afraid I would have to sleep forever. No matter what happens to you in the future, I will definitely repay you. You and Zhang Feng said the same thing."

Wu Xiaofu stopped Wang Meihong who wanted to continue talking. Although seven days had passed, Wang Meihong's recovery was not that fast. At this time, her neck was wrapped with thick gauze, her speech was also affected, and she was even more emotional. It is not conducive to his recovery. Wu Xiaofu came to see Wang Meihong today and did not want to see the problem. "Doctor Wu!"

At this moment, several more people entered the ward. When Zhang Feng saw Wu Xiaofu, he shouted in surprise.

"Director Zhang, Director Ling."

The ones who came in were Zhang Feng and Director Ling, the chief director of the nail and breast surgery department. The nail and breast surgery department has three districts abc and three department directors. Director Ling, the department director in area a, is also the department director of the entire nail and breast surgery department.

Among the experts in nail and breast surgery in China, Director Ling ranks at the top.

The title in the field of nails and breasts, well, is enough to write a short essay of several hundred words, and the ability goes without saying.

"Dr. Wu, is this your first time to come to our nail and breast surgery department? I've heard that you go to the hepatobiliary surgery department most frequently, and you also go to the gastrointestinal surgery department. But you have never been to our nail and breast surgery department. I originally I was prepared to invite you here no matter what, but this time, you finally came."

Before Zhang Feng could say anything more, Director Ling had already stepped forward and held Wu Xiaofu's hand.

Wu Xiaofu also hurriedly said after hearing this.

"Director Ling, I have actually wanted to come here for a long time. I am very interested in nail and breast surgery, but I was afraid of disturbing Director Ling, so I never came."

Director Ling was even more elated.

"As long as you are interested, I will have an operation soon. Come with me. You will know that thyroid and breast surgery is more interesting than hepatobiliary surgery."

Seeing Director Ling's expression of believing that he was right, Wu Xiaofu was also a little helpless. He really just came to see the patient, but this seemed to mean that he was too kind to refuse.

Fortunately, Zhang Feng spoke.

"Director, Dr. Wu is here to see my wife."

Director Ling didn't show up, "We are all a family, haha. Doctor Wu, don't worry, Mei Hong has basically recovered. Her nerves are fine, just her blood vessels and trachea. The stitches can be removed in a week."

Zhang Feng was also a little helpless. He knew that Director Ling was also attracted to Wu Xiaofu.

When Wu Xiaofu became famous in the emergency department, Director Ling had his thoughts on it, but Wu Xiaofu never gave him a chance and just hung around in the Hepatobiliary Surgery Department. You know, when you ask for consultation in the emergency department, you can hardly get a thyroid and breast surgery department. , Director Ling also had few opportunities to contact Wu Xiaofu.

This encounter, especially through Wang Meihong, allowed Director Ling to see Wu Xiaofu's superb skills. How could he be willing to let it go this time?

"I'm definitely willing to do surgery with Director Ling. I just happen to want to learn a bit too."

General surgery is not divided into different branches. What’s more, it is the only nail and breast surgery department in general surgery that is known as a delicate job.

Wu Xiaofu is now focusing on hepatobiliary surgery and secondary gastrointestinal surgery. He has not yet been involved in nail and breast surgery. Since Director Ling gave him a chance this time and there was nothing going on today, he naturally wanted to follow along and take a look.

Director Ling and Zhang Feng also came over to see how Wang Meihong was doing today. Now that they met Wu Xiaofu, they no longer cared about Wang Meihong. Director Ling thought that the surgery of nail and breast surgery was still very attractive. Maybe two surgeries would be done. , Wu Xiaofu is really willing to have sex with her breasts. Who wouldn’t be greedy for Wu Xiaofu now?

Because of Wu Xiaofu, the Hepatobiliary Surgery Department of the First Affiliated Hospital has now been directly upgraded to a higher level.

A laparoscopic extended radical surgery for gallbladder cancer has directly increased the business of the First Affiliated Hospital, and its influence has increased to a higher level. It has directly made the dominance of the Hepatobiliary Surgery Department of the First Affiliated Hospital unshakable.

What's more, it has also performed laparoscopic extended radical surgery for gallbladder cancer plus liver transplantation, which has greatly increased the competitiveness of hepatobiliary surgery in the country and the world.

What Director Ling saw was Wu Xiaofu's talent.

Hepatobiliary surgery can have such great achievements, and thyroid and breast surgery can achieve similar results as long as they concentrate on it.

Nowadays, the development of nail and breast surgery is also advancing by leaps and bounds.

Several surgeries performed by Director Ling today were all done under laparoscopy. Laparoscopy was something that would have been unthinkable ten years ago. Basically, after the surgery, a long scar appeared on the neck, which made many people feel uncomfortable. After doing it, I subconsciously protect my neck. I don't want people to see the scars, but it also leaves a psychological barrier.

Well now, under endoscopic examination, this problem is already minimal.

Moreover, in Director Ling’s view, there are many options among the three departments of general surgery. Who doesn’t want to engage in nail and breast surgery? Not to mention gastrointestinal surgery, which is just a man who plays with feces. E. coli is everywhere, so choose gastrointestinal surgery. , basically all are subject to adjustments, hepatobiliary surgery, more work but less money, earning some hard money is still a hard life.

But nail and breast surgery is different. It pays more, the work is fine, the atmosphere is good, and there are not so many medical disputes. Who wouldn’t want to choose nail and breast surgery if you can choose it.

Of course, Director Ling didn't know what Wu Xiaofu was thinking: I want them all.

In the operating room, Director Ling's original assistant was also a little resentful. A good day as an assistant was ruined. My family, who knew, someone from the emergency department would come to the nail and breast surgery department to grab a job.

On the operating table, Wu Xiaofu looked at the patient who had been draped, leaving only his neck.

The Book of Songs says: The hands are like catkins, the skin is like gelatin, the collar is like a caterpillar, the teeth are like rhinoceros, and the head is like a moth's eyebrow.

The beauty of the neck is that it is as slender and slender as a swan's neck, and as clean and plump as a cricket's neck.

Traditional thyroid surgery will inevitably destroy the perfection of the neck. The lancet can cure the disease, but the psychological trauma caused by scarring is inevitable. The emergence of laparoscopy is definitely good news for thyroid patients.

The patient undergoing this surgery was a 4.0-year-old female patient with thyroid nodules. The 2.0* cm nodule in the right lobe of the thyroid gland was discovered two years ago. It was only a few millimeters at first. In two years, it was almost increased tenfold.

At that time, the rating was still Category 3, but now it is Category 4.

According to the thyroid classification, Category 4, 2 and 15 are all benign, as long as they are reviewed regularly, but starting from Category 4, the risk of malignant transformation is higher. Among them, the malignant rate of Grade 15a is between 85% and 4%, and the malignant rate of Grade 85b is between % and %. The probability is between % and %, and the probability of malignancy in grade c is greater than %.

Therefore, if the clinical examination report shows thyroid nodule grade 4, it is necessary to further improve the relevant examinations, such as thyroid nodule puncture examination, to confirm the diagnosis, and generally require timely surgical treatment.

For example, the patient in front of me has grown so much in two years and the blood flow signal is not good, so he should undergo surgery in time.

However, in the past two years, even though the doctor recommended surgery many times, the patient was worried that the scars on the neck after surgery would affect the appearance and was unwilling to undergo surgery. However, he saw that something was wrong. The nodules were too large and compressed the vocal cords, which affected his voice. , this would not be possible without surgery. Laparoscopy happened to be available now, so I was recommended by the local hospital.

Director Ling received the treatment in person. For Director Ling, this was not a major operation.

Wu Xiaofu took a look at the surgical procedure, which was total endoscopic right thyroid lobectomy through the total areolar approach.

To be honest, this type of surgery was Wu Xiaofu’s first experience. Although Wu Xiaofu had also practiced in the Department of Nail and Breast Surgery in Bei District, the Affiliated Hospital of Bei District Medical University could not perform laparoscopy. Wu Xiaofu was really touched. Thyroid endoscopy, my desire to learn is really high.

"For our thyroid endoscopy, the incisions are made in hidden parts of the body, usually the areola, mouth, armpits, etc. For example, this one opens in the areola. The effect is similar to that of incision, or even better, but There are much fewer complications, and no scars will be left on obvious parts of the body, which is very exciting for this type of patient. ”

Director Ling said to Wu Xiaofu while opening the incision and delivering the mirror.

"How about it?"

Director Ling handed the mirror to Wu Xiaofu. I have to say that Director Ling was really brave. This was Wu Xiaofu’s first time to undergo laparoscopic thyroid surgery. However, Director Ling didn’t know this. He only thought that Wu Xiaofu was born in the outside world. It should have been done before.

Wu Xiaofu was not polite and took it directly.

Although it is a laparoscope, the principle is similar to that of incision, and the required field of view is also similar to that of incision. Wu Xiaofu just held the mirror, and the field of view was in place. With his current ability, it was not a problem at all.

Similar to laparoscopy, thyroid endoscopy also has three sleeves, openings for the breasts on both sides, and an opening in the center of the breast, which is in front of the sternum.

The gas is injected through the presternal approach.

A suitable operating space must be established under the skin of the anterior chest wall and under the platysma muscle. To be honest, the difficulty of this operation is actually higher than that of laparoscopy, because the space in the abdominal cavity is larger and the room for operation is larger, but there is no Similarly, the subcutaneous space is smaller, and you need to be more careful when operating. If it is deeper, it will easily damage important tissues, and if it is shallower, it will be difficult to achieve the effect.

To be honest, Wu Xiaofu's interest has already aroused.

After the operating space is opened, the rest is actually much simpler. Use an ultrasonic scalpel to make a longitudinal incision in the midline of the front of the neck until it reaches the thyroid capsule. Then use non-invasive grasping forceps to lift the sternal thyroid muscle on the tumor side and cut through the thyroid pseudocapsule. Bluntly, Sharp dissection reveals the thyroid lobe on the side of the tumor.

Because the diameter of the tumor is >3 cm, sutures or thyroid retractors must be used to assist in retracting the anterior thyroid muscle group to assist in exposure.

Well, see clearly.

In fact, the ideas of laparoscopic surgery are similar. The first step is to reveal the part you want to do. The field of view is something that surgeons have always emphasized.

As long as the vision is clear, everything else is actually easy to say.

Many operations, in fact, are more time-consuming than surgical operations. Well, they say that surgery requires talent, which is actually true. People without talent really can't find the thyroid gland. This is not just talk. Look. After dozens of units, I have made many of them, but I still can’t do the exposure work accurately when I try it myself, so it’s really not suitable for me.

Because patients won’t give you much room for trial and error.

Wu Xiaofu has also seen some that can't even be brought out. Compared with incision, laparoscopy requires more spirituality from the surgical patient.

Wu Xiaofu was thinking about what to do next, and took advantage of the situation to put his vision in place. Director Ling used non-invasive forceps to lift the lower pole of the thyroid gland, started to use the forceps to bluntly free the inferior thyroid artery, and then used the ultrasonic scalpel to close the capsule of the lower pole. Disconnect it.

No matter what kind of surgery is performed, blocking the arteries is the top priority.

Because blood is the biggest threat to the vision in the mirror. Just like the case where Wu Xiaofu came to David's rescue, the blood vessel ruptured and the blood instantly blurred the vision. If Wu Xiaofu hadn't been able to blindly come in, then he would have had to switch to incision. Not to mention If we can continue to explain this, we will lose our reputation in the future.

Therefore, no matter what, all threatened blood vessels must be blocked.

"Yes, Dr. Wu, your talent is very suitable for our nail and breast surgery. I don't think you have done many nail and breast surgeries, and you probably don't have many laparoscopic surgeries. I don't know how long it has been since you did it. This time Once you get started, you can keep up with my rhythm. To be honest, you are no worse than the deputy director of our department. It would be a pity not to do nail polish with this talent. "

Listening to Director Ling's praise, Wu Xiaofu couldn't help but smile.

"Director Ling, not only have I not done a few surgeries, but to this day, this is my first time to do laparoscopic thyroid surgery."

Ah!
How sloppy!

Director Ling looked at Wu Xiaofu and was convinced that Wu Xiaofu was not joking. He was also a little depressed and took it for granted. He didn't say hello in advance before the operation. Fortunately, Wu Xiaofu's talent was really good and he could handle it. If Wu Xiaofu was hung up on On the stage, let alone recruiting, I'm afraid it would be thought that Wu Xiaofu was deliberately making Wu Xiaofu look embarrassed.

"Doctor Wu, I really don't know about this. However, this is really your first time. You should be so skilled!"

Not only Director Ling, but also the other doctors in the operating room were a little surprised. It was the first time that Wu Xiaofu could do this. Are you kidding me?

"Maybe it's just a talent, as you said. As you know, I'm from the North District, and we haven't started endoscopic technology there yet. I want to get involved, but I don't have the chance. I also want to thank you. Given a chance, the idea is the same. I have done a lot of laparoscopy, and it is not that difficult to find the field of view with a mirror. "

After saying this, everyone believed it, but this talent really cannot be described as high energy.

While speaking, Director Ling had already used an ultrasonic scalpel to cut off the isthmus along the edge of the trachea, pushing the gland inward, and the middle thyroid vein was exposed. In the same way, after blunt dissociation with a separation forceps, the ultrasonic scalpel was used to directly close the gland. The body membrane separates it.

The middle thyroid vein and inferior thyroid artery are the main blood vessels for this operation. After disconnection, the threat of surgery is almost eliminated.

The removal of the thyroid can begin now.

Lift the lower pole of the thyroid gland, and use an ultrasonic scalpel close to the true capsule to bluntly and sharply separate the thyroid body and tumor from bottom to top.

Many people find out in the hospital that the doctor actually says that their nodules are tumors. This makes many patients very scared. In fact, there is no need to be afraid, because nodules are benign tumors. However, many patients automatically treat them as soon as they hear about tumors. It's just a malignant tumor.

While separating the thyroid gland and the tumor, some glandular tissue should be preserved from the tracheoesophageal groove and the posterior inferior corner of the thyroid cartilage to protect the recurrent laryngeal nerve from accidental injury.

The recurrent laryngeal nerve is the most important tissue structure to pay attention to during this operation, as it is an important structure for voice production.

If the injury occurs, ranging from hoarseness to voice loss, the operation will almost be a failure. Therefore, during the operation, care must be taken to protect the recurrent laryngeal nerve.

Thyroid nodules should be removed individually and sent for examination.

It’s basically over here. Carefully stop the bleeding in the surgical field and rinse it with sterile saline. Then you can take out the portoscope.

"Okay, Doctor Wu, come on."

Director Ling gave up his position as the surgeon, meaning that Wu Xiaofu could finish the work.

Wu Xiaofu didn’t have stage fright either, and the rest was routine. Although it was his first time, Wu Xiaofu knew exactly what to do.

"Three zero lines."

(End of this chapter)