427 Sutures upgraded

(Thanks to my friends Nameless hero, Silence529, Book Friend 20180602234317808, and Silent Pole Monthly Pass for encouragement)

"Don't be so sad, you can watch the video replay tomorrow. ”

When he was about to go on stage, Liu Banxia comforted him.

"Mr. Liu, why do you think my luck is so bad? I was the first to draw. Xu Yinuo said with a bitter face.

"Isn't my luck worse? I didn't even have a chance to draw, so I was directly arranged. Miao Rui said.

"Haha, doesn't this also reward you with the first and second assistants of this operation, thyroid surgery is also more invasive, and this patient is still multiple. Liu Banxia said with a smile.

"Well, that's all I can think of. Autologous transplantation of whole abdominal organs, this is a once-in-a-lifetime case. "Xu Yinuo is still a little regretful.

"Alright, put away all the clutter. In the future, when you take the lead, you may encounter what kind of cases. Liu Banxia said.

"Don't you notice that with the development of medicine, there are more and more new cases of all kinds? In the past, because of the lack of technology, these could only be grouped into a certain category. ”

"Now there are many subdivided specialties, nephrology, breast, anorectal, in fact, no matter what it is, as long as it is specialized and refined, it can be brilliant. ”

"You're all very good, you have to work hard. Regardless of whether you can stay in the second hospital in the future, I also hope to see you shine. When there is good news for me to see on TV and hear about you on the news, then I will call it a beauty. ”

"Hehe, Teacher Liu, you're trying to seduce us to stay in the Second Courtyard. Xu Yinuo said with a grin.

"How good it is to be able to get your contract in the shortest possible time. Is it okay at other hospitals? Liu Banxia said.

He's not lying, he's telling the truth.

At present, the emergency center of the second hospital can enjoy such convenient conditions, even if it is not easy to use the inpatient department.

And Xu Yinuo's group of them now has a very high vision, can they go to an ordinary small hospital?

After brushing his hands, he came to the operating room, and today's anesthesiologist is Li Liwei.

"Make a promise and a help, check the patient's information. Liu Banxia said.

Xu Yinuo hurriedly walked to the patient's side and began to check.

This is a necessary process, even if you recognize the old lady at a glance, this process has to be followed.

It's not that every operation is a patient you are familiar with, if it really happens that you push the wrong operating room, just come up and do it, a proper medical accident.

"Don't worry, old lady. In about two hours, we'll be able to get it done. After checking, Liu Banxia came to the old lady's side.

"Thank you, doctor, for the trouble. The old lady said.

"Don't say that, if you come to us for treatment, we have to find a way to cure it. Liu Banxia said.

"Okay, then let's start the operation, and we'll give you general anesthesia in a moment. Get some sleep? Wake up and you're done. Tomorrow you can drink the soup your child made for you, but I heard? Others are so envious of it. ”

The old lady nodded.

Liu Banxia also nodded at Li Liwei? The anesthesia can begin.

"Tomorrow's operation is amazing, and it's already causing a stir in the hospital. After the anesthesia was completed, Li Liwei said.

"It's a lot of pressure, and I have to rest after this surgery today. Liu Banxia said.

"It's one thing? It's another thing to do something wrong. The key is still a small patient? It also accounts for a large proportion when considering. ”

Li Liwei nodded? "Lao Wang is also preparing for this operation, so let's start. ”

"Miao Rui, what should be paid attention to during thyroid dissection. Liu Banxia said coldly.

"The blood supply to the thyroid gland is very abundant, mainly from the superior and inferior thyroid arteries on both sides. So in the process of separation, you must pay attention. Miao Rui said.

"One more thing to note is that the thyroid gland is surrounded by two layers of membranes? Is the gap between the two layers very narrow? Special attention is also required during the separation process. ”

Liu Banxia nodded? "Okay? The basic skills are very solid. Because of this, this surgery is also a tertiary operation. ”

"And we can see it during the preoperative check-up? Our patient is a bit of a serious condition, on both the left and right? So there's a lot of work to do. ”

Liu Banxia said as he pointed about two horizontal fingers on the patient's sternal notch? An arc-shaped collar incision is made in the direction of the skin striae, which is also a commonly used incision method in thyroid surgery.

Cut the skin, subcutaneous tissue, and platysma muscle in turn, and Xu Yinuo also used tissue forceps to retract the platysma muscle very quickly. Liu Banxia replaced it with an electric knife and began to separate the flap.

Slowly, the thyroid gland appeared in front of everyone.

"Hey, it's not that I want to praise our Mr. Liu, there is always a pleasing feeling when I watch him operate. Li Liwei said.

"What's that called? Is it just right? Every operation is so perfect, not the slightest superfluous. When will you two be able to learn his craft, he will definitely be a famous knife in this industry in the future. ”

"Brother Li, don't praise me so much, can I add chicken legs for everyone for dinner?" Liu Banxia said.

"Haha, that has to work. "Li Liwei is happy.

With such a famous stalk as chicken legs, it is very popular every time.

"Miao Rui probes. Liu Banxia spoke again.

Miao Rui was stunned for a moment, but he didn't expect Liu Banxia to leave this opportunity to himself. Without much hesitation, he probed carefully.

"Multiple cystic nodules can be reached in the left lobe, the largest is about 0.5 x 0.3 cm, and the lower lobe can reach 1.2 x 0.8 cm cystic nodules. Miao Rui reported.

"Not bad. ”

Liu Banxia praised it, and then began to operate.

"Send freezing. ”

After removing the left part of the thyroid cyst, Liu Banxia whispered.

The pathologists who had been prepared for a long time on the side hurriedly walked out after packing the boxes.

Frozen pathology sections need a fast time, but this is less worry-free than doing pancreatic pathology sections, and it is not so fragile and nervous.

However, the requirements for freezing during the whole operation are still quite high, after all, the patient is still lying on the operating table waiting for the pathological test results.

Liu Banxia was not idle, and carefully stitched the stump of the left leaf.

That is, after waiting for more than ten minutes, the pathological results came out: thyroid cyst.

The big guy is relieved, there is no unexpected situation, and then the operation is OK.

After the cyst on the right side was also completed and the sutures were completed, Miao Rui rinsed it with normal saline in a timely manner.

"It can be seen that the bleeding is completely stopped. Leave the work of burying the drainage tube and suturing to Miao Rui. Liu Banxia said.

"Hey...... , I thought it would really last for two hours, but it will be over in a while, and there is always a feeling of not being enjoyable. Xu Yinuo sighed.

"Who let you put him on the table, he always operated so fast. We are very happy that the shorter the time of general anesthesia, the more stable the vital signs and the less likely it is to have stubble. Li Liwei said.

"I'm ashamed of Mr. Liu, I can't keep up with the speed at all, otherwise maybe this operation will also refresh the record of our second hospital. Miao Rui said.

"Let's be honest and stitch, what's the use of that record? Liu Banxia said indifferently.

"In fact, every patient's situation is different, and the situation encountered during the operation is also different. A gallbladder removal can be done in less than half an hour, or it can take more than two hours, which is not comparable. ”

"You don't have to pursue that, there is no test of life and death, just do it according to your own heart. The ultimate goal of all our operations is to heal the patient's illness. ”

It's not to pretend to be X, it's that he really doesn't have that much pursuit of speed now. In the past, he always felt that the faster he could perform the operation, the more powerful he would be.

In fact, it was all false, Shi Lei's speed of surgery was not fast, but he did it very solidly.

A lot of times, a lot of things, it's not that you can do it quickly, but if it's too fast, it's not good.

Ding! The surgery is complete

Gain 400 XP, 300 Diagnostics Skill, 200 Dressing Change Skill, 400 Suture Skill, 500 Thyroid Surgery Skill, and 3 Glory Points

This operation is rated as Flawless, and you will receive 500 experience points, 400 diagnostic skill proficiency points, 300 dressing change skill proficiency points, 500 suture skill proficiency points, 500 thyroid surgery skill proficiency points, and 5 glory points

Congratulations to the host suture level for being upgraded to level 4, 50799/99999

Looking at the system prompt, Liu Banxia was stunned, this is a godsend.

I really didn't expect that the suture surgery would be upgraded to level 4 after this operation, and I also didn't expect that the suture skill proficiency given by this operation would be so much.

He is also more confident about tomorrow's surgery. Tomorrow is the speed of stitching, the faster it is processed, the more secure the child's life is.

"The surgery was a success, and it was just a quick time to be sent back to the ward. After coming to the outside of the operating room, Liu Banxia said.

"After all, it's thyroid surgery, and it's been a liquid diet these days. After a while, when you go to the ward, there will be a doctor and nurse in charge of the bed to tell you the detailed nursing requirements. ”

"Doctor, there won't be any other complications, right?" asked the patient's son.

"I can't give you a definitive answer yet, it depends on tomorrow. After returning to the ward, I will not be given water and food today, and I will need to lie down as soon as I have recovered from general anesthesia. Miao Rui followed and sent back to the ward. Liu Banxia said.

In fact, after the successful operation, he still likes to chat with the patient's family, which is a happy thing after all.

But when he saw that the patient's three daughters were also eager to ask questions, he was so gorgeous that he retreated.

If they answer, I'm afraid they will have to delay a lot of time and let them torture Miao Rui.