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427 Sutures have been upgraded

(Thanks to my friend Wuming Hero, Silence529, book friend 20180602234317808, Momoji monthly ticket encouragement)

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

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

"Teacher Liu, why are my luck so bad? I was the first to get it." Xu Yinuo said with a bitter face.

"Then I'm not even lucky? I didn't even have the chance to draw, so I was arranged directly." Miao Rui said.

"Haha, don't you also reward you with the first and second aids for this surgery? The thyroid surgery is also quite harmful, and this patient is still multiple." Liu Banxia said with a smile.

"Oh, I can only think so. Autologous transplantation of the entire abdomen organ is a once-in-a-lifetime case." Xu Yinuo was still a little regretful.

"Okay, put away all the messy thoughts. You may encounter any kind of cases when you take the lead in the future." Liu Banxia said.

"Didn't you notice that with the development of medicine, there are more and more new cases? In the past, because of insufficient technology, these could only be summarized into a certain category."

"Now there are many subdivided specialties, such as nephrology, breast, and anorectal department. In fact, no matter what it is, as long as you are specialized and refined, you can be outstanding."

"You are all very good, so you have to work hard. No matter whether you can stay in the Second Hospital in the future, I hope to see you outstanding. When will I see you on TV and hear your good news on the news, then I will be so beautiful."

"Hehe, Teacher Liu, are you seducing us to stay in the Second Hospital." Xu Yinuo said with a smile.

"How great it is. It can allow you to get the attending contract in the shortest time. Can you be in another hospital? They are waiting in line." Liu Banxia said.

He is not lying, this is the truth.

At present, the emergency center of the Second Hospital can enjoy such convenient conditions, even the inpatient department will not work.

And Xu Yinuo and his group have a very high horizon now. Can ordinary small hospitals go to? They are meant to work hard for the high-quality three-level hospitals.

After finishing my hand, I came to the operating room. Today's anesthesiologist is Li Liwei.

"Xu Yinuo and Yishuai, check the patient information." Liu Banxia said.

Xu Yinuo hurried to the patient and began to check.

This is a necessary process. Even if you recognize the old lady at a glance, this process will be done.

It doesn’t mean that every operation is a patient you are familiar with. If something really happens to push the wrong operating room, you will do it as soon as you come up, which is a complete medical accident.

"Old lady, don't worry. We can do it within about two hours." After the verification, Liu Banxia came to the old lady.

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

"Don't say that. If you come to our place to treat the disease, we have to find a way to cure the disease." Liu Banxia said.

"Okay, then we will start the surgery and give you a general anesthesia in a while. Have a sleep? I'll finish it when I wake up. I'll drink the soup your child cooks for you tomorrow. I've heard that? Others are so envious."

The old lady nodded.

Liu Banxia also nodded at Li Liwei? You can start anesthesia.

"Your surgery tomorrow is amazing. Now it has caused a sensation in the hospital." Li Liwei said after the anesthesia was completed.

"The pressure is also very high. I have to rest well after the operation today." Liu Banxia said.

"Is it one thing to do it? It's another thing to do it badly. The key is it a small patient? It will also account for a large proportion when considering it."

Li Liwei nodded? "Old Wang is also preparing for this operation, you can start."

"Miao Rui, what should I pay attention to during the thyroid anatomy?" Liu Banxia suddenly said.

"The blood supply of the thyroid gland is very rich, mainly from the superior thyroid artery and inferior thyroid artery on both sides. Therefore, you must pay attention during the separation process." Miao Rui said.

"One thing to note is that the thyroid gland is wrapped in two layers of membranes? The gap between the two layers of membranes is very narrow? Special attention is also required during the separation."

Liu Banxia nodded? "Okay? The basic skills are very solid. It is precisely because of this that this operation is also a third-level surgery."

"And we can also see it during preoperative examination? Our patient is in a serious condition, both on both sides? So there is a lot of work to do."

While Liu Banxia was talking, he made an arc-shaped collar incision on the patient's sternum notch at about two horizontal fingers on the patient's sternum notch. This is also a commonly used incision method in thyroid surgery at present.

The skin, subcutaneous tissue and latspinal muscle were incised in turn, and Xu Yinuo also used tissue forceps to quickly pull the latspinal muscles. Liu Banxia replaced the 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. He always feels pleasing to the eye when he has surgery." Li Liwei said.

"Why is that saying that? Is it just right? Every operation is so perfect, without any extra. When can you two learn his skills? You will definitely be a famous sword in this industry in the future."

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

"Haha, that must be done." Li Liwei was happy.

Adding famous stalks like chicken legs is a battle-prone and is very popular every time.

"Miao Rui Investigation." Liu Banxia spoke again.

Miao Rui was stunned for a moment, but unexpectedly Liu Banxia left this opportunity to him. He did not hesitate and began to investigate carefully.

"The left leaf can reach multiple cystic nodules, the largest one is about 0.5X0.3cm, and the right leaf can reach 1.2X0.8cm cystic nodules." Miao Ruihui reported.

"good."

Liu Banxia praised and then started to operate.

"Send freezing."

After removing the cyst of the left part of the thyroid band, Liu Banxia said softly.

The pathologist who had already prepared a long time ago hurriedly walked out after packing it.

Does frozen pathological slices require fast time? It’s just that this is less worry-free than doing pancreatic pathological slices, and it’s less fragile and nervous.

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

Liu Banxia was not idle either, so she carefully sewed the remaining surface of the left leaf.

I just waited for more than ten minutes, and the pathological results came out: a thyroid cyst.

Everyone was relieved now. There was no unexpected situation, so it was OK to operate.

After finishing the cyst on the right, Miao Rui rinsed it with normal saline in time.

"It can be seen that it will completely stop the bleeding. Leave the work of burying the drainage tube and suture to Miao Rui." Liu Banxia said.

"Hey..., I thought it would really last for two hours, but it would be done in a while. I always feel like I was not satisfied." Xu Yinuo sighed.

"Who told you to get involved with him? His surgery has always been so fast. We are very happy. The shorter the patient's total anesthesia time, the more stable the vital signs, the less likely it is to have a headache." Li Liwei said.

"I was shamed by Teacher Liu, and my speed was completely unsatisfied. Otherwise, this operation might have broken the records of our Second Hospital." Miao Rui said.

"Honestly stitch it, what's the use of that record? It's just for fun." Liu Banxia said indifferently.

"In fact, the situations of each patient are different, and the situations encountered during the operation are different. A gallbladder removal can be done within half an hour, or it may take more than two hours, and there is no comparison."

"Don't pursue that. Without the test of life and death, just do it according to your own mind. The ultimate goal of all our operations is to cure the patient's illness."

This is not to pretend to be X, but he really doesn't have that high pursuit of speed now. He used to have such a mind, and always felt that the faster he had the surgery, the more he could look great.

In fact, it was all false. Shi Lei did not perform the surgery quickly, but he did it very solidly.

Many times, many things are not enough for you to be fast, but it is not good if it is too fast.

Ding! The operation is completed

Obtained experience value 400 points, diagnostic skills proficiency 300 points, dressing skills proficiency 200 points, suture skills proficiency 400 points, thyroid surgery skills proficiency 500 points, glory value 3 points

The operation is rated as flawless, with 500 experience points, 400 proficiency in diagnostic skills, 300 proficiency in dressing skills, 500 proficiency in suture skills, 500 proficiency in thyroid surgery skills, 500 proficiency in glory, 500 glory points, 500 glory points

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

Seeing the system prompted Liu Banxia, ​​he was stunned. This was a god-given opportunity.

I really didn't expect that the suture surgery would be upgraded to level 4 after this surgery, and I also didn't expect that the suture surgery skills provided by this surgery would be so proficient.

He has more confidence in tomorrow's surgery. What he considers tomorrow is the speed of suture. The faster the treatment is, the more secure the child's life is.

"The operation is very successful. I will be cured after I come back to the ward in a while." Liu Banxia said after coming outside the operating room.

"After all, it's a thyroid surgery. I've been using liquid food these days. After a while, I'll go to the ward and the clinician and nurse will tell you the detailed nursing requirements."

"Doctor, there will be no other complications, right?" asked the patient's son.

"I can't give you a clear answer yet, and it depends on the situation tomorrow. After returning to the ward, don't give me water and food today. The general anesthesia has just recovered and I need to lie flat. Miao Rui will follow it and send it back to the ward." Liu Banxia said.

In fact, the operation was successful, and he still liked to chat with the patient's family. After all, this is a happy thing.

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

If I answer, it would probably take a lot of time to torture Miao Rui.
Chapter completed!
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