Don't think that when a professor asks this sentence, he thinks that the hope of solving the problem lies in the digestive system.
Doctors are basically very confident in their specialties because they have done the most research.
In fact, many patients with anastomotic leakage in clinical practice are referred by their family members to physicians for help. General surgeons are not interested in medical options. Like Shao Jialiang, he should have been forced to do this. Surgeons have a lot of complaints about the way of digestive endoscopic fistula closure. For example, the various defects of endoscopic surgery proposed by Professor Han Yongnian: "How do you want to do it? Use bio-protein glue to block it? The success rate is not very high. It can't be blocked.
It happens all the time. Clamping with titanium clips, internal medicine seems to have tried it once, but it didn't work? Implantation of esophageal endoprosthesis? This method is not very good, and it will continue to re-fistula in the future. "The endoscopic operation method is relatively limited, and the doctor's operation is almost equivalent to being tied up, which makes people feel uncomfortable. The partial field of vision and narrow operation space make it extremely difficult for the operating doctor to take the needle to sew, so it should be
Many kinds of auxiliary devices have come into being. Including the titanium clip mentioned earlier. Titanium clip is a medical device consisting of titanium alloy or pure titanium clip and clip tail. Since its metal part is titanium, it is collectively called titanium clip. There are actually many kinds of titanium clips. Each medical device company has its own name for its titanium clip products. For example, some are called clips, some are called hemostatic clips, some are called harmony clips, and so on. The names of these products and their respective uses, as a surgeon, you need to understand. Doctors not only need to learn about the human body, but also learn about the human body as a tool.
Medical equipment must also be very familiar because it needs to be used. Xie Wanying followed Senior Brother Yu for on-site learning while other professors gave advice. She has never been to the digestive endoscopy room, and has never seen or experienced these endoscopy tools. She can be said to be unfamiliar with this. Yu Xuexian on the spot
Looking at the existing items in the hospital, I seized the time to give her a lecture. Because if she is asked to give advice later, if she doesn't know how to operate the instruments in the digestive endoscope, she will make fun of her generously. Titanium clip Titanium clip, in simple terms, is a clip. The function of the chuck head is to clamp "things" to clamp tissues, wounds, etc., and the function of the tail of the clip is to provide space for the arm of force during the clamping process, indicating that the titanium clip is to cooperate with titanium Clip release is used. The titanium clip releaser is like garbage pick-up forceps. When opened and closed, the chuck can clamp "things". The difference is that the titanium clip can release the entire clip and stay in the human body to fix tissue sutures. If the clip tail is not long enough, the doctor
The student can't clamp it tightly. If it is too difficult to understand, you can try to use a clip to clamp something at home. If the clip tail is longer, it will be easier to pinch and close. If the clip tail is too short, you will not be able to pinch it stably.
Therefore, if titanium clips are left on the patient after endoscopic surgery, you can see clip tails of different lengths left in the patient's lumen.
"Titanium clips are useful in laparoscopic surgery." Xie Wanying talked about her experience in the surgical department.
"Does it look like there is no tail?" Yu Xuexian asked her. Don't think that physicians don't understand anything. In fact, internal medicine often takes over the follow-up work of surgery, and internal medicine experts know a lot about surgery. If it is just technical work, there is no way for a surgeon to do it every day, and it is impossible to be like a surgeon.
It's just like a doctor doing surgery. Manual work can only be practice makes perfect.
"Yes." It means that there are many similarities and minor differences between surgery and internal surgery, and you need to try it yourself to know where the differences are.