Chapter 1346 [1346] Surgical Objection

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, such as 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. The closure is not complete. It happens quite often. The internal medicine department seems to have tried it once for clamping with titanium clips, but it didn’t work? Implantation of endoesophageal stents? This method is not very good, and the fistula will continue in the future.”

The endoscopic operation method is relatively limited, and the doctor's operation is almost equivalent to restraint, which makes people feel uncomfortable. Partial field of view and narrow operating space make it extremely difficult for the operating doctor to take the needle to sew, so many kinds of auxiliary devices have emerged as the times require. 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 the knowledge of the human body, but also must be very familiar with the medical devices as tools, because they need 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. On the spot, Yu Xuexian seized the time to give her a lecture on what the hospital had in hand. 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 will not be able to use enough force to clip it. 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's just technical work, there is no surgeon who does it every day, and it's just impossible to do the manual work of surgery like a surgeon. Manual work can only be practice makes perfect.

"yes."

It shows 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.