1354 【1354】Is It Feasible?
In this regard, Xiao Yang experienced the blow that night more deeply than the rest of them, so you may never believe the sentence that you didn't witness with your own eyes. It shows that Xie Wanying's talent is beyond ordinary people's imagination and logic.
"No matter what." Director Guan said the next difficulty based on his own experience, "She may be able to find the right position with her own genius as you said. But how to deal with this fistula depends entirely on experience."
"After the titanium clip is in the right position, it can be clipped correctly." Several surgeons said.
"No way. The titanium clamp can't clamp this mouth." Director Guan said to them, experience is the first.
The titanium clip can only clamp a small opening, once the opening exceeds the maximum size of the opening of the titanium clip, how to clamp the titanium clip. Unlike surgery, endoscopic surgery can be done openly. The patient's lumen is fixed and small, and the medical devices that allow doctors to enter are only so large, and the devices have a range of use.
Director Guan's words made sense, and several surgeons asked him, "How do you think this fistula should be treated?"
"The opening is large." Director Guan talked about his own experience, and said, "The first consideration is to install an esophageal stent to cover the opening, prevent it from being stimulated and let it continue to grow well, and increase the nutrition of the patient."
Several surgeons blinked at his opinion, unable to comment.
According to the surgeon's treatment principles, if the opening is ulcerated, wash it quickly and remove the rotten part. If the opening is too large, it cannot be grown by itself. It must be sutured, otherwise it can be stuffed.
Several surgeons were thinking this way, and the "inexperienced" intern on the operating table seemed to have more courage than them and said the same opinion. Xie Wanying discussed with Senior Brother Yu who taught her: "It can be stuffed with a biological patch."
The biological patch is called a cell scaffold, which is used clinically to fill the missing tissue in the damaged area. It is very effective as a scaffold and will not collapse. At the same time, as an absorbable biomaterial, it can guide the self-repair function of the human body, grow new tissue in the original place, and finally complete the healing. According to the principle of biological patch, it is obviously feasible to use biological patch in this place.
The onlookers were amazed at how quickly her thinking reacted. She suddenly came up with something that Director Guan didn't expect, or she had thought it all over before. It can only show that her familiarity with surgical equipment overturned their previous first impression of her, and it was wrong to think that she knew nothing about medical equipment.
Director Guan closed his mouth. Needless to say, he knew that the other party's method was better than his. In fact, Shao Jialiang and the others felt that what Director Guan said about covering the esophagus purely with a stent made people feel uncomfortable, as if the fistula was being covered up as a stain, but they actually knew it was not.
"It's just using a biological patch—" Director Guan wanted to explain this to himself again, his tone was a little hesitant, and he became extremely cautious. Why does he have a feeling, don't talk nonsense anymore, you will make mistakes again.
The other surgeons heard his tone, he didn't seem to have made such an attempt, so he didn't know if it was feasible.
Is it feasible or not?
Xie Wanying added: "After the bio-mesh is filled, the esophageal stent will be covered."
Director Guan immediately seized the opportunity to respond: "Yes, it's like what she said." It's not much different from his previous suggestion.
Shao Jialiang and the others looked at him: Do you need to wait for her to finish speaking before agreeing?