【1346】surgical objection
Don’t think that the professor asks this because he thinks that the hope of solving the problem is in the digestion.
Doctors are basically confident in their specialties because they have the most research.
In fact, many patients with anastomotic fistula in clinical practice are doctors who come to seek help from their families. General surgeons are not interested in internal medicine plans. Like Shao Jialiang, he should have been forced to do so.
Surgeons have many complaints about the way of digestive endoscopic fistula blocking, such as the various endoscopic defects proposed by Professor Han Yongnian: "What do you want to do? Do you use biological protein glue to block it? This success rate is not very high. Incomplete blocking
It often happens. It is clamped with titanium clips. It seems that the internal medicine department has tried it once, but it has not been successful. Implanting the esophageal coating stent? This method is not very good, and the fistula will continue to occur later."
The operation method of endoscopy is relatively limited. The operation of the doctor is almost like a restraint, which makes it uncomfortable to look at. The local vision and narrow operating space make it very difficult for the operator to use a needle to sew, so many auxiliary assistance emerged.
Instruments. Including the titanium clips mentioned earlier.
Titanium clips are medical devices composed of titanium alloy or pure titanium clips and tails. Since the metal part is titanium, it is collectively called titanium clips. There are actually many types of titanium clips. Various medical device companies have their own titanium clip products.
Each has its own name, such as some are called Clip, some are called hemostasis clips, some are called Harmony clips and so on. These products are called names and their respective uses, and as surgeons need to understand. Doctors need not only learn human body knowledge, but also medical treatment as tools.
The equipment must be as familiar as it needs to be used.
While the professor was giving advice to Jiangshan, Xie Wanying followed Brother Yu to study on the spot. She had never been to the digestive endoscopy room, had never seen or experienced these endoscopy tools, and she could be said to be unfamiliar with it. Yu Xuexian was on the spot.
The existing items in the hospital were taken to give her a lecture. Because if she asked her to give her advice later, if she didn't know how to operate the equipment for digestive endoscopy, she would be a joke.
Titanium clamp titanium clamp, simply put it as a clamp. The function of the chuck is to clamp the "west" tissue, wound surface, etc. The function of the tail clamp is to provide the force arm space during the clamping process, indicating that the titanium clamp must be matched with titanium.
Used with clamp release. Titanium clamp release is like garbage picking pliers. When opened and closed, the clamp can clamp "things". The difference is that the titanium clamp can release the entire clamp left in the human body to fix the tissue suture.
.If the clamping tail is not long enough, the doctor will not be able to force the clamping force. If it is too difficult to understand, you can try to use a clip at home to try it. Is it better to pinch the tail longer? It is better to pinch the closing. The clamping tail is too short.
Even if you can't pinch it, you can't use your strength.
Therefore, after endoscopic surgery, if the patient has titanium clamps on his body, you can see that there are truncated tails of varying lengths in the patient's lumen.
"There are titanium clips for surgical laparoscopy." Xie Wanying talked about her experiences in surgical rotation.
"Did you look like there is no tail left?" Yu Xuexian asked her.
Don’t think that internal medicine doctors don’t know anything. In fact, internal medicine often takes care of the follow-up work of surgery. Internal medicine masters have a good understanding of surgical matters. But if you don’t have a surgeon doing technical work every day, you can’t do surgery like a surgeon.
Just a hand job. Hand job can only be practiced to make perfect.
"yes."
Chapter completed!