BXBX NOVEL Chapter 1346: 【1346】Surgical objection
Doctors are basically very confident in their specialties, because they have the most research.
In fact, many patients with anastomotic leakage in clinical practice are physicians who are sought by their family members for help. General surgeons are not interested in medical protocols. Like Shao Jialiang, he should have been forced to do so.
Surgeons have a lot of complaints about the method of gastrointestinal endoscopy to block fistulas. For example, Professor Han Yongnian has proposed various endoscopic surgery defects: "What do you want to do? Do you want to use biological protein glue to block it? The success rate is not very high. The blockage is incomplete. It often happens. It seems that the internal medicine has tried it once with titanium clips, but it didn't work? Implanting an esophageal stent graft? This method is not very good, and the fistula will continue to follow.
The operation method of the endoscope is relatively limited, and the doctor's operation is almost equivalent to tying his hands and feet, and it makes people uncomfortable to watch. The local field of view and the narrow operating space make it extremely difficult for the operating doctor to use a needle to sew, so many kinds of auxiliary devices have emerged. Including the titanium clips mentioned earlier.
Titanium clip is a medical device composed of titanium alloy or pure titanium clip and clip tail. Because 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 clips. Some are called Clips, some are hemostatic clips, some are called harmonious clips and so on. These product names and their respective uses need to be understood by surgeons as surgeons. Doctors must not only learn the knowledge of the human body, but also must be very familiar with the medical equipment as a tool, because it needs to be used.
When other professors pointed the country, Xie Wanying followed senior brother Yu for on-site learning. 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 them. Yu Xuexian took the existing items in the hospital on the spot, and seized the time to give her a lecture. Because if she was asked for advice later, if she didn't even know how to operate the digestive endoscope, it would be laughable.
Titanium clip Titanium clip is simply a clip. The function of the clip is to clip "things" to clip tissues, wounds, etc. The role of the clip tail is to provide space for the arm during the clipping process, indicating that the titanium clip is to cooperate with the titanium clip. Clip releaser is used. The titanium clip releaser is like a garbage picker. When opened and closed, the clip head can clamp "things". The difference is that the titanium clip can release the entire clip and stay in the human body to fix the tissue suture. If the clip tail is not long enough, the doctor will not be able to force the clip to close. If it is too difficult to understand, you can try to use a clip to clip something at home. Is the clip longer, it is better to hold it closed, the clip is too short, and you can't hold it firmly enough.
Therefore, if titanium clips are left on the patient after endoscopic surgery, it can be seen that there are clip tails of different lengths left in the patient's lumen.
"Titanium clips are useful for surgical laparoscopy." Xie Wanying talked about her experience in the surgical department.
"Did you see that there was no tail left?" Yu Xuexian asked her.
Don’t think that physicians don’t know anything. In fact, the internal medicine department often takes over the follow-up work of the surgery. It's just that there are no surgeons who do technical work every day, and they can't do surgical hand work like a surgeon. Hand work can only be practice makes perfect.
"Yes."
Explain that there are many similarities between surgery and internal medicine, and you need to try it yourself to know the difference.
(end of this chapter)