BXBX NOVEL Chapter 1354: [1354] Feasible or not
"No matter what." Director Guan said the next difficulty based on his own experience, "She may be able to find the position with her own genius as you said. But how to deal with this fistula depends entirely on experience."
"After the titanium clip is positioned correctly, it can be clipped." Several surgeons said.
"No way. Titanium clips can't hold this mouth." Director Guan told several of them that experience came 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 can the titanium clip be clamped. Endoscopic surgery is not open to surgery like surgery. The patient's lumen is fixed small, and the medical equipment that the doctor can enter is only so large, and the equipment has a scope of use.
Director Guan's words made sense. Several surgeons asked him, "How do you think this fistula should be handled?"
"The opening is big." Director Guan talked about his own experience and said, "The first consideration is to put an esophageal stent to cover the opening and prevent it from being stimulated to allow it to continue to grow on its own and increase the patient's nutrition."
Several surgeons blinked at his opinion, unable to comment.
According to the surgeon's treatment principle, if the mouth is ulcerated, rinse and remove the rotten part quickly. If the mouth is too large, it will not grow on its own. It must be sutured, otherwise it can be stuffed.
Several surgeons were thinking so, and the "inexperienced" intern on the operating table seemed to have the courage to say the same thing. Xie Wanying discussed with her senior brother Yu who taught her, "You can use biological patches to stuff it."
Bio-patch is called cytoscaffold, which is clinically used to fill the missing tissue in the damaged part. It is very effective as a scaffold and will not collapse. At the same time, as an absorbable biological material, it can guide the self-healing function of the human body, grow new tissue in the original place, and finally complete the healing. According to the principle of the use of biological patches, it is obviously feasible to use biological patches in this place.
The doctors who were onlookers were amazed at how quickly her thinking reacted. She suddenly came up with a method that Director Guan didn't expect, or she had thought about it in her heart before. It can only show that her familiarity with surgical equipment subverts their first impression of her before, and it is wrong to mistake her for knowing nothing about medical equipment.
Director Guan's mouth was shut. Needless to say, he knew that the other party's method was better than his. In fact, Shao Jialiang and the others thought that what Director Guan said about simply covering the esophagus with a stent made people feel uncomfortable, as if the fistula was covered as a stain, but they actually knew it wasn't.
"It's just a biological patch—" Director Guan wanted to explain this to himself, but he hesitated a little, and became too cautious. Why does he have a feeling that he must stop talking nonsense, he will make mistakes again.
Other surgeons could hear his tone, he didn't seem to have made such an attempt, so he didn't know if it was feasible or not.
Is feasible or not?
Xie Wanying added: "Fill in the biological patch and then cover the esophageal stent."
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 with eyes like: Do you need to wait for her to finish before agreeing?
(end of this chapter)