Don’t think that when the professor asks this question, he thinks that the hope of solving the problem lies in the digestive system.
Doctors are basically very confident in their own specialty because they have the most research on it.
In fact, many clinical patients with anastomotic fistulas go to internists for help from their family members. General surgeons are not interested in medical solutions. People like Shao Jialiang must have been forced to do this.
Surgeons have a lot of complaints about the method of gastrointestinal endoscopic fistula plugging. For example, Professor Han Yongnian has raised various shortcomings of endoscopic surgery: "What do you want to do? Use bioprotein glue to plug it? The success rate is not very high. The plugging is incomplete.
It often happens. Use titanium clips to clamp it. The internal medicine department seems to have tried it once, but it didn't work. What about implanting an endoesophageal stent graft? This method is not very good, and the fistula will continue to occur in the future."
The endoscopic operation method is relatively limited, and the doctor's operation is almost as if he is tied up, which makes people uncomfortable. The partial field of view and the narrow operating space make it extremely difficult for the operating doctor to use a needle to suture, so many kinds of assistants have emerged.
Instruments, including the titanium clips mentioned earlier.
Titanium clips are medical devices composed of titanium alloy or pure titanium clips and clip tails. Since the metal part is titanium, they are collectively called titanium clips. There are actually many kinds of titanium clips. Each medical device company has its own titanium clip products.
Each has its own name, such as some are called clips, some are called hemostatic clips, some are called harmonious clips, and so on. As a surgeon, you need to understand these product names and their respective uses. Doctors not only need to learn knowledge about the human body, but also know the medical tools as tools.
The equipment must be very familiar because it needs to be used.
When the professor was giving guidance, Xie Wanying followed her senior brother Yu for on-site learning. She had never been to a digestive endoscopy room, and had never seen or experienced these endoscopic tools. She could be said to be unfamiliar with them. Yu Xuexian took action on the spot.
I took the time to give her a lecture on the items currently available in the hospital. Because if I ask her to give advice later, it will make me laugh if she doesn’t even know how to operate a digestive endoscope and what instruments are there.
Titanium clip A titanium clip is simply a clip. The function of the collet is to clamp "things" to tissues, wounds, etc. The function of the clip tail is to provide space for the force arm during the clamping process, which means that the titanium clip must cooperate with the titanium clip.
Use of clip release. The titanium clip release is like a garbage pliers. When opened and closed, the clip 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 clipped tail is not long enough, the doctor will not be able to use the force to close it. If it is too difficult to understand, you can try using a clip at home to see if the clipped tail is longer and it is easier to pinch and close. The clipped tail is too short.
, I can’t even pinch it firmly and I can’t exert enough strength.
Therefore, if titanium clips are left on the patient after endoscopic surgery, you can see clip tails of varying lengths left in the patient's lumen.
"Titanium clips are used for surgical laparoscopy." Xie Wanying said about her experience in the surgical department.
"Does it look like there is no tail left?" Yu Xuexian asked her.
Don’t think that internists don’t know anything. In fact, internal medicine often takes over the follow-up work of surgery. Internal medicine experts know surgery very well. If it’s just technical work, no surgeon can do it every day, so it’s impossible to do surgery like a surgeon.
It's just a hand job. Hand job can only be done with practice.
"yes."
It shows that there are many similarities between surgical operations and internal medicine operations. Only by trying it yourself can you know whether the differences are big or not.
