Don’t think that the professor asks this question because he thinks the hope of solving the problem lies in digestion.
Doctors are generally very confident in their own specialty because they have done the most research on it.
In fact, in clinical practice, many patients with anastomotic fistulas are asked by their family members to seek help from internal medicine doctors. Surgeons are generally not interested in internal medicine solutions. For example, Shao Jialiang must have been forced to do so.
Surgeons have many complaints about the method of plugging fistulas with digestive endoscopy, such as the various defects of endoscopic surgery that Professor Han Yongnian has now pointed out: "What do you want to do? Use biological protein glue to plug? The success rate is not very high. Incomplete plugging often occurs. Use titanium clips to close it. I think the internal medicine department tried it once, but it didn't work? Implant an esophageal covered stent? This method is not very good. Fistulas will continue to occur in the future."
Endoscopic operation is quite limited, and the doctor is almost like being tied up when operating, which is unpleasant to watch. The limited field of vision and narrow operating space make it extremely difficult for the doctor to sew with a needle, so many kinds of auxiliary instruments have emerged, including the titanium clip mentioned earlier.
Titanium clips are medical devices composed of a titanium alloy or pure titanium clip and a clip tail. Since the metal part is titanium, they are collectively called titanium clips. There are actually many types of titanium clips, and each medical device company has its own name for its titanium clip products, such as Clip, Hemostatic Clip, Harmony Clip, and so on. Surgeons need to understand these product names and their respective uses. Doctors not only need to learn about the human body, but also must be very familiar with medical devices as tools because they need to be used.
While the professor was giving instructions, Xie Wanying followed Senior Brother Yu to learn on the spot. She had never been to the digestive endoscopy room and had never seen or experienced these endoscopic instruments, so she was unfamiliar with them. Yu Xuexian took the opportunity to give her a lecture on the spot based on the items available in the hospital. Because if she was asked to give her opinions later, she would be laughed at if she didn't even know how to operate a digestive endoscope and what instruments are there.
Titanium clip Titanium clip, in simple terms, is a clip. The function of the clip head is to clamp "things" such as tissues, wounds, etc. The function of the clip tail is to provide a force arm space during the clamping process, which means that the titanium clip is to be used in conjunction with a titanium clip releaser. The titanium clip releaser is like a garbage tongs. When opening and closing, the clip head can clamp "things". The difference is that the titanium clip can release the entire clip and remain in the human body to play a role in fixing tissue sutures. If the clip tail is not long enough, the doctor cannot clamp it with force. If it is too difficult to understand, you can try to use a clip to clamp something at home to see if the clip tail is longer and it is easier to pinch and close. If the clip tail is too short, it is difficult to pinch and you cannot use enough force.
Therefore, after endoscopic surgery, if titanium clips are left on the patient's body, you can see clip tails of varying lengths left in the patient's lumen.
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"Titanium clips are used in laparoscopic surgery." Xie Wanying talked about what she had seen during her rotation in the surgical department.
"Do you think there is no tail left?" Yu Xuexian asked her.
Don't think that internists know nothing. In fact, internists often take over the work of surgeons, and the experts in internists are very familiar with surgical matters. It's just that they don't do the technical work every day like surgeons, and they can't do the manual work of surgery like surgeons. Manual work can only be mastered through practice.
"yes."
This shows that there are many similarities between surgical operations and medical operations, and you need to try them yourself to know how big the differences are.
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