Xiao Yang, who had experienced the blow that night, felt it more deeply than the others, so he said that if you didn't see it with your own eyes, you would definitely not believe it. This shows that Xie Wanying's talent is beyond the imagination and logic of ordinary people.
"No matter what." Director Guan pointed out the next difficulty based on his own experience, "She may be able to find the right position with her genius as you said. But how to deal with this fistula depends entirely on experience."
"Once the titanium clip is positioned correctly, it can be clamped accurately." said several surgeons.
"No. The titanium clamp can't clamp this opening." Director Guan said to them. Experience is indeed the most important thing.
Titanium clips can only clamp small incisions. Once the incision exceeds the maximum size of the titanium clip, how can the titanium clip clamp it? Endoscopic surgery is not like surgical surgery that can be performed openly. The patient's lumen is fixed small, and the medical equipment that allows doctors to enter is only this big, and the equipment has a range of use.
Director Guan's words made some sense, and several surgeons asked him, "How do you think we should deal with this fistula?"
"The incision is large." Director Guan talked about his own experience and said, "The first consideration is to put an esophageal stent to cover the incision, so as to prevent it from being stimulated and allow it to continue to heal on its own, and increase the patient's nutrition."
Several surgeons blinked at his opinion, unable to comment.
According to the surgeon's treatment principles, if a wound is ulcerated, flush it immediately and remove the rotten part. If the wound is too large, it will not heal on its own and must be sutured, otherwise it can be stuffed.
...
...
Several surgeons were thinking this, and the "inexperienced" intern on the operating table seemed to be more courageous than them and expressed the same opinion. Xie Wanying discussed with her supervisor Yu: "We can use biological patches to fill the wound."
Biological patches are called cell scaffolds. They are used in clinical practice to fill the missing tissues in damaged parts. As a scaffold, they are very effective and will not collapse. At the same time, as an absorbable biomaterial, they can guide the body's self-repair function, grow new tissues in the original place, and finally complete the healing. According to the principle of using biological patches, it is obviously feasible to use biological patches in this place.
The doctors watching were surprised at her quick thinking. She came up with a solution that Director Guan had not thought of, or she had already thought about it in her mind. It can only mean that her familiarity with surgical instruments overturned their first impression of her. They were wrong to think that she knew nothing about medical equipment.
Director Guan closed his mouth. He knew without anyone telling him that the other party's method was better than his. In fact, Shao Jialiang and his friends felt that Director Guan's suggestion of simply covering the fistula with an esophageal stent was a bit uncomfortable, as if he was covering up the fistula as a stain, but in fact, they knew it was not the case.
"If we just use biological patches--" Director Guan wanted to explain himself again, his tone was a little hesitant, and he became extremely cautious. Why did he have a feeling that he must not speak nonsense again, otherwise he would make mistakes again.
The other surgeons could tell from his tone that he had never attempted such a thing before and therefore didn't know if it would work.
Is it feasible or not?
Xie Wanying added: "Fill with the biological patch and then cover the esophageal stent."
Director Guan immediately seized the opportunity and responded, "Yes, just as she said." It was not much different from his previous suggestion.
Shao Jialiang and others looked at him with the following gaze: Do you need to wait for her to finish speaking before you agree?
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