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【1354】Viable or not

Xiao Yang experienced the shock of that night more deeply than any of them, so you may not believe it unless you see it with your own eyes. It shows that Xie Wanying's talent is beyond ordinary people's imagination and logic.

"No matter what." Director Guan said the next difficulty based on his own experience, "She may be able to find the right position with her own genius as you said. But how to deal with this fistula depends entirely on experience."

"The titanium clip can be clipped accurately after finding the correct position." Several surgeons said.

"No. The titanium clip cannot clamp this opening." Director Guan said to several of them. It turns out that experience comes first.

Titanium clips can only clamp small openings. Once the opening exceeds the maximum opening size of the titanium clip, it depends on how the titanium clip clamps it. Endoscopic surgery is not like surgery, which can be done open. The patient's lumen is fixed and small, allowing the doctor to enter the medical device.

Only with this size can the equipment have a range of use.

Director Guan's words made sense. Several surgeons asked him: "How do you think this fistula should be treated?"

"The opening is huge," Director Guan said, speaking from his own experience, "The first consideration is to install an esophageal stent to cover the opening, prevent it from being irritated, and allow it to continue to grow on its own, thereby increasing the patient's nutrition."

Several surgeons blinked at his opinion and could not comment.

According to the surgeon's treatment principles, if the mouth is ulcerated, wash it quickly and remove the rotten part. If the mouth is too big, it will not grow on your own. It must be sutured, otherwise it can be filled.

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 mentor Yu, "We can use biological patches."

Come fill it."

Biological patches are called cell scaffolds. They are used clinically to fill missing tissues in damaged areas. As a kind of scaffold, they are very effective and will not collapse. At the same time, as an absorbable biological material, they can guide the body's

It has a self-healing function, growing new tissue in the original place, and finally completing the healing. According to the principle of using biological patch, it is obviously feasible to use biological patch in this place.

The doctors who were watching were surprised by her quick thinking and reaction. She suddenly came up with a method that Director Guan had not thought of, or she had already considered it in her mind before. This only shows that her familiarity with surgical equipment is subversive.

They had misunderstood their first impression of her and mistakenly thought that she knew nothing about medical equipment.

Director Guan shut his mouth. He didn't need others to tell him. He knew that the other party's method was better than his. In fact, Shao Jialiang and the others felt that what Director Guan said about using an esophageal stent to cover it was a little uncomfortable, as if it was

They treat the fistula as a stain and cover it up, but in fact they know it is not.

"If you just use biological patches -" Director Guan wanted to explain this to himself, but his tone was slightly hesitant, and he became extremely cautious. Why did he have the feeling that he must stop talking nonsense, or he will make another mistake?

.

Other surgeons heard from his tone that he seemed to have never tried anything like this before, so he didn't know whether it was feasible or not.

Is it feasible or not?

Xie Wanying added: "After filling in the biological patch, cover the esophageal stent."

Director Guan immediately seized the opportunity and responded: "Yes, just like what she said." It was not much different from his previous suggestion.

Shao Jialiang and others looked at him with a look: Do you need to wait for her to finish speaking before agreeing?


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