Famous Among Top Surgeons in the 90s

Xiao Yang experienced the shock of that night more deeply than a few of them did, hence the phrase "you might not believe it unless you see it with your own eyes." This illustrates that Xie Wanying's talent exceeds ordinary imagination and logic.

"No matter what," Director Guan shared the upcoming difficulty based on his own experience, "she might find the right position by her genius talent as you say. But handling this fistula completely relies on experience."

"Once the titanium clip is positioned correctly, it can clip accurately," said several surgeons.

"It's not possible. The titanium clip can't clip this opening," Director Guan told them. Experience is indeed paramount.

Titanium clips can only clip small openings. Once the opening exceeds the maximum size of the clip's jaws, how can the clip work? Endoscopic surgery is not like open surgery. The patient's lumen is fixed and small, allowing entry of only similarly sized medical instruments, which have a range of use.

Director Guan's words made some sense, and several surgeons asked him, "What do you think should be done with this fistula?"

"It's a large opening," Director Guan shared his experience, "The first consideration is to place an esophageal stent to cover the opening, prevent it from irritation, allow it to heal itself, and enhance the patient's nutrition."

The surgeons blinked at his opinion, unable to comment.

According to surgical principles, if an opening ulcerates, it should be flushed immediately and the necrotic tissue removed quickly. If the opening is too large, it can't heal on its own; it definitely needs to be sutured, or filling might be used.

Several surgeons were thinking along these lines when the "inexperienced" intern on the surgical table seemed braver than they were and voiced a similar opinion. Xie Wanying discussed with her supervising Senior Brother Yu, "A biological patch can be used for filling."

A biological patch is referred to as a cellular scaffold, used in clinical settings to fill in tissue deficiencies in damaged areas. It exists as an effective scaffold that won't collapse. Additionally, as an absorbable biomaterial, it can guide the body's self-repair function, allowing new tissue to grow in place and ultimately achieve healing. Based on the principles of using a biological patch, it is evidently feasible to use a biological patch in this situation.

The observing doctors were internally surprised by her quick-thinking response. Director Guan hadn't thought of this method, but she came up with it instantly, or perhaps she had considered it comprehensively in her mind beforehand. This only shows that her familiarity with surgical equipment overturned their previous first impression of her, mistakenly thinking she knew nothing about medical instruments.

Director Guan's lips pressed together. No one needed to say it; he knew the other's method was better than his own. In fact, Shao Jialiang and the others felt that Director Guan's suggestion to purely use an esophageal stent for coverage made one feel uncomfortable, as if just covering the fistula like a blemish, which they knew wasn't the case.

"If only using a biological patch—" Director Guan wanted to explain himself further, his tone slightly hesitant, becoming extremely cautious. Why did he feel like he shouldn't speak rashly, lest he make another mistake?

The other surgeons detected his tone; it seemed he hadn't tried this approach before, so he didn't know if it was feasible.

Was it feasible or not?

Xie Wanying added, "After filling with the biological patch, then cover it with the esophageal stent."

Director Guan immediately seized the opportunity to respond, "Yes, like she said." See, it wasn't much different from his earlier suggestion.

Shao Jialiang and the others looked at him with the implied question: Do you need to wait for her to finish speaking before you agree?