A patient who had developed a bilious fistula after a major hepatobiliary surgery came to the follow up clinic. He was alright except for the small out put fistula which was gradually decreasing in output. He was worried about the fistula and asked the doctor what is the plan for that fistula. He said "Let the nature take care of it".
We were doing closure of flaps following a mastectomy surgery. As soon as the consultant de-scrubbed, the anaesthetist started putting pressure on us to complete the closure fast. As we were trying to close in a hurry, overlapping of edges occurred at some areas. Then the consultant came back and watched our suturing. Then he made the comment " Don't let it for the nature to take care! "
Time and Nature are the best healers in the world. Give some time and the natural physiology of the human body will modify itself and find a way to heal itself. Surgeons role is to realign things in a manner so that the healing process can be faster. Like Ambroise Pare, who is considered as the father of surgery commented "I treat, God cures".
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