2276 Ureter, saline, and syringe
The problem at hand was a little tricky.
This was because this was the first time Zheng Ren had encountered a patient who had undergone sex change surgery. Without rich clinical experience to rely on, and since it was not a surgery, he could not enter the system space to try different methods of removing it.
He could only think about everything with his brain and find a logical and feasible solution.
Zheng Ren knew about sex change surgeries. If he was the chief surgeon, he might have dozens of surgical methods.
The current situation was very vague, and Zheng Ren did not even know the specific method of the operation on the patient in front of him. In theory, it was impossible for the patient to come to the hospital with a complete operation record.
When they entered the treatment room, the woman with long legs and a thin waist sat on the bed. She looked at the doctors who were at their wits ‘end with an innocent face. The effect of the surgery was quite good. At least, Zheng Ren could not see any problems.
If he didn’t know, he would have thought that she was a beautiful girl.
No one spoke, and the room was so quiet that it was as if a medical incident had occurred.
Perhaps in Thailand sex change surgeries were very common, and there were not many people in China who chose to do this kind of surgery. The doctors from the People’s Hospital looked at each other and did not know what to do.
Zheng Ren glanced at the woman and asked,””How big are the tampons?”
Seeing that two unfamiliar doctors had arrived, she was also helpless and gestured with her fingers.
“Why don’t we try anonodystroscope?” One of the doctors said.
This was an instrument used to check for pathological changes in the rectum and the anus. It was a common tool for checking for colorectal diseases. There were traditional anonoscopes and electronic anonoscopes.
“No,” Zheng Ren said after some thought,”my vision is limited. I still can’t see.”
The doctor was a little surprised. He took a look and didn’t recognize the person in front of him, nor did he recognize Lin Yuan behind him.
It was just a random suggestion, so it didn’t matter if it was rejected. Even he himself didn’t think it was feasible. However, the tone of the person in front of him … Seemed to be the Department Director, and there was no room for doubt.
“If it doesn’t work, let’s use a firestorm to take a look.” Another doctor said.
“No!” Zheng Ren said sternly this time.
The first suggestion was just invisible, but the second one was even more dangerous.
“You’ll need to pump the air for a colonoscopy. There’s a blind cavity below her, and if she doesn’t control the pressure well, it’ll be easy for problems to arise. ” Zheng Ren said faintly.
Zheng Ren did not say much, not because he was unfamiliar with the place. They were all doctors, so there was nothing he could not say. Instead, it was because it was not good for him to scold the doctors in this place in front of the patient.
The doctor was a little surprised at first, but he understood after Zheng Ren’s simple explanation.
Generally, the deepest part was at the back of the uterus, called the posterior dome, which was usually about 12 cm. In the emergency department, Zheng Ren had also encountered foreign objects. A common foreign object was a condom, and a small number of patients would drop the sanitary pad in. It was not too troublesome to remove it with a Yin diflator.
However, the patient in front of him had intestinal replacement …
“Do you know what kind of intestine you took out and how long it is?” Zheng Ren still wanted to give it a try.
The female patient blushed and shook her head slightly.
As expected, she knew nothing. This was a normal situation. If she really sat there and could speak her mind, not only Zheng Ren, but everyone else would be suspicious.
What should he do? Zheng Ren was also a little numb.
There was a small pad hidden in an unknown depth. It looked simple, but it was extremely difficult to take it out.
Even old doctors made mistakes sometimes. Zheng Ren had just completed the heart-conjoined twin separation surgery a few days ago. He did not expect to be stumped by such a problem.
Really … Zheng Ren smiled helplessly.
“You saw it just now?” Zheng Ren looked at the first female doctor Who came in. She was probably the chief resident of the Obstetrics and Gynecology Department, so he asked directly.
Zheng Ren was fully focused on the patient’s condition. He was no longer as polite as before. Instead, he was very direct, and he gave off the aura of a senior doctor.
The chief resident of the OB/GYN department was stunned for a moment. He subconsciously used the tone of reporting the patient’s condition to the Department Director and said,”The position is too high. After the yin expansion device is opened, all the fingers can enter and I can’t see the bottom. I didn’t dare to use the forceps because I was afraid that the wall of the intestine would be damaged. “
Zheng Ren nodded. He placed his left hand under his right armpit and rested his chin on his right hand. He looked at the female patient in front of him as if he was looking at an X-ray.
The patient felt a little scared after being stared at, but he could not get angry.
She could feel that the young doctor in front of her was fully focused on thinking of a solution instead of examining her gender and the rare surgery in China with a strange look.
“Why don’t we try to anesthetize the endoscope? we can try to give as little breath as possible, and it’ll be fine as long as we can see it.” Lin Yuan suggested in a low voice.
Although this suggestion had been rejected by Zheng Ren, it seemed to be the only feasible way now.
Zheng Ren shook his head slightly, then said,”a catheter, saline, and a syringe.”
The emergency surgeon’s eyes were shining with excitement. He responded and began to look for the thing Zheng Ren mentioned.
Although he did not know why a catheter was needed to remove a foreign body in the intestine, it did not stop him from following boss Zheng’s instructions.
Boss Zheng was going to take out the urine from the bladder first. Then … He didn’t know what he was going to do next. Anyway, the legendary boss Zheng had appeared here and was going to solve the problem!
Very soon, the emergency surgeon ran back with the things.
Zheng Ren asked the patient to lie down on the lithotomy position. He extended his hand and paused for 1.2 seconds before he said in a deep voice,”sterile gloves …”
The emergency surgeon found a pair of sterile gloves and handed them to Zheng Ren.
“Boss Zheng, what are you going to do?”
“I’ll try. I’m not sure. If you really can ‘t, you can only go to the operating table and try to look around with a colonoscopy. ” Zheng Ren said.
This statement was to prepare for the possibility of intestinal rupture. Once there was a problem, they would have to suture it again.
There were very few similar experiences in China. If he were in Thailand, it might be much more convenient.
Zheng Ren pumped the catheter with wax three times before inserting it into the patient’s intestines.
“Boss Zheng, the urethra …” The emergency surgeon reminded him in a low voice.
After the surgery, the opening of the patient’s urinary tract had changed. Boss Zheng might not have found it. He was a little worried, so he kindly reminded her.
“Yes, I know.” Zheng Ren raised his head and smiled.”Open the syringe and give it to me.”
Without waiting for the emergency surgeon to move, Lin Yuan had already opened the syringe and placed it in front of Zheng Ren.
After that, Lin Yuan inserted the needle of the syringe into the salt water bottle. He tilted the needle and placed it in front of boss Zheng.
Zheng Ren drew 10 ml of saline and injected it through the opening of the airbag in the catheter.
There was an air sac in front of the ureter, also known as a water sac. After inserting the ureter, about 5 ml of normal saline was injected. The water bag expanded and blocked the opening of the bladder’s urethra so that the ureter would not fall off.
But what was boss Zheng doing?