The problem at hand is more difficult.
Zheng Ren also met a patient after sex reassignment surgery for the first time. There is no rich clinical experience to rely on, and it is not surgery, so I cannot enter the system space and try different methods to remove it.
Everything can only be thought of in the head and found a logical and practical solution.
Zheng Ren knows a lot about gender reassignment surgery. If he were to perform the surgery, there might be dozens of ways to do it.
The current situation was very vague, and Zheng Ren didn't even know the specific way the patient in front of him underwent this kind of surgery. In theory, it was impossible for the patient to bring complete surgical records to the hospital for treatment.
Entering the treatment room, the woman with long legs and slender waist sat on the bed, looking at the helpless doctors in front of her with an innocent face. The effect of the surgery was quite impressive, at least Zheng Ren couldn't see any problems.
If you didn't know better, you would definitely think she was a beautiful girl.
No one spoke, and the room was as quiet as if there had been a medical accident.
Perhaps in Thailand, sex reassignment surgery is very common, and not many people in the country choose to have this surgery. The doctors at the People's Hospital looked at each other and were at a loss.
Zheng Ren glanced at the woman and asked, "How big is a tampon?"
When she saw two more unfamiliar doctors coming, she felt helpless and gestured with her fingers.
"How about we try an anoscope?" one doctor said.
This is an instrument used to examine lesions in the rectum and anus. It is a commonly used tool for the examination of anorectal diseases. There are traditional anoscopes and electronic anoscopes.
Zheng Ren thought for a while and said, "No, the field of vision is limited, so 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's just that he just made a suggestion casually, and it doesn't matter if it is rejected. Even he himself doesn't think it is feasible. But the tone of the person in front of him... seemed to be the director, and there was no doubt about it.
"If it doesn't work, let's take a look with a fiberoptic colonoscope." Another doctor said.
"No!" Zheng Ren said a little harshly this time.
The first suggestion is just invisible, but the second suggestion is more dangerous.
"The colonoscope needs to be inflated. There is a blind cavity underneath, and if the pressure is not well controlled, problems can easily occur." Zheng Ren said calmly at the end.
Zheng Ren didn't say much, not because he was unfamiliar with the place. They were all doctors, so there was nothing he couldn't say. But because in front of the patients, he reprimanded the doctors here, which was not good at all.
The doctor was a little surprised at first, but after Zheng Ren briefly explained it, he figured it out.
Generally, the deepest position is at the back of the uterus, called the posterior fornix, which is usually about 12cm. In the emergency department, Zheng Ren also encountered foreign objects. The most common foreign body is condoms, and a small number of patients will drop sanitary napkins into them. It is generally not troublesome to use a vaginal dilator to remove them.
But this person in front of me, the intestinal replacement...
"Do you know what intestine was taken and how long it was?" Zheng Ren finally wanted to give it a try.
The female patient blushed and shook her head slightly.
Sure enough, I don’t know anything. This is a normal situation. If she could tell one, two, three, four, five while sitting here, not only Zheng Ren, but everyone would be suspicious.
what should I do? Zheng Ren also has some numbness.
I don’t know how deep it is, but a small tampon is hidden inside. It looks simple, but it is extremely difficult to take it out.
The old doctor also made mistakes sometimes. A few days after Zheng Ren had just completed the heart separation operation for conjoined twins, he never expected that he would be stumped by such a problem.
Really... Zheng Ren smiled helplessly.
"Just saw it?" Zheng Ren looked at the first female doctor who came in, who was probably the chief resident of the obstetrics and gynecology department, and asked directly.
Concentrating on the patient's condition, Zheng Ren's words were no longer as polite as before, but very direct, and the aura of the superior doctor was in full swing.
The resident in the obstetrics and gynecology department was startled for a moment, and subconsciously said in the tone of reporting the condition to the director: "The position is too high. After the vaginal dilator is opened, all the fingers can go in and it is impossible to explore the bottom. I dare not use forceps for fear of damaging the intestinal wall. It’s broken.”
Zheng Ren nodded, placed his left hand under his right armpit, held his chin with his right hand, and looked at the female patient in front of him as if he were watching a movie.
The patient was a little embarrassed when he saw it, but he couldn't get angry.
She could feel that the young doctor in front of her was concentrating on finding a solution, instead of looking at her gender and the rare surgery in the country with a strange look.
"Why don't you try colonoscopy under anesthesia? You can give as little air as possible so that you can see." Lin Yuan suggested in a low voice from behind.
Although this proposal was rejected by Zheng Ren, now it seems that this is the only feasible way.
Zheng Ren shook his head slightly, and then said, "Catheter, saline, syringe."
The emergency surgeon's eyes gleamed with excitement, he responded, and started looking for what Zheng Ren mentioned.
Although he didn't understand why a catheter was needed to remove intestinal foreign bodies, it did not affect him from doing what Boss Zheng said.
Boss Zheng wants to drain the urine out of the bladder first, and then... He doesn't know what he will do next. Anyway, the legendary Boss Zheng appears here, and he is going to solve the problem!
Soon, the emergency surgeon came running back with something.
Zheng Ren asked the patient to lie down in the lithotomy position, stretched out his hand, paused for 1.2 seconds, and then said in a deep voice, "Sterile gloves..."
The emergency surgeon found another pair of sterile gloves and handed them to Zheng Ren.
"Boss Zheng, what are you going to do?"
"I'll give it a try, but I'm not sure. If it doesn't work, I can only go to the operating table and use a colonoscope to look for it." Zheng Rendao.
This means that you should be prepared for intestinal rupture, and if there is a problem, you need to resut it.
There are very few similar experiences in China, and it might be much more convenient if it were in Thailand.
Zheng Ren repeatedly applied paraffin oil to the urinary catheter three times, and then lowered it into the intestines.
"Boss Zheng, urethra... urethra..." the emergency surgeon reminded in a low voice.
After the operation, the position of the patient's urinary tract opening changed, but Boss Zheng couldn't find it. He was a little worried and reminded him kindly.
"Yes, I know." Zheng Ren looked up, smiled, and said, "Open the syringe for me."
Before the emergency surgeon could move, Lin Yuan had already opened the syringe and placed it in front of Zheng Ren's hand.
Then Lin Yuan inserted the needle of the syringe into the salt water bottle, tilted it, and placed it in front of Boss Zheng.
After extracting 10ml of saline, Zheng Ren inserted it along the balloon opening of the urinary catheter.
There is a balloon in front of the urinary catheter, or a water sac. Generally, about 5ml of normal saline is injected after the urinary catheter is inserted. The water sac expands and gets stuck at the opening of the bladder and urethra, preventing the ureter from falling out.
But what is Boss Zheng doing