Chapter 2275 Urinary Catheter Saline Syringe

The problem at hand is trickier.

It was also the first time Zheng Ren met a patient after sex reassignment surgery. There is no rich clinical experience to rely on, and it is not an operation, so it is impossible to enter the system space and try different methods to remove it.

Everything can only be thought of in the brain to find a logical and practical solution.

Zheng Ren understands the gender reassignment surgery. If he is the chief surgeon, there may be dozens of surgical methods.

But the current situation is very vague, and Zheng Ren doesn't even know the specific method of this operation for the patient in front of him. In theory, it is impossible for the patient to bring a complete operation record to the hospital for treatment.

After entering the treatment room, the long-legged and thin-waisted woman sat on the bed, looking innocently at the helpless doctors in front of her. The effect of the operation is quite good, at least Zheng Ren can't see any problems.

If you don't know, you must think it is a beautiful girl.

No one spoke, and the room was as quiet as a medical accident.

Perhaps in Thailand, sex reassignment surgery is very common, and there are really not many people who choose to have this kind of surgery in China. The doctors at the People's Hospital looked at each other in blank dismay.

Zheng Ren glanced at the woman and asked, "How big is the tampon?"

Seeing that two strange doctors had come again, she was also very helpless, and gestured with her fingers.

"How about we try an anoscopy?" said one doctor.

This is a device used to examine rectal and anal lesions. It is a commonly used tool for anorectal disease examination. There are traditional anoscope and electronic anoscope.

Zheng Ren thought for a while, and said, "No, the field of vision is limited, so I still can't see it."

The doctor was a little surprised. He took a look, but he didn't recognize the person in front of him, nor did he recognize Lin Yuan behind him.

It's just that he just put forward 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... seems to be the director, there is no doubt at all.

"If it doesn't work, let's take a look with a fiber optic colonoscope." Another doctor said.

"No!" Zheng Ren said a little harshly this time.

While the previous suggestion was simply invisible, the second is far more dangerous.

"The colonoscope needs to be inflated. There is a blind cavity below her. The pressure is not well controlled, and it is easy to cause problems." Zheng Ren finally said lightly.

Zheng Ren didn't say too much, not because he was unfamiliar with the place here, they were all doctors, so there was nothing he couldn't say. It's because in the face of patients, it's not good to reprimand the doctors here.

The doctor was a little surprised at first, but after Zheng Ren explained briefly, he figured it out.

Generally, the deepest position is at the back of the uterus, called the posterior fornix, usually about 12cm. In the emergency department, Zheng Ren also encountered foreign objects. The most common foreign body is the condom, and a small number of patients will drop the tampon into it. It is generally not too troublesome to use a vaginal speculum to remove it.

But the one in front of me, intestinal replacement...

"Do you know what intestine you took and how long it is?" 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 can really say one, two, three, four, five while sitting here, not only Zheng Ren, but everyone will have doubts.

what should I do? Zheng Ren was also a little numb.

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. Zheng Ren had just finished the heart conjoined twins separation operation a few days ago, and he himself did not expect to 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, probably the chief resident of the Obstetrics and Gynecology Department, and asked directly.

Concentrating on pondering the patient's condition, Zheng Ren's speech was not as polite as before, but very direct, and the aura of the superior doctor was fully open.

The head of the Obstetrics and Gynecology Department was taken aback for a moment, and subconsciously said in the tone of reporting the condition to the director: "The position is too high. After the penis dilator is opened, all fingers can go in, and I can't reach the bottom. I didn't dare to use the forceps, because I was afraid that the intestinal wall It was broken."

Zheng Ren nodded, put his left hand under his right armpit, rested his chin with his right hand, and looked at the female patient in front of him as if watching a film.

The patient looked a little creepy, but he couldn't get angry.

She could feel that the young doctor in front of her was concentrating on the solution, instead of looking at her gender and that rare operation in China with strange eyes.

"Why don't you try colonoscopy under anesthesia, you can give as little gas as possible, as long as you can see it." Lin Yuan suggested in a low voice behind.

Although this proposal was rejected by Zheng Ren, it should be the only feasible solution now.

Zheng Ren shook his head slightly, and then said, "Catheter, saline, syringe."

The emergency surgeon's eyes lit up with excitement, he responded, and began to look for what Zheng Ren had mentioned.

Although he didn't understand why a catheter was needed to remove intestinal foreign bodies, it didn't affect him to follow what Boss Zheng said.

Boss Zheng is going to drain the urine out of the bladder first, and then... He doesn't know what to 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 things.

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?"

"Try it, 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 Ren said.

This statement is to prepare for the rupture of the intestine, and if there is a problem, it must be re-sutured.

There are very few similar experiences in China, if it is in Thailand, it may be much more convenient.

Zheng Ren rubbed the catheter with paraffin oil three times, and then lowered it into the intestinal tract.

"Boss Zheng, the urethra... the urethra..." the emergency surgeon whispered.

After the operation, the position of the opening of the patient's urinary tract changed, and Boss Zheng couldn't find it. He was a little worried and kindly reminded.

"Well, 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 put it in Zheng Ren's hand.

Then Lin Yuan inserted the needle of the syringe into the saline bottle, tilted it, and placed it in front of Boss Zheng.

After drawing 10ml of saline, Zheng Ren injected it along the bladder opening of the urinary catheter.

There is an air sac in front of the urinary catheter, or called a water sac. Generally, about 5ml of normal saline should be injected after the catheter is inserted. The water sac expands and gets stuck at the opening of the bladder and urethra, keeping the ureter from falling out.

But what is Boss Zheng doing?