The problem at hand was more difficult.
This was because this was the first time Zheng Ren had encountered a patient after sex reassignment surgery. Without rich clinical experience to rely on, it was not a surgery, so he could not enter the System space to try different methods to remove it.
He could only think of everything in his head and find a logical and practical way.
Zheng Ren knew about sex reassignment surgery. If he were the chief surgeon, there might be dozens of ways.
However, the current situation was very vague. Zheng Ren did not even know the specific method of this surgery. In theory, it was impossible for the patient to come to the hospital with a complete surgical record.
After entering the treatment room, the woman with long legs and thin waist sat on the bed. She looked innocently at the doctors in front of her, who were at a loss. The effect of the surgery was quite good. At least Zheng Ren could not see any problems.
If he did not know better, he would definitely think that she was a beautiful girl.
No one spoke. The room was as quiet as if there had been a medical accident.
Perhaps in Thailand, sex reassignment surgery was very common. In China, there were really not many people who chose to do this kind of surgery. The doctors at the People's Hospital looked at each other, not knowing what to do.
Zheng Ren glanced at the woman and asked, "How big is the tampon?"
Seeing that two unfamiliar doctors had come, she was also very helpless. She gestured with her fingers.
"Why don't we try an anoscope?" one of the doctors said.
This was a device used to check for lesions in the rectum and anus. It was a common tool for the examination of anorectal diseases. There were traditional anoscopes and electronic anoscopes.
Zheng Ren thought for a moment and said, "No, the field of vision is limited. I still can't see."
The doctor was a little surprised. He took a look and did not know the person in front of him, nor did he know Lin Yuan behind him.
However, he was just casually making a suggestion. It did not matter if it was rejected. Even he did not think it was feasible. However, the tone of the person in front of him … seemed to be the chief. There was no doubt at all.
"If it doesn't work, let's take a look with a fibrocolonoscope," the other doctor said.
"No!" Zheng Ren said a little sternly this time.
The previous suggestion was just that she could not see, but the second suggestion was more dangerous.
"The colonoscope needs to be inflated. She has a blind cavity below. If the pressure is not controlled well, it will easily cause problems," Zheng Ren said lightly.
Zheng Ren did not say too much. It was not because he was unfamiliar with the people here. They were all doctors, so there was nothing he could not say. It was because it was not good for him to reprimand the doctors here in front of the patients.
The doctor was a little surprised at first, but after Zheng Ren explained briefly, he understood what was going on.
Generally, the deepest part was at the back of the uterus, called the posterior fornix, which was usually about 12cm. He had encountered foreign objects in the emergency department before. The most common foreign body was a condom, but a small number of patients would drop their tampons in it. It was generally not too difficult to remove it with a vaginal dilator.
But the person before him was able to substitute intestines...
"Do you know what kind of intestine you took and how long it was?" Zheng Ren still wanted to give it a try.
The female patient blushed and shook her head slightly.
As expected, he didn't know anything. This was the normal situation. If she really sat there and could say one thing, two, two, three, four, five, everyone would have doubts, not just Zheng Ren.
What could he do? Zheng Ren was also a little confused.
At an unknown depth, a small tampon was hidden inside. It looked simple, but it was extremely difficult to take it out.
Even experienced doctors sometimes made mistakes. Zheng Ren had just completed the conjoined twins separation surgery a few days ago, so he did not expect to be stumped by such a problem.
Really … Zheng Ren smiled helplessly.
"Did you see it just now?" Zheng Ren looked at the female doctor who came in first. He guessed that she was the obstetrics and gynecology department's chief resident.
Zheng Ren was fully focused on the patient's condition. His tone was no longer as polite as before. Instead, it was very direct, and his superior's aura was fully unleashed.
The obstetrics and gynecology chief resident was stunned for a moment. Subconsciously, she used the tone of reporting to the chief of the department and said, "The position is too high. When the dilator was opened, all the fingers went in and couldn't reach the bottom. I didn't dare to use forceps for fear of damaging the wall of the intestine. "
Zheng Ren nodded. His left hand was under his right armpit, and his right hand rested on his cheek. He looked at the female patient in front of him as if he was looking at a radiographic film.
The patient was a little scared by his gaze, but she could not get angry.
She could feel that the young doctor in front of her was focused on finding a solution instead of looking at her gender and the surgery that was rare in the country with a strange gaze.
"Why don't you try anesthetizing the colonoscopy? You can try to breathe as little as possible, as long as you can see it," Lin Yuan suggested softly from behind.
Although this suggestion was rejected by Zheng Ren, it seemed to be the only feasible way now.
Zheng Ren shook his head slightly and then said, "Urethral catheter, saline solution, and syringe."
The emergency surgeon's eyes lit up with excitement. He responded and began to look for the things Zheng Ren had mentioned.
Although he did not understand why a urethral catheter was needed to remove a foreign object from the intestine, it did not affect him from doing what Chief Zheng said.
Chief Zheng wanted to first guide the urine out of the bladder, and then … He did not know what to do after that. In any case, the legendary Chief Zheng had appeared here, and he was going to solve the problem!
Soon, the emergency surgeon ran back with the things.
Zheng Ren asked the patient to lie down in the lithotomy position. He stretched out his hand, paused for 1.2 seconds, and then said in a deep voice, "Sterile gloves …"
The emergency surgeon found a pair of sterile gloves and handed them to Zheng Ren.
"Chief Zheng, what are you going to do?"
"I'll give it a try. I'm not sure. If it really doesn't work, I can only go to the operating table and look for it with a colonoscope, "Zheng Ren said.
This was to be prepared for the rupture of the intestine. Once there was a problem, they would have to resuture it.
There were very few similar experiences in the country. If it was in Thailand, it might be much more convenient.
Zheng Ren repeatedly rubbed paraffin oil on the urethral catheter three times, then went down into the intestine.
"Chief Zheng, urethra … urethra …" the emergency surgeon reminded in a low voice.
After the surgery, the position of the patient's urinary tract opening had changed, so Chief Zheng could not find it. He was a little worried and kindly reminded him.
"Yes, I know." Zheng Ren looked up, smiled, and said, "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.
Then, Lin Yuan inserted the needle of the syringe into the salt water bottle, tilted it at an angle, and placed it in front of Chief Zheng.
Zheng Ren extracted 10 ml of saline and injected it through the air sac of the urethral catheter.
There was an air sac, or water sac, in front of the urethral catheter. Usually, about 5 ml of normal saline would be injected after the urethral catheter was inserted. The water sac expanded and stuck at the opening of the urinary bladder, so that the urethral catheter would not fall.
However, what was Chief Zheng doing?
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