When doctors have a simulated operating room

The doctor said that the patient was in a coma for three weeks.

"Wait, he used a Foley catheter during his coma for three weeks?"

The doctor at the military hospital nodded: "Yes, we basically use this now. It is better fixed than ordinary catheters and can better prevent retrograde urethral infection."

Not knowing why Zhang Yi suddenly asked this, the man asked again: "What's wrong, Doctor Zhang? Is there something wrong with this catheter?"

After a few seconds of silence, Zhang Yi suddenly closed the case, raised his head and said seriously:

"I know why Wen Qin had urethral fistula and rectal fistula."

This sentence made everyone inexplicably nervous.

Especially Wen Qin who was sitting on the bed: "Why?"

"It's this Foley catheter. Foley catheter is different from ordinary urinary catheter. Ordinary urinary catheter is single tube, but Foley catheter is two or even three tubes, and it also has its own air bag.

Although it can better prevent retrograde infection, if it is improperly operated or there are other reasons, it will also cause certain damage to the bladder and urethra.

When I saw your examination results just now, I suspected that your fistula was caused by trauma, but I couldn't find any evidence of trauma.

When I saw the description of the catheter in the case, I thought of this possibility. If it is a normal urinary catheter, it may not be a big deal, but I have seen a similar case of sequelae of Foley catheter in a paper on the Internet. That patient only had inflammation and adhesions that affected the testicles. Your condition is more serious than his. Not only is the testicle bloated, but there is also a fistula. "

The ward was silent for a few seconds before the doctor from the military hospital spoke:

"This... is actually caused by the urinary catheter? But... we have always used this urinary catheter for seriously injured and unconscious patients, but there has never been a case like Wen Qin's?"

They still didn't believe it.

Because a small urinary catheter can cause such severe inflammation and fistulas and even damage the genitals??

This is really rare!

Zhang Yi thought for a while and said, "There are many causes for a disease. On the one hand, it may be the cause of the catheter itself. On the other hand, I guess it should be the virus infection that caused Wen Qin's body to have low immunity, so the bacteria found a breakthrough point under a little inflammation. On the other hand, it may be related to the operation or the care during hospitalization."

Zhang Yi said the three most likely reasons at once.

For a while, the doctor at the military hospital blushed and turned white.

How embarrassing.

I wouldn't have asked if I had known...

Then I heard Zhang Yi explain, "Of course, the two most important reasons for it to become serious now are the virus infection and Wen Qin yourself."

Wen Qin frowned slightly and lowered his eyes slowly.

"You should have noticed that you had a slight lower abdominal pain a long time ago, right? Why didn't you say it earlier? If you had come to the hospital for a check-up earlier, you wouldn't have to have surgery now."

Listening to Zhang Yi's words, Colonel Qin was also a little reluctant.

He knew that the reason why Wen Qin waited until now to see a doctor was because he wanted to stay in the army for a while longer.

A man who was once so proud has now ruined his military career because of an accident.

He is unwilling to accept this.

He doesn't want to be worse than others, let alone worse than his former self.

Moreover, he doesn't want to embarrass his father...

Hey!

Before Wen Qin could speak, Colonel Qin looked at Zhang Yi very seriously: "Doctor Zhang, no matter what, Wen Qin is like this for the country, please make sure to cure him, thank you."

After that, he saluted Zhang Yi.

Zhang Yi quickly saluted him back: "No, no, Colonel Qin, you don't have to be so serious, as long as he is my patient, I will do my best to help him. Don't worry, I can guarantee his fertility with this operation, but I can't help him with the decreased immunity."

"Okay, thank you Doctor Zhang, I will pay you the corresponding operation fee after the operation is completed."

"Okay, those doctors, let's go to the office to discuss the operation steps first, and then arrange the operation time."

The doctors from the military hospital nodded and followed Zhang Yi out of the ward.

In the ward, Wen Qin looked at the doctors' backs and asked with some concern:

"Colonel, is Doctor Zhang okay?"

Colonel Qin said kindly: "You are in the army every day, so you may not know who Zhang Yi is? Don't worry, you can use your phone to search for Zhang Yi now.

His name is Zhang Yi, a doctor in the emergency department of Union Hospital. If you search for him, you will know how powerful he is. "

"My father almost died at the beginning. Several directors of Ping An Hospital were helpless. In the end, it was thanks to him that my father survived. Moreover, it has been more than half a year since the operation, and my father is in good health and has no discomfort. Although I am not sure how long my father can live, it was Zhang Yi who prolonged his life. His skills can be said to be ranked among the best in our country. Don't worry. "

Colonel Qin's tone was full of trust, and Wen Qin no longer doubted Zhang Yi after hearing it.

The person who can make Colonel Qin trust him so much must have real ability.

Soon, Zhang Yi and several doctors from the military hospital formulated an operation plan.

The military hospital also arranged an operating room.

When Zhang Yi came to the operating room, he found out why there were so many assistants in it??

Weren't there only two or three just now??

They all looked at him with a flattering smile.

"Hello, Doctor Zhang, we are all doctors from the military hospital~"

"Yes, yes, we want to come in and learn today, is it okay?"

Zhang Yi looked at them and then at Wen Qin lying on the operating table: "As long as the patient agrees, I have no objection."

Wen Qin has not been anesthetized yet. Although he is a little embarrassed, this is also a dedication to medicine.

"It's okay, I agree." He said.

"Okay, anesthesiologist, get ready. ”

After a few minutes, the patient fell asleep and the operation officially began.

The fistula that needed to be repaired was behind the urethra and rectum, and the common method was laparoscopic surgery.

That is, two or three holes were made around the navel, and the instrument was inserted into the abdomen for operation.

But with the continuous development of technology, male genital surgery can now be completed without trauma.

For example, transurethral transurethral resection of the prostate, transurethral ureteral stent placement, etc.

Put a catheter in from the position of the urethral opening, and then place a valve, and use a long forceps or long electrocoagulation knife specially made for urology to operate. This method can minimize the wound surface and reduce the possibility of postoperative infection.

For the patient Wen Qin, Zhang Yi took into account that he had a more serious viral infection.

So he chose this safer surgical method.

But!

Just because Zhang Yi can do this operation doesn't mean that others can do it!

Seeing Zhang Yi disinfecting the urethral opening, the other doctors around him were stunned for a moment before they reacted!

"Doctor Zhang? ? You don't do laparoscopy? ! "