Chapter 9: Operation
Chapter 9: Operation
Sunday evening.
Jiang Xu sat in Tang Ke's office, his legs crossed, and he was still wearing a meticulous gray and white striped shirt.
In front of him was a large pile of inspection reports, but the names were blurred out.
It can be seen that his mentality has stabilized a lot.
It's just... Tang Ke always felt that he didn't look like he was thinking about it, but rather like a patient who was diagnosed with a terminal illness and calmed down.
However, what should be said still has to be said: "The situation is like this, the malignant tumors have been ruled out, and you do have a gestational sac in your stomach, about two months old." Tang Ke said: "I told you when I had the color Doppler ultrasound this morning. My speculation, now combined with other inspection results, I think it should be correct."
He gestured and said: "It should be because of the mutation of mesoderm cell development, the mesonephric paratube has not completely apoptotic degeneration, and the uterus and bilateral appendages have abnormally developed in your body cavity, and there is a thin section between the cervix and the intestinal tract." I preliminarily guessed that it was due to the adhesion between the sinus nodules on the back wall of the urogenital sinus and the wall of the original bowel.”
Tang Ke frowned slightly and said, "According to the examination results, it should be almost exactly two to three months ago that the uterus and bilateral appendages in your body began to become active. Regardless of whether you want this child or not, hysterectomy and bilateral adnexectomy have to be done, this set of things should not grow in your body, if the non-steroidal hormones are disordered, it will be troublesome."
He spread his hands and said, "I don't need to say this, you are a doctor and you know best."
Jiang Xu read the inspection reports one by one, clasped his hands and leaned on Tang Ke's desk.
"Are you planning to give birth?" Tang Ke asked.
Jiang Xu stared at the mahogany desk for a while, as if he was letting go.
"I do not want."
Tang Ke nodded to express his understanding. Although Jiang Xu's mind has always seemed to be very strong, he is a man after all. Just accepting the matter of pregnancy may consume a lot of his mental energy. It is normal not to have this child. .
"Can you work out how old this kid is?" he asked.
Although B-ultrasound can also guess roughly according to the size, it is not accurate.
"65 days," Jiang Xu didn't need to think too much, he just checked the calendar and knew, "It's more than 49 days, and he can't do medical abortion." He has already calculated it himself.
Tang Ke was a little surprised, "You and your boyfriend's **** life is not harmonious."
With the more impactful thing of pregnancy in front, he quickly accepted the fact that Jiang Xu's partner was a man. The fact that he could push back the time so quickly could only mean that it happened only once during that time.
Jiang Xu didn't pick up his words, "The diameter of the soft catheter is less than 0.5 centimeters, and the intersection angle with the intestine is too small, so negative pressure aspiration can't be done."
He has already gone through all kinds of surgical procedures in his mind, and he knows better than anyone else, "It can only be performed by laparoscopy or laparotomy."
Tang Ke nodded, "We can still use laparoscopy now, but in a few months we will only have to open the abdomen." He does not perform surgery, but he also knows that there are many sequelae and risks of laparotomy. Under the epidemic situation, laparotomy is considered a relatively large operation, and the impact on the body is not small.
"But I have some good news," Tang Ke said, "I've been in a lot of turmoil because of you these past two days. I asked my friends, and I found out something."
Tang Ke took out the tablet and ordered something, and handed it to Jiang Xu.
"I have a friend who works as an editor for a foreign journal. Last month, there was an article that was submitted to the same situation as yours. The author is from M country, and the article has not yet been published. It is difficult for him to send it to me now, but I have that The author's contact information, if you need it, you can send him an email to see if he can help. But his patient gave birth to the child, and he performed an open cesarean section, and the father and son are safe."
Jiang Xu's eyelashes trembled.
As Tang Ke said, this is indeed good news.
There is a case that can be referred to. Compared with no records at all, it sounds like a drop in the bucket, and it is better than nothing, but it is two completely different concepts for doctors.
Although the operation sounds like it can be repaired wherever it is broken, Jiang Xu knew in his heart that every type of operation he performed was observed countless times with his predecessors, he was familiar with all the steps, and he knew the structure of the human body fluently. Dare to get started under the supervision of the teacher until you are proficient.
He dares to challenge, but cannot take risks.
Surgical operations have developed for two hundred years, during which countless lives were piled up in vain, and the blood of patients was sprinkled, which made the surgical technology enter the current mature state.
Pioneering is often accompanied by sacrifice, so for most doctors in the world today, medical skills are more a process of inheritance and learning than pioneering.
Under the premise of sufficient auxiliary supporting data, new treatments can be developed step by step, but no one dares to rashly try a groundbreaking new operation.
But male childbirth is an unprecedented operation. Except for the case in country M, there is nothing related to it in the past classics and documents, and the incidence rate is lower than the rarest rare disease.
During the operation, not only the child must be removed, but also the uterus and bilateral appendages must be removed at the same time. The problem is that this is still a man’s body. It is hard to imagine how complicated the blood vessels and tissues inside the abdominal cavity are after opening.
No experience means huge risks.
"Jiang Xu, if you decide to take it away, I think the safest thing to do is to contact Dr. Kenn, the surgeon who wrote the article. After all, he has done full-term surgery and has some experience, but now the visa to country M is not enough. It's so easy to handle, you can afford it, but the kids can't."
The international situation is not too clear, now it will pass, conservatively estimated that it will have to wait at least three months, at that time, the fetus will be five months old.
Five months... It has a memory, and can even distinguish the voice of the gestator.
Tang Ke paused, "Actually, I think that if you have a good relationship with your partner, it's not that you can't conceive for a while to see how things go. It's also fate. So many **** couples don't want a child of their own," he said. Say: "This way you have at least eight months to contact the doctor to prepare for the operation, and it will be less stressful."
Jiang Xu folded his hands in front of his knees, "I still prefer to do it now."
Tang Ke sighed, "The problem is that if you want to open it now, who will perform the operation on you." He paused and said, "Who in China would dare to perform such an operation on you?"
Everyone has never done it before, and they have no idea in their hearts. No one dares to gamble with their careers and Jiang Xu's life.
"If we can get the operation video, we may be able to find someone," Jiang Xu said.
"That depends on how much the doctor in country M is willing to share," Tang Ke said, "After all, no one in the world has performed this kind of surgery except him."
"Actually, there are." Jiang Xu said suddenly, but there was no more words.