Jimu news reporter Yan Wen
Video clip Yan Wen
Correspondent Du Weiwei
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"It was Professor Hong who pulled me out of the dark abyss, and after more than 40 years, I can finally go out and live normally again." "Professor Hong, she has a pair of angelic hands to restore dignity to patients." ...... After the launch of the "2021 Large-scale Public Welfare Activity to Find Charismatic Doctors" guided by the Hubei Provincial Health Commission and sponsored by Chutian Metropolis Daily Jimu News, many patients and netizens recommended Professor Hong Li, head of the Department of Obstetrics and Gynecology of Wuhan University People's Hospital.
On November 18, Jimu News reporter came to the Gynecology 2 Ward of Wuhan University People's Hospital, which was the day that 75-year-old Aunt Xiong (pseudonym) was discharged from the hospital, and she excitedly pulled her 44-year-old daughter together to bow deeply to Professor Hong Li, the director of gynecology, thanking Professor Hong Li for repairing the "hole" between her rectum and vagina with her skillful hands, so that she could walk out of her mutilated and bleak life. "When my mother recovers for a while, I will take her out on a trip to see the mountains and rivers, and make up for all the scenery that has been lost for so many years." Aunt Bear's daughter said excitedly.
Falling into the darkness, normal defecation after giving birth has become a luxury
"After giving birth, there is uncontrolled exhaustion and excretion of feces in the vagina. For more than 40 years, I hardly dared to go out, because the stool didn't know when it would come out, and it was useless to pad it. Aunt Xiong whispered to jimu news reporters that everything began in 1977, after giving birth to a child.
At that time, Aunt Xiong, who lived in the countryside, gave birth at the local health center, and there was a severe perineum tear, although it was sutured, she did not expect that the unspeakable pain would accompany her for decades. Half a year after giving birth, Aunt Xiong found that the vagina often had gas discharge, and thin stools often leaked out uncontrollably, seriously affecting life. Aunt Xiong went to the local hospital and diagnosed it as "postpartum rectal vaginal fistula", in layman's terms, there was a "hole" between the rectum and the vagina, and the feces that were originally discharged from the intestine were diverted to "walk" the vagina. The local hospital performed two repair surgeries for her before and after, but the problems of broken lower body and spillage still exist.
"It's been painful and helpless all the time. For more than 40 years, I have been using plastic wrap and towels to make my own diapers, not to mention the taste, and in the long run, the mat and the rectum that fell out were repeatedly rubbed, resulting in irregular bleeding. Aunt Bear recalled. It is also because of this that I have not been far away for more than 40 years, and I can only do housework at home, and when I go out to purchase, my daughter will do it. ”
In order to reduce the pain, Aunt Xiong went to many local hospitals, but the gynecology department pushed to the proctology department, and the proctology department pushed to the surgery, and no doctor was willing to take over this "hot potato". Until not long ago, Aunt Xiong, accompanied by her daughter, ran through many hospitals in Wuhan and finally found Professor Hong Li and rekindled the hope of restoring a normal life.
After Aunt Xiong was admitted to the hospital, Professor Hong Li's team quickly conducted a preoperative examination for her, and found that the patient's fistula length reached 5 centimeters, because the fistula had been formed for more than 40 years, and had undergone 2 repair surgeries in the middle, the fistula was stimulated by stool for a long time, the tissue was inflammatory and hyperplasia, the condition was complex, and the operation was extremely difficult.
"In addition to having proficient medical knowledge, surgeons must also have aesthetic ability and design ability, just like designing clothes." Hong Li said. In the end, it took more than 1 hour, Hong Li found the original tissue structure in the operation, carefully repaired and then restored, although the fistula from the rectum to the anus up to 5 cm, but the whole process did not take other parts of the flap transplant. On the 3rd day after the operation, after more than 40 years, the old man finally released a long-lost "fart" in the anus.
Angelic magic hands, "repairing" the defects of many patients with vaginal fistulas
"Fistula is not a disease, but the result of injury." Speaking of genital fistula, Hong Li said that the patient's vagina was torn, the air leaked when sitting down, and the incontinence after standing up, the patient often endured a huge psychological pressure that ordinary people could not imagine, but often had no way to heal. Fistula can occur for many reasons: in the early years, it was mainly caused by birth injuries during childbirth, but now it is mostly caused by trauma such as surgical injuries, infections, tumor erosion, or post-radiation injuries.
Hong Li sweeps away the haze of disease for at least 100 women with various fistulas every year, and Ms. Liu (pseudonym), 50, is also one of them. Suffering from uterine fibroids, she underwent hysterectomy in a hospital, and after the operation, she had a complication - bladder-vaginal fistula.
A vesico-vaginal fistula is necrosis of local tissues of the bladder and vagina, forming abnormal channels. Urine in the bladder flows out of the vagina along this channel, and the bladder produces urine at any time and flows out of the patient's vagina at any time.
"If It weren't for Professor Hong's pressure to operate on me, our family's life would have been ruined." Ms. Liu said that the vaginal bladder fistula made it impossible for her to go out, and her self-esteem was greatly hit. Because she could not stand the pain of uncontrolled urinary leakage, in just 3 months, Ms. Liu invited experts from Beijing to repair her fistula twice, but each time it was a few days after the operation, and there was urine flowing out of the vagina, which indicated that the operation failed and the fistula appeared again.
When Ms. Liu found Professor Hong Li, Hong Li did not think much, against the pressure to take over, Hong Li knew in her heart, Ms. Liu after two repair failures, which means that the fistula is crisp, the scar is serious, the muscle tissue is not elastic, and the difficulty and risk of repair are very high. But she is also well aware of the pain and helplessness of patients, and her own pair of hands can pull them out of the dark abyss of the disease, "Therefore, when encountering such patients, especially those who have experienced many repair failures, even if they want to take risks, I must treat them." ”
In the end, after Professor Hong Li's careful repair and stitching, Ms. Liu's fistula was repaired. "As a doctor, seeing a recovered patient standing in front of you is irreplaceable." Hong Li said.
After 28 years of practice, after graduating from the bachelor's degree in 1993, she stayed in the gynecology department of Wuhan University People's Hospital (Hubei Provincial People's Hospital), and Hong Li put a large part of her energy on repairing reproductive tract fistula and improving women's pelvic floor function, and won 4 national natural research funds. She said that this is the inheritance of the department, from the 1950s of the new China's first generation of "urinary fistula experts" and the old director of the department, Professor Tian Xiaokun, has been committed to studying its pathogenesis and improving diagnosis and treatment technology.
Soothe their hearts and bring them back to life in the dark
"At that time, the patient's perineum was all torn open, and the ruptured rectum fell like a trumpet flower outside the vaginal opening." Recalling the situation when she examined Aunt Xiong, Professor Hong Li used 4 words to describe it: shocking! Having seen so many patients with genital fistula, she still couldn't help but be distressed, "Why didn't you come earlier?" I don't know how you've come through these decades. ”
Aunt Xiong, who had been rejected too many times, heard Professor Hong Li say this, and the hope of returning to normal life was rekindled in her eyes, "Professor Hong, do you really have confidence?" ”
"I have faith! You also have to be confident! Your physical fitness in all aspects is good, 75 years old, well done can also travel around the mountains. Aunt Xiong's daughter clearly remembers that Professor Hong Li took her mother's hand and said these words, "Professor Hong is very affinity, and her words are not only a great comfort to my mother, but also a psychological comfort." ”
Although as the head of the Obstetrics and Gynecology Department of Wuhan University People's Hospital, she has to complete thousands of surgeries every year, and has a large number of experts in scientific research and teaching and administrative tasks in her hands, she never skimps on spending her time on personally examining each patient and patiently communicating with them, so Hongli's expert clinics always look very "slow", starting from 8:30 a.m., often until 2 p.m. to end.
Checking the room twice a day is also a habit she has insisted on for many years. As long as Hong Li is in the hospital, she will require herself to check the room every day: "Patients come to you, only when they see you will they be at ease." ”
For younger or more specific patients, Hong Li will pay more attention. Whenever there is a big operation, she will always go to the bed, take the patient's hand, and tell them: "Don't be afraid, let's work together!" Hong Li said that female reproductive fistula is the most destructive and degrading disease that women face, "Every patient has a lonely and fragile heart, and I hope to save more patients from the darkness with my own hands." ”
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