"Women's vagina retention gauze" suspicious cloud: the hospital said that it had been taken out that year, it is impossible to retain it for 5 years

　　On May 13th, Tongmei Group General Hospital (hereinafter referred to as Tongmei Hospital) sent a "Situation" to Peng Pai News (www.thepaper.cn) in response to "the removal of gauze at the vagina after 5 years of female surgery" According to the report, the patient Zhang Xia (pseudonym) was admitted to the hospital on July 1, 2015, and had undergone surgery. A piece of iodine gauze was placed in the vagina at the end of the operation.

　　Peng Mei News previously reported that Mr. Tan told Peng Mei News on May 12 that his mother Zhang Xia had undergone a uterine prolapse operation at Tongmei Hospital five years ago, and suspected that the gauze was not removed from the body until February 4, 2020. Take out a piece of gauze in the Third People's Hospital of Datong City, and the medical records are evidence.

　　Tongmei Hospital ’s “Situation” stated that the gauze in the hospital ’s operations had been removed after the operation. The patient was discharged from the surgical incision on July 14, 2015, and did not come to the gynecological clinic of the hospital until 4 years later. During both examinations, the vagina was shown to be unobstructed. There were no abnormalities in the pelvic ultrasound. Two vaginal examinations There are no foreign bodies in the body.

　　Mr. Tan believes that the two previous Tongmei Hospital did not detect abnormalities because the inspection was not careful and incomplete. Both inspections did not use a speculum and no foreign objects were detected. "And during these five years, only the same coal surgery used vaginal gauze."

　　On the 14th, a staff member of the Letters and Visits Office of the Health and Health Commission of Datong City said that when the opinions of doctors and patients cannot be coordinated and there is a large gap between the two, it is necessary to take judicial authentication and court prosecution as soon as possible.

　　Earlier, Surging News learned from the Datong Medical Commission that the Medical Commission was temporarily unable to mediate the dispute.

　　Hospital: Gauze has been removed after the operation, with a history of the disease

　　For the gauze that was taken out of Zhang Xia's body, Tongmei Hospital stated that the gauze was already taken out after the operation and showed the history of the disease; Zhang Xia didn't come to the hospital for examination until 2019, and the results showed that there was no foreign body in the vagina; the vagina was In an open cavity, gauze cannot be placed for 5 years; the patient has not feedback for nearly 4 years after the operation, and there is a new surgical record before removing the gauze.

　　Zhang Xia's attending doctor and gynaecological surname director Zhai told Peng Mei News on May 13th that Zhang Xia was admitted to the hospital on July 1, 2015 because of a vaginal prolapse of a month and a month of exacerbation. At that time, the hospital was diagnosed with four degrees of uterine prolapse. The more serious front and back walls of the vagina also prolapsed four degrees, the back wall of the vagina prolapsed three times, and tension incontinence.

　　Director Zhai said that on July 7, the hospital had given Zhang Xia "vaginal hysterectomy combined with anesthesia combined with vaginal anterior and posterior wall repair + urethral folds + pelvic adhesion release", and the gauze was inserted as usual Block, used to compress hemostasis and push prolapsed tissue up. "According to industry norms, vaginal gauze should be taken out within 48 to 72 hours. We took out the vaginal gauze completely on July 9, the second day after the operation. We have data and records of the disease history Record. "

　　Director Zhai ’s statement is roughly the same as Tongmei General Hospital ’s reply on the 12345 Datong City Government website and the “Situation” sent by Tongmei General Hospital.

　　The aforementioned "Information Note" stated that in the early morning of July 9, 2015, the hospital completely removed the vaginal yarn roll, and the surgical incision was removed on July 14, 2015. The patient was discharged smoothly.

　　The patient was discharged from the hospital in July 2015, and was seen in the gynecology clinic of Tongmei General Hospital due to vaginitis on May 25, 2019. The physical examination of the vaginal stump healed well. On June 12, he visited the gynecology clinic again. Diagnosis, physical examination: vagina [unobstructed], pelvic ultrasound showed no abnormalities, and there were no foreign bodies in the two vaginal examinations.

　　The patient believes that these two examinations do not mean that the gauze does not exist, but that the hospital examination is not thorough. Both examinations did not use a speculum and did not detect foreign objects.

　　Patient's family: still think gauze comes from Tongmei Hospital, hope to identify

　　Where does gauze come from? Both sides still hold their own opinions.

　　Mr. Tan believes that the Tongmei Group General Hospital's statement is unreliable. He said that the history record alone does not indicate that the gauze has been removed. He and his mother insisted that gauze came from Tongmei Hospital. He hopes to conduct medical identification. He believes that the gauze is black and smelly when taken out, and it exists for a long time.

　　He provided a March 4 outpatient medical record of the Third People's Hospital of Datong City. Zhang Xia's medical history was "5 years after uterine prolapse, more than 3 months after combined bladder net surgery, and 3 months of urinary catheter placement." The content of the examination is "large vaginal gauze, bad smell, and there are secretions of pus and blood samples." The diagnosis result is "vaginal foreign body, repeated vaginal infection".

　　The aforementioned “Situation” of Tongmei General Hospital stated that Tongmei General Hospital received a complaint from Liu Xia and his family on March 4, 2020, and immediately organized a team of experts to check the medical records and discuss the problem of the vagina left by gauze.

　　Director Zhai has questions about the storage time of gauze. "From a professional point of view, gauze cannot be left for four or five years. We also asked a lot of relevant experts and industry insiders to say that it is impossible. The vagina is an open cavity, let alone five years, three It will smell and smell in five days. "

　　Mr. Tan said that after the operation, the mother was not "asymptomatic." For nearly five years, the mother's symptoms have been worsening until difficulty walking and incontinence. Finally, he went to the Third People's Hospital of Datong City before taking out the gauze.

　　Tongmei General Hospital ’s “Information Statement” also stated that when the patient returned to the hospital to report the problem, he complained that he had undergone transurethral bladder mass electrocautery in the urology department of other hospitals on November 29, 2019 due to cystitis and bladder vaginal fistula, There was a large amount of vaginal bleeding after surgery, and how to deal with it is unknown. "In view of the patient's diagnosis and treatment in other hospitals before the discovery of gauze, the hospital recommended that patients and their families further understand the operation."

　　Mr. Tan said that his mother had indeed had a bladder operation before removing the gauze, but he said that no gauze was used. He issued hospitalization records, discharge records, and surgical records of transurethral bladder mass electrocautery at the Third People's Hospital of Datong City, and denied the "large vaginal bleeding" situation.

　　The inpatient medical records and discharge records show that the patient was admitted to the hospital at the time due to "pain after urination and hematuria for half a year". The clinic treated it with "glandular cystitis"; on November 29, 2019, the patient underwent "transurethral bladder mass electrocautery" in the hospital, and the patient was determined to be a vaginal bladder fistula during surgery. The patient recovered well after the operation.

　　Surgical records show that the operation was performed by placing a cystoscope from the external urethra ... using a resection ring to electrocauterize the lesion site ... and inserting a three-chamber balloon catheter. "Surgical anesthesia is satisfactory, hemorrhage is about 1ml, no blood transfusion during operation".

　　The use of gauze is not mentioned in the surgical record.

　　The “Situation” of Tongmei General Hospital also stated that on April 2, 2020, the Dean of Tongmei General Hospital recommended that patients resolve medical disputes through the following channels: 1. Mediation and settlement of the Medical Disputes Commission of Datong City; 2. Datong The Municipal Medical Association conducts medical malpractice appraisal; 3. It is resolved through judicial channels.

　　Mr. Tan said that the Datong Medical Commission is currently unable to mediate the dispute, and their family ’s financial situation is unbearable through judicial channels. They hope to be able to conduct medical malpractice appraisal through the Datong Medical Association, but he has not yet received notice of approval from the medical association.

　　Datong City Health and Health Commission: It is recommended to take judicial authentication and other channels

　　In response to the dispute between Zhang Xia and the hospital, a staff member of the Office of the People ’s Mediation Committee of the Medical Disputes in Datong City once told Peng Mei News that they had received the relevant situation of the dispute between Zhang Xia and the Tongmei Group General Hospital in March, but they Unable to mediate, it is necessary for the hospital to recognize that the accident was caused by them in order to mediate. He suggested that Zhang Xia and his family can go through judicial identification, medical accident identification and other channels.

　　The Datong Municipal Health and Health Commission's Letters and Calls Office also gave similar suggestions.

　　A copy of the "Administrative Procedure Decision on Tan's Letters and Visits" issued by the Datong City Health and Health Commission issued by Mr. Tan shows that the family of the patient and the hospital cannot resolve the dispute on their own. Please follow the relevant national laws and regulations The committee applied for people's mediation, went to the Datong Medical Association for medical accident identification, and resolved it through judicial channels. The document is stamped with the official seal of the Datong Municipal Health Commission, and the payment date is May 7, 2020.

　　On May 14, a staff member of the Petition Office of the Health and Health Commission of Datong City told Peng Mei News about the matter. The doctor and the patient currently hold the same word and cannot mediate until a consensus is reached.

　　The staff member stated that they had previously received a reflection on the dispute and instructed the relevant staff member to understand and deal with it, and then replied to Mr. Tan and his family. The mediation will only work if the two parties have the same understanding; Mr. Tan and his family The family members can handle the dispute through judicial appraisal or filing a lawsuit with the people's court according to the regulations. The faults in the dispute need to be appraised by a qualified appraisal agency and experts, and subsequent treatment can only be done by referring to the appraisal opinions. If legal proceedings are involved, the court also needs judicial opinions. He said that if the claimant is in financial difficulty, he can apply for judicial relief.