Chapter 117: Lateral Cut
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Now every extra second of delay Lin Jiaqian and the child in the womb are more dangerous, I really can't afford to delay, and Su Hongwen will not have a cesarean section, but he will be cut sideways, and just now through the see-through glasses, he found that although there was cephalic dystocia, Lin Jiaqian's pelvis was normal, and the uterine opening was open enough, and if the side cut was used, there was still hope to get the child out first.
Thinking of this, Su Hongwen turned his head and rushed to Miao Renguang, who was standing there watching the excitement, and said, "Brother Miao, don't be stunned, help me get a cutting bag." "There is no one to do a caesarean section in the health center, so there are no instruments needed, even if there is, it has not been sterilized for a long time, there is no way to use it, and now it can only be used with an incision bag, this thing is generally used to suture the wound, the local people bumped it, as long as the wound is not big, they will still come to the health center for treatment, so the incision package is commonly used.
Miao Renguang was stunned when he heard Su Hongwen's words, and then opened his mouth and said: "I said Xiao Su, don't fool around, this is an obstetric operation, will you?" Don't be reckless, if something happens, you won't be able to eat and walk around. ”
Zhao Fengguo hurriedly said: "Let's go, go to the city hospital immediately." Speaking of this, he pointed to the tip of Su Hongwen's nose and said: "I tell you that this matter is not over, my grandson and my daughter-in-law are fine, if they have three long and two short, I will not finish with you." ”
Zhao Yushan hurriedly said: "What else is Dad leaving?" Just now, Lao Su said that Jia Qian can't survive in the city at all, do you want to kill your grandson and daughter-in-law? ”
"You know bullshit, in this kid's rule, it's my grandson and my daughter-in-law who are hurting." Speaking of this, Zhao Fengguo pointed at Su Hongwen and said: "As far as his virtue is concerned, I don't think other bullshit will be except for causing trouble." ”
Zhao Fengguo has repeatedly humiliated Su Hongwen, and now he has to go to the city hospital regardless of the life or death of his grandson and daughter-in-law. Su Hongwen finally couldn't help it, and opened the hand that Zhao Fengguo pointed at and said angrily: "You can have an opinion about me." But please don't gamble with me about the lives of patients and children in their wombs. Speaking of this, Su Hongwen turned his head to Zhao Yushan and said: "Zhao Yushan, if you want to save the lives of your daughter-in-law and son, get me out, a father who doesn't understand four or six." ”
Zhao Fengguo was so angry when he heard this sentence that his face turned red, and he wanted to scold Su Hongwen when he opened his mouth. But at this time, Zhao Yushan suddenly gritted his teeth and hugged his father, and dragged him outside.
Chen Xingda found the medicine, and this will bring a nurse here, Su Hongwen said to him: "Old Chen, you go out to help Zhao Yushan drag his father, you can't let him in, okay, everyone else goes out, I have to have surgery." ”
"Xiao Su, are you crazy? Will you have obstetric surgery? This is a matter of human life. Miao Renguang saw that Su Hongwen still insisted on being in a hurry, he was stunned and was not afraid that something would happen, it didn't matter, but don't bother yourself, if something really happened. Liu Yongqiang turned around and knew that he hadn't stopped him, and it was strange if he didn't settle accounts with himself.
"I've done this surgery, do you want to watch them die here?" Su Hongwen snorted coldly and ran out, personally taking back the cut bag.
The health center is in this environment, and the operating room has not been disinfected for a long time because no one has done surgery, and doing it there is the same as doing it in the disposal room, and now the matter is urgent, and Su Hongwen can't take care of the problem of sterile environment.
Zhang Cuiping also persuaded: "Xiao Su, why don't you let them go to the city hospital." ”
Hearing this, Su Hongwen's heart was even more angry, and he said angrily: "Go to the city hospital? You're asking for their lives. I will do this operation, and I will bear it myself if something happens, and you will go out if you are afraid of taking responsibility. ”
The nurse Chen Xingda found was Qian Qianqian, and she heard Su Hongwen's words: "I'm not afraid." I'll help you Dr. Su. ”
"Use 706 generations of plasma and glucose first, and then inject 10 units of oxytocin intramuscularly, and you will go to the pharmacy to find some hemostatic drugs for the patient to infuse." Su Hongwen said as he opened the cut bag. Then he put on gloves, a mask, a hat, and he didn't take off his see-through glasses. You'll have to rely on it for a while.
Zhang Cuiping and Miao Renguang looked at each other, and there was no way to stop Su Hongwen, and the two of them didn't say anything, so they turned around and went out to call Liu Yongqiang. They didn't believe that Su Hongwen could do the operation to save the lives of Lin Jiaqian's mother and son, and they didn't want to help Su Hongwen take responsibility, so they wanted to inform Liu Yongqiang first.
Wu Lan and Zhou Cuihua were so anxious that the six gods had no master, and the two of them didn't go out, so Su Hongwen saw that they didn't go out and said, "Help me press the patient." ”
Now it is too late to use even hard external anesthesia, so Su Hongwen has to use a faster local anesthesia, that is, using lidocaine for intramuscular anesthesia.
Wu Lan and Zhou Cuihua also didn't believe that Su Hongwen, a young man, could do the operation, but seeing Su Hongwen's straight face, it was very scary, and they unknowingly did what he said.
Helping Lin Jiaqian put her position in a good position, Su Hongwen directly used a syringe to perform local anesthesia on the perineum, and then began to perform episiotomy with a scalpel.
A lateral episiotomy is an oblique incorpomy made in the perineum. Episiotomy includes not only lateral incision, but also mesotomy, which can prevent perineal tears and protect pelvic floor muscles, and surgical incision is easy to repair and heal better.
The lateral episiotomy done by Su Hongwen is different from the above, and now Lin Jiaqian's birth canal has a laceration, and the lateral incision done by Su Hongwen is to facilitate the hemostasis of the tear location, not to protect the perineum from tearing.
The lateral resection used by Su Hongwen is popularly said to enlarge the surgical field to facilitate hemostasis at the torn site, and the other is to expand the exit of the birth canal and take out the child smoothly.
Therefore, the position of Su Hongwen's knife is different from the position of ordinary lateral resection, ordinary doctors do not dare to do this, and the general treatment plan for heavy bleeding caused by birth canal laceration is caesarean section, opening the opening in the abdomen, taking out the fetus and then stopping the bleeding.
This option is the most secure, because the abdominal incision can find the location of the birth canal laceration more quickly, if the perineal incision is not large enough, if the birth canal laceration is deeper, it is not visible at all, which is a problem of orientation.
The doctor's line of sight for abdominal incision is from top to bottom, if the position of the birth canal laceration is slightly lower and it is not convenient to see, you can also use the retractor to expand the field of vision, but if you use the episineal lateral incision, the doctor's field of vision and the perineum and the birth canal can be said to be almost a branch line, once the position of the birth canal laceration is back, it is not visible at all, and it is useless to use the retractor.
Su Hongwen will not do a caesarean section, because this is an operation in the operating room, but the lateral incision is very simple, it can be regarded as an outpatient operation, but it is generally done in the operating room, but it is relatively simple, so in the outpatient doctor game, Su Hongwen still learned to do lateral resection.
The reason why he chose a lateral incision today to find a laceration in the birth canal is because he has see-through glasses. If ordinary doctors saw him take this kind of surgery, they would definitely think that Su Hongwen was crazy, but Su Hongwen was not crazy, he was not afraid that he would not find the location of the tear.
The episiotomy Su Hongwen was completed quickly, and then he reached out and took a hemostat and put his hand in, using fluoroscopy glasses Su Hongwen quickly found the location of the laceration, but the location was a little deeper, and if he wanted to stop the bleeding Su Hongwen had to use a hemostat to clamp the bleeding point, and then use silk threads to tie it.
Su Hongwen used see-through glasses to find the bleeding point, he could see it, but outsiders couldn't see it, so that other doctors must have been surprised to see Su Hongwen's current movements, this is blind hemostasis, can it work? Can you stop bleeding without seeing a bleeding spot?
The people in the disposal room are all laymen, Qian Qianqian is half an expert, but she can't understand it, so no one is surprised, and no one questions Su Hongwen.
With the help of see-through glasses, Su Hongwen quickly clamped the bleeding points in the birth canal laceration with hemostats, and with the help of oxytocin, Lin Jiaqian's uterine bleeding was also much less, and Lin Jiaqian's life was saved for a while, but the child couldn't do it, and he would have to suffocate to death if he didn't take it out.
If you want to take out the child, Su Hongwen must use silk thread to tie the bleeding point of the birth canal, otherwise the hemostat will scratch the child during the child's delivery, and the child may also hang up the hemostat to cause secondary bleeding, but to use silk thread to tie the bleeding point, you need to tie the knot with both hands, and now the birth canal can also reach into one hand, how to tie the knot?
At this point, Su Hongwen also made a difficulty, but he suddenly remembered that there was an electric cutter in the health center, this thing has not been used for a long time, and he doesn't know if it can be used, if it can be used, it can be directly pointed on the hemostat with an electric knife, and the bleeding point can be welded to death by the effect of electrocoagulation.
Thinking of this, Su Hongwen hurriedly asked Qian Qianqian to find the electric knife, Qian Qianqian hurriedly ran out, and after a while, she ran in with a dusty machine.
Su Hongwen didn't talk nonsense and asked him to install the electric cutter, and then test it, fortunately, this cutter can be used, if it is bad, it will be really troublesome.
Soon Su Hongwen used the electrocoagulation function of the electrocutor to weld the bleeding points to death, but this is not safe, and when the child comes out of the birth canal, it is likely to hang up the electrocoagulation point to cause secondary bleeding.
But I can't take care of this now, so I'm talking about getting the child out first.
Su Hongwen took off his gloves at this time and still put them to the side, and then put his two hands on Lin Jiaqian's abdomen and began to press them, his movements were quite rhythmic, as if he was not doing uterine massage to correct the fetal position, but playing the piano.
Although Wu Lan, Zhou Cuilan, and Qian Qianqian didn't know what Su Hongwen was doing, they felt that Su Hongwen's movements were very good-looking, giving people a very rhythmic feeling.
Su Hongwen kept pressing his head on Lin Jiaqian's stomach, and his hands were constantly changing directions, this action seemed to be very easy, but it was actually quite difficult to do, and it was very difficult to correct the fetal position with both hands. (To be continued......)