Outside the operating room.

The pregnant woman's husband and mother-in-law sat on the bench, chatting and laughing.

There was no trace of worry or nervousness.

The little nurse muttered in her heart, and then walked up to the two of them, "Mr. Wang, your lover said that she was scared and wanted you to go in to accompany her." ”

The man was stunned, let me in?

"No, isn't the operation anesthetic, and she doesn't feel pain, what is she afraid of?"

A hint of impatience flashed across the man's face.

The little nurse said, "Caesarean section is lumbar anesthesia, not general anesthesia, and the pregnant woman's consciousness is sober." ”

"That's... So what's the use of me going in, I'm not a doctor, and I can't operate on her! ”

The little nurse figured out that this guy didn't want to go in to accompany his wife at all.

I thought okay, love is not going to go.

But before the little nurse could turn around, the mother-in-law on the side spoke, "You can go in and see if it's a son or a daughter." ”

The man rolled his eyes, "Mom, if you want to be so anxious, then you can go in and accompany you!" ”

The mother-in-law pursed her lips, "I won't go when the blood stabs are hula." ”

The little nurse's eyes were full of disdain, who had such a family and had really poured blood mold for eight lifetimes.

Fortunately, he didn't ask anymore, and turned around and went back to the operating room.

The woman on the operating table was still looking behind the little nurse, but no one came, and her face showed disappointment.

The little nurse wanted to tell the truth, but she was afraid that it would affect the mother's mood and be detrimental to the operation, so she lied, "Ms. Zhao, your husband happened to have something to do, and he may arrive later." ”

Hearing this, the woman immediately smiled again, "Mmmm, thank you!" ”

Dong Lin and Li Xiyang glanced at each other, and the operation began.

"Report data!"

"Blood pressure 180/78mmHg, breaths 21 beats per minute, heart rate 102 beats per minute, oxygen saturation 99%, vital signs normal."

"Okay, the operation begins!"

Caesarean section, which used to be a last resort, is now becoming more and more popular, and the rate of caesarean sections in the country is increasing every year.

Caesarean section, as an advanced technology, has its advantages, but it also has many disadvantages.

The advantage is that if there are reasons such as abnormal fetal position, umbilical cord around the neck, etc., it is absolutely impossible for the fetus to be delivered from **, and the caesarean section can save the life of the mother and baby.

And it can be performed before the contractions begin, so the mother does not have to suffer from labor pains.

In addition, for the termination of pregnancy due to pregnancy complications and pregnancy complications, clinicians will choose caesarean section, which can effectively reduce the impact of complications and complications on the mother and baby.

In addition, for some special circumstances and special requirements, you can freely choose the date of the caesarean section so that the child is born on the day you want.

And the disadvantages are obvious.

First of all, caesarean section, as the name suggests, is to cut open the mother's belly and uterus and remove the fetus.

It was an open surgery that was physically and mentally traumatic to the mother.

At the same time, there is a possibility of heavy bleeding and damage to other abdominal organs during the operation, and there may be comorbidities of cardiovascular, respiratory, urinary and other systems after the operation.

Although medical technology is becoming more and more advanced, anesthesia accidents during caesarean section are rare, but they are not 100% innumerable.

Finally, even if the surgery is successfully completed, there is a possibility that the uterine incision will heal poorly, the incision will not heal for a long time, late postpartum bleeding, sinus tract formation in the abdominal wall, intestinal adhesions, endometriosis and other sequelae after the operation.

In conclusion, there are pros and cons to cesarean section, and whether you should choose cesarean section or not should listen to the doctor's opinion, rather than blindly following the trend.

At present, because the mother's mood is very unstable during pregnancy, resulting in irregular fetal movements of the baby, the preoperative discussion is that the fetus must be removed within five to eight minutes after the start of the operation, and the longest is not more than 10 minutes.

At the beginning of the operation, Dong Lin was in charge of the surgery, and Li Xiyang cooperated.

First, a transverse incision is made above the woman's birth canal.

In fact, a longitudinal infusion can also be made below the umbilicus and above the birth canal.

The longitudinal incision has less bleeding and allows the fetus to be delivered more quickly.

But the disadvantage is that it is not conducive to the mother's increased risk of uterine rupture when she becomes pregnant again.

The incision is completed, and then the cutaneous muscles, external oblique muscles, internal oblique muscles, transverse abdominis muscles and their fascia are cut in layers...

During the process, blood vessels should be avoided or double ligated.

Then cut the peritoneum...

It should be noted that when cutting the abdomen, it is necessary to use forceps to pick up and cut a small incision, and then the surgeon inserts the middle or index finger of the left hand into the incision, and cuts the peritoneum to an appropriate length under the guidance of the left hand, so that the rumen can be fully exposed.

"Sanitize!"

In general, after the peritoneal incision, the surgeon's arm should be re-sterilized and flushed with saline.

After cleaning, it is then extended into the abdominal cavity to examine the uterus, fetus and nearby organs to find out whether there is rupture and adhesion.

"Dr. Li, you move the patient's rumen forward and expose the uterus."

"Good!"

Soon the uterus is exposed and held out beyond the incision.

This step is an extremely test of the assistant's skills.

Pull the uterus slowly and at an angle.

Because of excessive force, it is easy to tear the uterus.

Dong Lin has been paying attention to Li Xiyang's movements, and the latter is extremely skillful, not at all like a novice in cesarean section.

"Dr. Li, have you done many cesarean sections before?"

Li Xiyang couldn't cry or laugh, where did he find so many cesarean sections as an emergency doctor.

The reason why he is so skilled is that he can see the sound of his organs.

[Uterus: left, a little left, and then to the right, yes, right there, comfortable~]

When the uterus was pulled out, Dong Lin quickly blocked a large piece of multi-layer sterilized gauze between the maternal uterus and the edge of the incision.

This prevents fluid from the uterus from flowing into the abdominal cavity and causing infection.

The uterus is exposed, and the next step is to cut the uterus.

After first determining the major curvature of the uterine horn, the scalpel avoids the uterine mons and then cuts through the uterine wall with one cut.

"Stop the bleeding and sterilize!"

Li Xiyang quickly and fully ligated the bleeding point of the uterine wall incision, and carefully separated the fetal membranes near the incision.

If the intramembranous tire fluid is full, make a small cut to release the fetal fluid.

After part of the fetal fluid is released, use scissors to extend the fetal membrane incision and flip the incision edges on both sides to the uterine incision to fix it, so that the incision edge of the fetal membrane valgus forms a biocreature, and the fetal effusion will not leak into the abdominal cavity when the fetal fluid flows out, causing pollution.

"Dr. Li, come and pick up the baby!"

"Good!"

Li Xiyang stretched out his hand and poked into the mother's womb, touched the newborn's head as soon as he touched it, and then pulled it hard to bring the child out.

The next second.

Wow wow wow~

Loud baby cries filled the operating room.

Everyone looked at each other and smiled.

When a baby cries loudly, it is healthy.

The surgery went very well.

But suddenly, Li Xiyang's brows furrowed.

[Blood vessels: Someone take care of me, I'm almost nervous]

【Heart: Yali Mountain University】

At the same time, the last second also showed normal ECG monitoring, and suddenly the alarm sounded.

The alarm sound was extremely harsh, and then looking at the operating table, the mother's face turned pale in an instant.

"Doctor, what's wrong? What happened? ”

The mother was numbed by spinal anesthesia and had no pain for the time being.

But suddenly a feeling of weakness swept through her body, and she had a bad premonition.

Dong Lin glanced at the ECG monitor, and while comforting the mother, she said, "Vasopressors!" ”

"Oh oh oh!"

The little nurse hurried to prepare, but Li Xiyang said, "The vasopressor is only temporary, blood transfusion immediately!" ”

However, this was only a non-complicated cesarean section, and I did not expect to bleed heavily in advance, so naturally no plasma was prepared.

"Hurry up and contact the blood bank and transfer 300ml of whole blood!"

"Good!"

The little nurse hurried to make a phone call.

On the operating table, the mother took vasopressor medicine, but her blood pressure continued to drop.

"Dr. Li, what should I do?"

Cesarean section hemorrhage, no one thought of it.

Li Xiyang said, "It may be due to uterine contraction fatigue, or placenta previa. ”

"You go and prepare totocin, 10 units intravenously! I'm here to stop the bleeding! ”

"Will it work?"

After only a while, the mother's abdominal cavity was full of blood, where can I find the bleeding point!

Li Xiyang didn't explain much, only shouted to go!

Dong Lin glanced at the mother, her eyes were closed at this moment, and even her breathing became short.

This is a symptom of shock!

I don't have time to hesitate, I can only listen to Li Xiyang.

Dong Lin prayed silently in her heart while quickly preparing for totocin.

At this time, the anesthesiologist on the side panicked, "Oh no, the amount of blood must be 500ml by visual inspection." ”

Li Xiyang was preparing in front of the instrument table, glanced back, and said quickly, "Call the blood bank and ask them to transfer another 300ml of whole blood!" ”

"Good!"

The itinerant nurse nodded hurriedly, not daring to delay for a moment.

Then; Li Xiyang took a needle and walked back to the operating table again.

Inside is hemostatic sensitivity, quickly give the mother a static push.

Then, under the gaze of everyone, his hands were inserted into the abdomen of the mother.

Seeing this scene, everyone's eyes widened.

"Dr. Li, what are you doing?"

Li Xiyang didn't speak, but looked at the ECG monitor on the side.

Everyone subconsciously followed and looked together,

Well?

Blood pressure stabilized!

That is to say, the bleeding point is blocked!

But...

The mother's abdomen was full of blood, how did he find the bleeding point?

And he just put his hand in just now, and his blood pressure stabilized.

This is blind exercise to stop bleeding with bare hands??

Li Xiyang made sure that the mother was temporarily stabilized, and then opened his mouth to everyone, "It was the rupture of the uterine artery, and now it has been successfully blocked!" ”

Then he motioned to Dong Lin to get the suction device and clean up the blood in the abdominal cavity.

Dong Lin came back to her senses, hurriedly opened the suction device, and inserted the probe into the patient's abdominal cavity.

In a few moments, the abdominal cavity was cleared.

At this time, everyone saw clearly that Li Xiyang held a hemostat in each hand and clamped it at both ends of the uterine artery.

Dong Lin hurriedly picked up the needle forceps to suture, and at this time, the door of the operating room opened, and the whole blood was delivered.

Li Xiyang said quickly, "Pull out the needle, press it directly and squeeze it in, and move faster." ”

"Oh oh oh!"

The assistant doctor and the little nurse cooperated, and kept pressing the compressor in their hands to infuse the blood in the blood vessels.

Soon, a 300-milliliter bag of blood was transfused, and the mother's face improved.

At this point, the uterine artery is also ligated.

Li Xiyang let go of the hemostat and handed it to the assistant, and at the same time said, "Sprinkle anti-inflammatory powder." ”

Before the uterus is sutured, several layers of anti-inflammatory powder are usually sprinkled to avoid infection.

At this time, the mother also slowly woke up,

When she saw Li Xiyang's glance, she begged, "Doctor, you must stitch me up a little better, and you can't leave a scar!" ”

Li Xiyang was also speechless.

This woman has just walked away from the ghost gate, and what she is most concerned about is not life, but the question of whether to leave a scar.

The little nurse on the side also shook her head and sighed.

She always remembered the disgusted expressions of her husband and mother-in-law, why didn't she know to cherish herself a little more.

The woman pleaded and shed tears, not knowing whether she was too nervous or too worried.

In short, it feels ridiculous and ridiculous.

But the doctor's duty is in, Li Xiyang can only comfort, "Don't worry, I will do my best!" ”

Then he turned to the little nurse and said, "Prepare the beauty needles and sutures!" ”

"Okay Dr. Lee!"

The little nurse nodded, and then went to prepare.

After a while, the nurse handed over the stitches, and Li Xiyang began to stitch them.

Uterine closure is usually done with two sutures, the first full-thickness continuous suture and the second serous muscularium embedding suture.

In order to accelerate uterine compound and hemostasis, and facilitate the discharge of lochia, 5~10 units of posterior pituitary lobe can be injected into the uterine cavity before suturing.

Then there is the suturing of the abdominal wall.

The abdominal cavity should be carefully washed before suturing.

After the abdominal wall incision is arranged, the peritoneum is first sutured, usually with continuous sutures with gut threads.

Antibiotic oil should be injected into the peritoneum through an infusion to prevent infection and adhesion before the peritoneum is sutured.

Then, layer by layer, the muscles are sutured continuously.

Finally, the skin should be sutured with the nodules,

When sewing the skin, the wound margin should be turned inward, otherwise it will affect the healing of the wound and prolong the course of treatment...

In order to avoid wound infection, Li Xiyang deliberately sped up the speed when he sutured.

Looking at this painting-like technique, the assistant doctors and little nurses on the side were stunned.

Some of them were meeting Li Xiyang for the first time, and they had heard of it before, but they were not familiar with it.

Just now, Li Xiyang's blind exercise to stop the bleeding with his bare hands has already shocked them all, and now this suture...

No wonder Dr. Dong would say that Dr. Lee is the best doctor for Jen and sutures.

There's nothing wrong with that!

These people have been in the obstetrics and gynecology department for at least three or four years, and they have several caesarean sections almost every day, so they have naturally seen too many wound sutures.

But at this time, I couldn't find anyone in my memory who could compare with the person in front of me.

Even if Director Xu came in person, it can't be compared.

Dong Lin stood aside and couldn't help nodding.

She had seen Li Xiyang's sutures more than once, but she couldn't help but marvel every time.

In the past, she thought that the stitches were good and bad, but only a few differences in connection.

But since she met Li Xiyang, she realized that there is a thing called talent in this world.

Otherwise, it is difficult to explain why Li Xiyang is so young, but his suturing skills are even more powerful than those old professors.

Sure enough, people can't be compared!

This wound is stitched, and when the stitches are removed, the scar will not be visible at all.

Almost at the same time, Li Xiyang stopped the movement of his hand and the stitching was completed!