Start From Emergency Doctor

Chapter 279

If the suture is not carried out in time, the healing effect in the later period will become very poor…

Moreover, there are many nerves and mucous membranes in the voice channel. If the suture is not timely enough, the nerves in the voice channel may be damaged, which will seriously affect the future sexual life.

And there is another point. Generally speaking, the wounds of the side incision are relatively small, just a few centimeters, and the secretion will usually be very fast after the incision, and it can be sutured very quickly in just a few minutes or even tens of seconds.

Therefore, it is beneficial to perform a lateral incision and direct suture, which can minimize the phenomenon of sound channel relaxation after childbirth.

But… if the stitching is not timely, it will increase the degree of looseness.

This is relatively light. The longer the suture is delayed, the more risks the mother faces: infection, excessive bleeding, nerve damage, mucosal tissue damage, etc…

The husband who was waiting outside the delivery room looked anxious at this time.

The cry of the newborn did not relax him, but after a brief joy, he became more worried about his wife.

At this time, a doctor rushed out of the delivery room.

“Doctor, what’s wrong with my wife! When can my wife come out!” The husband was about to cry in a hurry.

He loves his wife and has experienced the pain of natural childbirth on the birth simulator. At this moment, when he thinks that his wife will be tortured even if he wipes a little skin, he naturally wants to exchange identities with his wife immediately. .

The doctor stood still, “Go to the ward and wait!”

She didn’t explain too much, and immediately rushed to the emergency department.

Two minutes later, Zhou Yuan followed the obstetrician over.

To the obstetrician’s surprise, the husband was still guarding outside the delivery room, lying at the door of the delivery room, looking inside through the gap.

“This is love…” The obstetrician did not forget to say with emotion.

Zhou Yuan’s face was black.

Are female doctors so emotional? At this time, they still sigh with love.

In the delivery room.

Zhou Yuan quickly finished the pre-operative preparations and changed into the surgical gown.

“What’s the situation?” Zhou Yuan asked as he prepared.

“Cannot be sutured. I have tried all of these intermittent sutures, but I don’t know why the vagina of the parturient woman is so fragile. The sutures directly tore the skin…”

“Too much bleeding, immediately transfusion.”

Zhou Yuan glanced at the meeting, and the blood had flowed down the incision.

Zhou Yuan frowned.

The current situation is very serious. Generally speaking, when sutures are performed, the parts that need to be sutured are aligned, that is, the needle is inserted as far as possible from the edge of the wound.

It is rare that this kind of suture pulls open the wound directly.

“I’m coming.” Zhou Yuan stepped forward.(Read more @ wuxiax.com)

He Jing immediately gave up her position and acted as a help.

He Jing has tried the butt stitching method. The inner figure-eight stitching method is not good at this time, and it is difficult to manipulate it, but… it is indeed the most suitable stitching method for the current situation.

Adopting the inner figure-of-eight suture method can promote wound healing, shorten the hospitalization time, reduce the pain of the parturient, and at the same time, it can also play a good hemostatic effect. Moreover, when the internal figure-of-eight suture is performed, the subcutaneous tissue of the skin is sutured at a time, instead of the ordinary suture method directly targeting the skin.

The skin is tightly closed, the tissue contusion is small, no thread is left, and the lochia soaking is reduced. At the same time, there are few sutures in the tissue, which can minimize the impact on blood circulation.

“Do you want to use the inner figure eight stitching method? I have tried it. The operation field is not good and it can’t be carried out…” He Jing looked at Zhou Yuan’s technique with a little surprise.

She is a doctor in obstetrics department, and naturally knows that the inner figure-of-eight suture method is most suitable at this time, but the suture method itself is more complicated. Although the operation is relatively simple, it is difficult to use under the current circumstances.

“Gauze roll.”

Zhou Yuan didn’t explain much. If the 8-character stitching method in the master level can’t solve the problem, other stitching methods are even worse.

Zhou Yuan took the gauze roll and filled it into the sound channel, opening the sound channel wall.

He Jing stepped forward to help support, Zhou Yuan picked up the needle holder and needle.

After checking and confirming that there were no lacerations in other parts, Zhou Yuan asked another obstetrician to complete the debridement and immediately start the internal figure eight suture.

The first is to suture the incision of the vocal mucosa, using 3-0 Hualikang absorbable catgut.

Since the mucosa of the sound channel is deep in the tissue, it is impossible to remove the suture, so absorbable suture must be used.

Zhou Yuan carefully performed intermittent sutures from the top of the incision to the hymen ring.

Because the tissue before this is located deep, it is inconvenient to use the inner figure-of-eight suture method, so it can only be sutured intermittently.

“Corner needle.”

Zhou Yuan took the angle needle and used the angle needle to pass the 7-gauge silk thread, insert the needle one centimeter away from the incision, and then drive the needle to take out the needle from the subcutaneous fat layer at 1/2 the depth of the incision.

········· Ask for flowers···································································

Zhou Yuan continued to insert the needle from the corresponding position of the subcutaneous fat layer on the contralateral side, penetrate deep through the base of the incision and out of the subcutaneous fat layer, and then pierce the needle upward from the subcutaneous fat layer on the opposite side ten centimeters away from the skin incision. Lift the skin at the incision, insert the needle for the third time at a distance of about one centimeter from the incision, and then pass through the corresponding position of the skin on the opposite side.

Finally, the knot was tied to the initial needle entry point, and an inner figure-of-eight suture was completed so far.

“Do you know where the problem is?” Zhou Yuan asked as he stitched together.

He Jing stayed for a while and shook his head: “I don’t know…”

“When you perform the side incision, the opening is too small, which leads to excessive stretching of the fat layer, which causes the fat to liquefy when the suture is performed, so you can’t suture the incision at all…”

0 0 0

He Jing was stunned when he heard Zhou Yuan’s words.

“Small incision is indeed a good thing, but… if the incision is too small, it will also bring side effects to the parturient.”

He Jing lowered his head and silently stopped the bleeding from the incision.

Zhou Yuan glanced at He Jing and did not continue.

Another reason is bleeding, which promotes fat liquefaction, which further increases the difficulty of suture.

Zhou Yuan continued to stitch the inner figure eight.

The obstetricians next to him opened their eyes wide and looked at Zhou Yuan incredulously.

“Re-made fingers are so powerful, and stitching is great…”

“No wonder the anastomosis of blood vessels and nerves can be completed! Fast and accurate!”

He Jing’s expression slowly changed from self-blame to surprise, and finally she was completely attracted by Zhou Yuan’s tactics, her expression dull.

“It’s amazing…” He Jing said subconsciously.

“finished.”

After more than ten minutes, Zhou Yuan retracted his gaze and breathed a sigh of relief.

He Jing swallowed in surprise and looked at the perfectly stitched perineum.

“This… is it done?”

Ten minutes…

It takes a few minutes for someone else to find out and insert the needle, and I’m afraid to pierce the fat layer, which will cause the fat layer to bruise and liquefy again, making it more difficult to suture and fall into malignancy. cycle.

But… Zhou Yuan is done? !

The parturient woman who had been silent for a while finally breathed a sigh of relief and looked at Zhou Yuan. Spoon.