The reason why longitudinal incision is easy to perform is because the fetus is generally in the head-down position in the mother's uterus. The doctor's view from above is wider, unlike the transverse incision where the doctor's view and operation are restricted.
Because beauty is very important to women, most obstetricians and gynecologists will continue to take the challenge of transecting the fetus for the sake of female patients. When encountering difficulties in retrieving the fetus, they can only use clever methods to solve it.
For example, if you know that the fetal head is too high to be removed, you can move the surgical incision upward first.
Today's patient has a raised fetal head. The fetal head is a little far away from the incision. If the doctor puts his hand into the patient's uterus, it is not only difficult to grasp, but also easy to push the fetal head into the uterus. The problem is that after the surgical incision is moved upward, it is exposed.
If the chance of the belly getting bigger, the scar will still look very ugly. It would be better to just cut it vertically. Therefore, obstetricians who are brave enough to challenge will not just move the incision up casually. Director Yu, who is doing the surgery today, has many experiences.
Zhan will definitely not do this.
If the surgical incision is not moved upward, other methods need to be found to solve this problem.
Clinically, many empirical methods have been summarized for this.
If the fetal head floats away from the incision position, you can press the fetal head down to make it fall to the designated position. So putting Dr. Peng's hand on the fundus of the uterus is pushing, hoping to lower the fetal head closer to the incision.
It's easy for the surgeon to do it. If the space in the uterus is large enough, the doctor can even push the fetus half a circle. If the fetus' head cannot be exposed, he can simply expose the fetus' buttocks first. The doctor can also pull the baby out and separate it from the mother's body by grabbing the baby's feet.
Dr. Peng pushed hard, and after two pushes, he found that the baby seemed to be unresponsive to the doctor's push and was unwilling to come out. However, he was afraid that the fundal push would take a long time. There was not enough time, so he quickly shouted: "forceps."
The doctor didn't push hard enough, and it couldn't be pushed like a cart. He had to rely on the force from the front to pull him forward. The forceps can clamp the baby's head to pull it forward. The only problem is that the forceps may hurt.
Baby's head.
Director Yu did not take the forceps immediately, but put two fingers into the patient's uterus to feel whether she could use her own hands to pull the baby's head. It turned out that her hands were expected to be larger, making it more difficult to enter and operate.
"Don't be anxious, don't be anxious." Director Yu said to the other doctors, hoping to stabilize the situation.
The anesthetist came over. Dr. Peng couldn't push it alone, so he added another person to help.
Director Yu shouted to the anesthesiologist: "No, just keep an eye on the patient's vital signs."
This patient is a bit malnourished. He is afraid that something unexpected will happen during the operation and the anesthesiologist will be too busy, so it is best to keep an eye on him alone.
Then Director Yu gave instructions to the two classmates: "You, go help Dr. Peng."
After receiving the teacher's order, Xie Wanying immediately walked to the opposite side of Dr. Peng and prepared to help push the fundus.
"Put your s-hook in."
Geng Yongzhe's whole body froze for a moment, and he was still afraid no matter how calm he was.
This hook should be placed under the child's head. If you are not careful, it will hurt the baby's head. Anyone who has studied medicine knows that the baby's head is fragile compared to adults. The fontanel is not closed and the neck is very soft.
"Come on." Director Yu took his hand and put it on the hook.
The S-hook is put in to press the fundus of the uterus and use the lever principle to lower the fetus. At this time, the other two doctors add more pressure and the thrust is more effective. However, in clinical practice, many babies act irrationally and do not listen to the doctor's words.
