The anesthesiologist gave the patient epidural anesthesia, and the patient was awake. The ECG monitor beside the operating table showed the patient's heart rate, breathing, etc. The condition of the fetus, especially the fetal heart rate, had to be re-confirmed and reviewed by the surgeon before the operation.
The fetal heart rate did drop a little, but fortunately the young doctor and medical student quickly convinced the family to give the doctor more time to perform surgery on the patient instead of rushing to rescue the fetus.
"Do we need to contact someone from the neonatal department?" the operating nurse in the operating room asked the doctor as a routine question.
If the fetus is not in good condition before the operation, it is necessary to call the neonatologist to come down and stand by. As soon as the fetus is taken out by the obstetrician, the neonatologist will immediately perform emergency treatment on the newborn.
"Not for the time being." Director Yu judged.
Immediately following the procedure, as in any other surgical procedure, the assistant disinfects and drapes the surgical field.
Director Yu put on his surgical gown and stood beside the operating table. Dr. Peng stood opposite as an assistant. Dr. Zheng stood outside the operating room with the patient's family. Two students who had just come to the obstetrics department for internship were very lucky to be able to enter the delivery room and the operating room to observe and learn up close. You know, all the newbies are the same. They have to adapt to the new department environment first, and the teachers will not easily allow them to enter the operating room.
"Now that you two have put on your surgical gowns, come here, one of you will take the retractor." Director Yu glanced at the two interns and quickly pointed to Geng, "You are a boy and have more strength, so you take it."
The instrument nurse put the big S retractor into Geng's hand.
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Xie Wanying stood opposite Geng, thinking that this was a good opportunity to see how capable another classmate in her class was.
Director Yu confirmed the location of the surgical incision again. Before cutting, he pinched the patient's skin with a pair of tweezers to see if there was any pain. If there was no pain, it proved that the anesthesia was fine and the surgery could be started. At the same time, Director Yu asked the two students' names so that he could ask them for help if needed during the operation. He said, "Tell me your names."
The boy answered first. Geng, who was usually dumb, said politely, "Geng Yongzhe."
"What about you?" Director Yu asked student Xie who was standing next to him.
"Xie Wanying."
"Xie Wanying?" Director Yu glanced at Xie's eyes out of the corner of his eye, as if he remembered something.
Forceps made sure anesthesia was ok.
The nurse handed over the scalpel, and Director Yu took it and cut it carefully, making a horizontal incision. The incision for a cesarean section can be horizontal or vertical.
If the incision is horizontal, the wound will not be too conspicuous. Doctors will choose horizontal incision for the sake of beauty of female patients, just like Director Yu did today. Moreover, since many female patients have learned about the aesthetics of horizontal incision beforehand, if it is vertical incision, they will be excited to ask the doctor why they made vertical incision instead of horizontal incision after hearing other mothers talk about it after the operation. For this reason, doctors will make horizontal incisions as much as possible to avoid trouble. Vertical incision is indeed more ugly, and the scar is located right in the middle of the abdomen, which is easy to be seen by outsiders, so it is very annoying for women who love beauty.
In fact, cesarean sections are usually performed vertically at the beginning. Vertical incision gives doctors a wider field of vision than horizontal incision, making it easier to operate and taking less time. Therefore, for some special patients, such as those who need to remove the fetus urgently, or those who have other gynecological diseases and need to undergo surgical exploration at the same time, doctors will choose vertical incision without hesitation because they can't take care of other things.
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