"Scalpel?" Li Yanan was a little confused when she was asked, but when she saw Wu Xiangdong's posture, she was immediately startled: "Are you going to let me be the instrument nurse in the operating room?"

"That's right." Wu Xiangdong had already taken a bottle of iodine from the treatment cart. He unscrewed the cap and poured the entire bottle of iodine onto the pregnant woman's belly. The dark brown liquid splashed down the mouth of the bottle.

come out.

"Currently, pregnant women do not have any vital signs and are basically in a state of death. Since 10% of the output of cardiac compression is diverted to the uterus, the compression effect is not good. Now, early cesarean section is performed to terminate the fetal-placental circulation, which can increase the number of pregnant women.

blood volume, increasing the success rate of resuscitation.”

Wu Xiangdong did not give up any life, but found a glimmer of hope from the deadlock of inevitable death through surgery.

"Stop chest compressions temporarily and prepare for perimortem cesarean section. Wan Zhihua, come and help me pull the hook."

"Well, I have been working as an anesthesiologist all my life, and today I actually became a surgical assistant. Look what happened." Although Wan Zhihua was mumbling, the speed of his hands was not slow. He stopped pressing immediately

Put on medical surgical gloves, quickly open the sterile instrument package and start looking for the retractor.

At this time, Wu Xiangdong was concentrating on the operation. He took the scalpel and put the tip of the scalpel against the newly disinfected lower abdomen, about two centimeters along the upper edge of the pubic symphysis, which was the position just examined. Wu Xiangdong pressed the handle of the scalpel with his index finger.

On the upper edge, use the tip of the knife to cut an arc horizontally along the texture of the skin on the lower abdomen. The opening is about ten centimeters.

As the epidermis was cut open, the white subcutaneous fat layer inside was exposed. Wu Xiangdong gently pressed the handle of the knife and cut the subcutaneous fat layer again according to the previous steps. When the tip of the knife cut across the fat, Wu Xiangdong could already see the abdominal straight line hidden inside.

Anterior sheath.

"Hook!"

After Wu Xiangdong finished speaking, he saw Wan Zhihua looking worried at the side. After searching for a long time, he only took out a finger-long retractor from the equipment bag.

Wan Zhihua looked at the retractor, which was no bigger than his palm. He held it like a toy in his hand. He looked embarrassed and said to Wu Xiangdong: "This is a tracheostomy surgical kit. It only comes with a thyroid retractor. The largest one is only one inch."

It’s useless at all.”

You must know that the retractor for cesarean section is equipped with a shortest retractor of 20 centimeters in order to maximize the exposure of the surgical field. However, it is really difficult for Wan Zhihua to handle such a small gadget in front of him.

"Don't worry about it, just help me pull it." Wu Xiangdong made a decisive decision and gave up the retractor. After incising the anterior sheath of the rectus abdominis, he directly grabbed both sides of the incision with both hands and pulled hard.

"Holy shit! Can it still be like this?" Seeing the transverse incision being pulled open by five or six centimeters by Wu Xiangdong, it was like the closed eyelids suddenly opened, and even Wan Zhihua couldn't help but burst out from the sound of skin tearing in his ears.

A foul language.

At this time, Wu Xiangdong turned a deaf ear and concentrated on the operation. He saw that the originally bright red muscle layer had begun to turn white, and even the rectus abdominis muscle layer did not even show obvious bleeding. This indicated that the blood pump supplying the whole body of the pregnant woman had stopped.

At this time, only by extracting the fetus can the compression of the pregnant woman's veins be exposed, and at the same time, the diaphragm can be moved downward, which is conducive to the resuscitation of cardiopulmonary function. This strengthened Wu Xiangdong's determination to perform a cesarean section.

He turned the blade of the knife from transverse to vertical incision. The tip of the knife made a ten centimeter incision along the texture of the rectus abdominis muscle, forming a longitudinal incision connecting the umbilicus at the top and the pubic symphysis at the bottom.

Wu Xiangdong could clearly see a crystal clear transparent film under the muscle layer, which was the peritoneum. He could even see various organs in the abdominal cavity through the film.

Wu Xiangdong directly incised the peritoneum without hesitation, then put his hands together into the abdominal cavity to push the obstructing bladder to one side. He used his fingers to lift the fundus of the uterus to the incision with slight force. He held the knife in his left hand and stabbed the serosa layer to separate the inner side.

muscles, and then gently poked, and then a large amount of amniotic fluid fell down like a waterfall.

The warm, slightly viscous, light yellow amniotic fluid flowed all over Wu Xiangdong, dyeing his freshly washed white coat dark red. But at this time, he ignored the viscosity on his body and threw away the scalpel.

, put both hands into the pregnant woman’s abdominal cavity.

At this time, the amniotic fluid has broken. If the fetus is not delivered as soon as possible, it will soon develop symptoms of hypoxia. In addition, the pregnant woman has lost consciousness and has no way to expel the fetus from the womb by her own strength. Therefore, she can only rely on external power.

.

"Press the fundus of her uterus to stimulate the contraction of her uterus and help me push the fetus into my hand." Now that it was the most critical period, Wu Xiangdong did not care about Wan Zhihua's seniority and gave him the order directly.

"Okay." Wan Zhihua was also unambiguous on the matter of life and death. He did not complain at all when facing Wu Xiangdong's instructions. Instead, he quickly put his hand on the pregnant woman's belly and pressed down hard.

As he pressed, the fetus slowly moved toward Wu Xiangdong's hand, and his fingertips even touched the fetus' head. But when Wu Xiangdong was about to grab it, the fetus retracted into the uterus again.

"Didn't you eat? Use more strength!" Wu Xiangdong frowned. It turned out that Wan Zhihua's pressure was not strong enough, which caused the fetus to retract when he let go.

Faced with the reprimand, Wan Zhihua's old face turned red. He knew that this was a mistake caused by his inexperience, so he didn't say anything. This time, he put his hands into fists at the bottom of the uterus, and then used the strength of his whole body.

Press down.

"Okay, continue, I have already touched its head." Wu Xiangdong obviously felt different this time. The fetus seemed to have heard his call and came to his palm smoothly.

Wu Xiangdong carefully lifted it up, supported the cervix with the back of his hand, and slowly delivered the fetus. Looking at the fetus, which was only the size of his palm with blood stains on its skin, Wu Xiangdong was afraid that someone would accidentally hurt his fragile body.

Seeing that the newborn was successfully delivered from the mother's body, everyone breathed a sigh of relief. In such an emergency, the fetus could be cut out quickly through surgery. At this time, Wu Xiangdong had conquered everyone present.

"Come here, hold the child's umbilical cord, and hand me the scissors next to you." Wu Xiangdong gave the order decisively, as if sensing the changes in everyone's eyes.

"Okay." Wan Zhihua immediately handed over the sterile scissors in the instrument bag.

The fetus's umbilical cord is very long and thick, with a milky white fat layer on the surface. It is this tube that ensures the mother's nutritional supply to the fetus. At this time, the umbilical cord is still connected to the fetus' navel, so Wu Xiangdong used scissors to cut it off.

Cut it off.

At this time, Li Yanan, who was preparing a quilt next to him, spread the insulation mat on the table and said to Wu Xiangdong: "Doctor Wu, you take care of the patient first, and the child can be taken care of by me."

"Okay." Wu Xiangdong skillfully tied a knot in the child's umbilical cord and handed it over. He once again reached into the pregnant woman's uterus and pulled out the placenta attached to the fundus.
Chapter completed!