"But the surgeon hasn't come yet, so there's no way to perform this hemostatic and suturing operation."

Everyone is well aware of the patient's condition, and the nurse in the operating room is also very anxious, but she has no good solution. After all, only the doctor who performs the surgery is most familiar with the method of surgery and the size of the incision. If someone else takes the stage rashly, big problems may arise.

.

However, Wang Jia seemed to disagree with the nurse's words: "It's not just a cesarean section operation, I can do hundreds of them a year. Besides, now we only need to perform finishing work such as hemostasis and suturing, so there is no need to bother with an operation of this level."

The chief surgeon was involved."

Wang Jia has been working in obstetrics and gynecology for nearly ten years and has already become the backbone of the department. Considering the patient's risk of hypovolemic shock, she prepared to take over this operation.

She took off her white coat and put it on the round stool in the corner, and then disinfected her hygienic and surgical hands. Her movements were very skillful. The flowing water on the sink rushed towards her white arms along the faucet, washing away the foam attached to them.

Rinse them all.

After using soapy water to remove grease and sebum in the first step, Wang Jia picked up the brush placed next to the operating table and applied soapy liquid to disinfect the skin of his forearms and elbows.

Wang Jia's skin is very white, and you can even see the blue hair-like blood vessels hidden under the skin through the skin. The hard black hair brush makes a rustling sound after scraping her skin, which was originally white.

The forearm became flushed just by going back and forth, and after a while, dense bleeding spots gradually appeared like scraping, turning the flushed skin of the arm into purple.

"Prepare a set of surgical clothes for me first, and I will go on stage in a minute." Wang Jia's face remained unchanged after rinsing his arms, and then began to use disinfectant to clean the stains remaining between his fingers.

Wang Jia's fingers are very long and beautiful, as pleasing to the eye as green onion, but each of her nails is very short, and the distance from the fingertips is even negligible, giving people a feeling of wasting natural resources.

However, Wang Jia is not a special case, because doctors who perform surgeries all year round will trim their nails very short.

This not only prevents dirt from being hidden in the nails, but also prevents the nails from poking through the gloves during surgery, causing the risk of infection to the patient.

At this time, Wang Jia had completed hand hygiene. Her fingers were intertwined and her arms were open and hanging on her lower abdomen. Then the nurse took out the surgical gown and put it on Wang Jia.

She came to the right side of the operating table and naturally stood at the position of the surgeon. She glanced at Li Yanan, who was still applying pressure to stop the patient's bleeding, and said, "You can let go."

At this time, Li Yanan obviously recognized Wang Jia, and of course knew that she was a doctor in the obstetrics and gynecology department. However, the patient was still bleeding, and Li Yanan did not dare to make any decision to stop the compression. She looked at Wang Jia and said: "Doctor Wang

, or we should wait until Dr. Wu comes over. Before he left, he promised to perform compression to stop the bleeding first and then perform suturing surgery."

Seeing Li Yanan's uneasy look, Wang Jia glanced at the patient under anesthesia on the operating table and knew that she had just undergone rescue and then had a cesarean section. Her vitality was severely damaged. According to experience, if

If you don't hurry up and suture to stop the bleeding, I'm afraid the longer it takes, the greater the risk will be.

So Wang Jia said: "For you, you may never encounter an operation like this all year round. I understand that you need to be cautious, but based on my many years of experience, sutures must be started to stop the bleeding at this time.

Otherwise, when the patient's hemoglobin drops, it will be too late to take measures."

Wang Jia's attitude was very firm, and the confidence in his words made it difficult for everyone to refuse. Li Yanan had no choice but to let go of his hand and remove the gauze pad pressing on the patient's body. A ten centimeter long incision came into view.

eye.

But when Wang Jia turned his attention to the incision on the patient's abdomen, his originally confident expression suddenly froze.

"Is this a lower uterine segment transection?" Wang Jia quickly put on medical surgical latex gloves and swept his fingers along the patient's abdominal incision. His originally calm expression became a little bit surprised.

"The incisions are regular and of appropriate length. The outer three layers are cut horizontally, and the inner three layers are cut vertically. Each step is simple and clear. Only by doing thousands of cases can such an achievement be achieved."

Wang Jia's eyes almost went straight. She quickly picked up the hemostatic forceps on the side, separated the subcutaneous fat layer, and explored inside bit by bit.

You must know that she has only recently begun to study the lower uterine segment transection. This was a new surgical technique proposed by a great expert at a meeting when she was away studying. At that time, no one had tried it in the entire field of obstetrics and gynecology.

According to past experience, cesarean section can only deliver the fetus by means of longitudinal incision. It is a vertical incision of about 15 cm from below the umbilicus to the pubic symphysis. It cuts through the epidermis, subcutaneous fat, and anterior sheath.

Muscle layer, bladder peritoneal reflection, uterine muscle layer and other tissues, and finally open the amniotic cavity to remove the fetus and placenta, and then suture them in sequence.

The advantage of this is that the operation is less difficult and everything can be done to the end. As long as the obstetrician and gynecologist is proficient in the surgical procedures, he can ensure that there will be no major problems during the operation.

However, while it is convenient, it can easily cause greater trauma to the surgical patient, and vertical incision can easily cause pain to the patient due to skin traction. Therefore, they have sought new surgical methods and proposed transverse incision technology to alleviate the patient's pain.

But the unknown field is full of uncertainties. Therefore, after Wang Jia returned to the hospital, he checked a lot of information and did a lot of research, but he never dared to actually implement it on patients.

Infrauterine segment transection.

But now a perfect example of surgery was before her eyes, and such superb technology seemed to open a new door for her.

Just when Wang Jia was silent and ready to continue studying the incision, the instrument nurse on the side saw that she was still standing there without any intention of suturing, and finally couldn't help but remind her: "Doctor Wang, the corner needle and 4-0 suture

The line is ready, do you need anything else?"

"Oh, no need for now." After being reminded, Wang Jia finally came to her senses. Her face turned red and she reluctantly moved her eyes away from the incision on the patient's abdomen.

But when she picked up the needle and thread to suture the patient, she found that the field of view for transverse incision was much narrower than that for vertical incision, and even the operating space was greatly reduced.

This operation, which was changed due to the surgical method, added a lot of difficulty to Wang Jia. She could only perform the innermost suturing through a limited field of view. Facing the unfamiliar incision, she took a deep breath and focused her eyes.

Start sewing from the base layer bit by bit.

One needle, two needles, three needles... Wang Jia did not dare to lift the needle, and the suturing speed was very slow. She held the curved forceps in her left hand and held the round needle with the needle holder in her right hand. The needle tip passed through the muscle layer to the opposite side. Wang Jia

Jia uses his left hand to exert slight force, press the curved forceps on the surface of the muscle layer, and use skill to insert the needle through the thick muscle layer.

She breathed a sigh of relief and was just about to press the needle to connect the muscles on both sides of the incision when her vision went dark and a popping sound came from her ears. Wang Jia felt the needle holder in her hand loosen. Experience told her that this
Chapter completed!