Start as an Emergency Physician

If timely suturing is not carried out, the healing effect in the later stage will become very poor...

In addition, there are many nerves in the vocal tract, and if the mucous membrane is not sutured in time, the nerves in the vocal tract may be damaged, which will seriously affect the sexual life in the future.

And there is another point, generally speaking, the wound of the lateral incision of the voice is relatively small, only a few centimeters, and the secretion will generally be very fast after the incision, just a few minutes or even tens of seconds, and it can be sutured quickly.

Therefore, there is an advantage to performing a lateral incision with direct sutures to minimize the occurrence of vocal tract laxity after childbirth.

But...... If the sutures are not sutured in time, the degree of looseness will be aggravated.

The longer the stitches are delayed, the more risks the mother faces: infection, excessive bleeding, nerve damage, damage to mucosal tissue, etc...

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

The newborn's crying did not relax him, and after a short period of joy, he became more worried about his wife.

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

"Doctor, what's wrong with my wife!When will my wife come out!" The husband was so anxious that he was about to cry.

He loves his wife, and he has also experienced the pain of natural childbirth on the childbirth simulator, and at this moment, when he thinks that his wife has received this kind of torture when he even scratches a little skin, he naturally wants to swap identities with his wife immediately.

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

She didn't explain much and immediately rushed to the emergency department.

Two minutes later, Zhou Yuan rushed over with the obstetrician.

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

"It's love...", the obstetrician did not forget to sigh.

Zhou Yuan's face darkened.

Are female doctors so emotional, and they still feel love at this time.

Inside the delivery room.

Zhou Yuan quickly finished the preoperative preparations and changed into a surgical gown.

"What's the situation?" Zhou Yuan asked as he prepared.

"There is no way to suture it. I've tried all of these intermittent sutures, but I don't know why the vagina of the mother is so fragile, and the stitches directly tear the skin..."

"Excessive bleeding, immediate blood transfusion. "

Zhou Yuan glanced at Huiyin, and the blood was already flowing down the incision.

Zhou Yuan frowned.

The situation is quite serious, and in general, the sutures are performed by aligning the part that needs to be sutured, i.e. inserting the needle as far as possible from the edge of the wound.

It is rare for sutures like this to tear the wound apart.

"I'll do it. Zhou Yuan stepped forward.

He Jing immediately gave up his position and served as a helper on the side.

He Jing has tried the butt seam legal, and the position of the 8-figure seam is not at this time, and it is difficult to manipulate, but... It is indeed the most suitable method of suture for the current situation.

The use of the inner figure 8 suture method can enter the wound healing, shorten the hospital stay, reduce the pain of the mother, and at the same time, can also play a good role in hemostasis. Moreover, when performing internal 8 sutures, the subcutaneous tissue of the skin is sutured at one time, rather than the ordinary suture method directly aimed at the skin.

The epidermis is tightly aligned, the tissue contusion is small, the suture is not left, the lochia immersion is reduced, and there are few sutures in the tissue, which can minimize the impact on blood circulation.

"Do you want to use the inner 8-figure sewing legal, I tried it, the technique is not good, it can't be carried out..."He Jing looked at Zhou Yuan's technique, a little surprised.

She is an obstetric doctor, and naturally knows that it is most suitable for the internal figure 8 suture method at this time, but this suture method itself is more complicated, although the operation is relatively simple, but in the current situation, it is difficult to use.

"Gauze rolls. "

Zhou Yuan didn't explain much, if the master-level 8-figure stitching method can't solve the problem, other stitching methods can't do it.

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

He Jing stepped forward and helped to support it, while Zhou Yuan picked up the needle holders and needles.

After the examination confirmed that there were no lacerations in other parts, Zhou Yuan asked another obstetrician to complete the debridement and immediately began to perform the internal figure-eight suture.

The first is to suture the mucosal incision of the vocal tract, using a 3-0 Hualikang absorbable gut.

Because the vocal mucosa is deep in the tissue, it is not possible to remove sutures, so absorbable threads must be used.

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

Prior to this, the tissue was located deep and it was inconvenient to use the figure-8 suture method, so only intermittent sutures could be performed.

"Horn pins. "

Zhou Yuan took the angle needle, threaded the No. 7 silk thread with the angle needle, inserted the needle one centimeter away from the incision, and then drove the needle to exit the needle from the subcutaneous fat layer and 1/2 of the incision depth.

Zhou Yuan continued to insert the needle from the corresponding position of the contralateral subcutaneous fat layer, penetrated deep through the base of the incision and penetrated from the subcutaneous fat layer, and then pierced the needle from the subcutaneous fat on the opposite side and penetrated 10 cm from the skin incision.

Finally, the knot is tied with the initial needle insertion point, and an inner figure-8 suture is completed.

"Do you know what the problem is?" asked Zhou Yuan as he stitched it up.

He Jing was stunned for a moment and shook his head: "I don't know..."

"The opening is too small when you make the side incision, which causes the fat layer to stretch too much, which causes the fat to liquefy when you suture, so you can't suture the incision at all..."

Hearing Zhou Yuan's words, He Jing was stunned.

"It's a good thing that the incision is small, but ... If the incision is too small, it will also cause side effects to the mother. "

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 the occurrence of bleeding, which promotes liquefaction of fat, thus further increasing the difficulty of suturing.

Zhou Yuan continued to stitch the inner figure 8.

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

"Reconstructed fingers are so powerful, and the stitching is so good..."

"No wonder the blood vessels and nerves can be anastomosed!

He Jing's expression slowly changed from self-blame to surprise, and finally he was completely attracted by Zhou Yuan's technique, and his face was sluggish.

"It's amazing..."He Jing said subconsciously.

"It's done. "

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

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

"It's... Done?"

Ten minutes...

For other people, it will take a few minutes just to find the needle and needle entry point, and they don't dare to hurry, for fear of piercing the fat layer, causing the fat layer to be contusion and liquefaction again, which will make it more difficult to suture and fall into a vicious circle.

But...... Zhou Yuan has already done it?!

The mother, who had been silent, finally breathed a sigh of relief at this moment and looked at Zhou Yuan. _

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