1, key points of operation time
The wound that has just been torn during childbirth is relatively fresh, without scar tissue, and it is easy to heal, but sometimes the torn muscles are messy, and the doctor will pay attention to the level. Strong muscle strength, the doctor will suture with silk thread or chrome gut II. At this time, the doctor will pay special attention to the preparations for preventing wound infection.
When repairing the anterior wall of rectum, the doctor will avoid the first layer passing through the rectal mucosa. You can put a finger in the rectum as an indication, and then sew the sphincter with No.2 chrome catgut or medium silk thread.
After levator ani suture, the doctor will suture the sphincter again, from the inside out, to facilitate the operation. Before suturing the vaginal wall, the doctor will wash the wound with normal saline and inject antibiotics around the wound to avoid infection.
2, postoperative treatment
The postoperative treatment of laceration repair during delivery is basically the same as that of old laceration repair:
① Doctors usually inject tetanus antitoxin (TAT), 1500 unit, into the muscle of parturient with perineal laceration; ② After operation, the doctor will ask the parturient to stay in bed, eat liquid food, and leave a catheter (connected with a sterile bottle) for 5 days to avoid wound contamination; ③ In order to promote wound healing, the doctor will ask the parturient to take streptomycin 1.0g orally every day for 5 consecutive days to disinfect the intestine; Four days after delivery, in order to prevent postpartum stool from affecting suture, the doctor will let the mother take compound camphor tincture orally; ⑤ If you still don't defecate on the fifth day, you can take 30 ml paraffin oil orally or use oil enema. Enema must be operated by the operator to avoid rough action and puncture the anal canal. ⑥ The wound was removed on the 5th to 7th day after operation.