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What is the surgical procedure for cesarean section?

Anesthesia and epidural anesthesia are two commonly used methods to reduce pain in pregnant women during cesarean section.

Local anesthesia is performed by the surgeon injecting anesthesia into the surgical field area of ??the abdominal wall to achieve pain relief. For epidural anesthesia, the anesthesiologist punctures the waist and injects the anesthetic into the epidural space, so that the pain in the body below the navel disappears and the muscles relax to facilitate the operation. However, it requires a certain level of technology and equipment. Occasionally, the level of anesthesia may be too high, causing respiratory muscle paralysis and death.

Pregnant women with a history of allergic reactions to anesthetics must inform their doctor in advance so that a suitable anesthetic can be replaced.

When performing cesarean section, the abdominal wall surgical field is generally disinfected with iodine and alcohol. Those with a history of allergies to these two liquids should also declare in advance and replace them with other disinfectants.

The cesarean section procedure is mainly divided into five steps: incision in the abdominal wall, incision in the uterus, removal of the fetus and placenta, suturing the uterine incision, and suturing the abdominal wall incision.

After anesthesia, the abdominal wall skin, subcutaneous fat, and fascia are incised layer by layer, the rectus abdominis muscle is separated, the peritoneum is opened, and the abdominal cavity is entered.

When performing a lower uterine segment incision, open the peritoneal reflection of the bladder, push down on the bladder, expose the lower uterine segment, and then make an incision of about 10 cm on the lower uterine segment; if you want to perform a cesarean section on the body of the uterus Otherwise, the body can be cut directly. Then, the amniotic sac is punctured and the fetus and placenta are taken out in turn. Suture the uterine body or lower segment incision, and the bladder peritoneal incision. Finally, the peritoneum, fascia, subcutaneous fat and skin incision are sutured layer by layer (four layers of suturing). The sutured abdominal wall wound is covered and sealed with alcohol gauze and dry gauze. The skin sutures will be removed 6 to 7 days after surgery.

When the fetus leaves the mother's body, pregnant women may feel pain. At this time, the mother should take a big breath and never hold her breath hard. Otherwise, the intestines may protrude from the abdominal wall incision, which may affect the delivery of the fetus and may easily injure the intestines in a hurry. Mothers should not yell, twist, move their limbs, or scratch the surgical field, so as not to disrupt the doctor's thinking, affect the surgical procedure, or even contaminate the surgical field, cause infection, affect wound healing, and possibly The needle in the vein of the limb breaks.

Therefore, during cesarean section, the mother should closely cooperate with the doctor to successfully complete the operation at the same time.