Nowadays, more and more women are having dystocia, and more and more caesarean sections and wounds need to be sutured. Many pregnant women are worried about whether it is good to suture the wounds with flesh thread, and whether it will be harmful to the body. influence. So what are the suturing methods for caesarean section? Let’s take a look together next. What are the suture methods for caesarean section?

Caesarean section suture means surgical suture, which can be used for suturing inside the wound or in the abdominal cavity. There are many types of surgical sutures. Traditional sutures are silk threads. Silk threads are non-absorbable sutures. Threads are left when knotting sutures in the body and when wounds are sutured. After the wound becomes infected, bacteria may be hidden inside the silk thread, so it is necessary to completely remove the silk thread in the wound and continue to change the dressing on the wound. Nowadays, there are many kinds of absorbable sutures, which are generally synthetic. They can be absorbed in the body in about 1-3 months without leaving any threads. They can also be used to suture the wound skin to make the wound beautiful after suturing.

Caesarean section sutures are divided into absorbable sutures and non-absorbable sutures. Generally, absorbable sutures can be completely absorbed about half a year after operation. The suture tension will be halved about 2 months after operation, but the specific absorption time is It is related to the patient's constitution. If rejection occurs and is not absorbed in time, you need to go to the hospital and have the absorbable sutures sewn inside removed under the guidance of a doctor. Not everyone is suitable for absorbable sutures, and some bodies are not compatible with absorbable sutures, but absorbable sutures can suture wounds more beautifully. What is the process of caesarean section

1. Sign the surgical consent form in accordance with the regulations of the delivery hospital

As a caesarean section is an operation, the mother and her family must receive medical advice from the doctor before the operation is performed. Explain that if you have any doubts or concerns, you must consult a doctor, and then sign the consent form. Depending on the hospital, the signers are different, but most of the signers should be the mother and her husband.

2. Preparation for caesarean section

① Conduct systemic examination and necessary tests on pregnant women: In order to ensure the safety of the operation, the mother must undergo systemic examination before caesarean section. examine. Examination items include: blood collection, electrocardiogram, chest X-ray, etc. During the examination, the mother should try to calm down and stay calm, so as to obtain accurate data.

② Disinfection measures such as skin preparation: This refers to the nurse scraping the abdominal hair and pubic hair and disinfecting the abdominal skin for the mother. This can better create a sterile environment for caesarean section surgery.

③ Place a urinary catheter: The purpose of this is to allow the mother to empty her bladder. The mother cannot go to the toilet during the operation, so a urinary catheter is inserted to guide the urine.

④ Blood test: Check whether the mother is anemic; check whether the liver function is normal; determine the mother's blood type; whether there are other blood diseases; and also prepare for the mother's need for blood transfusion during surgery.

3. Intravenous drip

Intravenous drip is a necessary procedure before surgery, which can avoid a sudden drop in blood sugar and cause maternal coma.

4. Preoperative anesthesia

Depending on the mother’s condition, the doctor will give the mother an epidural and occasionally general anesthesia. Anesthesia is performed by a specialized anesthesiologist.

5. The operation begins

Communicate with the doctor before cesarean section. If you don’t understand something, you must ask the doctor. Even if it is a small matter, you must eliminate your own doubts. If you have any doubts, you can not only communicate your situation with the doctor, but also stabilize your emotions and accept the surgery with peace of mind.

Surgical process:

1. Incision in the abdominal wall

After the surgical site is determined, the surgeon cleans, shaves, disinfects, and anesthetizes according to routine, first Make an arc-shaped incision, and then incise the skin, muscles, external oblique muscles, internal oblique muscles, transversus abdominis muscles and their fascia in layers. If there are blood vessels, they should be avoided or double ligated. Then cut the peritoneum. When cutting the abdomen, you must use tweezers to pick up and cut a small opening. Then the surgeon inserts the middle finger or index finger of his left hand into the breach, and under the guidance of his left hand, cuts the peritoneum to an appropriate length to expose the rumen.

2. Pull out the uterus

After peritoneal incision, the surgeon’s arm should be re-sterilized and rinsed with saline, and then inserted into the abdominal cavity to check the uterus, fetus and nearby organs to identify Whether there are ruptures and adhesions. Then have an assistant move the rumen forward to expose the uterus. Push the uterus out of the incision. When pulling on the uterus, move slowly and at a certain angle.

3. Incise the uterus

After determining the great curvature of the uterine horn, avoid the uterine caruncle and cut through the uterine wall with one knife. After fully ligating the bleeding point of the uterine wall incision, carefully separate the fetal membranes near the incision.

4. Pull out the fetus

When taking out the fetus, grab the hocks of the hind limbs or the wrists of the forelimbs along the uterine incision and slowly pull out the fetus in the most suitable direction and angle.

5. Peel off the afterbirth

The principle of treatment is that all the parts that can be peeled off should be peeled off. If it cannot be peeled off, the part that has fallen off should be cut off, and the rest should be left in the uterus until it falls off on its own. Drainage, but the fetal membranes near the edges on both sides of the incision must be peeled off and cut off, otherwise there will be obstacles to suturing.

6. Suturing the uterus

Before suturing the uterus, anti-inflammatory powder should be evenly spread inside the uterus. The uterus is usually closed with two sutures, the first is a full-thickness continuous suture, and the second is a serosa-muscular embedded suture.

7. Suture the abdominal wall

After the abdominal wall incision is sorted, the peritoneum is first sutured, usually with catgut for continuous suturing. Before the peritoneum is sutured, antibiotic oil should be injected into the peritoneum through the incision. Prevent infection and adhesions. Then layer by layer, the muscles are continuously sutured. Finally, the skin is sutured with nodules.

It should be noted that since caesarean section is mainly used when the mother and fetus are in danger, this method of delivery is not medically recommended for women who are suitable for vaginal delivery.