Start with an emergency physician

Logically speaking, there are still many things to do in a caesarean section, such as the first step, inserting a urinary tube, listening to the fetal heartbeat to confirm the fetal position, etc.

However, due to the special circumstances of the pregnant woman, these steps can only be omitted.

"Count the gauze!"The deputy director of the Department of Obstetrics and Gynecology said in a deep voice.

Zhou Yuan came back to his senses and quickly counted the gauze used for the operation:"One, two……"

The deputy director of obstetrics and gynecology put on gloves and walked forward.

"Anesthesia!"She said, holding the surgical forceps.

"Ten milliliters of propofol, intravenous injection!"

A dose of medicine was pushed into the pregnant woman's vein.

"Five milliliters of remifentanil, intravenous push!"

The deputy director took a look and said seriously:"I emphasize again, once the patient enters a state of general anesthesia, we must take the child out within five minutes, otherwise the life of the child and the adult will be in danger!"

""Anesthesia is complete, and the operation can begin!" A voice sounded.

The deputy director glanced at the time:"The operation starts at 10:20, and the operation begins now!"

After that, she slowly cut open the pregnant woman's belly.

Tiny drops of blood appeared.

The deputy director skillfully cut through the skin and muscles layer by layer, slowly approaching the uterus. After cutting open the complex abdominal wall, the uterus was finally exposed to the field of vision.

Zhou Yuan's surgical field position was not very good, but he still noticed that when cutting the uterus, the deputy director only cut a cut of about three centimeters, and then tore it open with both hands, which was conducive to the mother's postoperative recovery.

"Anesthesia, report blood pressure, I'm going to take out the fetus."The deputy director of obstetrics and gynecology looked straight ahead.

"Blood pressure is normal! The fetus can be taken out!"

The deputy director put down the scalpel, reached into the uterus with both hands, held the fetus's head first, took out the uterus, cleaned the fluid in the fetus's mouth and nose, and then slowly took the fetus out.

However, the expected crying did not come.

"Newborn suffocation!"The deputy director of obstetrics and gynecology cut the umbilical cord short, looking a little ugly.

"Leave the uterus suturing to you, I'll do the CPR." She walked aside.

Newborn CPR requires very high strength and frequency. And before He Jianyi went to the operating table, he also guaranteed that the mother and child were safe. The success rate of CPR was higher when the deputy director of the Department of Obstetrics and Gynecology, who had more than 20 years of experience in caesarean sections , performed the CPR. He Jianyi replaced the chief surgeon on the operating table and glanced at the interns and residents.

Suturing the uterus is not a difficult task, and it can be handed over to the doctors below to practice.

He glanced at the time, three minutes and three seconds, and the operation must be ended in one minute and fifty-seven seconds.

"" Who will do it?" He Jianyi asked.

Although he wanted to let Zhou Yuan try, he had to fight for his own chance.

Zhou Yuan swallowed his saliva, walked to He Jianyi's side, picked up the surgical forceps, and said,"I'll do it."

He Jianyi nodded.

To his surprise, when other residents and attending physicians hesitated for a moment, it was Zhou Yuan, the intern, who stepped forward.

"German B. Braun suture thread."Zhou Yuan started working as soon as he stepped onto the stage.

He Jianyi was stunned.

He found that Zhou Yuan seemed to be a completely different person the moment he stepped onto the operating table.

He could sense a sense of confidence from Zhou Yuan.

In fact, it was true. The butt suture method was what was needed to suture the uterus. He had mastered the butt suture method at the master level, so he didn't worry about any accidents.

"Inject 20U oxytocin."

At this time, the first and second assistants did not care about the fact that they were being commanded by an intern. After confirming that the order was correct, they immediately followed it.

Zhou Yuan picked up the dry gauze, quickly cleaned the fluid in the uterine cavity, and prepared to suture.

The nurse next to him had already prepared the sutures.

The absorbable catgut is used to suture the uterus.

Zhou Yuan took over the suture device and inserted the first needle into the first few layers of the uterus 0.5 cm outside the right end of the uterine incision. After tying the knot, he immediately clamped the micro-end to retain the thread head with a vascular clamp and began to perform a single-layer continuous lock-edge suture of the uterine muscle layer.

Normally, doctors like to talk a lot during surgery, but this is Zhou Yuan's first time. Although he has enough confidence, he will not allow any mistakes.

This is a matter of life and death.

He Jianyi and others were quite surprised.

"Is this an intern?" Resident doctor Haiyang was dazzled.

Simple continuous lock-edge suture is not a difficult technique. In short, it is to use a long suture to suture a wound continuously from beginning to end and tie a knot at the end.

The advantages are saving sutures and time, and good airtightness. The disadvantage is that if one suture is broken, all the sutures will be pulled off and need to be re-sewn.

Obviously, Zhou Yuan is interested in the time-saving point of continuous lock-edge suture, but... if there is a mistake, it means that the suture fails this time, and there is definitely not enough time!

"Suturing is complete!" Zhou Yuan breathed a sigh of relief.

He Jianyi frowned, looked at Zhou Yuan, and said,"Are all medical students from Yenching University so good?"

Zhou Yuan smiled easily and stepped back,"Director He, it's your turn."

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