No matter if it’s a transverse or vertical incision, this scar is destined to be quite long, about more than ten centiters.
Previously, Doctor Peng advised the patient in bed number five to go for a vaginal delivery, saying that the long scar from a cesarean section is exactly the reason why it’s not ideal. A cesarean section is unlike other surgeries; to extract the fetus, the incision cannot be minimized as in minimally invasive procedures. A ten-centiter ugly scar will accompany a mother for most of her life. It’s best to avoid if possible.
Just like other surgeries, the First Assistant presses gauze on the incision for hemostasis. After cutting the skin layer, the procedure is almost the sa as traditional abdominal surgeries, sequentially cutting the subcutaneous tissue and fascia. To ensure the mother’s good postoperative recovery, the doctor uses fingers to separate the muscle layer, refraining from using instrunts lightly. Upon seeing the peritoneal layer, the scalpel cuts open the peritoneum.
"What is this peritoneum called?" Director Yoo tests the two students on-site, as usual saying, "You, the male student, answer first."
It seems that obstetrics prioritizes males differently than other departnts, thought the two students.
"The uterovesical peritoneal fold," answered Student Geng in a low voice.
Do not assu Student Geng’s voice is a show of insecurity; genuine insecurity would lead to umming or other distracting sounds. He simply speaks like this naturally, preferring silence unless conversational doors are pried open.
Director Yoo discerned this; this male student seed a bit prideful, chuckling lightly from his throat.
Most excellent dical students tend to have a proud character, akin to Beidu’s fad Talented Scholar Song. However, standing next to her is an unusual figure: Student Xie. Student Xie’s eyes are fixed on the surgical field, bright and devoid of any airs, resembling a child gazing earnestly at sothing new.
Opening the peritoneum reveals the bladder in front of the uterus. Director Yoo nudges the bladder aside, exposing the lower segnt of the uterus. The uterus of a pregnant mother is greatly expanded by the fetus, unlike in ordinary surgeries where the uterus does not contain a fetus or other objects, requiring careful identification by the doctor.
Before cutting open the uterine wall, the dical staff need to be fully alert. There is a ti limit from opening the uterine wall to extracting the fetus. If the doctor is too slow, it could impact the fetus’s health. Ideally, the fetus should be extracted within ten minutes.
Student Geng stands opposite, hands gripping the retractor tightly.
Xie Wanying can understand the source of her classmate’s nervousness, stemming from not knowing where to use the retractor without teacher’s guidance. Ordinarily, students have a teacher guiding them, positioning the retractor properly before letting the student pull it. Novice students on their first surgery are unfamiliar and do not understand how to use the retractor or its purpose.
If one hopes to understand like a teacher, one must learn in advance. In earlier tis, when computers were not prevalent, any knowledge not covered in class could only be researched by dical students themselves in the library. This task consud considerable energy and ti. By the ti internships arrived, last-minute cramming would be ineffective, relying only on regular accumulation, and this clinical experiential knowledge might not be searchable.
If teachers have this clinical experience, it should be summarized into articles published in academic journals, a process not brief. Instead, why not have the teacher on the surgical platform teach directly, hands-on.
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