Lower Segment Caesarean Section [Surgery] скачать в хорошем качестве

Lower Segment Caesarean Section [Surgery]

An exclusive production by the Sarawak General Hospital O&G Department on how to perform the C-Section A step by step guide on how to perform the Review patient’s identification, indication for caesarean section and consent fill the OT checklist board correctly and prepare the antibiotics Area cleaned and drapped Test to ensure the spinal analgesia is in effect Identify and determine the incision site and size Use the scalpel to make the skin incision Abdomen opened in layers Secure any bleeders to prevent hematoma Open the peritoneum using two artery forceps Separate and push the rectus abdominis muscle lateraly for adequate exposure of the gravid uterus Apply the douyen retractor Identify the uterovesical fold and open this area using the non-tooth forceps and maxembun scissors Push the urinary bladder inferiorly and maintain retraction using the douyen retractor Incise the uterus using the blade initially until the whole thickness of the muscle Rupture the amniotic membrane using the artery forceps The incision can then be extended bilaterally by cutting the myometrium using the maxembum scissors Do not tear the myometrium bluntlyc-sec Deliver the baby gently – fundal pressure may be employed to facilitate the delivery Clear the baby’s airway by suctioning Carefully cut the umbilical cord and ensure no other structure is caught in between The same procedure is then applied to deliver the second twin Suction and remove blood from the operative field Deliver the placenta by control cord traction Start Iv pitocin 40 units in 500ml normal saline Identify the incision site by applying the Armitage Apply the armitage at the angle of the incision & bleeding areas Explore the uterine cavity to remove any residual membrane and placenta tissue Start closing the uterine incision at the angle Make two bites at the angle Suture the first layer of the uterus using the continuous interlocking technique Apply the second suture and close the second layer using the continuous suture technique Ensure not to incorporate the bladder and visceral layer Exteriorize the uterus for better visualization while repairing Remove any blood clots from the peritoneum Inspect the fallopian tubes and ovaries Ensure haemostasis is secured Close the rectus sheat using the continuous suture technique Close the abdomen in layers The skin is closed using the subcuticular technique Clean the operative site and apply dressing Clean the perineum and remove residual blood clots from the vagina