一般的剖腹產的手術時間大約半個小時,約莫是烤一份雙層蛋糕的時間。要把新生兒帶到這個世界,手術刀必須劃過肚皮,腹壁,腹膜,子宮,但不能傷到嬰兒。時間太長可能造成胎兒窘迫。而中間可能會有500 到1000c.c. 的出血量:必須控制在這個範圍,否則媽媽會有生命危險。 對婦產科醫師而言,傷口講求務實密合,而母子均安已是最大的成功。接下來對皮膚傷口縫合的完美追求是錦上添花。
但對於許多經過剖腹產的媽媽而言肚子的傷疤很重要。"剖腹生產後可以穿比基尼"這件事已經成為順產之外主要的期望。 而或許是個性上使然,我也對於媽媽手術傷口疤痕最小化有種使命感的堅持, 甚至驕傲 。以至於雖然需要多花接近一倍的時間做多層次與小口徑手術針的縫合也是值得。最近開始使用微創手術放大鏡,對皮膚傷口的處理能比較細緻,而且我認為可以減少留疤的機會。
生產手術不同於切一塊蛋糕般簡單,但過程或許可以比擬於蛋糕的製作 -- 最終的內在的甜美與外在的完壁繫於對每一個步驟的堅持。
#剖腹生產後穿比基尼
#生產手術疤痕
#微創手術放大鏡
An uncomplicated caesarean section takes approximately half an hour -- about the same time it takes to bake a double-layered cake. To bring a newborn to this world, the scalpel must incise the skin, abdominal wall, peritoneum, uterus wall without hurting the baby. If it takes too long then it can cause fetal distress. During the process, about 500-1000 ml of bleeding is expected. More bleeding can be a medical emergency. As far as the obstetrician is concerned, wound closure needs to be water-tight and efficient. And to aim for perfect skin-closure may seem to be a lower-priority with all things considered.
But to most mums the scar on the tummy is an important parameter with which she judges the skills of the obstetrician (or any surgeon). And thanks to my OCD I have also aimed to minimise scar for my patients with the extra time it takes to close the skin. During skin closure, I have recently started using surgical loupe, a rare instrument for an obstetrician. However, i find it easier to manoeuvre the smaller sized suture that i choose to use and to handle the cutaneous tissue-- perhaps it will lead to less scar formation.
Obstetric surgery is not a piece of cake, but like making a cake, the final sweetness and perfect look are all closely related to the perseverance with perfection on each little step
suture wound 在 英國的另類日常 Facebook 的最佳解答
如果你的狗狗超過25kg重,
可以考慮加入捐血行列,拯救更多狗狗的生命!
以下是一隻受惠於輸血的狗狗的故事:
Dodge is a 3 year old cocker spaniel from our Flitwick branch he was bought in in September with a swollen neck, the vet suspected that this was due to a foreign body so dodge was sedated and two grass blades were removed from near his tonsils. There was no other obvious wounds so the vet sent dodge home with antibiotics and anti- inflammatories.
Over the next few days dodge started drooling blood at first this was thought to be an abscess that was draining, but due to the significant amount of blood that started draining dodge was admitted for intensive treatment to our Hendon branch.
A CT scan (hundreds of x-rays are taken at once to build a 3d view of the area) was performed. The CT scan showed two large structures one by the right tonsil and one by the right parotid gland. The vet performed a exploratory surgery and found these structures were pockets of clotted blood. This was removed and packed. After surgery dodge was still bleeding and his blood results showed that his red blood cell count was extremely low. Dodge needed an emergency blood transfusion as he had lost so much.
The practice rang vet blood supplies and ordered a bag of packed cells which were sent to Hendon urgently and the blood transfusion was performed.
A further CT scan was performed and a piece of wood was noticed adjacent to the internal carotid (major artery). Dodge underwent a further surgery to remove this piece of wood. Whilst in recover dodge started to bleed so had to have another anaesthetic at 4am to suture and pack the area. Due to the nature of the wound there was a chance the bleeding would continue.
Dodge then needed another blood transfusion due to the continued blood loss so again vet blood supplies were called this time the packed cells had to be the correct type. (e.g. positive or negative) as only the first transfusion a dog has can be either, the second and subsequent ones have to be correctly typed as there could be a reaction to the blood. Dodge needed positive blood so this was sent urgently to Hendon and another transfusion was performed.
The next day dodge had an endoscopy to look at the area and the bleeding had stopped but there was a small amount of oozing.
Dodge stayed on intravenous fluid therapy and also had a plasma transfusion that was ordered from vet blood supplies this was due to his blood levels being extremely low still.
After a lengthy stay in hospital and a couple of set backs dodge has now been able to go home. He's on some medication and is having regular check ups at Flitwick but currently he is doing very well.
The blood that dodge received was from two of our donors Tommy and Henry, their blood was collected on a donor day at our Welwyn garden city branch. As you can see with dodge, blood donation is a life saving process, dodges owners have now been able to take their baby home due to the blood transfusions he has had.
Currently we are in high demand for blood and have a shortage of donors. Which we are trying to rectify with education and advertisement of our blood donor days.
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