Cesarean section . Fig. 29.—Conservative Cesarean incision: fetal membranes visible. places and cut between the clamps. The child should then be handedpromptly to the assistant responsible for its resuscitation, and the operatorcan then devote his whole attention to the completion of the uterus should now be delivered through the abdominal wound and a 112 CESAREAN SECTION gauze pack or folded towel inserted behind it, to prevent any furtherperitoneal contamination. There will always be a certain amount ofbleeding from the uterine incision, and sometimes large sinu
Cesarean section . Fig. 29.—Conservative Cesarean incision: fetal membranes visible. places and cut between the clamps. The child should then be handedpromptly to the assistant responsible for its resuscitation, and the operatorcan then devote his whole attention to the completion of the uterus should now be delivered through the abdominal wound and a 112 CESAREAN SECTION gauze pack or folded towel inserted behind it, to prevent any furtherperitoneal contamination. There will always be a certain amount ofbleeding from the uterine incision, and sometimes large sinuses will beseen bleeding freely, but as soon as the uterus begins to contract andretract the bleeding will be largely controlled, and in my experience it isseldom or never necessary to take any active steps to control thehemorrhage. In the early days of the operation it was considered ad- ,^-r, ;>?i4f^^^^. ii--&^!£ i»__J Fig. 30.—Conservative Cesarean Section. Uterus, emptied of fetus, delivered through abdominalwall and lying upon gauze: placenta undelivered. visable to compress the lower segment of the uterus by an elastictourniquet, but further experience has shown this to be not only un-necessary but even positively harmful, though some operators still em-ploy compression of the cervix made by the hands of an assistant inthe broad ligament regions, with the idea that if the uterine arteriesare compressed in this way, there will be little or no hemorrhage fromthe uterine incision during the process of suture, and that all dangerfrom hemorrhage ceases as soon as the uterine wound is closed. Thisprocedure has the disadvantage of being unnecessary in most cases and of OPERATION 113 subjecting the pelvic peritoneum to an undue amount of handling, whichcan be avoided in all but the occasional case, and the less the peritoneumis manipulated the more comfortable the convalescence. F
Size: 1865px × 1340px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., book, bookcentury1900, bookdecade1920, booksubjectcesareansection
