Extraperitoneal delivery must be good? Doctor: There are three hidden risks.

Extraperitoneal delivery must be good? Doctor: There are three hidden risks.

Many expectant mothers are worried about the adhesion caused by traditional caesarean section, which makes the extraperitoneal delivery advertised as "pain in the same day" and can avoid postoperative adhesion problems very popular in recent years, so that many expectant mothers flock to it; However, domestic senior obstetricians and gynecologists reminded that extraperitoneal production technology especially tests the experience and proficiency of doctors. If there is a slight deviation in the operation, there are still three potential risks: maternal peritoneal rupture, massive hemorrhage and bladder injury, so we must not be careless.

It seems to reduce the infection problem of traditional caesarean section.

Extraperitoneal delivery was a technology thirty or forty years ago, and it has been gradually used less in clinical production. However, it has recently made a comeback and is very popular. Zheng Zhongzheng, president of the Joint Clinic of Practitioners, said that in that era when restrictive antibiotics were underdeveloped and suture materials were not good enough, in order to reduce the possible infection of traditional caesarean section, an extraperitoneal production model was developed; But with the development of aseptic technique and antibiotics, there is no need to worry about infection.

It may lead to peritoneal rupture, massive bleeding and bladder injury.

Zheng Dean Zhongzheng pointed out that extraperitoneal delivery is to push the bladder aside, and only use the tiny space between peritoneum and bladder to take the baby out by operation. Although the operation of extraperitoneal delivery can avoid peritoneum, the operation is relatively difficult and there is still the risk of rupture of peritoneum. Especially, there are many blood vessels near the surgical site of extraperitoneal delivery, and a little carelessness in the operation will easily lead to the crisis of maternal hemorrhage; Even in the process of pushing, the bladder may be damaged or sticky, which is irreversible for the parturient.

It is common for pregnant women to have a second child with serious adhesion.

As long as there is a wound, there is the possibility of adhesion. Zheng Zhongzheng said that if there are no symptoms, special treatment is generally not needed. However, if there are symptoms such as intestinal obstruction, flatulence or lower abdominal pain, a second operation is needed. In addition to postoperative inflammation and poor hemostasis, there are also many cases of adhesion caused by endometriosis or personal constitution. It is common for pregnant women to find serious adhesion when they arrive at the second child. The organs are so tight that they can't even get into the uterus.

Peritoneal administration should also be anti-adhesive.

Therefore, even if the parturient chooses the extraperitoneal production technology, it is still necessary to pay attention to the occurrence of adhesion, and the parturient can choose a professional doctor for relevant consultation, and still need to pay attention to the probability of adhesion. As for anti-sticking, Zheng Zhongzheng said that in fact, as long as the anti-sticking products qualified and recognized by the FDA of the United States are used, Taiwan Province Province, the United States and Japan all have a good reputation, and the dosage is about one piece. Even in the extraperitoneal delivery mode, the anti-adhesion patch can still be used at the junction of bladder and muscle layer, which further reduces the adhesion probability.

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