Huasheng**November 7th (Quan**Reporter Li Qi) Is there really a way to give birth to a child without pain?Recently, supermodel Xi Mengyao mentioned in a variety show that giving birth to a child is an extraperitoneal cesarean section. For a while, Xi Mengyao's topic of giving birth without pain quickly appeared on the hot search, and the surgical method of extraperitoneal cesarean section also aroused curiosity and heated discussions. According to reports, this cesarean section method has "fast recovery", "no pain" and "few complications".
What exactly is an extraperitoneal cesarean section?How?Today, the reporter interviewed Wang Zhenhui, director of the delivery room and chief physician of the Hunan Provincial Maternal and Child Health Hospital.
During the operation, the peritoneum is not opened, and the peritoneum and the top of the bladder are separated to remove the fetus.
In the Hunan Provincial Maternal and Child Health Hospital, many pregnant women have come to the outpatient clinic recently: "Doctor, can you do an extraperitoneal cesarean section?"The answer is yes.
Difference between extraperitoneal cesarean section and conventional cesarean section. ）
What is an extraperitoneal cesarean section?Wang Zhenhui introduced that this is the first cesarean section proposed and applied by Frank in 1907, which can reduce the chance of peritonitis in infectious cases and avoid postoperative pelvic and abdominal adhesions.
Extraperitoneal cesarean section is different from ordinary cesarean section in that the peritoneum is not opened during the operation, but the bladder is separated, and after finding the bladder peritoneal fold site, the peritoneum and the bladder roof are separated, and the lower uterine segment is found from the gap, and the lower uterine segment is cut to remove the fetus.
Why is extraperitoneal cesarean section not being promoted?Wang Zhenhui analyzed that there are several reasons. The first is the possibility of damage to the bladder and ureters. Because the bladder needs to be separated, it is easier to damage the bladder and ureters during surgery. There are soft tissues between the bladder and the uterus, and there are abundant blood vessels, and it is easy to form a hematoma during surgery, and the hematoma site may also cause secondary infection.
The second is that it will be more difficult to deliver the baby. The field of view of the operation is not as good as that of ordinary cesarean section, the lower uterine segment is usually not fully exposed, and it will be more difficult to deliver the fetus, and because it does not enter the abdominal cavity, it is impossible to explore the pelvic and abdominal cavity during the operation, and it is impossible to understand the uterus and bilateral ovaries and fallopian tubes, as well as other organs and peritoneum conditions of the pelvic and abdominal cavity.
The third is that the technique of ordinary cesarean section is more mature. Cesarean section is a way to solve dystocia, and ordinary cesarean section surgery can quickly save the life of the fetus and the mother in response to critical illness. It can deal with bleeding and other conditions in a timely manner, and at the same time, it can also remove abnormal adnexal masses by the way, so ordinary cesarean section surgery has been popular as a mainstream surgery until now.
Is an extraperitoneal cesarean section a routine option needed?Of course not.
Wang Zhenhui said that extraperitoneal cesarean section was born in 1907 when there were no antibiotics to reduce the risk of intraperitoneal infection, but the current standard use of antibiotics has made there no statistical difference in the perioperative infection rate between the two types of surgery.
It cannot be ignored that the risk and risk of extraperitoneal intrauterine surgery are greater than those of ordinary cesarean section, and it is relatively difficult to stop bleeding quickly during heavy bleeding, especially when many second children have undergone surgery or have pelvic inflammation, surgical history, etc., serious adhesions and bladder damage are found during cesarean section.
Wang Zhenhui reminded that extraperitoneal cesarean section is not a lofty technique, and how to choose surgery needs to consider whether there are pregnancy complications, personal signs, disease status, etc., and choose the most suitable plan.
Extended reading] Is it really not painful to have an extraperitoneal cesarean section?
Extraperitoneal cesarean section, figuratively speaking, the peritoneum is like a pouch that seals all the organs in the abdominal cavity. Conventional cesarean section is equivalent to the need to open the bag, while extraperitoneal cesarean section does not open the bag, so it has less interference in the abdominal cavity, and complications such as abdominal adhesions and secondary infection in the abdominal cavity will be reduced.
According to reports, extraperitoneal or conventional cesarean section, except for the incision of the peritoneum, other levels are the same, muscles, fascia are to be sutured layer by layer, from the perspective of recovery, extraperitoneal cesarean section will indeed be faster in recovery, but it is impossible to be painless at all.
The so-called "no pain at all" can be solved by painkillers, anesthesia, etc.
However, it is true that extraperitoneal cesarean section does not need to consider issues such as "gas", because it does not enter the abdominal cavity, so it does not consider the problem of gas, and the recovery will be faster.
The "belly pressing" that many mothers are afraid of is necessary, because no matter what kind of cesarean section is performed, it is to expel the residue and promote the recovery of the uterus.