What are the precautions for extraperitoneal cesarean section?

For families with pregnant women, the best outcome is for the pregnant woman to give birth to a healthy baby. However, due to some reasons, not every pregnant woman can give birth smoothly. Many pregnant women have to adopt extraperitoneal cesarean section due to some situations. So what are the precautions for extraperitoneal cesarean section? Everyone does not understand this highly professional issue, so let me give you a brief introduction below.

What are the precautions for extraperitoneal cesarean section?

1. The anterior bladder fascia must be separated and removed layer by layer. Each separation must be pulled to both sides to the side of the bladder until the bladder muscle layer is clearly exposed. If the separation is too deep and the bladder muscle layer is damaged, it should be sutured immediately with No. 0 catgut; if the rupture is deep into the bladder cavity, No. 00 catgut should be used to suture in two layers, and the inner layer can penetrate the bladder mucosa.

2. Before separating the bladder and the reflected peritoneum, the anterior cervical fascia and the lower uterine segment underneath must be freed first. Because the anterior cervical fascia is freed, the reflected peritoneum and bladder are easier to be freed, which can reduce the damage to the reflected peritoneum and bladder. At the same time, the operation time is shortened.

3. To separate the connective tissue on the sides of the bladder, it is necessary to use the technique of layering and pulling close to the side wall of the bladder and laterally to clearly expose the junction area between the bladder and the reflected peritoneum. To reduce contusion and liquefaction of the connective tissue and fat accumulation in the area, and avoid bleeding and infection.

4. When the safety of the fetus is endangered, the bladder peritoneum can be incised at any time and a cesarean section through the lower segment of the uterus can be performed instead.

5. If a woman who is planning to have a second cesarean section has an extraperitoneal cesarean section, it must be performed by an experienced operator.

The above is a brief introduction to the precautions for extraperitoneal cesarean section. I hope the above introduction will help everyone. Now everyone should have an understanding of this issue. Pregnant women must pay attention to their own safety, especially now that the average age of pregnant women is getting older and older, and they must go to the hospital for check-ups on time.