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取膀胱截右位,阴道内填一带层纱布卷以免宫腔血液下流防碍视野,缝毕后取出,缝合最好在胎盘娩出后进行,避免在个别情况胎盘不下时徒手剥离影响缝合口,其具体缝合步骤如下: 1.缝合阴道粘膜,以左手中食指撑开阴道壁,暴露整个阴道粘膜切口,检查有无其他部分裂伤,用“0”号铬制肠线从切口顶端开始间断缝合,直到处女膜环处,深度应包括部分粘膜下组织。 2.缝合肌层,皮下脂肪、皮腹;三角针细丝线在皮外进针,切口内皮下脂肪处出针,从对侧肌层回针缝合
Take the bladder cut right, fill the vagina with a layer of gauze roll to prevent uterine bleeding obstruct the field of vision, the seam after the removal, the best suture after the delivery of the placenta, to avoid the case of placenta in individual cases free stripping affect suture mouth, its Specific stitching steps are as follows: 1. Suture the vaginal mucosa to open the vaginal wall in the left hand index finger, exposing the entire vaginal mucosa incision to check for other parts of the laceration, with “0” Until the hymen loop, depth should include some submucosal tissue. 2. Suture muscle, subcutaneous fat, abdominal; Triangle needle thread in the skin into the needle, incision out of the subcutaneous fat at the needle, back from the contralateral muscle suture