After having the privilege of assisting in 4 deliveries these past 2 days, I wanted to share some of my insights with our MEDspired family! In this cesarean delivery, you will notice that the surgeons chose to keep the amniotic sac intact during the procedure! One of the first steps in a c-section is to identify the type of incision that will be made in order to enter the mother’s abdominal cavity (a transverse vs. a vertical incision). For most patients, a transverse incision (side to side) is preferred since it is associated with less post-operative pain, greater wound strength, & better cosmetic appearance (it is often called the bikini-cut since the scar can be hidden away below the bikini line). A vertical incision (top to bottom) on the other hand, is typically used in emergency situations when the incision-to-delivery time is critical. Once the baby is delivered, the surgeon is responsible for carefully suturing each layer of the mother’s abdominal wall back to it's original form before the incision was made (this part of the procedure takes the most time & correct suturing is key to preventing hernias & avoiding many other complications from surgery). I learned this past week that knowing the anatomy of the different layers of the abdominal wall (which I studied back in my first year of medical school) is essential to the suturing process! The first layer that is sutured is the peritoneum (the sac in which the uterus is contained) - which the surgeon asked me to identify during the procedure! He continued to work his way up through the layers, stitching through transverse fascia & rectus abdominus muscle, then through to the scarpa's & camper's fascia (the fatty layer) & eventually the superficial subcutaneous layer! It has been a life-changing experience to bring new lives into this world each day & it reminds me of how medicine continues to advance the human potential! For more, click on the link in our bio & [SUBSCRIBE] to our YouTube channel.
Written by Student Doctor: @medspired ©06/28/2017 All Rights Reserved.
Video Credit: @pediatra_leoescobar
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