intra-abdominal pregnancy cesarean section

Abdominal pregnancy cesarean section for surgical treatment of ectopic pregnancy. Ectopic pregnancy refers to intra-abdominal pregnancy outside the fallopian tube, ovary, and broad ligament. It is a rare and dangerous obstetric complication that is extremely harmful to mothers and children. Its incidence is about 1 in 15,000 births. Once diagnosed, the fetus should be taken in time. Treatment of diseases: ectopic pregnancy of abdominal pregnancy Indication Abdominal pregnancy cesarean section is suitable for intra-abdominal pregnancy outside the fallopian tube, ovary, and broad ligament. Preoperative preparation 1. Clear diagnosis through medical history, physical examination, and B-ultrasound. 2. Fully prepare blood. Surgical procedure 1. Regularly cut the layers of the abdominal wall. 2. Exploring Identify the place where the fetal sac and placenta are attached. 3. Treatment of fetal sac The fetal sac is sometimes closely connected to the peritoneum and sometimes surrounded by the omentum and the intestine. If the membrane is intact with amniotic fluid, the adhesion may be less, and it is easier to remove the fetus. Conversely, if there is more adhesion, the adhesion of the fetal sac should be bluntly separated. Be careful not to hurt the intestine, and vascular ligation before separation. After the adhesion is peeled off, the exposed fetal wall of the fetus is pierced, the amniotic fluid is aspirated, the fetus is taken out, and the umbilical cord is clamped and cut off near the placenta. 4. Treatment of placenta If the placenta is attached to the omentum and fallopian tubes, it can be removed along with the attached organs. The abdominal cavity of the big month has a wide area of placenta attachment, which can be attached to the intestine, large blood vessels of the basin, liver, spleen and other organs, especially live births or In the case of fetal death, the placenta is very rich in blood vessels, and it is not necessary to try to deliver the placenta to avoid fatal bleeding. Leave the placenta left in the abdominal cavity until it is naturally absorbed. 5. Stitch the abdominal wall. complication 1. Bleeding: The placenta has a wide attachment surface and involves important organs and blood vessels that cannot be removed. Forced stripping can cause unstoppable wound bleeding. 2. Infection: Long-term gestation, rupture or placenta in the abdominal cavity is prone to repeated infections and abdominal pain.