Dark-Haired British Doctor Chapter 217

Episode 217 Obstetrics and Gynecology [3]

'Lord.'

It's been a long time since I prayed.

why?

Me too… …I don’t know much about obstetrics and gynecology.

Obstetrics and gynecology is also one of the top five major departments, so it is difficult to lump them all together as surgery.

There is as much of a gap between surgery and obstetrics and gynecology as there is between internal medicine and psychiatry.

But… … .

“Let me show you an example first.”

"yes yes."

At this point in time, the best obstetrician and gynecologist among them is… … .

No, not among these, but he was a famous man whose fame was spread all over London, if not as much as Liston's.

“Okay, look. Fortunately, thanks to the reputation, we can disinfect it, so let’s open the stomach boldly.”

"yes."

Then Blundell cut open the ship with a squeaking sound.

It was already slightly rotten, so it was cut well.

what…….

Because it opens vertically, it couldn't help but be like that.

“In the past, there were cases where it was opened in the shape of a cross, but then it would kill you easily… … So, it is opened vertically in the Liston style.”

“Yes, professor.”

length…….

Yeah, actually vertical is much better than cross.

The cross is… … .

Yeah, a little bit.

If I say outright that I can't have a cross, I feel like I'm going to be attacked, but I still can't.

'Draw a long line.'

In the 21st century, cesarean sections are performed horizontally rather than vertically.

Well… I don’t know exactly, but it’s probably an incision made with the scar in mind.

If it's hidden by panty lines.

furthermore…….

Considering the shape and position of the uterus, it is possible to make the incision in an even less noticeable area, as it can be made quite low.

If you think back to your biology classes… …you probably know what the uterus looks like, so you can probably imagine it in detail, right?

The uterus is not only located in the lower abdomen, but is also wide horizontally.

Of course, in the case of pregnant women, the uterus rises, but it still does not go back to its original shape, so the width is much longer than the vertical diameter.

'So even if you cut it vertically, there's no need to start from the navel like that. If you just consider the field of vision… … In fact, cutting it big is the best.'

Blundell had cut vertically from the tip of the pubic bone to near the hairy area, and had cut all the way to the peritoneum, spreading it left and right.

It's literally a huge incision.

If you can do it like this, you will have no problem giving birth.

The problem is… … .

'The possibility of the mother dying is too great.'

blood…….

Isn't it a well-known fact that the bigger the wound, the more it bleeds?

In addition, the risk of infection increases significantly.

Even though we are really obsessive about disinfecting… … .

Even the air couldn't be helped.

In addition, reliability of iron devices is also reduced.

Even with the naked eye, you can see all the tiny grooves… … You can think of these gaps as a breeding ground for bacteria.

“Well, this is the uterus.”

“What is this?”

“That’s a bladder.”

"ah."

Blundell's practice continued, whether or not it was like that.

Since neither my disciples nor Liston were familiar with the organs in the abdominal cavity, especially the female organs, the discussion was lively.

To explain it simply, let's look at the organs in order from the front: the bladder, uterus, and large intestine.

Oh, speaking of the lower abdomen.

It's different when you go up.

“First, push this bladder to the side… … .”

In fact, there is no need to empty the bladder during an actual cesarean section.

In pregnant women, the uterus has grown so much that it rises above the bladder.

Even if you think about the size of a fetus weighing only 2 to 3 kg, it is an enormous size to place inside the stomach.

Just open it sideways and take the baby out.

“It starts to get tricky from here.”

This was the part where our Blundell got stuck.

In fact, since there are so many dissections of pregnant women, it would be understandable to not know the structure.

Puerperal fever.

Aren't there so many deaths from this damned disease?

Of course, our hospital has seen a lot less of that happening now… … .

Since it's been decades since the last beggar died, someone with the same level of experience as Blundell would be well-versed in the structure.

“If you open it vertically, hmm. Then you should be able to see the child inside, but you can’t.”

“It seems easy now, doesn’t it?”

“Ugh.”

Blundell clicked his tongue as he looked at Joseph who had interrupted his conversation.

It wasn't my intention to turn my outfit upside down by being unreasonable or talking nonsense like most things.

He continued to say only words that fit the situation perfectly.

“There is something called amniotic fluid. It is full. Now, what happens if you cut it like this?”

"ah……."

Yes, amniotic fluid pours into the abdominal cavity.

You might say, what's the problem with that? … … .

There is no suction in this era.

what…….

If we mobilize our steel-like medical students, we might be able to suck it all out by inserting straws and doing something… … .

Isn't there something called meconium?

It's shit, shit.

What would happen if that mixed amniotic fluid spilled into the stomach?

At this point, it is no exaggeration to say that even antibiotics have a 100% mortality rate, as we have to rely on the rotten bread lottery.

Why are we… … doing this kind of shit, having the police dig up the bodies in the slums?

It's all to save the mother, so it shouldn't be like that.

“Open it horizontally.”

So I said this.

I don't know exactly… … but I think I did something like that when I did an internship as a student.

“Go… … .”

“Yes, what would happen if we cut horizontally at this point so that the fetus can be taken out, and then pulled upwards so that as little amniotic fluid as possible flows out?”

"ah……."

“If you pull it vertically and cut it, well… … you might be able to prevent it from flowing out, but the area will be smaller.”

I don't know, maybe so.

But would you cut it horizontally for no reason?

There must be a rational reason that I can't think of right now.

And countless corpses would have piled up before the reason could be given.

“Is that so? That sounds plausible. But there’s one more problem.”

"which……?"

I asked purely out of curiosity.

As you all know, London is really, really crowded.

Among them, the number of poor people is enormous… … .

Most of these people come to the hospital to give birth.

You may wonder how the poor can come to the hospital, but in this day and age, the poor are synonymous with workers, so they are not completely without money.

However, I am only earning not enough money to live properly.

Anyway, Blundell had a lot of real experience because of that connection.

Even a fairly famous obstetrician/gynecologist in 21st century Korea would not be able to compare with the number of mothers he or she has seen.

“Look. If you cut the uterus vertically, it’s easy to sew it back up. But if you cut it horizontally, it’s not so easy.”

“Umm… … .”

Well, vertically, it was easier to suture in any way.

Because the human body is usually symmetrical.

The uterus was no exception.

If you have excellent suturing skills, then it wouldn't matter… … .

'line…….'

The things we use are also a problem.

Let's not say that a craftsman never blames his work.

No, not that!

Equipment is also very important.

Especially when it comes to saving people, you must not be stingy.

'We leave our thread inside the body, inside the exhausted mother who just gave birth by cesarean section… … along with the uterus that has been sewn shut… … ?'

Oh, that gives you goosebumps?

I thought it might be another form of murder.

“Do I really have to keep this uterus?”

As far as I know, there are many cases where a hysterectomy is performed together with a cesarean section.

This is inevitable, because in cases such as placenta previa, where a cesarean section is performed not simply because the fetus is breech, has a large head, or the birth canal is narrow for va*inal delivery, the fact that the uterus remains in place is a risk factor in itself.

Many people don't know this, but at a university hospital, there are only two departments where you can barge into an operating room shouting "Emergency!" without permission from the anesthesiology department, and one of them is obstetrics and gynecology.

Where is the other one?

The severe trauma center led by Baek Kang-hyeok.

Without gangsters, there's only one obstetrician and gynecologist.

The reason was clear.

If something goes wrong, not only can both the mother and the baby die, but once the bleeding starts, it comes out so much that even I, a real surgeon, would cringe.

"huh?"

So I said it as if it was no big deal.

If you leave the ovaries alone, there will be no hormonal problems… … .

I know that, other than not being able to get pregnant in the future, there won't be any major problems as long as the surgery goes well.

“Can’t I just have my uterus removed?”

“No, what are you talking about? How can I live without this?”

“Yes, Pyeong. Does it make sense to remove the organs that God gave us at will?”

Then there was fierce opposition.

‘Oh, was this the common sense of our time?’

okay…….

God gave it to me.

No matter what, I guess we just have to live and see.

They're not like 'parents of the body part that has a high chance of becoming a host for death', so why are they just leaving them there?

“God gave it to you… … but think about it.”

If it were before, I would have backed down the moment I heard God's voice.

What if I get accused of being a witch?

But not anymore.

At least the kids here are ready to listen to whatever I have to say.

“If we leave this behind… … you know that our thread is a mass of miasma, right?”

"hmm."

“So it’s mercury.”

“Stop talking nonsense.”

"yes."

I continued talking, subduing Joseph who had interrupted again.

“You saw it under a microscope.”

“That’s true.”

“Put this in the stomach. Is this all I have left?”

“Hmm… Is that so? But don’t you leave it like this or like that?”

Yeah, I'm leaving it.

Whether it's tying the blood vessels or whatever, there's only this thread.

When on earth will nylon or bikeril come out?

“I just pray every time.”

“Oh, if I pray, He will answer all my prayers.”

“So, is your hair falling out, brother? Oh. Did I say that in words?”

Did you say it in words?

You didn't do it in your head?

I was soon faced with the devil.

The paradoxical devil praying to the Lord.

“Lord… … I’ll give you one more today… … .”

“Listen, you’re welcome!”

“Please save me!”

I immediately got down on my knees and begged.

and.

I finally got reincarnated, but I almost died again.

Dying is scary enough, but what would happen if I went to the Middle Ages in the body of an Asian?

“No, I told you not to lose your hair. You have a lot of hair.”

“Yes, that’s right. Professor Blundell is not here.”

“Why is that story being brought up here?”

“So, you’re saying that you don’t have a head, brother?”

“No, no.”

I managed to calm Liston down while making eye contact with Blundell.

Blundell pulled out his own hair and continued speaking with tearful eyes.

“Look at this, I’m in big trouble.”

“Yeah, I see. Phew. That’s surprising. There’s no way I’d be balding.”

“Yeah, that would be Doctor Liston, the lion. Isn’t that a mane of hair?”

“Yeah, yeah.”

I carefully conveyed my thoughts to Liston, who had regained his composure.

“Anyway, my opinion is that this should be removed.”

“Umm… … .”

Liston, who was faithful enough to seek the Lord even before killing a person, naturally could not give an immediate answer.

It didn't matter.

Actually, the obstetrician and gynecologist is Blundell.

“But it doesn’t matter anyway. Most of them die anyway.”

The problem was that the gynecologist was saying things like that.