The incision angle of mediolateral episiotomy before delivery and after repair
Language English Country United States Media print-electronic
Document type Comment, Journal Article
PubMed
18674760
DOI
10.1016/j.ijgo.2008.05.026
PII: S0020-7292(08)00258-0
Knihovny.cz E-resources
- MeSH
- Anal Canal injuries MeSH
- Time Factors MeSH
- Adult MeSH
- Episiotomy adverse effects methods MeSH
- Cohort Studies MeSH
- Humans MeSH
- Perineum injuries surgery MeSH
- Postoperative Complications etiology prevention & control MeSH
- Suture Techniques * MeSH
- Pregnancy MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Pregnancy MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Comment MeSH
OBJECTIVE: To assess the relevance of the suture angle when evaluating mediolateral episiotomy, and the safety of the accepted lower limit of 40 degrees for the incision angle. METHOD: The angles formed by the incision and suture lines with the midline were measured, and any perineal tear noted, in 50 consecutive women undergoing their first vaginal delivery. RESULTS: The angles were significantly different (40 degrees and 22.5 degrees , respectively; P<0.001). The only variable significantly linked to the difference was the timing of the episiotomy. CONCLUSION: The suture angle cannot currently be used to assess the adequacy of the incision angle; moreover, an incision angle of 40 degrees is probably too acute to prevent potential sphincter damage.
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