Re: Mediolateral episiotomy

From: DoctorJoe@aol.com
Mon Sep 1 23:49:00 2003


In a message dated 9/1/03 21:08:29, glen.elrod@elmendorf.af.mil writes:

> Is anyone in the group doing mediolateral episiotomies? I only had one
> attending in residency that did them routinely, so I don't have much
> experience with them.
>
> Does anyone have any information on complications vs midline? Everything
> I've pulled up from medline leads toward them having LESS complications,
> but if that were the case, why aren't we all doing them instead of
> midline?
>

Midlines have the reputation for extending into 4th degrees easily, leading to a higher (but still small) rate of RV fistualae, etc.).

Mediolaterals have the reputation for pain, breaking down easily, pain, bleeding, pain, scarring, pain, and difficulty with repair. And also pain, if I forgot to mention it.

Joe P.





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