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RES: OB-GYN-L digest 2804From: Ricardo Francalacci Savaris (rsavaris@hcpa.ufrgs.br)Tue Sep 2 11:33:28 2003
Glen, My whole residency and practice was based on mediolateral episiotomy. Midline episio was the exception. There is not much about it. The whole thing is quite easy. You cut the skin (2-3cm starting from the furcula, 45 degrees downwards), You cut inside the vagina, protecting the baby. I preferred to use the scalpel (scissors usually do no cut so well, it chew the tissue). You don´t need to cut the perineal muscules. That´s it. Ricardo Savaris, MD Brazil ------------------------------ Date: Mon, 1 Sep 2003 21:04:47 -0500 (CDT) ------------------------------ From: glen.elrod@elmendorf.af.mil (Glen Elrod MD) ------------------------------ To: OB-GYN-L@OBGYN.NET Subject: Mediolateral episiotomy Message-ID: <200309020204.h8224ll16927@dns.obgyn.net> 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? Thanks, Glen
-- D. Glen Elrod, Maj, USAF, MC Medical Director Women's Health Clinic Elmendorf AFB, AK 99506
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