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Re: Mediolateral episiotomyFrom: Braun, R. Daniel (rbraun@iupui.edu)Wed Sep 3 15:17:53 2003
They hurt more postoperatively. They usually droop because you can't get all the muscles repaired on that side. Increased incidence of dyspareunia. We did them on every patient when I was a resident because we were afraid of fourth degrees. Then as we (OB-GYN's in General) became more comfortable with the long term out come of repaired fourth degrees, we changed to Midlines. About the mid 70's I think. Dan -----Original Message----- From: Glen Elrod MD [mailto:glen.elrod@elmendorf.af.mil] Sent: Monday, September 01, 2003 9:09 PM To: Multiple recipients of list OB-GYN-L Subject: Mediolateral episiotomy 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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