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Re: Mediolateral episiotomyFrom: Myer Bornstein (mborn@massmed.org)Wed Sep 3 16:44:13 2003
Dan Agree with you learned Medio-lateral episiotomies in residency. When I went on active duty the chief said midlines and 4th degrees are easier to repair and the patients do better.. Haven't done a medio-lateral episiotomy since. Myer -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Braun, R. Daniel Sent: Wednesday, September 03, 2003 4:45 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Mediolateral episiotomy 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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