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Re: Episiotomy question From: AllanHo@aol.com Sat Feb 16 23:29:18 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr Eberhard W Lisse: "Gail's drivel" Previous message: GIN11153@aol.com: "Re: El's nasty comments" Next in thread: Dr Eberhard W Lisse: "Re: Episiotomy question" Reply: Dr Eberhard W Lisse: "Re: Episiotomy question" Reply: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Episiotomy question" In a message dated 2/16/2008 6:28:48 P.M. Eastern Standard Time, johnprov@sympatico.ca writes: Anal shincter is 3rd degree, not that rare and repair is almost always successfull, 4Th degree is rectal spincter/mucosa no one in there right mind would do that on purpose, even if the repair is done perfectly a significant amount will break down and may result in a recto-vaginal fistula. The rectum is very elastic it will not slow down the delievery of the baby. -- Take care, John That's a strong opinion, John. I have to say that I am lucky in never having had to do a procto-epis, but I wouldn't write it off so readily. My understanding for the value of a procto-episiotomy when shoulder dystocia is encountered is to make more room for the maneuvers to dislodge the shoulders. I hope I will never need to resort to one, but I think it is a resonable option during an emergency. Allan Next message: Dr Eberhard W Lisse: "Gail's drivel" Previous message: GIN11153@aol.com: "Re: El's nasty comments" Next in thread: Dr Eberhard W Lisse: "Re: Episiotomy question" Reply: Dr Eberhard W Lisse: "Re: Episiotomy question" Reply: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Episiotomy question"

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