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Re: Episiotomy question From: Dr Eberhard W Lisse (el@lisse.na) Sun Feb 17 00:22:14 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Episiotomy question" Previous message: Dr Eberhard W Lisse: "Gail's drivel" In reply to: AllanHo@aol.com: "Re: Episiotomy question" Next in thread: FRANCES WREN: "Re: Episiotomy question" Reply: FRANCES WREN: "Re: Episiotomy question" Allan, why don't you dig up the evidence? Wolley had a nice write up on this when he was still licensed... el On Feb 17, 2008, at 08:30, AllanHo@aol.com wrote: > > 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. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Episiotomy question" Previous message: Dr Eberhard W Lisse: "Gail's drivel" In reply to: AllanHo@aol.com: "Re: Episiotomy question" Next in thread: FRANCES WREN: "Re: Episiotomy question" Reply: FRANCES WREN: "Re: Episiotomy question"

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