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Re: Episiotomy/laceration breakdown From: Richard Chudacoff, MD (rchudacoff@mylinuxisp.com) Mon Dec 19 09:06:57 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: ainsron: "Re: abortion" Previous message: Elrod Darryl G MAJ 48 MDOS/SGOBO: "Episiotomy/laceration breakdown" In reply to: Elrod Darryl G MAJ 48 MDOS/SGOBO: "Episiotomy/laceration breakdown" Next in thread: art fougner, md: "Re: Episiotomy/laceration breakdown" Just review a med-mal case exactly this. Textbook care is wait 3-4 month and then repair it. Otherwise the risk of breakdown is greater. -- Richard Chudacoff, MD, FACOG _____ From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Elrod Darryl G MAJ 48 MDOS/SGOBO Sent: Monday, December 19, 2005 9:50 AM To: Multiple recipients of list OB-GYN-L Subject: Episiotomy/laceration breakdown I'm seeing a patient today that is a week out from a vaginal delivery with a 2nd degree laceration in the midline. The laceration site was repaired with Vicryl in a normal fashion. The sutures have opened causing the patient a fair bit of discomfort. This one is open from just inside the hymen down to the perineal body area. Thankfully, broken down lacerations or episiotomies are few and far between. I'm just curious what others do. Leave it to heal by secondary intention? Close it now or close it in the near future? Wet to dry dressing changes? Sitz baths? Thanks, Glen //SIGNED// D. Glen Elrod, Maj., USAF, MC Obstetrician/Gynecologist Chief of Obstetrics 48 MDOS/SGOBO RAF Lakenheath, England Telephone DSN: 314-226-8130 Comm: +44 (0) 1638 52 8130 Notice of Confidentiality Under the Privacy Act of 1974, you must safeguard all information reflected on this e-mail and, if applicable, all attachments. Disclosure of information is IAW AFI 33-119, AFI 33-127, AFI 37-131, AFI 37-132, AFI 33-219, and PL 93-579" This e-mail message including any attachments is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. Any questions pertaining to disclosure should be directed to the privacy officer. Next message: ainsron: "Re: abortion" Previous message: Elrod Darryl G MAJ 48 MDOS/SGOBO: "Episiotomy/laceration breakdown" In reply to: Elrod Darryl G MAJ 48 MDOS/SGOBO: "Episiotomy/laceration breakdown" Next in thread: art fougner, md: "Re: Episiotomy/laceration breakdown"

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