OB-GYN-L Messages for February, 2008: Re: Episiotomy question

Re: Episiotomy question
From: FRANCES WREN (fwren@shaw.ca)
Sun Feb 17 10:16:34 2008

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repair is almost always sucessful...at the time..but lots of women end up with some fecal incontinence later in life becuase the sphincter does not repair that well. frances wren

>----- Original Message -----
From: Dr Eberhard W Lisse <el@lisse.na> Date: Sunday, February 17, 2008 12:24 am Subject: Re: Episiotomy question To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net>
> 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
> >

>

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<DIV>repair is almost always sucessful...at the time..but lots of women end up with some fecal incontinence later in life becuase the sphincter does not repair that well.</DIV>
><DIV>frances wren ----- Original Message ----- From: Dr Eberhard W Lisse <el@lisse.na> Date: Sunday, February 17, 2008 12:24 am Subject: Re: Episiotomy question To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net> > 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 dow
n 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 > > ; > > > > > > **************Ideas to please picky eaters. Watch video on AOL =26gt=3B Living=2E=26gt=3B (http=3A//living=2Eaol=2Ecom/video/how-to-ple= ase-your-picky-=3CBR=3E=26gt=3B eater/rachel-campos-duffy/=3CBR=3E=26gt=3B=
> </DIV>
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Next message: Bernard Cristalli: "Re: Placenta Accreta"
Previous message: FRANCES WREN: "Re: Celebrate Valentine's Day"
In reply to: Dr Eberhard W Lisse: "Re: Episiotomy question"
Next in thread: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Episiotomy question"

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