Re: Tender episiotomy revision

From: Arthur W. Curtis, Jr. (artcurtis@juno.com)
Wed Dec 18 21:57:58 1996


Garry

If the tenderness increases and the tender nodule (suture granuloma?) recurs, try resecting a small wedge again and close with 2 or 3 interrupted monofilament nylon. Remove suture about 7 days later. No suture, no granulation?? Art

~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ Arthur Curtis, MD FACOG 100 Central Street Worcester, MA 01608 ArtCurtis@Juno.com ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~

On Wed, 18 Dec 1996 21:45:03 -0600 "Garry E. Siegel" <garrys@atl.mindspring.com> writes: >dysparunia since delivery, 5 months later fibrotic area at the posterior
fourchette in the midline where her 2nd >degree epis had been repaired. The path report showed dermal fibrosis
and a foreign body reaction. Now, about 6 weeks after revision, it looks perfectly normal, but is tender again. spoken with a friendly plastic surgeon about a steroid injection, Any thoughts? >Garry Siegel, M.D.
>Roswell, Ga.
>garrys@mindspring.com
>





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