Re: episiotomy and its effects on perineal body/external an

From: Dr Paul-Andre Latulippe (andrelat@ivic.qc.ca)
Wed Apr 30 20:45:46 1997


> I beg to differ. At the hospitals where I'm training the split (pardon
> the pun) is along French/English lines (how Canadian!) OBs who trained
> in Quebec tend to do midlines and those trained in the rest of Canada do
> mediolaterals. As an anglophone of French-Canadian descent, I'm not
> sure what to do...I usually just avoid it altogether.

I had my training in the province of Quebec. We always do midlines. Mediolaterals are more painfull, difficult to repair, have more bleedings, have more infections and more dyspareunia but we save the anorectal area.

The only disadvantage with midlines is to have to repair the anorectal area but when you are training for that it`s better for your patient.

--
Paul-Andre Latulippe
Victoriaville, Quebec
andrelat@ivic.qc.ca




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