How do you perform an episiotomy suturing?

How do you perform an episiotomy suturing?

There are four important steps in the repair of an episiotomy wound. Step 1: Place a suture (stitch) at the apex of the incision in the vaginal epithelium. Then insert one or two more continuous sutures in the vaginal epithelium….Three layers have to be repaired:

1. The vaginal epithelium.
2. The muscles.
3. The perineal skin.

Which suture is used for episiotomy?

different suture materials, namely, vicrylrapide and chromic catgut for episiotomy repair, in relation to a short-term maternal morbidity. They concluded that vicryl rapide was the ideal suture material for episiotomy repair, which resulted in less perineal pain and a better wound healing .

What are the suturing techniques?

Suture selection and techniques

• Continuous sutures. This technique involves a series of stitches that use a single strand of suture material.
• Interrupted sutures. This suture technique uses several strands of suture material to close the wound.
• Deep sutures.
• Buried sutures.
• Purse-string sutures.
• Subcutaneous sutures.

What is the best suture technique?

The vertical mattress suture (shown) is the preferred technique for many wounds due to its ability to simultaneously achieve deep and superficial wound closure, eversion of wound edges, and precise vertical alignment of the wound margins.

How do you treat episiotomy?

Self-care

1. Ask your nurse to apply ice packs right after the birth. Using ice packs in the first 24 hours after birth decreases the swelling and helps with pain.
2. Take warm baths but wait until 24 hours after you have given birth.
3. Take medicine like ibuprofen to relieve pain.

What structures are cut during episiotomy?

The anatomic structures involved in a mediolateral episiotomy include the vaginal epithelium, transverse perineal muscle, bulbocavernosus muscle, and perineal skin.

What is an absorbable suture?

‌Absorbable sutures, also known as dissolvable stitches, are sutures that can naturally dissolve and be absorbed by the body as a wound heals. Not all wounds are sealed with absorbable sutures.

Which is the best suture to use for an episiotomy?

Generally, the smallest-diameter suture that provides adequate tensile and knot strength for the surgical task should be used. In most instances, 2-0 and 3-0 sutures are suitable for reapproximation and repair of soft tissue in an episiotomy repair.

What do you need to know about episiotomy repair?

An episiotomy repair surgery is when the incision is sewn together after delivery. The tear is either classified as first, second, third or fourth-degree tears. A first-degree tear is a tear in the vaginal and perineal skin only. The second degree is a tear in the vaginal wall and underlying perineal muscles.

Can a mediolateral episiotomy prevent site bleeding?

Typical episiotomy site bleeding can generally be controlled with conservative measures (eg, compression) while the repair is being performed to achieve hemostasis. Because of muscle involvement, a mediolateral episiotomy may give rise to more bleeding than a midline episiotomy.

Can a deep episiotomy expose the ischiorectal fossa?

A deep or large mediolateral episiotomy may expose the ischiorectal fossa. First, the delivering provider should examine the extent of the laceration after delivery, carefully evaluating for possible extension to third- or fourth-degree laceration.