Medicine an Surgery notes

Apr 24th, 2015
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EPISIOTOMY AND REPAIREpisiotomy - Surgical incision of the pudenda (external genitals - vulva) to;- prevent laceration at the time of delivery- facilitate vaginal surgeryPerineotomy - Incision of the perineum (commonly described as episiotomy)Should be individualized and not performed routinely.Types;median or midline episiotomy - The incision is made in the midlinemediolateral episiotomy - The incision begins in the midline but is directed 45o laterally and downward away from the rectumEpisiotomyCharacteristicMidlineMediolateralSurgical repairFaulty healingPost operative painAnatomical resultsBlood lossDyspareuniaExtensionsEasyRareMinimalExcellentLessRareCommon (3rd & 4th degree)More difficultMore commonCommonOccasionally faultyMoreOccasionalUncommon Indications- fetal indications - shoulder dystocia- Breech delivery- Cephalopelvic disprop

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