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. Do not complete suturing the vaginal epithelium when the episiotomy is large or deeply cut but leave this suture and do not cut it.

How do you suture 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. Do not complete suturing the vaginal epithelium when the episiotomy is large or deeply cut but leave this suture and do not cut it.

Which suture is best for episiotomy repair?

They concluded that vicrylrapide was the ideal suture material for episiotomy repair, in reducing some of the morbidity associated with perineal repair following childbirth.

What suture is used in episiotomy?

On the LSU Obstetrics Service, the usual midline episiotomy has traditionally been closed with 2-0 chromic suture. Theoretically, the use of a less reactive material, eg, polyglycolic acid (Dexon), may be beneficial in terms of acute postpartum discomfort and healing.

What is technique of episiotomy?

Technique. An episiotomy is performed using either scissors or a scalpel. The median episiotomy incision should begin at the posterior fourchette, to avoid the Bartholin glands, and run downward through the perineal body.

How many sutures are given in episiotomy?

Traditionally the vagina is stitched using a continuous locking stitch and the perineal muscles and skin are repaired using approximately three or four individual stitches, each needing to be knotted separately to prevent them from dislodging.

What are the different types of suture materials?

These types of sutures can all be used generally for soft tissue repair, including for both cardiovascular and neurological procedures.

  • Nylon. A natural monofilament suture.
  • Polypropylene (Prolene). A synthetic monofilament suture.
  • Silk. A braided natural suture.
  • Polyester (Ethibond). A braided synthetic suture.

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. Doctors generally evaluate your wound to decide on the best types of sutures to use.

Which suture material is preferable for perineal repair?

The two most common absorbable synthetic suture materials which are used for perineal repair are polyglycolic acid (Dexon® , Davis & Geck Ltd. UK) and polyglactin 910 (Vicryl® , Ethicon Ltd., Edinburgh, UK) which were introduced in 1970 and 1974, respectively.

When do episiotomy sutures dissolve?

After your baby is born, the doctor closes the incision with stitches. These stitches don’t need to be removed. They will dissolve in 1 to 2 weeks or longer. You may notice pieces of the stitches on your sanitary pad or on toilet paper.

What type of suture is used for an episiotomy?

Either 2-0 or 3-0 sutures (of the same materials as used for midline episiotomy) may be used for the repair. With 2 fingers placed in the vagina for retraction, the apex of the episiotomy site is identified, and a suture is secured approximately 1 cm proximally.

Does continuous suture technique affect perineal pain and dyspareunia after episiotomy?

The effect of suture techniques used in repair of episiotomy and perineal tear on perineal pain and dyspareunia It was aimed to determine the effect of continuous technique for repair of episiotomy and spontaneous tear repair compared to interrupted suture technique for perineal pain and dyspareunia.

How is repair of an episiotomy performed?

Repair of an episiotomy should take place in a setting that contains appropriate instruments, exposure, and lighting. A midline episiotomy may be performed after adequate anesthesia has been confirmed. Protecting the fetal head during the procedure is of utmost importance.

What size stitches are used for episiotomy repair?

In most instances, 2-0 and 3-0 sutures are suitable for reapproximation and repair of soft tissue in an episiotomy repair. For optimal visualization, repair should take place in a labor and delivery room or an operating room with appropriate lighting.