Episiotomy is the surgical enlargement of the vaginal orifice by an incision of the perineum during the second stage of labor or just before delivery of the baby. During the s, it was common to perform an episiotomy for almost all women having their first delivery, ostensibly for prevention of severe perineum tears and easier subsequent repair. However, there are no data available to indicate if an episiotomy should be midline or medio-lateral.
The term episiotomy refers to the intentional incision of the vaginal opening to hasten delivery or to avoid or decrease potential tearing. Episiotomy is the most common procedure performed in modern day obstetrics. The episiotomy procedure was first described in ; it subsequently gained widespread acceptance, peaking in the s.
Here are tips for how to care for your C-section incision and what activities will encourage healing. These guidelines for what to expect afterward will help your body heal as quickly as possible. Taking care of your body after surgery means getting the right nutrition. After delivering your baby by C-section, your doctor will tell you how to care for your incision.
Episiotomyalso known as perineotomyis a surgical incision of the perineum and the posterior vaginal wall generally done by a midwife or obstetrician. Episiotomy is usually performed during second stage of labor to quickly enlarge the opening for the baby to pass through. The incision, which can be done at a 90 degree angle from the vulva towards the anus or at an angle from the posterior end of the vulva medio-lateral episiotomyis performed under local anesthetic pudendal anesthesiaand is sutured after delivery.
The development of surgical site infection SSI remains the most common complication of gynecologic surgical procedures and results in significant patient morbidity. Gynecologic procedures pose a unique challenge in that potential pathogenic microorganisms from the skin or vagina and endocervix may migrate to operative sites and can result in vaginal cuff cellulitis, pelvic cellulitis, and pelvic abscesses. Multiple host and surgical risk factors have been identified as risks that increase infectious sequelae after pelvic surgery.
The stitches might have closed an episiotomy a cut that enlarges the opening of the vagina. Or you may have needed stitches to repair torn skin. Either way, your stitches should dissolve within weeks.
Victorian government portal for older people, with information about government and community services and programs. Type a minimum of three characters then press UP or DOWN on the keyboard to navigate the autocompleted search results. Hysterectomy is the surgical removal of the womb uteruswith or without the cervix.
Click Image to Enlarge. The incision in the skin may be vertical longitudinal or transverse horizontaland the incision in the uterus may be vertical or transverse. A transverse incision extends across the pubic hairline, whereas, a vertical incision extends from the navel to the pubic hairline.
It will also help you understand what to expect during your recovery. Read through this guide at least once before your surgery and use it as a reference in the days leading up to your surgery. Bring this guide with you every time you come to MSK, including the day of your surgery. You and your healthcare team will refer to it throughout your care.