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Created on : 02 Aug 2014
Modified on : 02 Aug 2014

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Bibliographical entry (without author) :

The incision angle of mediolateral episiotomy before delivery and after repair - International Journal of Gynecology & Obstetrics - Vol. 103, 1 - ISBN: 0020-7292 - p.5-8

Author(s) :

Kalis, Vladimir; Karbanova, Jaroslava; Horak, Miroslav; Lobovsky, Libor; Kralickova, Milena; Rokyta, Zdenek

Year of publication :

2008

URL(s) :

http://www.sciencedirect.com/science/article/pii/S…
https://doi.org/10.1016/j.ijgo.2008.05.026

Résumé (français)  :

Abstract (English)  :

Objective
To assess the relevance of the suture angle when evaluating mediolateral episiotomy, and the safety of the accepted lower limit of 40° for the incision angle.
Method
The angles formed by the incision and suture lines with the midline were measured, and any perineal tear noted, in 50 consecutive women undergoing their first vaginal delivery.
Results
The angles were significantly different (40° and 22.5°, respectively; P < 0.001). The only variable significantly linked to the difference was the timing of the episiotomy.
Conclusion
The suture angle cannot currently be used to assess the adequacy of the incision angle; moreover, an incision angle of 40° is probably too acute to prevent potential sphincter damage.

Sumário (português)  :

Resumen (español)  :

Comments :

Argument (français) :

Argument (English):

Argumento (português):

Argumento (español):

Keywords :

➡ episiotomy

Author of this record :

Import 02/08/2014 — 02 Aug 2014