OBJECTIVE: To assess the relevance of the suture angle when evaluating mediolateral episiotomy, and the safety of the accepted lower limit of 40 degrees 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 degrees and 22.5 degrees , 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 degrees is probably too acute to prevent potential sphincter damage.
OBJECTIVE: To assess the relevance of the suture angle when evaluating mediolateral episiotomy, and the safety of the accepted lower limit of 40 degrees 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 degrees and 22.5 degrees , 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 degrees is probably too acute to prevent potential sphincter damage.
Authors: Hadil Y Ali-Masri; Sahar J Hassan; Kaled M Zimmo; Mohammed W Zimmo; Khaled M K Ismail; Erik Fosse; Hasan Alsalman; Åse Vikanes; Katariina Laine Journal: Obstet Gynecol Int Date: 2018-10-29
Authors: Madhu Naidu; Dharmesh S Kapoor; Sarah Evans; Latha Vinayakarao; Ranee Thakar; Abdul H Sultan Journal: Int Urogynecol J Date: 2015-02-06 Impact factor: 2.894
Authors: Shimon Ginath; Osnat Elyashiv; Eran Weiner; Ron Sagiv; Jacob Bar; Joseph Menczer; Michal Kovo; Alexander Condrea Journal: Int Urogynecol J Date: 2017-05-05 Impact factor: 2.894