What suture is used for 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 type of suture is used during perineal repair?

Two types of sutures using different techniques were used for perineal injury repairs. Continuous sutures were used in group A and interrupted sutures in group B.

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.

How many layers are cut in episiotomy?

The method of suturing an episiotomy. Three layers have to be repaired: The vaginal epithelium. The muscles.

What are the different types of suture material?

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 are the instruments and supplies needed for perineal repair?

Obstetric Perineal Laceration Repair Equipment

  • Sterile drapes and gloves.
  • Irrigation solution.
  • Needle holder.
  • Metzenbaum scissors.
  • Suture scissors.
  • Forceps with teeth.
  • Allis clamps.
  • Gelpi or Deaver retractor (for use in visualizing third- or fourth-degree perineal lacerations, or deep vaginal lacerations)

What are the different types of suture materials?

What structures are cut during episiotomy?

An episiotomy is a surgical cut made in the perineum during childbirth. The perineum is the muscular area between the vagina and the anus. Your doctor may make an incision in this area to enlarge your vaginal opening before you deliver your baby.

What is the best suture material for episiotomy?

Pearls on the best suture for episiotomy. Natural fibers include plain catgut and chromic catgut, while polyglycolic acid, coated polyglycolic-910, and pretreated coated polyglactin-910 round out synthetic choices.

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.

What is the best suture technique for repair of torn tendons?

Regarding suture techniques, the lateral trap and end-weave techniques produce the strongest repairs; however, the end-weave technique can only be used with tendon grafts and the lateral trap, though it can be used for end-to-end primary repairs. It is too bulky for use in the fingers and hand but is ideal for the forearm and wrist.

How long does it take for tendon sutures to heal?

At that point, strength plateaus and maximum stress can be applied to the repaired tendon. Somewhere between three and six weeks post-tendon repair, the suture material and technique become secondary to tendon healing as the primary provider of tensile strength to the tendon wound.