Alternative episiorrhaphy technique in modern obstetrics

P. Chitulea

Abstract: The author proposes an alternative continuous stitch episiorrhaphy technique, in two planes, which provide a short execution time and faster healing. The study suggests a comparison of the results obtained by using an original episiorrhaphy procedure with the classic episiorrhaphy with separate points of suture. This new techniques was applied on 242 patients since 2011 in the Obstetrics and Gynecology Clinic from Oradea. From 242 cases taken into the study, some complications occur as follows: only 2 cases of vaginal wall hematoma and 8 cases with inflammatory phenomena, without recording any wound dehiscence. The continuous stitch episiorrhaphy technique in two planes is fast, offers a good hemostasis and a rapid healing, being superior to the classical technique. These results open new inside for further using this alternative procedure in surgical obstetrical cases.
Keywords: episiorrhaphy, technique, rapid execution, hematoma, healing