Episiotomy  Repair: Suturing of the vaginal mucosa

Episiotomy Repair: Suturing of the vaginal mucosa


The repair of the episiotomy starts with the surgeon placing a stitch above the apex
of the incision in the vagina so you can see the surgeon placing the
first stitch above the apex of the vaginal incision and then the surgeon
ties a knot. The knot is tied and the free end of the knot is left long it’s not cut and this free end is used
in tying the final knot at the end of the repair. The repair of the episiotomy is
performed using absorbable suture and in this particular procedure the suture
used was number O vicryl suture and the vaginal mucosa
is sutured using a continuous suturing technique picking one end of the vaginal
mucosa and then joining it to the other end of the vaginal mucosa and the whole
episiotomy technique used here is the continuous stitch single suture
technique where using just one suture the vaginal mucosa, perineal muscle, and skin
are all repaired. Traditionally, episiotomy is repaired
in three layers where separate sutures used for the
vaginal mucosa a separate one for the perineal muscle and a separate one for
the skin. So the suturing of the vaginal mucosa
continues until the surgeon gets to the points at which the vaginal mucosa meets
the perineal skin or the edge of the introitus and once the surgeon gets here
a knot is tied and that’s the end of the suturing of the vaginal mucosa So now the surgeon is getting to
the end of the vaginal mucosa and there at the edge where the [unintelligible] meets the perineal skin the second will put in the last stage
and tie a knot This knot when tied is buried by the
surgeon, taking a stitch back into the vaginal mucosa beyond the knot and
bringing the needle out through the perineal muscle.

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