Which is better midline or mediolateral episiotomy?
A midline incision is easier to repair, but it has a higher risk of extending into the anal area. A mediolateral incision offers the best protection from an extended tear affecting the anal area, but it is often more painful and is more difficult to repair.
Which type of episiotomy is better?
The advantages of a midline episiotomy include easy repair and improved healing. This type of episiotomy is also less painful and is less likely to result in long-term tenderness or problems with pain during sexual intercourse. There is often less blood loss with a midline episiotomy as well.
What are 4 types of episiotomy?
Types of episiotomy. 1: median episiotomy, 2: modified median episiotomy, 3: ‘J’-shaped episiotomy, 4: mediolateral episiotomy, 5: lateral episiotomy, 6: radical lateral (Schuchardt incision), 7: anterior episiotomy (white arrow).
What is Mediolateral episiotomy?
The most common episiotomy in the US is performed on the midline, which is directly above your anus. The second kind of episiotomy is called mediolateral and is cut slightly to one side or the other of your perineum. A mediolateral episiotomy is more common in other parts of the world.
How long does Mediolateral episiotomy take to heal?
Using ice packs or sitting in warm water (a sitz bath) several times a day may also help with pain. Most women say they have less pain or discomfort after the first week. Most episiotomies heal in 3 weeks.
What are the types of episiotomy advantages and disadvantages?
The advantages of a mediolateral episiotomy are that there is less tearing beyond the incision and the incision can be directed away from the rectum. The disadvantages are that there is greater blood loss, faulty healing is more common, there is more perineal discomfort, and they are more difficult to repair.
What muscle is cut in Mediolateral episiotomy?
The anatomic structures involved in a mediolateral episiotomy include the vaginal epithelium, transverse perineal muscle, bulbocavernosus muscle, and perineal skin.
Which structure is damaged in Mediolateral episiotomy?
We find that mediolateral incisions jeopardize the bulbospongiosus muscle, which as discussed above extends posteriorly beyond the bulb of the vestibule to be continuous with fibers of the superficial external anal sphincter to create a sling encompassing both the vaginal and external anal orifices.
What can be damaged if an episiotomy is lateral rather than Mediolateral?
Lateral episiotomy may affect the superficial transverse perineal muscle, but ideally not the levator muscle, perineal body or margins of the external anal sphincter muscle, which may be a risk at a mediolateral episiotomy with an insufficient angle, distance from the midline and length.
What structures are cut in midline episiotomy?
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