Clinical aspect of vulva

 

Episiotomy


Episiotomy

Episiotomy is a procedure used to widen the vagina in order to have an easy vaginal delivery. It is recommended in all first deliveries (primigravids) and all cases of soft tissue dystocias (difficult labor caused by soft tissue rigidity). A Mediolateral, B J shaped mediolateral C Median D Schuchardt. Episiotomy incision passes through mucous membrane of vagina, superficial transverse perineal muscle and perianal fat. The median incision passes through the central perineal tendon. A lateral incision is avoided because it destroys the greater vestibular gland.

 


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ischiocavernosus 2 bulbospongiosus 3 superficial transverse perineal muscle 5 central perineal tendon 6 anus

Repair of episiotomy

 

 

 

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