The Mostafa Maged four-stitch technique to avoid leaving dead space during repairing the episiotomy


  • Mostafa Maged Ali Department of Obstetrics and Gynecology, Ministry of Health, Fayoum, Egypt
  • Laila Ezzat Abd-Elfattah Department of Obstetrics and Gynecology, Fayoum University, Fayoum, Egypt



Primigravida, Episiotomy, Childbirth, Mostafa Maged


Most women who are primigravida are mostly confronted with episiotomy during child-birth to prevent the perineal and vaginal lacerations which could be performed at birth. There are many types of episiotomies which are median, mediolateral and J-shaped episiotomy. In here, we performed the mediolateral suture due to its safety. All episiotomy were taken by the Mostafa Maged four-stitch technique. Prevention of the formation of the dead space during the repair of episiotomy so avoiding hematoma formation in the episiotomy area after child-birth. It is an Interventional study. The Mostafa Maged four-stitch technique uses the absorbable vicryls treads with round needles 75 mm. the results of this new technique are Prevention of the dead space formation, Good and tight hemostasis of the episiotomy is achieved, strong approximation of the two edges of the episiotomy, cosmetically, it is so good. The invention of this new technique (Mostafa Maged technique) has shown its effectiveness in those fifteen patients in preventing the dead space during suturing the episiotomy in primigravida cases.


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