The Mostafa Maged four-stitch technique to avoid leaving dead space during repairing the episiotomy
Keywords: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.
DeLee JB. The prophylactic forceps operation. Am J Obstet Gynecol. 1920;1:34.
Priddis H, Dahlen HG, Schmied V, Sneddon A, Kettle C et al. Risk of recurrence, subsequent mode of birth and morbidity for women who experienced severe perineal trauma in a first birth in New South Wales between 2000-2008: a population-based data linkage study. BMC Pregnancy Childbirth. 2013;08(13):89
Shmueli A, Gabbay Benziv R, Hiersch L, Ashwal E, Aviram R, Yogev Y et al. Episiotomy-risk factors and outcomes. J Matern Fetal Neonatal Med. 2017;30(3):251-6.
Khan NB, Anjum N, Hoodbhoy Z, Khoso R. Episiotomy and its complications: A cross sectional study in secondary care hospital. J Pak Med Assoc. 2020;70(11):2036-8.
Marty N, Verspyck E. Perineal tears and episiotomy: Surgical procedure-CNGOF perineal prevention and protection in obstetrics guidelines. Gynecol Obstet Fertil Senol. 2018;46(12):948-67.
Sultan AH, Thakar R, Ismail KM, Kalis V, Laine K, Räisänen SH et al. The role of mediolateral episiotomy during operative vaginal delivery. Eur J Obstet Gynecol Reprod Biol. 201;240:192-6.
Jiang H, Qian X, Carroli G, Garner P. Selective versus routine use of episiotomy for vaginal birth. Cochrane Database Syst Rev. 2017;2:CD000081.
Abdool Z, Thakar R, Sultan AH. Postpartum female sexual function. Eur J Obstet Gynecol Reprod Biol. 2009;145(2):133-7.
Karaçam Z, Eroğlu K. Effects of episiotomy on bonding and mothers' health. J Adv Nurs. 2003;43(4):384-94.
Hartmann K, Viswanathan M, Palmieri R, Gartlehner G, Thorp J Jr, Lohr KN. Outcomes of routine episiotomy: a systematic review. JAMA. 2005;293(17):2141-8.
Carroli G, Belizan J. Episiotomy for vaginal birth. Cochrane Database Syst Rev. 2000;(2):CD000081.