Login Contact Us
Apr 2024, Vol 12, Issue 2
Advanced Search
Title
Authors
Keyword
Poll
How do you find the scientific quality of the published articles on our web site?
Original Article
Optimization of Safe Zone Suture Angle in Mediolateral Episiotomy Using Triangular Set Square
Nasim Shokouhi, Elham Shirali, Mahbod Ebrahimi, Nafiseh Saedi, Elham Feizabad
Department of Obstetrics and Gynecology, Yas Hospital, Tehran University of Medical Sciences, Tehran, Iran

DOI: 10.15296/ijwhr.2023.36
Viewed : 1344 times
Downloaded : 879 times.

Keywords : Obstetric anal sphincter injury, Normal vaginal delivery, Suture angle, EPICSISSOR-60
Full Text(PDF) | Related Articles
Abstract
Objectives: Episiotomy is a surgical intervention to decrease the risk of obstetric anal sphincter injuries (OASIs) that adversely affect normal vaginal delivery (NVD). However, the intervention itself may lead to significant perineal laceration and postpartum anal incontinence. This research aimed to compare the suture angle and postpartum anal incontinence of mediolateral episiotomy aided with a 60-degree triangular set square (TRSS-60) with those of a routine mediolateral episiotomy.

Materials and Methods: This prospective study was performed on primiparous pregnant women with NVD requiring episiotomy in Yas hospital from April 2020 to November 2020. The subjects were assigned to control and intervention groups at a 1:1 ratio. Outcome measures included suture angle and Wexner fecal incontinence scores between the groups.

Results: Forty primiparous women have enrolled in the study. The average perineal body length was 3.64 ± 0.54 cm at the first stage of labor and 4.86 ± 0.71 cm during crowning. The mean suture angle varied significantly (P < 0.001) between the intervention and control groups (48.5 vs. 33.7). The suture angle of all participants in TRSS-60 was higher than 40°. Wexner score assessment revealed that the most frequent complaint was gas incontinence in postpartum women (four in the control group and one in the intervention group).

Conclusions: This study suggests that TRSS-60 could be used as an affordable, highly accessible, inexpensive, and effective approach to reach the safe zone angles during episiotomies, reduce OASIs, and supply an appropriate replacement for EPICSISSOR-60 in low-resource areas.

Cite By, Google Scholar

Google Scholar

Articles by Shokouhi N
Articles by Shirali E
Articles by Ebrahimi M
Articles by Saedi N
Articles by Feizabad E

PubMed

Articles by Nasim Shokouhi
Articles by Elham Shirali
Articles by Mahbod Ebrahimi
Articles by Nafiseh Saedi
Articles by Elham Feizabad

Submit Paper
Online Submission System
IJWHR ENDNOTE ® Style Tutorials Publication Charge Women's Reproductive Health Research Center About Journal
Publication Information
Published Article Statistics