Document Detail


Early repair of episiotomy dehiscence associated with infection.
MedLine Citation:
PMID:  1415399     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The purpose of our study was to examine early repair of episiotomy dehiscences in a large urban hospital setting serving a predominantly indigent population. STUDY DESIGN: Since September 1, 1989, we have proceeded with early repair in the immediate postpartum period. The medical records of 34 of 35 patients who underwent early repair were reviewed. RESULTS: Of the 34 patients, 21 (62%) had midline and 13 (38%) had mediolateral episiotomies. Dehiscence was associated with episiotomy infection in 27 (79%) of the 34 patients: 18 (86%) in the midline group and 9 (69%) in the mediolateral group. Repair was accomplished from 3 to 13 days (mean = 6.4) after dehiscence. Successful repairs were accomplished in 32 (94%) of 34 patients. Two (6%) patients with initial third-degree episiotomies had a subsequent breakdown of their repairs and were allowed to heal by secondary intention. CONCLUSIONS: Although most dehiscences in our population were associated with infection, early repair in this population is associated with a satisfactory outcome in the vast majority.
Authors:
S M Ramin; R M Ramus; B B Little; L C Gilstrap
Related Documents :
11515009 - Percutaneous recanalization and balloon angioplasty of congenital isolated local atresi...
2053509 - Floppy mitral valves in elderly patients: clinical features and associated echocardiogr...
8889659 - Is pre-intervention intravascular ultrasound necessary in evaluating target lesion calc...
865549 - Long-term prognosis of mitral-valve prolapse.
156499 - Calcification of the mitral annulus: etiology, clinical associations, complications and...
2816699 - Percutaneous balloon mitral valvuloplasty in children and young adults with rheumatic m...
24650689 - Comparison of mir-124-3p and mir-16 for early diagnosis of hemorrhagic and ischemic str...
1105779 - Prognosis of post-neonatal respiratory distress syndrome (rds) treated with positive en...
11681489 - The increased interleukin-13 in patients with systemic lupus erythematosus: relations t...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  167     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  1992 Oct 
Date Detail:
Created Date:  1992-11-17     Completed Date:  1992-11-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1104-7     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas 75235-9032.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Anti-Bacterial Agents / therapeutic use
Episiotomy*
Female
Follow-Up Studies
Humans
Pregnancy
Reoperation
Surgical Wound Dehiscence / etiology*,  surgery
Surgical Wound Infection / complications*,  drug therapy
Time Factors
Treatment Failure
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Obstetric parameters affecting success in a trial of labor: designation of a scoring system.
Next Document:  Transverse uterine incision closure: one versus two layers.