干旱区生态环境知识资源中心(Arid): Evaluation of the angled Episcissors-60((R)) episiotomy scissors in spontaneous vaginal deliveries

Arid

DOI	10.2147/MDER.S66901
	Evaluation of the angled Episcissors-60((R)) episiotomy scissors in spontaneous vaginal deliveries
	Patel, Rajnish P.; Ubale, Sunita M.
通讯作者	Patel, RP
来源期刊	MEDICAL DEVICES-EVIDENCE AND RESEARCH
ISSN	1179-1470
出版年	2014
卷号	7 页码:253-256
英文摘要	Background: Obstetric anal sphincter injuries (OASIs) are the leading cause of anal incontinence in women. Episiotomies with a postdelivery suture angle of less than 30 degrees to the midline are more likely to injure the anal sphincter directly, while those with a suture angle of more than 60 degrees are associated with increased incidence of OASIs, as they do not relieve the pressure on the perineum. A safe zone of 40 degrees-60 degrees has been proposed. Recently, two new types of episiotomy scissors (Episcissors-60 (R) Straight version and angled version) were introduced to ensure a standardized cutting angle of 60 degrees to the midline. We audited our results with the angled Episcissors-60 in spontaneous vaginal deliveries. Materials and methods: Consecutive patients delivering in two private maternity hospitals in Thane, India undergoing clinically indicated episiotomies were included. Only patients delivering spontaneously were included. The scissors were introduced vaginally at crowning, and aligned to orient the guide limb vertically from the posterior fourchette to the anus. While a single cut was preferred, a stagger cut was needed for some women. Postdelivery angles were measured by placing a protractor transparency on the perineum after delivery and marking the angle with an indelible ink pen. Per rectal examination was performed prior to suturing to detect OASIs. Results: A total of 25 women underwent clinically indicated episiotomies. Of these, 16 women were nulliparous, eight women were para 1, and one woman was a para 2. One woman had a vaginal breech delivery (para 2), and the rest were cephalic vertex deliveries. The average age was 27 (range 20-35) years. The median birth weight was 2,800 g (standard deviation 312 g, interquartile range 2,500-3,000 g). The median postdelivery suture angle of the episiotomy was 50 degrees (standard deviation 3.5 degrees, interquartile range 48 degrees-54 degrees, range 45 degrees-55 degrees). No cases of OASI were detected in this series. Conclusion: The Episcissors-60 angled version demonstrated a postdelivery suture angle of 50 degrees in a cohort of Indian women undergoing spontaneous vaginal deliveries.
英文关键词	60 degrees episiotomy anal incontinence episiotomy scissors Episcissors-60 obstetric anal sphincter injuries (OASIs) Indian women
类型	Article
语种	英语
开放获取类型	DOAJ Gold, Green Published
收录类别	ESCI
WOS记录号	WOS:000213892800032
WOS类目	Engineering, Biomedical
WOS研究方向	Engineering
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/330673
作者单位	[Patel, Rajnish P.] Suyog Womens Hosp, First Floor,Nishigandh Towers,Kalwa Main Rd, Thana 400605, Maharashtra, India; [Patel, Rajnish P.; Ubale, Sunita M.] Rajiv Gandhi Med Coll, Thana, India
推荐引用方式 GB/T 7714	Patel, Rajnish P.,Ubale, Sunita M.. Evaluation of the angled Episcissors-60((R)) episiotomy scissors in spontaneous vaginal deliveries[J],2014,7:253-256.
APA	Patel, Rajnish P.,&Ubale, Sunita M..(2014).Evaluation of the angled Episcissors-60((R)) episiotomy scissors in spontaneous vaginal deliveries.MEDICAL DEVICES-EVIDENCE AND RESEARCH,7,253-256.
MLA	Patel, Rajnish P.,et al."Evaluation of the angled Episcissors-60((R)) episiotomy scissors in spontaneous vaginal deliveries".MEDICAL DEVICES-EVIDENCE AND RESEARCH 7(2014):253-256.