Introduction to the steps of several layers of episiotomy

Many female friends who are in the process of giving birth have to undergo episiotomy due to dystocia or various reasons. Episiotomy is very painful and requires sutures. If you are not careful, the wound will cause infection. So how many layers of sutures should be done for episiotomy and how should we take care of ourselves in our daily lives? Let me introduce it to you below.

Operation: Suture layer by layer according to the anatomical layers. Before suturing, flush the perineal incision with 0.2% metronidazole solution, insert a gauze roll into the vagina, and use No. 0 chromic gut to continuously suture the vaginal mucosa from 0.5 to 1.0 cm above the top of the incision to the inner ring of the hymen and tie a knot. The deep part should include part of the submucosal tissue. Similarly, the gut sutures the muscle layer intermittently to achieve the purpose of hemostasis and dead space closure.

The subcutaneous fat tissue was sutured with interrupted intestinal sutures, and finally continuous intradermal sutures were made with No. 00 chromic intestinal sutures. When suturing the skin, insert the needle and tie a knot about 1.0 cm from the top of the incision. Then insert the needle downward along the skin edge on the left side of the incision and withdraw the needle 0.2 cm from the apex. Then insert and withdraw the needle along the right side with the same stitch length, symmetrical to the left side, which is a "U"-shaped suture. Make the skin edges on both sides of the apex fit tightly, then suture continuously intradermally along the skin edges of the incision on both sides with a stitch length of about 0.5 cm until the outer ring of the hymen is knotted.

After suturing, perform a routine vaginal examination, remove the gauze roll and remaining gauze, and soak the gauze with 0.2% metronidazole solution and apply it to the wound.

After learning how many layers of episiotomy stitches there are, I suggest that you all recover after the operation. Do not eat irritating foods and take good care of the wound. You can use potassium permanganate for sitz baths to facilitate wound recovery. Pay attention to replenishing your energy after childbirth.