suturing technique for repair Episiotomy

Suturing Techniques to repair Episiotomy

Vaginal mucosa first sutured

First suture at place at or just above apex of tear.

Vaginal wall sutured done interrupted or continuous sutures with chromic catgut no. "0" downward till the fourchette is reached.

Suture include deep tissues muscle.

Continuous suture may cause shortening of posterior vaginal wall.

Suture with care not to injure rectum.