02985cam a2200265 a 4500003000900000005001700009008004100026040002800067041000800095100003600103245027400139246019400413260005500607300004400662502010400706520162800810530002202438653003602460653002202496653003402518700004702552700004902599700003802648856003302686EG-GiCUC20250223032857.0211207s2021    ua dh  f m    000 0 eng d  aEG-GiCUCbengcEG-GiCUC0 aeng0 aMennatollah Abdelfattah Mahmoud10aComparative study between the use of continuous subcuticular sutures and inverted interrupted sutures in repair of skin of episiotomy wound / cMennatollah Abdelfattah Mahmoud ; Supervised Nadine Alaa Sherif , Hossam Eldin Osama Elshenoufy , Doaa Alaa Eldin Abdelfattah15aدراسة مقارنة بين استخدام الغرز تحت الجلد المتواصلة و الغرز المقلوبة المتقطعة فى تصليح جلد جرح بضع الفرج  aCairo : bMennatollah Abdelfattah Mahmoud , c2021  a89 P. : bcharts , facsimiles ; c25cm   aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Gynaecology and Obstetrics   aEpisiotomy is the surgical incision of the vaginal orifice and perineum to ease  the passage of an infant{u2019}s head while crowning during vaginal delivery. Episiotomy remains one of the most commonly performed surgeries around the world, although routine episiotomy has been on the decline since guidelines from multiple obstetric  societies recommended against its use, citing insufficient evidence of its efficacy. (American College of Obstetricians and Gynecologists, 2016). However, episiotomy remains an important part of the obstetrician{u2019}s toolkit  (even in the United States) during emergencies of fetal distress in the presence of a  tight maternal perineum, especially in the case of shoulder dystocia. (Sagi-Dain, L. et al., 2015).Episiotomy is performed on an individualized basis. Episiotomy is considered  when the clinical circumstances place the patient at high risk of a third or fourth degree  laceration or when the fetal heart tracing is of concern and hastening vaginal delivery is  warranted. Mediolateral episiotomy is associated with a lower risk of third and fourth  degree laceration than a median episiotomy. (Bhuria,et al., 2013).A clear and controlled incision is easy to repair and heals better than a lacerated wound that might occur otherwise, Reduction in the duration of second stage, Reduction of trauma to the pelvic floor muscles, Minimal bleeding than lacerated  wound, less pain in the postpartum period, Incidence of dyspareunia is less and  Prevention of prolonged and  overstretch of the perineum which predispose to prolapse and stress incontinence.(Robinson et al., 2013)  aIssued also as CD 4aContinuous subcuticular sutures 4aEpisiotomy wound  4aInverted interrupted sutures 0 aDoaa Alaa Eldin Abdelfattah , eSupervisor0 aHossam Eldin Osama Elshenoufy , eSupervisor0 aNadine Alaa Sherif , eSupervisor  uhttp://172.23.153.220/th.pdf