000			03194cam a2200349 a 4500
003			EG-GiCUC
005			20250223032857.0
008			211207s2021 ua dh f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aM.Sc
099			_aCai01.11.15.M.Sc.2021.Me.C
100	0		_aMennatollah Abdelfattah Mahmoud
245	1	0	_aComparative 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 Abdelfattah
246	1	5	_aدراسة مقارنة بين استخدام الغرز تحت الجلد المتواصلة و الغرز المقلوبة المتقطعة فى تصليح جلد جرح بضع الفرج
260			_aCairo : _bMennatollah Abdelfattah Mahmoud , _c2021
300			_a89 P. : _bcharts , facsimiles ; _c25cm
502			_aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Gynaecology and Obstetrics
520			_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)
530			_aIssued also as CD
653		4	_aContinuous subcuticular sutures
653		4	_aEpisiotomy wound
653		4	_aInverted interrupted sutures
700	0		_aDoaa Alaa Eldin Abdelfattah , _eSupervisor
700	0		_aHossam Eldin Osama Elshenoufy , _eSupervisor
700	0		_aNadine Alaa Sherif , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aNazla _eRevisor
905			_aShimaa _eCataloger
942			_2ddc _cTH
999			_c83456 _d83456