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Published on: April 17, 2019
[Mediolateral episiotomy and anal sphincter trauma]
J Karbanová1, J Stepán, V Kalis
1Gynekologicko-porodnická klinika LF UK a FN, Plzen. karbanovaj@fnplzen.cz
Ceska Gynekologie
|June 23, 2010
Summary
Current research on mediolateral episiotomy and anal sphincter injury is limited by poor study methodology. An international consensus on defining and executing mediolateral episiotomy is needed for accurate risk assessment.
Area of Science:
- Obstetrics and Gynecology
- Surgical Procedures
- Perineal Trauma Research
Context:
- Review of current knowledge on mediolateral episiotomy and anal sphincter injury.
- Identified methodological limitations in existing studies.
- Lack of standardized definitions and execution protocols for mediolateral episiotomy.
Purpose:
- To summarize recent knowledge regarding the correlation between mediolateral episiotomy and anal sphincter injury.
- To highlight critical issues in the methodology of studies evaluating episiotomy.
- To underscore the need for a universal definition and standardized practice.
Summary:
- Significant variability exists in the definition and practical execution of mediolateral episiotomy.
- Current diagnostic and classification methods for perineal trauma are inadequate.
- Most studies lack precise definitions, leading to imprecise evaluation of episiotomy's impact.
Impact:
- The precise evaluation of the correlation between mediolateral episiotomy and perineal trauma is currently not possible.
- Highlights the urgent need for an international consensus on episiotomy definition and execution.
- Informs future research by identifying key areas for methodological improvement in obstetrical procedures.
