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From the Department of Obstetrics and Gynecology, Wilford Hall United States Air Force Medical Center, Lackland Air Force Base, Texas
Abstract
Early repair of episiotomy dehiscence was performed in 22 women with an initial fourth-degree episiotomy, four with third-degree episiotomy, and five with a mediolateral episiotomy. Early complications were limited to development of a pinpoint rectovaginal fistula in two women, both subsequently repaired by a rectal mucosal flap procedure. Of the 27 women now 1 year or more post-repair, all are completely continent and report resumption of normal coital activity.
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M. E. Wechter, M. D. Pearlman, and K. E. Hartmann Reclosure of the Disrupted Laparotomy Wound: A Systematic Review Obstet. Gynecol., August 1, 2005; 106(2): 376 - 383. [Abstract] [Full Text] [PDF] |
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