الفهرس 
Anatomy of the PerineumOnly 14 pages are availabe for public view
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Abstract
Background: Episiotomy is the most common operating procedure that most obstetricians will perform in their lifetime. Because it is so common and considered minor surgery, teaching students or interns the principles and techniques is usually left to the most junior of residents. This study will be undertaken to question the superiority of use skin adhesive tape (® Steri-Strip) closure system in wound healing over the traditional running absorpable subcuticular suture technique in perineal repair after episiotomy.
Aims: The aim of current work is to compare two different techniques of episiotomy skin closure after vaginal delivery; skin adhesive tape and continuous absorbable subcuticular suture.
Methodology: Comparative randomized trial. 300 women who were admitted to Ain Shams University Maternity Hospital between the period of December 2015 and December 2016, after the approval of Research and Ethical Committee.
Results: During the randomization period, 367 primiparous women delivered vaginally, 29 of who were excluded for not meeting criteria of inclusion and exclusion, 338 were randomized to either suture technique or adhesive tape. Eleven women withdrew their consent to participate; leaving 327 participants for follow up. 27 didn’t retained for their 2nd evaluation. Leaving 300 women for analysis.The included 300 women were randomized into one of two groups:
group I (n=150): Women underwent episiotomy skin repair using subcuticular sutures.
group II (n=150): Women underwent episiotomy skin repair using adhesive tape.
Conclusion: The use of adhesive tape in episiotomy skin closure may reduce pain in some points postdelivery in comparison to suturing using polyglactin 910, but results in no significant difference in timing, healing and later pain sensation during some daily activities.
Recommendations: The use of skin adhesive tape in perineal skin repair is considered of value in reducing postdelivery pain after episiotomy. The advantages of unsuturing the skin and keeping it opposed without fearing of increase the infection rate may be of great value in many obestetric and gynecological procedures.