PFD Week 2016-Episiotomy Wound Closure with Surgisis

Video Transcription

Video Summary

The video transcript describes a case of a 38-year-old woman who had a vacuum-assisted vaginal birth after a previous cesarean section. She experienced a dehiscence of her episiotomy repair one week after delivery. The wound was initially treated with wet-to-dry dressings, but closure of the wound was unsuccessful. The surgeon performed a graft repair by undermining the edges of the wound and sewing a 7-by-10 surgicel into the wound bed. The graft was secured to the wound edge using interrupted sutures, and the redundant graft was trimmed. The photos show the progression of healing over six and ten weeks, with the final photo demonstrating nearly complete healing without complications. No credits were mentioned in the transcript.

Asset Subtitle

John B. Gebhart, MD

Meta Tag

Concept Postpartum Episiotomy Wound Dehiscence

Concept Surgical Re-closure

Concept Perineal Wound Defect

Concept Surgisis Graft

Concept Wound Edge Undermining

Keywords

vacuum-assisted vaginal birth

previous cesarean section

dehiscence