Episiorrhaphy (ɛpɪsɪˈɔːrəfi) is a surgical procedure that involves closing a tear, incision or laceration in the perineum, the area between the vulva and anus. The word episiorrhaphy comes from the combination of two Greek words, episios meaning 'vulvar' and rhaphé meaning 'stitching'. The spelling of the word can be challenging due to the double i and consecutive r's, but understanding its origins and pronunciation with the aid of the International Phonetic Alphabet (IPA) can help in mastering this medical term.
Episiorrhaphy is a medical term that refers to a surgical procedure involving the repair or stitching of an episiotomy or perineal tear in the female genital area. An episiotomy is a deliberate incision made in the perineum (the region between the vaginal opening and the anus) during childbirth to widen the birth canal and facilitate the delivery of the baby. However, sometimes the perineum may naturally tear during the birthing process.
The process of episiorrhaphy involves meticulously suturing the torn or incised tissues of the perineum to promote healing and restore its anatomical integrity. Usually performed with local anesthesia or regional anesthesia, such as an epidural, the surgeon carefully places the stitches or sutures through the layers of muscle and skin, ensuring proper alignment of the tissue edges to minimize scarring and promote optimal healing.
Episiorrhaphy is a common procedure performed by obstetricians, gynecologists, or surgeons specializing in the management of childbirth and perineal trauma. It is crucial for preventing infection, reducing pain, enhancing overall postpartum recovery, and helping women regain comfort and function in the perineal region. Recovery following episiorrhaphy typically involves pain management, good hygiene practices, and appropriate wound care.
While episiorrhaphy is often associated with childbirth, it can also be performed to repair perineal tears resulting from other causes, such as trauma or surgical intervention. This procedure is integral to the comprehensive care provided during and after childbirth, aimed at preserving the health and well-being of both the mother and the newborn.
Repair of a lacerated vulva.
A practical medical dictionary. By Stedman, Thomas Lathrop. Published 1920.
The word "episiorrhaphy" has its roots in Greek. It is derived from two Greek words: "epi", meaning "upon" or "above", and "seira", meaning "a cord or suture". The combining form "-rrhaphy" originates from the Greek word "rháptein", meaning "to sew or stitch". Therefore, "episiorrhaphy" combines these elements to refer to a surgical procedure of suturing or stitching the perineum, specifically after childbirth.