Obstetric and Gynecological Nursing - The Carter Center

3. J- shaped
4. Lateral
1. Medio – lateral
The incision is begun in the center of the fourchette and
directed posterio laterally, usually to the woman’s right. Not
more than 3cm long & directed diagonally in straight line
which runs 2.5cm distance from the anus.
Advantages - barthlion glands are not affected
- Anal sphincters are not injured
2. Median: The incision begun in the center of the
fourchette and directed posteriorly for approximately 2.5cm in
the midline of the prenium.
Advantage:
- Less bleeding
- More easily and successfully repaired
- Greater subsequent comfort for the women
3. J – shaped : The incision is began in the center or the
fourchtte and directed posteriorly in the midline for about 2cm
and then directed towards 7 on the clock to avoid the anus.
Disadvantage
- The suturing is difficult
- Shearing of the tissue occurs
- The repaired wound tends to be pucked.
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