Vaginoperineotomy, a new median episiotomy technique, has been used successfully in more than 200 primigravidas and in numerous multi-gravidas in the past three years, J. Morton Schneider, MD, Department of Obstetrics and Gynecology, University of Oregon Medical School, Hospitals, and Clinics, Portland, Ore, reported at the American College of Obstetricians and Gynecologists district eight meeting, San Diego, Calif.
Schneider explained that the technique, performed on 273 consecutive vaginal deliveries in patients of parity three or less, was originally developed with the primary aim of decreasing the high incidence of symptomatic rectocele.
"The effectiveness of the vaginoperineotomy in the prevention of rectocele in all the patients and its very low associated morbidity rate make the procedure worthy of further trial," he said.
Salient advantages include the very low incidence of third-degree laceration, he added. Perineotomy also permits a more anatomic repair than is usually possible with surgical restoration of exterior perineal