Changes

#Episiotomy is performed by incising skin dorsally from the commissure of the vulva midline and deepening through subcutaneous tissues to the vestibule.

#Episiotomy is performed by incising skin dorsally from the commissure of the vulva midline and deepening through subcutaneous tissues to the vestibule.

#The mass is lifted from the vaginal floor and the redundant vaginal tissue is '''amputated''' by making a transverse elliptical incision around the base.

#The mass is lifted from the vaginal floor and the redundant vaginal tissue is '''amputated''' by making a transverse elliptical incision around the base.

#The vaginal defect is closed with [[Suture Materials and Patterns|simple iterrupted absorbable sutures]] marking sure the external urethral orifice isn't involved.

#The vaginal defect is closed with [[Suture Patterns|simple iterrupted]] [[Suture Materials|absorbable sutures]] marking sure the external urethral orifice isn't involved.

#The episiotomy is closed in 2-3 layers, involving the vestibular mucosa, the subcutaneous tissues and the skin.

#The episiotomy is closed in 2-3 layers, involving the vestibular mucosa, the subcutaneous tissues and the skin.