Obstetric and Gynaecology Department, Egyptian Ministry of Health, Fayoum General Hospital, Fayoum, Egypt.
Ethiop J Health Sci. 2023 Jan;33(1):49-54. doi: 10.4314/ejhs.v33i1.7.
This study is done to assess the effectiveness of Mostafa Maged technique in suturing the episiotomy.
At the time of delivery, this technique will be applied to all women with episiotomy or perineal or vaginal tears. The technique employs absorbable vicryl threads with 75 mm round needles. Mostafa Maged technique includes the continuous suturing of the vaginal epithelium and the muscle layer. Evaluation of the perineal region within the next twenty-four hours prior to discharge searching for (edema-hematoma-septic wound - continence - ecchymosis - dyspareunia).
The current study included 50 patients. All patients had an episiotomy during delivery; 25 patients' episiotomies were sutured using Mostafa Maged technique, while the remaining patients' episiotomies were by regular traditional technique. Mostafa Maged technique has demonstrated efficacy in achieving adequate hemostasis and avoiding dead space formation during an episiotomy. It was found that 100 % of patients with Mostafa Maged technique have no dead space, and 95.8% of Mostafa Maged patients do not have vulval edema. The technique of Mostafa Maged has also proven effectiveness in achieving postoperative hemostasis. Unlike patients with regular maneuvers, 83.3% do not have dead space, and 83.3 % do not have vulval edema.
Mostafa Maged technique is a simple technique and easy to apply when suturing episiotomy. Mostafa Maged technique is significantly superior to conventional maneuvers in preventing bleeding at the episiotomy site and preventing formation of dead space so achieving good hemostasis; therefore, it is highly recommended. I recommend more studies on efficacy of Mostafa Maged maneuver on large sample of patients.
本研究旨在评估 Mostafa Maged 技术在会阴切开缝合中的效果。
在分娩时，将该技术应用于所有会阴切开术、会阴或阴道撕裂的女性。该技术采用可吸收的薇乔缝线和 75 毫米圆针。Mostafa Maged 技术包括阴道上皮和肌肉层的连续缝合。在出院前 24 小时内对会阴部进行评估，寻找（水肿-血肿-感染伤口-控尿-瘀斑-性交痛）。
本研究共纳入 50 例患者。所有患者分娩时均行会阴切开术；25 例患者的会阴切开术采用 Mostafa Maged 技术缝合，其余患者的会阴切开术采用常规传统技术缝合。Mostafa Maged 技术在会阴切开术中能有效达到充分止血和避免死腔形成。结果发现，采用 Mostafa Maged 技术的患者 100%无死腔，95.8%的 Mostafa Maged 患者无外阴水肿。Mostafa Maged 技术在术后止血方面也证明是有效的。与常规操作的患者不同，83.3%的患者无死腔，83.3%的患者无外阴水肿。
Mostafa Maged 技术是一种简单易用的会阴切开缝合技术。与传统手法相比，Mostafa Maged 技术在预防会阴切开部位出血和防止死腔形成方面具有显著优势，从而达到良好的止血效果；因此，强烈推荐使用。我建议对更多的患者进行关于 Mostafa Maged 手法疗效的研究。
