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Episiotomy Repair
Educational only: videos on MedicalVideos.com are for general information and are not medical advice. Always consult your own doctor about your health.
This short clinical video demonstrates the repair of an episiotomy, the surgical incision sometimes made during vaginal delivery to enlarge the birth outlet. The suturing is shown step by step as it is performed after childbirth. It is a practical obstetric-skills resource for midwives, nurses, and medical students. Educational only — not medical advice.
This video in 30 seconds
A short narrated surgical teaching clip on repairing an episiotomy with a partial third-degree laceration. The narration follows the repair in order: closing the rectal sphincter defect, running locking sutures up the vaginal mucosa to the hymenal ring, reapproximating the muscles, finishing with a subcuticular skin stitch, and ending with inspection and a rectal check.
Key points
- The repair begins by closing the fascial defect in the rectal sphincter
- A running locking stitch closes the vaginal mucosa up to the hymenal ring
- The muscles between the defect are reapproximated with a running stitch
- The skin is closed with a subcuticular stitch
- The clip ends with inspection and a rectal check that no suture has passed through the rectal mucosa
Video Transcript
A narrated surgical teaching clip on repairing an episiotomy with a partial third-degree laceration. The narration walks through the repair in order — closing the rectal sphincter defect, running locking sutures up the vaginal mucosa to the hymenal ring, reapproximating the bulbocavernosus muscles, and finishing with a subcuticular skin stitch — then ends with inspection and a rectal check that no suture has passed through the rectal mucosa.
Read the full transcript
the Pseotomy Repair. This patient has a partial third degree laceration. Begin by closing the fascial defect in the rectal sphincter. Identify and suture the apex of the vaginal defect. Use a running lock stitch to close the vaginal mucosa side to side. Continue the running lock stitch up to the hymenial ring. Bring the suture underneath the mucosa and close the defect between the bubocabrinosis muscles using a simple running stitch. Continue to work your way down towards the rectum closing the bubocabrinosis muscles from side to side. Bring the suture out through the inferior apex of the incision.
Then close the skin using a subcuticular stitch. Tie the suture when you have returned to the hymenial ring. Inspect your repair, then expel any clots from the vagina. Perform a rectal exam to ensure no sutures were placed through the rectal mucosa.
Transcript auto-generated from the video’s audio for accessibility and study. Educational content only — not medical advice.
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