The use of Histoacryl for episiotomy repair

Article Abstract:

An episiotomy is an incision made in the perineum (region between the vagina and anus) during labor and delivery to prevent tearing of this tissue as the baby is born. At one hospital in Jerusalem, episiotomies are done in 10 to 17 percent of deliveries. After the delivery, this incision is repaired, typically with stitches. A new technique for episiotomy repair was evaluated in comparison with traditional suturing using catgut stitches, at a hospital in Jerusalem. Sixty women participated. Twenty had repair of a first episiotomy using stitches, another 20 had stitches for a repeat episiotomy, and 20 had a first episiotomy repaired using the new technique, Histoacryl-tissue adhesive. The Histoacryl adhesive is applied in a thin layer to hold the incision together. On the second day after delivery, subjects were asked about their level of pain from the episiotomy site while sitting, walking, sleeping, lying down, breast-feeding, urinating and having a bowel movement. Results showed the Histoacryl technique to be better than stitches, as the women who had it reported less pain during all the activities evaluated. It is concluded that this new approach, which is simple to use, can decrease the patient's discomfort, particularly after birth of the first child. (Consumer Summary produced by Reliance Medical Information, Inc.)

Care and treatment, Usage, Equipment and supplies, Suturing, Adhesives, Episiotomy

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Strength in numbers: that's what makes the ADA's political action committee a successful advocate of American dentistry

Article Abstract:

Members of the American Dental Association (ADA) should support the American Dental Political Action Committee (ADPAC), the ADA's PAC. ADPAC lobbies for dentistry-friendly legislators and legislation. ADPAC has been working to elect members of congress who will set health care policy. It directs a 14,000 ADA member-strong grassroots network that lobbies congress members in nearly every congressional district. It is working to head off financing reform legislation that unfairly targets PACs and is conducting an advertising campaign to correct misunderstandings about PACs, including ADPAC. Membership in ADPAC costs only $25 and is open to dental students.

Political activity, Cover Story, Political aspects, American Dental Association, Dentistry

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