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Dorchester Center, MA 02124

Episiotomy

In the United States, episiotomy had been performed routinely when coupled with preterm or full-term obstetric delivery. Recently, the benefits of this operation have been questioned. The risk of third- or fourth-degree lacerations has been shown to be significantly greater, particularly with midline (median) episiotomies versus no episiotomy. No conclusive evidence has yet been published showing that routine (nonselective) episiotomy performance is associated with significantly diminished…

Surgery for Other Benign Lesions of the Vulva

Inclusion Cyst An epidermal inclusion cyst is another name for a sebaceous cyst. These cysts are common wherever hair and sebaceous glands are present ( Fig. 76.1 ). They create a swelling and may be painful to the touch. If they become secondarily infected, they will be associated with cellulitis and may form an actual abscess. The cysts form as a result of blockage of the…