Episiotomy

Georgian Med News. 2006 Sep;(138):71-3.

Application of magnet laser radiation to stimulate healing of perineum injuries in the maternity patients

[Article in Russian]

Rzakulieva LM, Israfilbe?li SG, Gasymova G.

The study is aimed at developing the new complex effective method of treatment with an application of magnet laser radiation as a stimulating aid in healing of perineum injuries in the maternity patients. 86 maternity patients with perineotomy and/or episiotomy were studied in treatment. The injury on the perineum was conventionally treated by antiseptics in 40 maternity patients (control group); the magnet laser therapy (MLT) by means of device “MILTA” was applied to 46 maternity patients in concomitantly with the conventional methods. The therapeutic effect was based on the combined influence of the constant magnetic field and impulsive laser radiation of the red and infra-red range on the body. The patients reported less discomfort during MLT, which promotes the decrease of pain intensity and hyperaemia instantly after 2-3 procedures. We have not observed any sutures divergence in the maternity patients who received MLT, in comparison to the control group where full divergence of sutures was registered in 2.5%, and partial–in 7.5%. The proposed complex method of treatment with the application of MLT improves the process of the healing considerably, promotes the rapid disappearance of inflammatory signs and renders analgesic effect.

J Clin Laser Med Surg. 2003 Feb;21(1):35-9.

 

Contribution of phototherapy to the treatment of episiotomies.

 

Kymplová J, Navrátil L, Knízek J.

Section of Radiobiology and Toxicology, Department of Radiology, University of South Bohemia, Ceske Budejovice, Czech Republic.

Abstract

OBJECTIVE: The purpose of this study was an objective consideration of possible benefits of phototherapy implemented with therapeutic laser or possibly polarized light in treating episiotomy, which is the most frequent obstetric intervention. MATERIALS AND METHODS: In the present study, the authors treated a total of 2,436 women. The light sources were as follows: a laser of a wave length 670 nm, power 20 mW, with continuous alternations of frequencies 10 Hz, 25 Hz, and 50 Hz, a polarized light source of a 400-2,000 nm wavelength in an interval of power 20 mW and frequency 100 Hz and a monochromatic light source of a 660 nm wavelength and power 40 mW, with simultaneous application of a magnetic field at an induction 8 mT. RESULTS: The work demonstrated high healing effects with minimum secondary complications in the treatment of episiotomies using a therapeutic laser at an energy density of 2 J/cm(2). The application of polarized light at an energy density of 5 J/cm(2) also exerted favorable therapeutic effects.

TREATMENT OF EPISIOTOMY USING DIFFERENT FORMS OF PHOTOTHERAPY

Kymplova, J., Skopek, J., Navratil, L., Knizek J. Laser Centrum THERAP-TILIA, Prague, Czech Republic

Clinical section of the Department of Biophysics, 1st Medical Faculty, Charles University, Prague, VLA Hradec Kralove, Czech Republic

E-mails: kymplova@atlas.cz, skopek@cesnet.cz;leos.navratil@atlas.cz

Recently, we can see an increasing interest in the use of light therapy as a medical tool. It is a therapy with only minimal side effects and therefore it could be widely recommended. The problem is, that well developed and generally accepted medical protocols are not available. Broad variety of medical centers and private physicians use their own protocols, differentiate one from the other, based on more or less scientifically verified information. Gynecology and Obstetrix is one of the fields in which phototherapy is being used and the goal of our study was to make an objective review of the possible effectiveness of different types of fototherapy in this field. Episiotomy has been chosen as the most common surgery in Obstetrix (as reported within almost 90 % of deliveries). Women giving birth were divided into four groups as follows: 1st group, as a control group, 2nd group, where polarized light of 400 – 2000 nm was used, 3rd group, in which monochromatic light (660 nm) and pulse magnetic field (8 mT, 100 Hz) were applied simultaneously, and 4th group with application of therapeutic laser (685 nm). Results of the study are summarized in the table :

Acknowledgements: This study has been financially supported by Ministry of Education, grant No.: FJ MSM 111100005 (New technologies and approaches in diagnostic, prevention and treatment).