The difference between original episiotomy and total episiotomy

Episiotomy and episiotomy are two common surgical procedures for the vaginal and anal area. The main difference between them is the scope and purpose of the surgery. An episiotomy is performed to remove tumors or diseased tissue, while episiotomy is performed to reconstruct or improve the appearance and function of the vaginal and anal area. A correct understanding of the difference between original episiotomy and episiotomy is of great significance for doctors to choose the appropriate surgical method and ensure the success of the operation and the patient\’s recovery. Definition of Radical Perinealectomy Radical Perinealectomy refers to a surgical procedure that only removes tumors or diseased tissue in the vaginal and anal areas without involving the levator ani muscles and anal sphincter. Original episiotomy is suitable for early tumors limited to the perineal area, such as early endometrial cancer, cervical cancer and some anal canal cancers. Total Perinealectomy refers to the surgical removal of the entire vaginal and anal area, including the levator ani muscle, anal sphincter and part of the pelvic floor muscles. Resection is suitable for larger tumors or lesions that require extensive resection to prevent recurrence, such as some advanced anal canal cancers, advanced cervical cancers, etc. The difference between original episiotomy and total resection. The scope of surgery. Original episiotomy only involves local excision of the vagina and anus area. The scope is small and the operation is relatively simple. Resection involves the removal of the entire vaginal and anal area, including the levator ani muscles, anal sphincter muscles and part of the pelvic floor muscles. The scope is large and the operation is complex. Purpose of Surgery The main purpose of episiotomy is to remove tumors or diseased tissue, which can cure some early-stage tumors. The main purpose of resection is to widely remove the tumor or diseased tissue to reduce the risk of recurrence. For some advanced or deeply infiltrating tumors, comprehensive treatments such as radiotherapy and chemotherapy can be used. Postoperative Recovery Since the scope of the original episiotomy is smaller and the damage to surrounding tissues is smaller, the postoperative recovery is faster and there are fewer complications. Since surgical resection involves extensive tissue resection, postoperative recovery is slow and there are many complications, which require close observation and treatment. Conclusion Episiotomy and episiotomy are two different surgical methods for vaginal and anal areas. The main difference between them lies in the scope and purpose of surgery. Original episiotomy is suitable for early-stage tumors or lesions, with a smaller surgical scope and faster postoperative recovery; episiotomy is suitable for larger or deeply infiltrating tumors or lesions, with a larger surgical scope and slower postoperative recovery. Doctors should choose the appropriate surgical method according to the patient\’s specific situation to achieve the best therapeutic effect.