Question

What is the correct sequence of repair of episiotomy?

• A. Mucosa $\rightarrow$ Muscle $\rightarrow$ Skin
• B. Skin $\rightarrow$ Muscle $\rightarrow$ Mucosa
• C. Muscle $\rightarrow$ Mucosa $\rightarrow$ Skin
• D. Mucosa $\rightarrow$ Skin $\rightarrow$ Muscle

Hint:

Episiotomy repair follows the order: inside to outside = mucosa, muscle, skin.

Answer 1

The Correct Option is A

Concept: Episiotomy repair is done layer by layer. The usual order is vaginal mucosa first, then perineal muscles, and finally the skin.

Step 1: Start from the deepest visible internal layer.
The repair begins with the vaginal mucosa because it is the inner lining that must be closed first.

Step 2: Repair the muscular layer.
After mucosal closure, the perineal muscles are approximated to restore support and strength.

Step 3: Close the skin last.
Finally, the skin is closed to complete the repair. Thus, the sequence is: \[ \text{Mucosa} \rightarrow \text{Muscle} \rightarrow \text{Skin} \] Therefore, the correct answer is Mucosa $\rightarrow$ Muscle $\rightarrow$ Skin.