What should be included in the management of OASIS/episiotomy separation?

The management of OASIS (Obstetric Anal Sphincter Injury) or episiotomy separation involves several critical components to ensure proper healing and recovery. Prompt and meticulous debridement is essential when there are concerns regarding the integrity of the wound or signs of infection. This procedure helps to remove any necrotic tissue, which can prevent proper healing and may lead to complications if left untreated.

Debridement is a key aspect of surgical care that can help to minimize infection risk and promote a clean healing environment. In cases where the episiotomy has separated or the OASIS is complicated, addressing the issue immediately helps prevent long-term complications such as incontinence or chronic pain.

The other management strategies listed do not address the necessary interventions provided by proper surgical care. Relying solely on oral pain medications would not be sufficient to manage the physical concerns related to a significant separation. Monthly follow-ups, while important, are not a substitute for immediate treatment when a surgical intervention is indicated. Immediate surgery might be overzealous in cases where careful debridement and observation are warranted before resorting to more invasive measures. Therefore, the role of meticulous debridement stands out as a critical part of the management protocol for OASIS