A Prospective Randomized Comparative Study of Episiotomy Repair: Vicryl Rapide Versus Chromic Catgut
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 10
Abstract
Background And Objectives: Perineal trauma is the most commonly encountered surgery in the day-to-day practice of an obstetrician. The factors which may influence the extent of any subsequent maternal morbidity include the type of suture material which is used, the suturing technique and the skill of the operator. The use of synthetic materials in episiotomy repairs reduce the postpartum pain and provides a better wound healing.The present study was designed to study the two different suture materials, namely, vicryl rapide and chromic catgut for episiotomy repair, in relieving the postpartum morbidity associated with episiotomy repair. Methods:This study is a prospective randomized comparative study conducted in the department of obstetrics and gynaecology in Meenakshi medical college, Enathur, Kanchipuram. In this study, two hundred women who were given episiotomies following spontaneous or instrumental deliveries, who were admitted to the labour rooms wereincluded. The outcome measures which were assessed were perineal pain and wound healing at 24- 48 hours, 3-5 days and 6 weeks postpartum Results:When compared to chromic catgut group, vicryl rapide group women had less pain (25% vs 64%) at 3- 5 days and at 6 weeks postpartum (69% vs 81%). Wound healing was better in women who were sutured with vicryl rapide. There was also reduction in wound indurations, feeling of stitches and wound dehiscence in vicryl rapide group. Wound resuturing (7%) was needed in women who were sutured with chromic catgut and none in vicryl rapide group. Conclusion:This study concluded that vicrylrapide was the ideal suture material for episiotomy repair, in reducing some of the morbidity associated with perineal repair following childbirth. There was significant reduction in the short-term pain. The incidence of wound dehiscence was markedly reduced.
Authors and Affiliations
Dr. Shree Abhinayaa. S, Dr. Jayanthi. R, Dr. Nishanthini
Keywords
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- EP ID EP244356
- DOI 10.9790/0853-1610087279
- Views 108
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