A comparative study of episiotomy suturing using suture material chromic catgut versus Rapide Vicryl and its outcome

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dc.contributor.authorRuge, Truptien_US
dc.contributor.authorA., Lathasrien_US
dc.date.accessioned2024-09-24T09:08:08Z
dc.date.available2024-09-24T09:08:08Z
dc.date.issued2024-04
dc.description.abstractBackground: Episiotomy is a surgical incision which is made in the perineum to enlarge the vaginal opening for birth, with a purpose to facilitate the completion of the second stage of labour to improve both the maternal and the neonatal outcomes. A significant number of women experience perineal trauma following vaginal deliveries which may result in perineal pain, dyspareunia and faulty healing. The type of suture material which is used, will influence these factors. Objectives were to assess the effect of suture materials (Rapide Vicryl versus catgut) used in episiotomy and evaluate the wound healing characteristics on day 2 and day 7.Methods: All the pregnant women in labour admitted in labour room of Navodaya medical college, 200 patients satisfying the inclusion and exclusion criteria were taken and were assigned in one of the groups for episiotomy and suturing was done using either of the materials-Vicryl Rapide 2-0 or chromic catgut 1-0, followed up the women in the postnatal ward on day 2 and day 7 and look for immediate complications of episiotomy like temperature, severe pain, hematoma induration, wound gapping and discharge.Results: Among a total of 200 cases, at 48 hours, there was no significant difference according to the pain measurement scores, but the median consumption of analgesics was significantly lower with fast-absorbing polyglactin 910. There was no difference in the association with dysparenia at 6 weeks after the delivery between chromic catgut (19%) compared with standard polyglactin 910 group (8%).Conclusions: Fast-absorbing form of polyglactin sutures are preferred over chromic catgut because of their non- allergic properties, increased tensile strength, lesser probability of pain and lower chances of infection.en_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, Navodaya Medical College Hospital and Research Centre, Raichur, Karnataka, Indiaen_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, Navodaya Medical College Hospital and Research Centre, Raichur, Karnataka, Indiaen_US
dc.identifier.citationRuge Trupti, A. Lathasri . A comparative study of episiotomy suturing using suture material chromic catgut versus Rapide Vicryl and its outcome . International Journal of Reproduction, Contraception, Obstetrics and Gynecology . 2024 Apr; 13(4): 935-941en_US
dc.identifier.issn2320-1770
dc.identifier.issn2320-1789
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/232666
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber4en_US
dc.relation.volume13en_US
dc.source.urihttps://doi.org/10.18203/2320-1770.ijrcog20240791en_US
dc.subjectEpisiotomyen_US
dc.subjectRapide Vicrylen_US
dc.subjectChromic catguten_US
dc.subjectWound healingen_US
dc.subjectAnalgesiaen_US
dc.titleA comparative study of episiotomy suturing using suture material chromic catgut versus Rapide Vicryl and its outcomeen_US
dc.typeJournal Articleen_US
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