DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20213467

A prospective randomized comparative study of rapidly absorbing polyglactin 910 versus chromic catgut for episiotomy repair at tertiary care hospital Bikaner, Rajasthan

Priyanka Singh, Monica Soni, Neetu Verma

Abstract


Background: The aim of our study was to compare rapidly absorbing polyglactin 910 with chromic catgut as a suture material for episiotomy repair, in relation to post episiotomy complications and maternal morbidity.

Methods: This prospective, randomized, comparative study of rapidly absorbing polyglactin 910 versus chromic catgut for episiotomy repair was conducted in the department of obstetrics and gynaecology, PBM hospital, associated with Sardar Patel medical college Bikaner, Rajasthan.

Results: RAPG-910 was associated with significantly lesser analgesic dose requirement for pain relief than chromic catgut. Use of chromic catgut was associated with a higher incidence of hematoma formation, wound gaping, need of re-suturing of wound and need of re-admissions for management of post-episiotomy complications than RAPG-910 although, the difference was statistically insignificant. RAPG-910 was associated with better wound condition & healing as compared to chromic catgut.

Conclusions:To conclude, rapidly absorbing polyglactin 910 was better than chromic catgut in relation to post episiotomy complications and maternal morbidity with a significantly lesser incidence and severity of post episiotomy pain, lesser dose of analgesia required, lesser wound gaping and infection, better wound healing, faster suture reabsorption. 

 


Keywords


Episiotomy, Pain, Catgut, Polyglactin 910

Full Text:

PDF

References


Bose E, Samant M, Lal P, Mishra S, Ghosh A. Comparison of impact of polyglactin 910 (VicrylRapide) and chromic catgut sutures on perineal pain following episiotomy wound healing in Eastern Indian patients. J Sci Soc. 2013;40;95-8.

Bharathi A, Reddy DB, Kote GS. A prospective comparative study of VicrylRapide versus Chromic Catgut for episiotomy repair. J Clin Diagn Res. 2013; 7:326-30.

Gabel EA, Jimenez GP, Eaglstein WH. Performance comparison of nylon and an absorbable suture material (polyglactin 910) in the closure of punch biopsy sites. Dermatol Surg. 2000;26:750-2.

Seehra N, Vyas J, khichar M, Saini N, Rajoria L. Comparison of Polyglactin 910 Rapide versus Chromic catgut for episiotomy repair. Sch J App Med Sci. 2016;4(5E):1786-90.

Abdullah M, Noreen A, Iqbal M. Comparison between chromic catgut and vicrylrapide for analgesia requirement in episiotomy repair in primigravidas. Annals. 2015;21(3):193-6.

Deshpande H. A Prospective randomized control trial comparing cromic catgut 1-0 versus fast absorbing polyglactin 910 2-0 for episiotomy repair in a semi-urban Indian population group. Indian J Obstet Gynecol Res. 2019;6(1):5-10

Leurox N, Bujold E. Impact of chromic catgut versus polyglactin-910 versus fast absorbing polyglactin-910 sutures for perinealrepair : A randomized, controlled trial. Am J Obstet Gynecol. 2006;194:1585-90.