Absorbable synthetic versus catgut suture material for episiotomy repair
Keywords:Episiotomy, Chromic catgut, Vicryl rapide
Background: Episiotomy is a planned surgical incision made in perineum during childbirth. The type of suture material used for perineal repair following episiotomy will have effect on the intensiy of the pain experienced by mother. The objective of the present study is to determine the effects of rapide vicryl and catgut suture material on the amount of short term pain experienced by mother and to assess the amount of analgesia used following episiotomy suturing.
Methods: Women with episiotomy cut was divided into two groups: group A consisted of episiotomy repair with catgut and group B with rapide vicryl. Following episiotomy pain will be assessed by visual analogue scale.
Results: In KIMS hospital Bangalore - there was significant reduction in short term pain by vicryl rapide compared to chromic catgut and the need for analgesia.
Conclusions: Vicryl rapide is effective in reducing the morbidity associated with episiotomy repair. There was significant reduction in short term pain and the need for analgesia, with decrease incidence of wound dehiscence.
Perumal D, Selvaraju D. Comparative study of Episiotomy Repair: Absorbable Synthetic Versus Chromic Catgut Suture material. Int J Reprod Contracept Obstet Gynecol. 2017;6:2186-90.
Ould F. A Treatise on Midwifery in Three Parts. Dublin: Nelson & Connor. 1742.
DeLee JB. The prophylactic forceps operation. Am J Obstet Gynecol. 1920;1:34-44.
Masson F, Bilweis J, Di Lucca D, Trentesaux G, Wrobe N. Interest in a new suture material for 2000 episiotomy repairs: polyglactin 910. Clin Gynecol Obstet. 1988;19-21.
Leroux N, Bujold E. Impact of chromic catgut versus polyglactin 910 versus fast-absorbing polyglactin 910 sutures for perineal repair: a randomized, controlled trial. Am J Obstet Gynecol. 2006;194(6):1585-90.
Greenberg JA, Lieberman E, Cohen AP, Ecker JL. Randomized comparison of chromic versus fast-absorbing polyglactin 910 for postpartum perineal repair. Obstet Gynecol. 2004;103(6):1308-13.
Kettle C, Johanson R. Absorbable synthetic versus catgut suture material for perineal repair. Cochrane database of systematic reviews. 1996;1.
Shah PK, Nickalse P, Gourewar V, Dholakia S. A randomized comparative study of polyglactin-910 vs chromic catgut for postpartum episiotomy repair; A pilot study. Obstet Gynaecol. 2001;6(8):465-8.
Royal College of Obstetricians and Gynaecologists (RCOG). Method and materials used in perineal repair. London (UK): Royal College of Obstetricians and Gynaecologists (RCOG); 2004 Guidelines. No. 23.
Joseph K, Shantha B, Prakash S. Comparative study of episiotomy repair: Absorbable synthetic versus chromic catgut suture material. J Obstet Gynecol India. 2008;58(6):495-9.
Upton A, Roberts CL, Ryan M, Faulkner M, Reynolds M, Raynes-Greenow C. A randomised trial, conducted by midwives, of perineal repairs comparing a polyglycolic suture material and chromic catgut. Midwifery. 2002;18(3):223-9.
Bharathi A, Reddy DD, Kote GS. A prospective randomized comparative study of vicryl rapide versus chromic catgut for episiotomy repair. J Clin Diagn Res. 2013;7(2):326.
Kettle C, Dowswell T, Ismail KM. Continuous and interrupted suturing techniques for repair of episiotomy or second‐degree tears. Cochrane Database of Systematic Reviews. 2012;11.
American College of Obstetricians-Gynecologists. ACOG Practice Bulletin. Episiotomy. Clinical Management Guidelines for Obstetrician- Gynecologists. Obstet Gynecol. 2006;107:957.