Comparison of mattress and continuous suturing techniques using polyglactin 910 and chromic catgut for episiotomy repair: an observational study

Authors

  • Divya Mecheril Balachandran Department of Obstetrics and Gynecology, AIIMS Deoghar, Jharkhand, India https://orcid.org/0000-0002-9037-3024
  • K. J. Jacob Department of Obstetrics and Gynecology, MES Medical College, Perinthalmanna, Kerala, India
  • Jayan Jayapalan Nair Department of Forensic MedicineAIIMS Raipur, Chhattisgarh, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20251574

Keywords:

Episiotomy, Chromic catgut, Polyglactin, Wound healing

Abstract

Background: An episiotomy is an incision through the perineum to increase the vulvae outlet’s diameter and assist childbirth. Despite the fact that episiotomy is proven to benefit mothers, it is responsible for a significant percentage of both short-term and long-term postpartum morbidities. This study compares two different suture materials, namely polyglactin and chromic catgut, for episiotomy repair and short-term maternal morbidity.

Methods: This was a prospective observational study conducted in the Department of Obstetrics and Gynaecology, Government Medical College, Thrissur. The data was collected and analysed using SPSS software.

Results: A total of 400 participants who fulfilled the inclusion and exclusion criteria were studied. The majority of 214  women (53.5%) included in this study were between 20-25 years. 17(4.3%) women had edema (1 cm) at 24-48 hours after delivery. 43 (10.8%) women had more than 99-degree temperatures at 24-48 hours. 6 (1.5%) women had wound dehiscence at 6 weeks of them, 4 belonged to group 4. 98.3% had episiotomy wounds healed by primary intention.

Conclusions: There was a reduction in wound dehiscence and more healing by primary intention in the polyglactin group than in the chromic catgut group. There was no significant reduction in short-term pain, temperature, induration and oedema between these groups. Hence, this study recommends a more rapidly absorbable form of polyglactin than traditional chromic catgut for perineal repair.

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References

Kalis V, Rusavy Z, Prka M. Episiotomy. Childbirth Trauma. 2017;4:69-99. DOI: https://doi.org/10.1007/978-1-4471-6711-2_6

Choudhari RG, Tayade SA, Venurkar SV, Deshpande VP, Tayade S, Deshpande V. A review of episiotomy and modalities for relief of episiotomy pain. Cureus. 2022;17;14(11):56-9. DOI: https://doi.org/10.7759/cureus.31620

Carroli G, Belizan J. Episiotomy for vaginal birth. The Coch Data Sys Rev. 2000 Jan1(2):81. DOI: https://doi.org/10.1002/14651858.CD000081

Kettle C, Fenner DE. Repair of episiotomy, first and second degree tears. In Perineal and anal sphincter trauma: diagnosis and clinical management. Springer London; 2007:20-32. DOI: https://doi.org/10.1007/978-1-84628-503-5_3

Gerrits DD, Brand R, Gravenhorst JB. The use of an episiotomy in relation to the professional education of the delivery attendant. Eur J Obst Gynecol Reprod Biol. 1994;1;56(2):103-6. DOI: https://doi.org/10.1016/0028-2243(94)90264-X

Bose E, Samant M, Lal P, Mishra S, Ghosh A. Comparison of impact of polyglactin 910 (Vicryl rapide) and chromic catgut sutures on perineal pain following episiotomy wound repair in eastern Indian patients. J Scientific Soc. 2013;1;40(2):95-8. DOI: https://doi.org/10.4103/0974-5009.115486

Abdullah M, Noreen A, Iqbal M, Sohail R. Comparison between chromic catgut and vicryl rapide for analgesia requirement in episiotomy repair in primigravidas. Ann King Edward Medical University. 2015;21(3):193.

Leroux N, Bujold E. Impact of chromic catgut versus polyglactin 910 versus fast-absorbing polyglactin 910 sutures for perineal repair: a randomized, controlled trial. American J Obst Gynecol. 2006;1;194(6):1585-90. DOI: https://doi.org/10.1016/j.ajog.2006.01.011

Joseph K, Shantha B, Prakash S. Comparative study of episiotomy repair: Absorbable synthetic versus chromic catgut suture material. J Obest Gynecol India. 2008;1;58(6):495-9.

Kettle C, Johanson R. Absorbable synthetic versus catgut suture material for perineal repair. The Cochrane database of systematic reviews. 2000(2):6. DOI: https://doi.org/10.1002/14651858.CD000006

McElhinney BR, Glenn DR, Dornan G, Harper MA. Episiotomy repair: Vicryl versus Vicryl rapide. The Ulster Med J. 2000;69(1):27.

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 Gynaec. 2001;6(8):465-8.

Bharathi A, Reddy DD, Kote GS. A prospective randomized comparative study of vicryl rapide versus chromic catgut for episiotomy repair. Journal of clinical and diagnostic research: JCDR. 2012;24;7(2):326. DOI: https://doi.org/10.7860/JCDR/2013/5185.2758

Kalita R, Acharjee U, Talukdar RK. To Compare the Clinical Outcomes Following Episiotomy Wound Repair Using Chromic Catgut versus Fast Absorbing Polyglactin 910. Sch J App Med Sci. 2021;6:1056-61. DOI: https://doi.org/10.36347/sjams.2021.v09i06.038

Interest in a new suture material for 2000 episiotomy repairs: polyglactin 910. Clin Gynecol Obstet. 1988:19-21.

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Published

2025-05-29

How to Cite

Mecheril Balachandran, D., Jacob, K. J., & Jayapalan Nair, J. (2025). Comparison of mattress and continuous suturing techniques using polyglactin 910 and chromic catgut for episiotomy repair: an observational study. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 14(6), 1856–1860. https://doi.org/10.18203/2320-1770.ijrcog20251574

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Original Research Articles