A comparative study of subcuticular and interrupted stitches for episiotomy

Pooja Thukral, Shweta Mendiratta, Gunjan Bhola


Background: Perineal pain is the most common complaint after episiotomy. For more than 70 years researchers have been suggesting that ‘continuous non-locking suture techniques’ for repair of the vagina, perineal muscle and skin are associated with less perineal pain than ‘traditional interrupted methods’. The objective of the present study was to compare the two techniques of episiotomy closure in patients after vaginal delivery with mediolateral episiotomy.

Methods: This study was conducted in the Department of Obstetrics and Gynecology, Asian Institute of medical sciences, Faridabad. The duration of study was from July 2017 to August 2017. Total 50 patients were selected and randomly divided in two groups. This was a prospective comparative study between continuous and interrupted suturing used for episiotomy repair.

Results: Continuous suturing technique requires lesser number of suture material, needs lesser time and is associated with lesser pain experience.

Conclusions: It was concluded from the present study that continuous suturing technique is more economical and causes lesser morbidity than the interrupted suturing technique.


Episiotomy, Perineal, Suturing

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Fernando R, Sultan AH, Kettle C, Thakar R, Radley S. Methods of repair for obstetric anal sphincter injury. Cochrane Database Syst Rev. 2006;19(3):CD002866.

Carroli G, Migini L. Episiotomy for vaginal birth. Cochrane Database Syst Rev. 2009;CD000081.

Weber AM, Meyn L. Episiotomy use in the United States, 179-1997. Obstet Gynaecol. 2002;100(6):1177-82.

Kettle C, Dowswell T, Ismail KM. Absorbable suture materials for primary repair of episiotomy and second degree tears. Cochrane Database Syst Rev. 2010;16(6):CD000006.

Kettle C, Dowswell T, Ismail KM. Continuous and interrupted suturing techniques for repair of episiotomy or second- degree tears. Cochrane Database Syst Rev. John Wiley and Sons; 2012:14.

Almeida SF, Riesco ML. Randomized controlled clinical trial on two perineal trauma suture techniques in normal delivery. Rev Lat Am Enfermagem. 2008;16(2):272-9.

Dash S, Nanda SS, Behera A, Mishra B. Continuous versus interrupted sutures for episiotomy wound and perineal tear repair. Scholars J Applied Med Sci. 2013;1(6):710-3.

Kokanali D, Ugur M, Kuntay Kokanali M, Karayalcin R, Tonguc E. Continuous versus interrupted episiotomy repair with monofilament or multifilament absorbed suture materials: a randomized controlled trial. Arch Gynecol Obstet. 2011;284(2):275-80.

Morano S, Mistrangelo E, Pastorino D, Lijoi D, Costantini S, Ragini N. A randomized comparison of suturing techniques for episiotomy and laceration repair after spontaneous vaginal birth. J Minim Invasive Gynecol. 2006;13(5):457-62.

Valenzuela P, Saiz Puente MS, Valero JL, Azorin R, Ortega R, Guijarro R. Continuous versus interrupted sutures for repair of episiotomy or second degree perineal tears: a randomised controlled trial. BJOG. 2009;116(3):436-41.