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Emmanuel Bujold - One of the best experts on this subject based on the ideXlab platform.
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impact of Chromic Catgut versus polyglactin 910 versus fast absorbing polyglactin 910 sutures for perineal repair a randomized controlled trial
American Journal of Obstetrics and Gynecology, 2006Co-Authors: Nathalie Leroux, Emmanuel BujoldAbstract:Objective The goal of our study was to compare the impact of 3 suture materials on perineal pain and on resumption of sexual intercourse. Study design This randomized, controlled trial compared 3 types of suture materials (Chromic Catgut, polyglactin 910, fast-absorbing polyglactin 910) for second-degree perineal laceration or uncomplicated episiotomy. Patients were enrolled in early labor and assigned randomly to 1 of the 3 suture materials. Pain was evaluated at 48 hours, 6 weeks, and 3 months. The study subjects were questioned about residual perineal pain, resumption of sexual activity, and pain-free sexual intercourse. Logistic regression analyses were undertaken. Results Of the 192 patients who were assigned randomly to groups, 66 patients had their perineal laceration repaired with Chromic Catgut; 60 patients had repair with polyglactin 910, and 66 patients had repair with fast-absorbing polyglactin 910. 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 than with standard polyglactin 910. There was no difference in the resumption of sexual intercourse at 6 weeks after the delivery between Chromic Catgut (42%) compared with standard polyglactin 910 group (56%; P = .23). However, it was more frequent for women in the fast-absorbing polyglactin 910 group (66%; P = .02). After adjustment for confounding variables, perineal repair with fast-absorbing polyglactin 910 was associated with a higher rate of sexual intercourse (odds ratio, 2.55; 95% CI, 1.07-6.10) and a higher rate of pain-free sexual intercourse (odds ratio, 2.51; 95% CI, 1.03-6.10) at 6 weeks after delivery. Conclusion Fast-absorbing polyglactin 910 for perineal repair is associated with earlier resumption of sexual intercourse when compared with Chromic Catgut.
Nathalie Leroux - One of the best experts on this subject based on the ideXlab platform.
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impact of Chromic Catgut versus polyglactin 910 versus fast absorbing polyglactin 910 sutures for perineal repair a randomized controlled trial
American Journal of Obstetrics and Gynecology, 2006Co-Authors: Nathalie Leroux, Emmanuel BujoldAbstract:Objective The goal of our study was to compare the impact of 3 suture materials on perineal pain and on resumption of sexual intercourse. Study design This randomized, controlled trial compared 3 types of suture materials (Chromic Catgut, polyglactin 910, fast-absorbing polyglactin 910) for second-degree perineal laceration or uncomplicated episiotomy. Patients were enrolled in early labor and assigned randomly to 1 of the 3 suture materials. Pain was evaluated at 48 hours, 6 weeks, and 3 months. The study subjects were questioned about residual perineal pain, resumption of sexual activity, and pain-free sexual intercourse. Logistic regression analyses were undertaken. Results Of the 192 patients who were assigned randomly to groups, 66 patients had their perineal laceration repaired with Chromic Catgut; 60 patients had repair with polyglactin 910, and 66 patients had repair with fast-absorbing polyglactin 910. 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 than with standard polyglactin 910. There was no difference in the resumption of sexual intercourse at 6 weeks after the delivery between Chromic Catgut (42%) compared with standard polyglactin 910 group (56%; P = .23). However, it was more frequent for women in the fast-absorbing polyglactin 910 group (66%; P = .02). After adjustment for confounding variables, perineal repair with fast-absorbing polyglactin 910 was associated with a higher rate of sexual intercourse (odds ratio, 2.55; 95% CI, 1.07-6.10) and a higher rate of pain-free sexual intercourse (odds ratio, 2.51; 95% CI, 1.03-6.10) at 6 weeks after delivery. Conclusion Fast-absorbing polyglactin 910 for perineal repair is associated with earlier resumption of sexual intercourse when compared with Chromic Catgut.
Kazemnejad Ehsan - One of the best experts on this subject based on the ideXlab platform.
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COMPARISON OF WOUND REPAIR OUTCOMES OF Chromic Catgut VERSUS VICRYL SUTURES FOR EPISIOTOMY REPAIR: A CLINICAL TRIAL
Advances in Nursing & Midwifery, 2016Co-Authors: Ziaie Tahereh, Porhidary Marjan, Nazifkar Homira, Kazemnejad EhsanAbstract:Abstract Background and Aim: A large number of postpartum women suffer from short and long-term complications of episiotomy. The aim of this study was to compare Chromic Catgut and Vicryl Sutures wound healing in postpartum women. Materials and Methods: This study was a randomized clinical trial. The sample was 102 pregnant women who were randomly divided into two groups. The episiotomy wound repaired by Chromic Catgut and Vicryl respectively. 4-6 weeks after delivery both groups were evaluated for wound healing. Wound healing was evaluated using the scale (REEDA). The reeda scale consisted of 5 items including redness, edema, ecchymosis, discharge, approximation. The data was analyzed by t-test and Mann- WhitneyEu test. Results: The results showed that the two groups had no significant difference in terms of age, gestational age, parity, duration of the second stage of delivery, the time between the delivery and repair of episiotomy, length of episiotomy repair and education. Reeda scale average score was lower in vicryl sutured wounds (p
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comparison of wound repair outcomes of Chromic Catgut versus vicryl sutures for episiotomy repair a clinical trial
Advances in Nursing & Midwifery, 2016Co-Authors: Ziaie Tahereh, Porhidary Marjan, Nazifkar Homira, Kazemnejad EhsanAbstract:Abstract Background and Aim: A large number of postpartum women suffer from short and long-term complications of episiotomy. The aim of this study was to compare Chromic Catgut and Vicryl Sutures wound healing in postpartum women. Materials and Methods: This study was a randomized clinical trial. The sample was 102 pregnant women who were randomly divided into two groups. The episiotomy wound repaired by Chromic Catgut and Vicryl respectively. 4-6 weeks after delivery both groups were evaluated for wound healing. Wound healing was evaluated using the scale (REEDA). The reeda scale consisted of 5 items including redness, edema, ecchymosis, discharge, approximation. The data was analyzed by t-test and Mann- WhitneyEu test. Results: The results showed that the two groups had no significant difference in terms of age, gestational age, parity, duration of the second stage of delivery, the time between the delivery and repair of episiotomy, length of episiotomy repair and education. Reeda scale average score was lower in vicryl sutured wounds (p<0.05). The mean scores of redness, edema, ecchymosis and discharge were also significantly lower in vicryl group. The approximation scores had not significant difference between the two groups. Conclusions: According to the results of this study it seems that vicry sutures had better outcomes in healing of episiotomy wounds. Keywords: Episiotomy; Vicryl; Catgut; Wound Healing
Divya Selvaraju - One of the best experts on this subject based on the ideXlab platform.
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comparative study of episiotomy repair absorbable synthetic versus Chromic Catgut suture material
International journal of reproduction contraception obstetrics and gynecology, 2017Co-Authors: Devika Perumal, Divya SelvarajuAbstract:Background: The choice of suture material for repair of episiotomy or perineal laceration is largely of one’s personal preference. Chromic Catgut was widely used in most institutions. It now appears that Chromic Catgut is associated with more postpartum discomfort and hence Chromic Catgut has been largely replaced by synthetic absorbable materials like polyglactin and polyglycolic acid. Methods: The study was conducted in Institute of Social Obstetrics and Government Kasturba Gandhi Hospital, Chennai. This is a prospective, comparative study involving two groups. The use of a rapidly absorbing form of synthetic absorbable suture material, in the repair of episiotomy or perineal laceration in 100 patients during the study period February 2012 to July 2012, were simultaneously compared with the traditional natural absorbable suture material. Results: With the use of rapidly absorbing polyglactin 910, there was a significant reduction (p=0.000) in the short-term pain, 19 compared to 80 in the control group. With regard to wound dehiscence and the need for resuturing, there was statistically significant difference in the control group (15%) compared to the study group (0%). There was no statistical significance between the two groups in terms of dyspareunia (12.4% vs 10.7%). Conclusions: Fast-absorbing form of Polyglactin seems to be effective in reducing some of the morbidity associated with perineal repair following childbirth. There was significant reduction in the short-term pain and the need for analgesia. The incidence of wound dehiscence was markedly reduced.
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Comparative study of Episiotomy Repair: Absorbable Synthetic Versus Chromic Catgut Suture material
2013Co-Authors: Divya SelvarajuAbstract:INTRODUCTION : Perineal trauma is the most commonly encountered surgery in the day-today practice of an obstetrician. It can be either a spontaneous tear or a surgical (episiotomy) enlargement of the pelvic soft tissue outlet during the last phase of second stage of labor or delivery. The first surgical opening of the perineum in order to prevent severe perineal tear was suggested by Ould, in 1741. However, the first publication in a medical journal about episiotomy was only in 1810. Prevalence of the episiotomy varies around the world depending on whether it is used as a routine or a restricted procedure. Rates vary from 8% in the Netherlands, 13% in England to 25% in USA. The rates are still higher in developing countries, like ours, since the use of restricted episiotomy is not being practiced widely in primigravidas. Although the Cochrane Database Review has now recommended the practice of restrictive episiotomy, routine use of it still continues in most of our maternity units. Prevalence rate of 54.9% and 99% have been reported in West African countries and East European countries respectively. Perineal trauma affects the physical, mental and social well-being of the mother in her peurperium. A large proportion of women suffer short term perineal pain and up to 20% have long term problems like dyspareunia. Other complications involve removal of retained suture material, wound dehiscence and re-suturing. AIM OF THIS STUDY: To compare absorbable synthetic sutures with Chromic Catgut sutures for episiotomy repair with respect to pain, analgesic requirement, wound dehiscense, removal of residual suture material, long term pain & superficial dyspareunia. PRIMARY OBJECTIVE: Whether the synthetic absorbable suture material is better than the natural absorbable suture material in relieving the postpartum morbidity associated with episiotomy or perineal laceration repair. PRIMARY OUTCOME : Early short term pain ( up to 48 hrs) • Late short term pain ( up to 7 days) • Use of Analgesia. SECONDARY OUTCOME: • Long term pain • Nature of wound healing • Need for re-suturing • Removal of unabsorbed suture material INCLUSION CRITERIA: • All patients with an elective episiotomy • Second degree perineal laceration EXCLUSION CRITERIA : Episiotomy incisions extended by instrumental deliveries • Severe anemia • Diabetes mellitus • On drugs like steroids & immunosuppressant • Epidural labor analgesia • Women whose membranes had ruptured for >24hrs • Patients with foul smelling vaginal discharge. MATERIALS AND METHODS: The study was conducted in Institute of Social Obstetrics and Govt. Kasturba Gandhi Hospital, Triplicane, Chennai-5. This is a prospective, comparative study involving two groups of patients selected randomly as per the inclusion criteria. Each group will have 100 women. A) Polyglactin 910 (Fast-absorbing) – group I, B) Chromic Catgut – group II. All women in the reproductive age group, attending the Government Kasturba Gandhi Hospital, who had a normal vaginal delivery, requiring an episiotomy or had a second degree perineal tear, were eligible to enter the trail. Enrolment took place immediately after delivery, after taking their consent. All episiotomies were repaired using the same technique: single continuous sub-cuticular perineal sutures, by the post-graduates. Mothers were interviewed at 48hrs, 7days, 15days, 6 and 12 wks regarding perineal pain perception, analgesic requirement and dysparuenia. Local examination was done for nature of healing. RESULTS AND ANALYSIS: This study commenced with 100 women in each group who underwent episiotomy or perineal laceration repair. None of the patients in our study had epidural analgesia for pain relief in labor. In our study, all the perineal repairs were performed under local anesthesia by the post graduates in the labor ward. Descriptive statistics were utilized and all results are presented in terms of percentages. Categorical data were compared using Chi Square Test or Fischer’s Exact Test if appropriate. Statistical significance was p
Shivaram Prakash - One of the best experts on this subject based on the ideXlab platform.
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comparative study of episiotomy repair absorbable synthetic versus Chromic Catgut suture material
2008Co-Authors: Kurian Joseph, Bhaskaran Shantha, Shivaram PrakashAbstract:Objectives : To compare absorbable synthetic sutures with Chromic Catgut sutures for episiotomy repair with respect to pain analgesic requirement, nature of wound healing, and removal of residual suture material. Methods : The study was conducted in a tertiary care hospital for Southern Railway patients. It is a prospective, comparative study between polyglactin 910 rapide 2-0 versus polyglactin 910 1-0 versus Chromic Catgut 1-0. For the present study, a total of 150 patients were selected. The patients were divided into 3 groups according to their turn. Outcome studies were pain assessment by visual analogue scale (VAS) in lying, walking and sitting postures, analgesic requirement, nature of wound healing, and removal of residual suture material. Results: Compared with Chromic Catgut, and polyglactin 910, polyglactin 910 rapide group is associated with less pain in walking and sitting postures, and there was less need for analgesics (P<0.05). Removal of residual suture material was more common in polyglactin 910 (28%). Conclusions: Polyglactin 910 rapide is the better suture material than polyglactin 910 and Chromic Catgut for episiotomy repair in pain perception resulting in less analgesic requirement in postpartum period.
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Comparative study of episiotomy repair: Absorbable synthetic versus Chromic Catgut suture material
2008Co-Authors: Kurian Joseph, Bhaskaran Shantha, Shivaram PrakashAbstract:Objectives : To compare absorbable synthetic sutures with Chromic Catgut sutures for episiotomy repair with respect to pain analgesic requirement, nature of wound healing, and removal of residual suture material. Methods : The study was conducted in a tertiary care hospital for Southern Railway patients. It is a prospective, comparative study between polyglactin 910 rapide 2-0 versus polyglactin 910 1-0 versus Chromic Catgut 1-0. For the present study, a total of 150 patients were selected. The patients were divided into 3 groups according to their turn. Outcome studies were pain assessment by visual analogue scale (VAS) in lying, walking and sitting postures, analgesic requirement, nature of wound healing, and removal of residual suture material. Results: Compared with Chromic Catgut, and polyglactin 910, polyglactin 910 rapide group is associated with less pain in walking and sitting postures, and there was less need for analgesics (P