COMPARITIVE STUDY OF EPISIOTOMY REPAIR USING ABSORBABLE SYNTHETIC VERSES CHROMIC CATGUT SUTURE
Journal Title: International Journal of Medical Science and Diagnosis Research (IJMSDR) - Year 2018, Vol 2, Issue 6
Abstract
Aim of Study: The aim of our study is to compare the effect of suture materials- chromic catgut and absorbable synthetic material with respect to pain, analgesic requirement, wound dehiscense. MATERIAL AND METHODS: The present study was carried out in the Dept. of OBGY- at Shri Vinoba Bhave Civil Hospital, Silvassa from last 2 years. All women in the reproductive age group, who had a normal vaginal delivery, requiring an episiotomy, were included in the study. All participants were interviewed at 48hrs, 7days, 15days, 6 and 12 weeks regarding perineal pain perception, analgesic requirement and dysparuenia. Local examination was done for nature of healing. Perineal pain was assessed by patients registering their pain perception on a visual analogue scale. At six weeks, patients were reviewed for any wound dehiscence, infection and residual suture material. At twelve weeks patients were assessed regarding the resumption of sexual activity and the difficulties encountered with it. The main focus is on outcome measures relating to short and long term postpartum morbidity. RESULTS: In chromic catgut group 23 patients reported moderate pain while in 81 patients in absorbable synthetic material group reported moderate pain at 48 hours. Statistically it was highly significant CI; 45.3165 to 67.6580, P < 0.0001. In chromic catgut group 77 patients reported severe pain while in 19 patients in absorbable synthetic material group reported severe pain. Statistically it was also highly significant CI; 45.3165 to 67.6580, P < 0.0001. 49 % of patients in the catgut group reported mild pain while one patient in the study group reported mild painat 15th day. 23% of the patients in the control group required analgesic at 15th day. No patient experienced pain at 6 weeks in both the group. CONCLUSION: Short term pain and analgegia was significantly reduced in synthetic absorbable suture group as compared to chromic catgut group and positively shows the advantage of synthetic suture material over chromic catgut. Therefore absorbablemay be considered in place of chromic catgut for episiotomy repair.
Authors and Affiliations
Dr. Amita Patel Patel
Keywords
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