Study and Compare the Effi cacy of 2 Suture Materials: Poliglecaprone 25, Polyglactin 910 as Subcuticular Skin Stitches in Women Undergoing Elective Cesarean Section
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 4
Abstract
Objectives: To compare the effi cacy of two suture materials, that is, poliglecaprone 25 and polyglactin 910 as subcuticular skin stitches in post-cesarean women. Study Design: This study was a prospective comparative study. Study Setting and Study Duration: This study was conducted in the Department of Obstetrics and Gynaecology, Indira Gandhi Government Medical College, Nagpur, a Tertiary Care Center in Central India, for 2 years after approval from the Institutional Ethical Committee. Inclusion Criteria: All pregnant women undergoing elective cesarean section for the fi rst time with hemoglobin more than 10 g % done in same operation theater using same technique of cesarean section as per the hospital standard protocol and by qualifi ed obstetrician, using Pfannenstiel incision. The participants were then assessed for the following parameters - pain, tenderness, swelling, induration, discharge from wound, dehiscence, wound healing, and cosmesis on day 4, day 8, day 15, day 30, and day 45. Participants with healthy wound after removal of sutures were discharged on the 8th post-operative day and followed up in outpatient department on day 15, day 30, and day 45. Pain and tenderness were assessed on the basis of visual analog scale. All data were analyzed for categorical and continuous variables such as age, properties of suture materials, and post-operative wound complications, especially in relation to type of suture materials used for subcuticular skin incision closure. Result: Poliglecaprone 25 is the most effi cacious, with least wound complications, provides better cosmetic outcome compared to polyglactin 910 in cesarean skin closure but little costlier than poliglecaprone 25.
Authors and Affiliations
Prashant A Uikey, Mrunalini Jagne, Surekha N Khandale
Keywords
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