International Journal of Clinical Obstetrics and Gynaecology

Author(s): Dr. Jada Susmitha and Dr. Shailaja R Bidri

Abstract: Background: 85% of women delivering vaginally experience perineal trauma, and almost two-thirds require perineal tear repair [1]. Although chromic catgut is used as standard suture, newer materials like Polyglactin 910 question the best available properties [2]. Methods: This prospective, comparative study was conducted in Shri BM Patil Medical College, Karnataka from November 2019 to November 2020. 200 women divided randomly into Catgut (group 1) vs Polyglactin (group 2). Results obtained after evaluation at 24-48 hours, 10-14 days and 6-8 weeks postnatally. Results: At 24 to 48hrs postpartum 18% had severe pain in Group 1 whereas 6% in Group 2. Similar trends observed at subsequent follow ups. 54% felt tightness/Uncomfortable in Group 1 and 83% had no such complaints in Group 2 (P<0.0001). Wound gaping in Group 1 was 14% vs 4% in Group 1 after 10 to 14 days. However none required resuturing. Residual sutures at 6 weeks postpartum Group 1 vs 2 (0% vs 13%, p value = 0.002). Conclusion: Fast-absorbing Polyglactin efficient in lessening morbidity such as significant diminution in terms of pain, discomfort, analgesia, wound dehiscence, resuturing. Hence contemplated in place of time honoured chromic catgut traditionally used for perineal repair.

DOI: https://doi.org/10.33545/gynae.2021.v5.i4e.1000

Pages: 287-291 | 1062 Views | 615 Downloads

Download Full Article: Click Here