A comparative study between fast absorbing polyglactin 910 vs chromic catgut in episiotomy wound repair

Susmitha, Jada; Bidri, Shailaja R

doi:10.33545/gynae.2021.v5.i4e.1000

“…6 The fast-absorbing polyglactin 910 sutures accelerate hydrolysis and take 42 days to be absorbed. 7 Previous studies compared synthetic absorbable suture materials (both polyglactin-910 and fast-absorbing polyglactin 910) with catgut sutures for episiotomy repair, 5 , 8 , 9 but comparison between Trusynth Fast ® and Vicryl Rapide ® fast-absorbing polyglactin 910 sutures for episiotomy repair has not been done yet. Therefore, this study was designed to compare Trusynth Fast ® and Vicryl Rapide ® fast-absorbing polyglactin 910 sutures for evaluating maternal morbidity experienced by women following episiotomy repair.…”

Section: Introductionmentioning

confidence: 99%

Clinical equivalence of Trusynth fast® and Vicryl rapide® polyglactin 910 fast absorbing sutures on maternal morbidity experienced by women following episiotomy repair: a single-blind, randomized study

Devi¹,

Bolanthakodi

²

,

D’Cunha

³

et al. 2023

F1000Res

2

0

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Background: Episiotomy procedure enlarges the vaginal outlet to facilitate childbirth. Polyglactin 910 fast-absorbing sutures are widely used for the repair of episiotomy because of their rapid absorption and less inflammatory response. This study was designed for subjective assessment of perineal pain post-episiotomy repair, with Trusynth Fast® and Vicryl Rapide® polyglactin 910 fast-absorbing sutures. Method: This was a single-blind, randomized, prospective study conducted between January 7, 2021 and July 14, 2021 across two centers in India. Primiparous or multiparous women (18—40 years), who required episiotomy during vaginal delivery were included, and either Trusynth Fast® (n=47) or Vicryl Rapide® (n=49) suture was used for their episiotomy repair. The primary endpoint, perineal pain was assessed with visual analogue scale at all follow-up visits. The secondary endpoints, quantity of local anesthesia, number of sutures used, time to repair episiotomy, intraoperative suture handling, analgesics used, early and late wound complications, wound re-suturing, time to complete healing, presence of residual sutures, return to sexual activity, dyspareunia, and adverse events were also recorded. Results: The study showed no significant difference in perineal pain between the two groups at any visit. A statistically significant difference (p<0.05) in total score of episiotomy healing scale on day 2 (0.13±0.34 versus 0.35±0.56) and swelling on day 2 (8.51 versusversus 28.57%) was noted between Trusynth Fast® and Vicryl Rapide® group. Non-significant difference was observed between the groups regarding anesthesia, number of sutures, time to repair episiotomy, intraoperative suture handling, analgesics, puerperal fever, wound infection, dehiscence, hematoma, urinary incontinence, re-suturing, time to complete healing, return to sexual activity and dyspareunia. Conclusion: Trusynth Fast® suture is clinically equivalent to Vicryl Rapide® suture and can be used for episiotomy repair with minimal risk of perineal pain and wound complications. Clinical Trials Registry of India Registration: CTRI/2020/12/029925; Registered on December 18, 2020

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“…6 The fastabsorbing polyglactin 910 sutures accelerate hydrolysis and take 42 days to be absorbed. 7 Previous studies compared synthetic absorbable suture materials (both polyglactin-910 and fast-absorbing polyglactin 910) with catgut sutures for episiotomy repair, 5,8,9 but comparison between Trusynth Fast ® and Vicryl Rapide ® fast-absorbing polyglactin 910 sutures for episiotomy repair has not been done yet. Therefore, this study was designed to compare Trusynth Fast ® and Vicryl Rapide ® fast-absorbing polyglactin 910 sutures for evaluating maternal morbidity experienced by women following episiotomy repair.…”

Section: Introductionmentioning

confidence: 99%

Clinical equivalence of Trusynth fast® and Vicryl rapide® polyglactin 910 fast absorbing sutures on maternal morbidity experienced by women following episiotomy repair: a single-blind, randomized study

Devi¹,

Bolanthakodi

²

,

D’Cunha

³

et al. 2022

F1000Res

3

0

View full text Add to dashboard Cite

Background: Episiotomy procedure enlarges the vaginal outlet to facilitate childbirth. Polyglactin 910 fast-absorbing sutures are widely used for the repair of episiotomy because of their rapid absorption and less inflammatory response. This study was designed for subjective assessment of perineal pain post-episiotomy repair, with Trusynth Fast® and Vicryl Rapide® polyglactin 910 fast-absorbing sutures. Method: This was a single-blind, randomized, prospective study conducted between January 7, 2021 and July 14, 2021 across two centers in India. Primiparous or multiparous women (18—40 years), who required episiotomy during vaginal delivery were included, and either Trusynth Fast® (n=47) or Vicryl Rapide® (n=49) suture was used for their episiotomy repair. The primary endpoint, perineal pain was assessed with visual analogue scale at all follow-up visits. The secondary endpoints, quantity of local anesthesia, number of sutures used, time to repair episiotomy, intraoperative suture handling, analgesics used, early and late wound complications, wound re-suturing, time to complete healing, presence of residual sutures, return to sexual activity, dyspareunia, and adverse events were also recorded. Results: The study showed no significant difference in perineal pain between the two groups at any visit. A statistically significant difference (p<0.05) in total score of episiotomy healing scale on day 2 (0.13±0.34 versus 0.35±0.56) and swelling on day 2 (8.51 versusversus 28.57%) was noted between Trusynth Fast® and Vicryl Rapide® group. Non-significant difference was observed between the groups regarding anesthesia, number of sutures, time to repair episiotomy, intraoperative suture handling, analgesics, puerperal fever, wound infection, dehiscence, hematoma, urinary incontinence, re-suturing, time to complete healing, return to sexual activity and dyspareunia. Conclusion: Trusynth Fast® suture is clinically equivalent to Vicryl Rapide® suture and can be used for episiotomy repair with minimal risk of perineal pain and wound complications. Clinical Trials Registry of India Registration: CTRI/2020/12/029925; Registered on December 18, 2020

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Comparison Between Chromic Catgut Versus Fast Absorbing Polyglactin 910 for Repair of Episiotomy:a Prospective Study

Sachan

¹

,

Agarwal

²

,

Saxena

³

et al. 2023

IJAR

0

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BACKGROUND: Although the utility of episiotomies in obstetrics is still debatable, when they are performed, they must be repaired with the best suture material and suturing techniques by trained operators. There is no consensus among researchers about the superiority of suture materials. Hence, further interventional researches are required to evaluate and compare the impact of new suture materials. Thus the present study was designed to compare between Chromic Catgut Versus fast absorbing Polyglactin 910 for repair of Episiotomy. A c METHOD: ross-sectional, prospective, observational study was carried out in department of Obstetrics and Gynecology, Hind Institute of Medical Science, Sitapur on 130 women requiring an episiotomy between January 2021 to July 2022. 130 women were equally divided into Catgut vs Polyglactin group . Results were obtained after assessment at 48 hours, 1 week, 2 weeks and 6 weeks postnatally. At 48 hrs, the severe pain was in 46.2% RESULT: patients of Chromic catgut and in 20% of Polyglactin 910. There was signicant reduction in short term pain with polyglactin 910. At 6 week no moderate or severe pain was seen in either of the groups except for mild pain was seen in only 3.8% patients of Chromic catgut but none required analgesics. Dyspareunia at 3 months was in 7.3% patients of Chromic catgut and in 4.2% patients of Polyglactin though the results were not statistically signicant. The CONCLUSION: fast absorbing polyglactin seems to be effective in reducing short term pain associated with episiotomy repair following childbirth. But as the serious problems of wound dehiscence, severe dyspareunia were not more common in either of the groups and also Chromic catgut being less costly and readily available is still found to be an effective suture material for perineal repair without compromising the long term outcomes.

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A comparative study between fast absorbing polyglactin 910 vs chromic catgut in episiotomy wound repair

Cited by 4 publications

References 6 publications

Clinical equivalence of Trusynth fast® and Vicryl rapide® polyglactin 910 fast absorbing sutures on maternal morbidity experienced by women following episiotomy repair: a single-blind, randomized study

Clinical equivalence of Trusynth fast® and Vicryl rapide® polyglactin 910 fast absorbing sutures on maternal morbidity experienced by women following episiotomy repair: a single-blind, randomized study

Clinical equivalence of Trusynth fast® and Vicryl rapide® polyglactin 910 fast absorbing sutures on maternal morbidity experienced by women following episiotomy repair: a single-blind, randomized study

Comparison Between Chromic Catgut Versus Fast Absorbing Polyglactin 910 for Repair of Episiotomy:a Prospective Study

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