Comparative study of vicryl polyglactin (910) versus chromic catgut for episiotomy repair

Nazamdeep Kaur; Amrit P. Kaur; Harpoonam Manku; Kiranjeet Kaur

doi:10.18203/2320-6012.ijrms20244107

Authors

Nazamdeep Kaur Department of Obstetrics and Gynecology, Government Medical College, Amritsar, Punjab, India
Amrit P. Kaur Department of Obstetrics and Gynecology, Government Medical College, Amritsar, Punjab, India
Harpoonam Manku Department of Obstetrics and Gynecology, Government Medical College, Amritsar, Punjab, India
Kiranjeet Kaur Department of Obstetrics and Gynecology, Government Medical College, Amritsar, Punjab, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20244107

Keywords:

Episiotomy repair, Polyglactin 910 fast, Rapide vicryl, Chromic catgut, Post-partum morbidity

Abstract

Background: The aim of the study was to compare two different absorbable suture materials, namely vicryl rapide (no. 2-0) and chromic catgut (no.1-0) for episiotomy repair and evaluate their outcomes related to short term maternal post-partum morbidity.

Methods: The prospective randomized comparative study was conducted in the department of obstetrics and gynecology, Bebe Nanki Mother and Child Care Centre, Amritsar, for a period of 1 year, with 200 pregnant females admitted in the labour room who needed episiotomies for vaginal delivery and were randomly allocated for episiotomy repair with either vicryl polyglactin (910) (no. 2-0) or chromic catgut (no.1-0) with 100 patients in each group and various parameters like pain, swelling, tenderness, dyspareunia, wound discharge and dehiscence were assessed in each group at 24-48 hours, 10-14 days and 6 weeks postpartum.

Results: The sociodemographic characteristics were comparable in both groups. Compared to chromic catgut, the vicryl rapide group was associated with lesser pain (7% versus 21%), feeling of stitches (20% versus 38%) and swelling and tenderness (4% versus 12%). There was significantly less wound disruption (3% versus 12%), feeling of stitches (11% versus 21%) and wound discharge (1% versus 7%) in vicryl rapide group at 10-15 days. Residual pain and dyspareunia were also less in vicryl group at 6 weeks.

Conclusions: It can be concluded that vicryl rapide is a superior suture material than chromic catgut for repair of episiotomy as it results in lesser complications and improved wound healing.

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