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.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: International Journal of Clinical Obstetrics and Gynaecology
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
