Original Articles
Prospective Randomized Comparative Study of VicrylRapide Versus Chromic Catgut for Episiotomy Repair | |
Dr. Ila Jha, Dr. Deepak Subhash Bhenki | |
Background:Episiotomy is a common obstetric procedure performed during vaginal delivery to facilitate childbirth and prevent severe perineal tears. This study aims to compare the effectiveness of VicrylRapide versus Chromic Catgut for episiotomy repair in terms of postoperative pain, wound healing, and complication rates. Material and Methods: A prospective randomized comparative study was conducted on 120 patients who underwent episiotomy during vaginal delivery. Patients were randomly assigned into two groups: one group received VicrylRapide (polyglactin 910) and the other received Chromic Catgut for episiotomy repair. Pain assessment was performed using the Visual Analog Scale (VAS) on days 1, 3, and 7 postoperatively. Wound healing and complications, such as infection, dehiscence, and hematoma formation, were evaluated. Statistical analysis was conducted using SPSS, with a significance threshold of p<0.05. Results: Baseline characteristics were comparable between the two groups. Postoperative pain scores on days 1, 3, and 7 showed no statistically significant differences between the groups. Wound complications, including infection (5.0% in the VicrylRapide group vs. 8.3% in the Chromic Catgut group, p=0.56), dehiscence (3.3% vs. 6.7%, p=0.53), and hematoma formation (1.7% vs. 3.3%, p=0.66), were also not significantly different. The mean time to complete wound healing was slightly shorter in the VicrylRapide group (8.5 ± 1.3 days) compared to the Chromic Catgut group (9.2 ± 1.5 days), but the difference was not statistically significant (p=0.15). Patient satisfaction scores were slightly higher in the VicrylRapide group but without significant differences. Conclusion:VicrylRapide demonstrated a trend toward reduced pain, faster wound healing, and lower complication rates compared to Chromic Catgut, though the differences were not statistically significant. Both sutures were effective, but VicrylRapide may offer some clinical benefits in terms of patient comfort and recovery. Further studies with larger sample sizes are recommended. |
|
Html View | Download PDF | Current Issue |
IJLBPR
322 Parlount Road Slough Berkshire SL3 8AX, UK
ijlbpr@gmail.com
© IJLBPR. All Rights Reserved.