BioMedica |

Original Article

VOLUME: 35 | ISSUE: 4 | Dec 30, 2019 | PAGE: (235 - 238) | DOI: 10.51441.BioMedica.5-481

Comparison of Post-Episiotomy Repair Complications between Continuous Subcuticular and Interrupted Mattress Sutures

Authors: Aalia Tayyba , Nusrat Manzoor , Hafiz Mohammad Dawood , Zafar Iqbal Bhatti , Muhammad Zubair

Article Info

Authors

Aalia Tayyba

Associate Professor, Department of Obstetrics and Gynaecology, Amna Inayat Medical College, Sheikhupura-Pakistan.

Nusrat Manzoor

Rai Medical College, Sargodha-Pakistan.

Hafiz Mohammad Dawood

Sahara Medical College, Narowal-Pakistan.

Zafar Iqbal Bhatti

Niazi Medical & Dental College, Sargodha-Pakistan.

Muhammad Zubair

Niazi Medical & Dental College, Sargodha-Pakistan.

Publication History

Received: August 19, 2019

Revised: October 15, 2020

Accepted: December 17, 2019

Published: December 30, 2019

Abstract

Background and Objective: Episiotomy is the most common surgical procedure in obstetrics and the utilization of this surgical technique is increasing day by day. The importance of absorbable sutures for episiotomy repair cannot be denied. This study was carried out to compare post-episiotomy repair complications between continuous subcutaneous stitching with vicryland interrupted mattress closure with catgut.
Methods: This cross-sectional study was carried out in Hussain Memorial Hospital Lahore and Kishwar Fazal Teaching Hospital Sheikhupura. Four hundred patients, admitted with labour pains were equally divided into two groups. Group A, comprised of patients, who had episiotomy repair by continuous subcuticular sutures with vicryl and group B patient’s episiotomy repair was done by interrupted mattress sutures with catgut. All patients were delivered by vaginal route with episiotomy, to widen the perineum. The details of history and post episiotomy repair complications like postpartum pain, in duration, process of healing, wound discharge, wound dehiscence and need for re-stitching were recorded in the relevant proformas. Post-partum pain in episiotomy stitches was assessed by a visual analogue scale.
Results: Among 400 patients mostly were primipara; 73% in group A and 75% in group B. A total of 44% of patients in the study belonged to age group between 21 to 25 years. Analgesia was required in 5% patients of group B and 9% of group A patients, which was statistically significant (P-value< 0.05). Among post-operative complications, feeling of stretch in the stitches and wound dehiscence were statistically significant in group B with P-value 0.02 and P-value 0.04 respectively when compared with group A.
Conclusion: It is concluded that repair of episiotomy by subcuticular stitches with vicryl causes less post-operative complications and a better healing with less complications than closure by interrupted mattress suture with catgut.

Keywords: Episiotomy, Continuous subcuticular repair, Interrupted mattress sutures, Perineal discomfort.

Pubmed Style

Aalia Tayyba, Nusrat Manzoor, Hafiz Mohammad Dawood, Zafar Iqbal Bhatti, Muhammad Zubair. Comparison of Post-Episiotomy Repair Complications between Continuous Subcuticular and Interrupted Mattress Sutures. BioMedica. 2019; 30 (December 2019): 235-238. doi:10.51441.BioMedica.5-481

Web Style

Aalia Tayyba, Nusrat Manzoor, Hafiz Mohammad Dawood, Zafar Iqbal Bhatti, Muhammad Zubair. Comparison of Post-Episiotomy Repair Complications between Continuous Subcuticular and Interrupted Mattress Sutures. https://biomedicapk.com/articles/online_first/481 [Access: May 07, 2024]. doi:10.51441.BioMedica.5-481

AMA (American Medical Association) Style

Vancouver/ICMJE Style

Aalia Tayyba, Nusrat Manzoor, Hafiz Mohammad Dawood, Zafar Iqbal Bhatti, Muhammad Zubair. Comparison of Post-Episiotomy Repair Complications between Continuous Subcuticular and Interrupted Mattress Sutures. BioMedica. (2019), [cited May 07, 2024]; 30 (December 2019): 235-238. doi:10.51441.BioMedica.5-481

Harvard Style

Aalia Tayyba, Nusrat Manzoor, Hafiz Mohammad Dawood, Zafar Iqbal Bhatti, Muhammad Zubair (2019) Comparison of Post-Episiotomy Repair Complications between Continuous Subcuticular and Interrupted Mattress Sutures. BioMedica, 30 (December 2019): 235-238. doi:10.51441.BioMedica.5-481

Chicago Style

Aalia Tayyba, Nusrat Manzoor, Hafiz Mohammad Dawood, Zafar Iqbal Bhatti, Muhammad Zubair. "Comparison of Post-Episiotomy Repair Complications between Continuous Subcuticular and Interrupted Mattress Sutures." 30 (2019), 235-238. doi:10.51441.BioMedica.5-481

MLA (The Modern Language Association) Style

APA (American Psychological Association) Style

Aalia Tayyba, Nusrat Manzoor, Hafiz Mohammad Dawood, Zafar Iqbal Bhatti, Muhammad Zubair (2019) Comparison of Post-Episiotomy Repair Complications between Continuous Subcuticular and Interrupted Mattress Sutures. , 30 (December 2019), 235-238. doi:10.51441.BioMedica.5-481