Investigate and compare the results and complications of using Cat gut and Vicryl rapide as a suture material in episiotomy repair (1994)

Abstract

The main aim of this double blind randomized clinical trial was to determine and compare the results and complications of using Catgut chromic (biologic ) and Vicryl rapide (sytlthetic) as a suture material in episitomy repair. 46 primiparus women were entered in this study randomly. Episiotomy of 2/ women were rep aired by Vicryl rapide and 25 by Catgut chromic. These two groups were matched try age, duration of second stage of labor, newborn's weight, women's education, number of sutures 0 11 the skin and socioeconomic status. The results of this study revealed that women in Catgut chromic group experienced more pain than. Vicryl rapide group ten days after delivery (RR =0. / 3, C/=0.04 -0.5,P< 0.05 ).In addition edema (RR= 0.33·0.88,P<0. 05) and redness (RR=0.76, CI =0.6-0.9,P<0.05) of episiotomy site in Catgut chromic group was more prominent than in Vicryl rapiae group 6-24 hours after delivery. Also in the tenth day after delivery 95% of Vicryl rapide sutures were absorbed from the skin while this occured only for 4% of Catgut chromic sutures (RR =0.09, C/= 0.03,P<0.05) . So we therefore concluded that in episiotomy repairing Vicryl rapide is a better alternative than Catgut chromic

Keywords

• suture material
• cat gut
• vicryl
• episiotomy repair