Randomized controlled clinical trial on two perineal trauma suture techniques in normal delivery

Almeida, Sandra Ferreira Silva de; Riesco, Maria Luiza Gonzalez

doi:10.1590/s0104-11692008000200016

Cited by 27 publications

(37 citation statements)

References 14 publications

(20 reference statements)

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“…Similar observations were made by Kettle C et al who reported that the continuous subcuticular technique of perineal repair may be associated with less pain in the immediate postpartum period than the interrupted suture technique and Almeida SF et al found that perineal pain due to palpation at four days after delivery was more frequent among women with interrupted suture. 5,6 Kokanalı D et al also reported that the continuous suturing techniques for episiotomy closure, compared to interrupted methods, are associated with less short-term pain, are quicker and also need less suture material. 7 In the present study, on 10th day perception of pain during sitting and walking revealed that more subjects had moderate to severe pain in interrupted group which was statistically significant (p value 0.027).…”

Section: Discussionmentioning

confidence: 99%

“…Almeida SF et al who reported that there were no statistically significant differences in long term pain 41 days after birth and these observations are close to the present study. 6 Kettle C et al reported that there was no difference in long-term pain and the continuous technique was associated with less need for the removal of sutures. 5 The Mahomed trial reported a non-significant increase in long-term pain in the continuous subcutaneous sutures for perineal skin closure group compared to the interrupted transcutaneous group, (RR 1.10, 95% CI 0.77 to 1.57).…”

Section: Discussionmentioning

confidence: 99%

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Comparative analysis of continuous and interrupted suturing techniques for repair of episiotomy or second degree perineal tear

Samal

Rathod

2017

Int J Reprod Contracept Obstet Gynecol

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Background: Perineal trauma is a serious and frequent problem after childbirth which is experienced by millions of women worldwide and the type of perineal repair may have an impact on pain and healing. The objective of this study was to assess the effects of continuous subcuticular versus interrupted transcutaneous sutures on women following episiotomy or second degree perineal repair following childbirth.Methods: A prospective comparative study comprising 141 women who had undergone vaginal deliveries with episiotomies or second-degree tearing of the perineum between August 2015 and July 2016Two groups were made among which one group was repaired with continuous, nonlocking sutures involving the vagina, perineum, and subcutaneous tissues and the other group had continuous, locking sutures of the vagina, interrupted sutures in the perineal muscles, and interrupted transcutaneous sutures. The threads used for stitching were identical in both groups i.e. rapidly absorbed polyglactin 910 suture material.Results: On the 2nd day after delivery, the perineal pain scores during lying, sitting and walking in the continuous technique(CT) group was less compared to the interrupted technique(IT) group(p value 0.009). On 10th day after delivery the perineal pain score during sitting and walking were statistically less (p value 0.027) in the CT group. On 42th day there was no difference in pain score between both the groups. The amount of suture materials consumed in CT group was statistically less than IT group(p<0.001). There was no difference in incidence of wound dehiscence (p value 0.301) but superficial dyspareunia is more in IT group which is statistically significant.Conclusions: The episiotomy and perineal tear repairs with continuous suturing associated with lesser incidence of short or long term pain, lesser requirement of suture material without an increase in complication than interrupted suturing.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Comparative analysis of continuous and interrupted suturing techniques for repair of episiotomy or second degree perineal tear

Samal

Rathod

2017

Int J Reprod Contracept Obstet Gynecol

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“…5 Almeida SF, Rieco MI compared the continuous and interrupted techniques and found more pain in interrupted suture technique. 3 …”

Section: Technique Of Suturing < 10 Minutes > 10 Minutesmentioning

confidence: 99%

“…2 Maternal morbidity caused by perineal trauma in vaginal delivery is a common problem of global occurrence. 3 Majority of women undergoing vaginal deliveries will experience some form of perineal trauma requiring suturing. Episiotomies are known to provide the following Benefits 1  Speed up the birth.…”

Section: Introductionmentioning

confidence: 99%

“…1 The factors associated with morbidity and related to perineal trauma repair consist in the choice of the suture material used, the repair technique and the surgeon's competence. 3,4 Traditionally, the vagina is stitched using a continuous locking suture and the perineal muscles and skin are repaired using intermittent sutures. 2 Researchers have been suggesting for more than 70 years that the 'continuous suturing method' is better than 'traditional interrupted method.…”

Section: Introductionmentioning

confidence: 99%

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Continuous Versus Interrupted Sutures for Episiotomy Wound Repair

Bahulekar¹,

Vaswani²,

Patange³

2016

jemds

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BACKGROUNDMost of the women undergoing vaginal deliveries experience perineal trauma. Considering the high prevalence of maternal morbidity in relation to perineal trauma after delivery, the need for repair and local pain, this study was conducted to present the best method of episiotomy repair with minimum complications.The aim of this study is to compare continuous with interrupted suturing technique for the procedure of Episiotomy. Setting and design, a prospective comparative study was carried out in the Department of OBGY at Krishna Institute of Medical Sciences, Karad.

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Continuous and interrupted suturing techniques for repair of episiotomy or second-degree tears

Kettle

Dowswell

Ismail

2012

Cochrane Database of Systematic Reviews

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Randomized controlled clinical trial on two perineal trauma suture techniques in normal delivery

Cited by 27 publications

References 14 publications

Comparative analysis of continuous and interrupted suturing techniques for repair of episiotomy or second degree perineal tear

Comparative analysis of continuous and interrupted suturing techniques for repair of episiotomy or second degree perineal tear

Continuous Versus Interrupted Sutures for Episiotomy Wound Repair

Continuous and interrupted suturing techniques for repair of episiotomy or second-degree tears

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