A randomized comparison of suturing techniques for episiotomy and laceration repair after spontaneous vaginal birth

Morano, Sandra; Mistrangelo, Emanuela; Pastorino, Daniela; Lijoi, Davide; Costantini, Sergio; Ragni, Nicola

doi:10.1016/j.jmig.2006.06.006

Cited by 38 publications

(46 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…9 Morano S et al reported that significantly fewer women reported pain at 10 days with the continuous knotless technique than with the interrupted technique (32.3% vs 60.4%; p<.001). 10 Bick DE et al studied the severity of perineal pain on 10-12 days post-partum along with need of suture removal and found that continuous suturing decreases the pain in immediate post-partum period as compared to interrupted technique which corroborates to the finding of the present study. 11 Evaluation of pain on 42 nd day in lying, sitting and walking position with two suturing methods showed no association of pain to different suturing technique with p=1.000.…”

Section: Discussionsupporting

confidence: 89%

“…7 Morano S et al reported that no difference was found in superficial dyspareunia at 3 months for the continuous knotless technique versus the interrupted technique group. 10 Kettle C et al in cochrane database systematic reviews reported that there was no evidence of significant differences between groups for dyspareunia at three, or at six to 12 months.…”

Section: Dyspareunia -Reported Up To Three Months After Deliverymentioning

confidence: 98%

See 1 more Smart Citation

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

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionsupporting

confidence: 89%

Section: Dyspareunia -Reported Up To Three Months After Deliverymentioning

confidence: 98%

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

View full text Add to dashboard Cite

show abstract

“…There seems to be sufficient evidence from our review and previous literature to conclude that nonsuturing of the perineal skin or using skin adhesives can lead to women experiencing less pain in the postpartum period . This is an important result since perineal pain in the postpartum period can negatively influence the physical and mental functioning of the woman, in terms of decreased ability to mobilize, poorer emotional well‐being, increased risk for depression, decreased success in regard to breastfeeding, and more problems in the relationship with the newborn and family .…”

Section: Discussionmentioning

confidence: 75%

“…Two systematic reviews have found that the use of tissue adhesives in settings other than maternity care provide at least as good, or even better, results with decreased pain scores compared with sutures . Decreased pain scores may be explained by the fact that nerve endings which are located in the skin are not contacted using nonsuture techniques for the skin . Furthermore, when the skin does not contain sutures, it might heal with fewer complaints compared to a sutured skin.…”

Section: Discussionmentioning

confidence: 99%

Nonsuturing or Skin Adhesives versus Suturing of the Perineal Skin After Childbirth: A Systematic Review

Msc

MSc

Lucas

et al. 2015

Birth

View full text Add to dashboard Cite

Nonsuturing of the skin or the use of skin adhesives appears preferable in terms of pain. Nonsuturing could lead to more short-term skin separation when no adhesives are used, but there is no evidence for the clinical importance of skin separation. There is a need for studies with a follow-up of at least 6 months, in which pain is measured homogeneously and for studies comparing the use of skin adhesives with nonsuturing of the skin with the focus on long-term cosmetic results.

show abstract

“…The study conducted by Morano et al reported that significantly fewer women reported pain at 10 days with the continuous knotless technique. 9 Study by Valenzuela et al, had results similar to us and showed that episiotomy and perineal tear repairs with continuous suturing used lesser time and suture material and there was no increase in complication rates when compared with interrupted technique of suturing. 10…”

Section: Discussionmentioning

confidence: 59%

A comparative study of subcuticular and interrupted stitches for episiotomy

Thukral

Mendiratta

Bhola

2018

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

Background: Perineal pain is the most common complaint after episiotomy. For more than 70 years researchers have been suggesting that 'continuous non-locking suture techniques' for repair of the vagina, perineal muscle and skin are associated with less perineal pain than 'traditional interrupted methods'. The objective of the present study was to compare the two techniques of episiotomy closure in patients after vaginal delivery with mediolateral episiotomy. Methods: This study was conducted in the Department of Obstetrics and Gynecology, Asian Institute of medical sciences, Faridabad. The duration of study was from July 2017 to August 2017. Total 50 patients were selected and randomly divided in two groups. This was a prospective comparative study between continuous and interrupted suturing used for episiotomy repair. Results: Continuous suturing technique requires lesser number of suture material, needs lesser time and is associated with lesser pain experience. Conclusions: It was concluded from the present study that continuous suturing technique is more economical and causes lesser morbidity than the interrupted suturing technique.

show abstract

A randomized comparison of suturing techniques for episiotomy and laceration repair after spontaneous vaginal birth

Cited by 38 publications

References 18 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

Nonsuturing or Skin Adhesives versus Suturing of the Perineal Skin After Childbirth: A Systematic Review

A comparative study of subcuticular and interrupted stitches for episiotomy

Contact Info

Product

Resources

About