INTERRUPTED VERSUS CONTINUOUS SUTURING OF EPISIOTOMY : A COMPARATIVE STUDY | ||
| Zagazig University Medical Journal | ||
| Article 12, Volume 26, Issue 2, March 2020, Pages 287-296 PDF (952.93 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/zumj.2019.12551.1221 | ||
| Authors | ||
| Lamis Elsayed Soliman* 1; Mahmoud Ahmed Ghareeb2; Azza Abd Elmageid Abd Elhameid3; Mohamed El-Bakry Lashin4 | ||
| 1Department of obstetrics and gynecology, faculty of medicine, zagazig university, zagazig, Egypt | ||
| 2Department of Obstetrics & Gynecology, Faculty of Medicine, Zagazig University, zagzig, Egypt | ||
| 3Department of Obstetrics & Gynecology, Faculty of Medicine, Zagazig University, zagazig, Egypt | ||
| 4Department of Obstetrics and Gynecology, Faculty of Medicine. Zagazig University, Zagazig, Egypt | ||
| Abstract | ||
| Background Millions of pregnant ladies worldwide experience perineal suturing after labour and the kind of repair may affect healing and perineal pain. Objectives To assess the effects of continuous versus interrupted suturing techniques for repair of episiotomy following childbirth. Patients and Methods The study included 150 pregnant women admitted for labour underwent a mediolateral episiotomy before vaginal delivery at Zagazig University Hospitals and AlAhrar teaching hospital. in the period from October 2017 to December 2018 In this study, Patients were randomly allocated into two groups A and B. Group A: were repaired by continuous suturing technique using polyglactin 910 (vicryl) sutures No 2/0. Including 75 patients. Group B: were repaired by interrupted suturing technique using polyglactin 910 (vicryl) sutures No 2/0. Including 75 patients. Results The results showed that there was highly statistically significant difference between two groups as regard time needed for repair, amount of suture material and Perineal pain at 6 & 12 hours measured by VAS scales lower at continuous group, and non significant difference after that. There was non significant difference between two groups regarding Amount of blood loss, Perineal repair rate, Need for analgesics, Post natal stay, Wound infection, Healing defects ,Dyschezia, Dyspareunia Cosmetic disfigurement and Patient satisfaction. Conclusion Continuous suturing technique is recommended over interrupted suturing technique since it is associated with less perineal pain in first days of post natal period, suture material amount used and less time needed to be performed. | ||
| Keywords | ||
| Episiotomy; Continuous; interrupted; suturing | ||
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