Comparison of Vicryl Rapide Versus Chromic Catgut for Episiotomy Repair : Vicryl Rapide Versus Chromic Catgut

Sadaf Zahra Syed; Mafia Akbar; Naheed Akhtar; Nomia Ashraf; Afroze Ashraf; Sofia Manzoor

doi:10.54393/pjhs.v5i01.1003

Authors

Sadaf Zahra Syed Department of Obstetrics and Gynaecology, Fatima Jinnah Medical University, Lahore, Pakistan/Department of Obstetrics and Gynaecology, Sir Ganga Ram Hospital, Lahore, Pakistan
Mafia Akbar Department of Obstetrics and Gynaecology, Lady Willingdon Hospital, Lahore, Pakistan
Naheed Akhtar Department of Obstetrics and Gynaecology, Fatima Jinnah Medical University, Lahore, Pakistan/Department of Obstetrics and Gynaecology, Sir Ganga Ram Hospital, Lahore, Pakistan
Nomia Ashraf Department of Obstetrics and Gynaecology, Lady Willingdon Hospital, Lahore, Pakistan/Department of Obstetrics and Gynaecology, King Edward Medical University, Lahore, Pakistan
Afroze Ashraf Department of Obstetrics and Gynaecology, Lady Willingdon Hospital, Lahore, Pakistan
Sofia Manzoor Department of Obstetrics and Gynaecology, Sir Ganga Ram Hospital, Lahore, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v5i01.1003

Keywords:

Visual Analogue Scale, Episiotomy, Vicryl Rapide, Chromic Catgut

Abstract

A significant proportion of women benefit from episiotomy, but it’s also associated with short and long-term postpartum morbidities like perineal pain due to lacerations and scar formation after repair. The current study was designed to rule out the variations regarding pain and analgesia requirement. Objective: To evaluate outcome of vicryl rapide sutures versus chromic catgut sutures for episiotomy repair in terms of pain and analgesia requirement. Methods: In this randomized control trial from March to September 2021, a total of 206 females (103 in each group) were enrolled and the data was collected after taking informed consent. Episiotomy in all females was done by a single senior consultant. Subjects were randomly assigned one of two sutures. In Group-A females were managed by vicryl rapide 2-0 (36mm, 1/2circle double reverse cutting and round bodied needle) females. in group-B were managed by chromic catgut 1.0 (30 mm, 0.5 circle round bodied needle). Both groups were compared in terms of pain and analgesic requirement. Results: Comparison of pain in vicryl rapide sutures versus chromic catgut after repair of episiotomy showed that 32.0% (n=33) in Group-A and 49.5% (n=51) in Group-B had pain after 48 hours (p value = 0.01). Analgesia requirement at day 7 was recorded in 20.4% (n=21) in Group-A and 66.0%(n=68) in Group-B (p = <0.000). Conclusions: We concluded that vicryl rapide has a better outcome as compared with chromic catgut in repair of episiotomy in terms of pain and analgesic requirements.

References

Vasileva P, Tashilov S, Yordanov A. Postoperative management of postpartum perineal tears. Wound Medicine. 2019 Dec; 27(1): 100172. doi: 10.1016/j.wndm.2019.100172. DOI: https://doi.org/10.1016/j.wndm.2019.100172

Zimmerman GH. Birth trauma: Posttraumatic stress disorder after childbirth. International Journal of Childbirth Education. 2013 Jul ;28(3): 61.

Zivkovit K, ZivkoVie N, Zupic T, Hodge D, Mandi V, Orelkovia S. Effect of delivery and episiotomy on the emergence of urinary incontinence in women: Review of literature. Acta Clin Croat. 2016 Dec; 35(4.): 615-23. doi: 10.20471/acc.2016.55.04.12. DOI: https://doi.org/10.20471/acc.2016.55.04.12

Pontán M. Scoping review: Perinealvård med fokus på sutureringsteknik av första och andra gradens perinealbristning i samband med vaginal förlossning för optimal sexual och reproductive hälsa postpartum. Theseus. 2023.

Hammond A, Priddis H, Ormsby S, Dahlen HG. Improving women’s experiences of perineal suturing: a pragmatic qualitative analysis of what is helpful and harmful. Women and Birth. 2022 Nov; 35(6): e598-606. doi: 10.1016/j.wombi.2022.02.008. DOI: https://doi.org/10.1016/j.wombi.2022.02.008

Azima S, Allahbakhshinasab P, Asadi N, Vaziri F. Comparison of early complications of episiotomy repair with rapid vicryl and chromic catgut in the nulliparous women. SSU_Journals. 2017 Nov 15;25(8):595-602.

Naseer M and Noreen H. Short Term Outcome Measures of Chromic Catgut Versus Vicryl Rapide for Episiotomy Repair. J Society Obstetr Gynaecol. 2018 Oct; 8(4): 212-7.

Bharadii A. Reddy OEM, Kate GSA. A prospective randomized comparative study of vicryl rapide versus chromic catgut for episiotoiny repair. Journal of Clinical and Diagnostic Research. 2013 Feb; 7(2): 326-30. doi: 10.7860/JCDR/2013/5185.2758.

Abdullah M, Noreen A, lqbal M, Sobail R. Comparison between chromic catgut and vicryl rapids for -analgesia request in episiotomy repair in primigravidas. Annals of King Edward Medical University. 2015 Nov; 21(3): 193-6.

Craig PH, Williams JA, Davis KW, Magoun AD, Levy AJ, Bogdansky S et al. A biologic comparison of polyglactin 910 and polyglycolic acid synthetic absorbable sutures. Surgery, Gynecology & Obstetrics. 1975 Jul; 141(1): 1-0.

Upton A, Roberts CL, Ryan M, Faulkner M, Reynolds M, Raynes-Greenow C. A randomised trial, conducted by midwives, of perineal repairs comparing a polyglycolic suture material and chromic catgut. Midwifery. 2002 Sep 1; 18(3): 223-9. doi: 10.1054/midw.2002.0313. DOI: https://doi.org/10.1054/midw.2002.0313

Bharathi A, Reddy DD, Kote GS. A prospective randomized comparative study of vicryl rapide versus chromic catgut for episiotomy repair. Journal of Clinical and Diagnostic Research: JCDR. 2013 Feb; 7(2): 326. doi: 10.7860/JCDR/2013/5185.2758. DOI: https://doi.org/10.7860/JCDR/2013/5185.2758

Shah PK, Nickalse P, Gourewar V, Dholakia S. A randomized comparative study of polyglactin-910 vs chromic catgut for postpartum episiotomy repair: A pilot study. Obstet Gynaec. 2001; 6(8): 465-8.

Greenberg JA, Lieberman E, Ecker JL. Randomized comparison of chromic versus fast-absorbing polyglactin 910 for postpartum perineal repair. Obstetrics & Gynecology. 2004 Nov; 104(5): 1105. doi: 10.1097/01.AOG.0000144995.00192.cb. DOI: https://doi.org/10.1097/01.AOG.0000144995.00192.cb

Leroux N and Bujold E. Impact of chromic catgut versus polyglactin 910 versus fast-absorbing polyglactin 910 sutures for perineal repair: a randomized, controlled trial. American Journal of Obstetrics and gynecology. 2006 Jun; 194(6): 1585-90. doi: 10.1016/j.ajog.2006.01.011 DOI: https://doi.org/10.1016/j.ajog.2006.01.011

Monis B, Fatima T, Qasim R. Comparative Efficacy of Vicryl Rapide Suture Versus Chromic Catgut Suture for Episiotomy Repair. Journal of The Society of Obstetricians and Gynaecologists of Pakistan. 2019 Jul; 9(3): 182-5. doi:

Kettle C, Dowswell T, Ismail KM. Absorbable suture materials for primary repair of episiotomy and second degree tears. Cochrane Database of Systematic Reviews. 2010; (6). doi: 10.1002/14651858.CD000006.pub2. DOI: https://doi.org/10.1002/14651858.CD000006.pub2

McElhinney BR, Glenn DR, Dornan G, Harper MA. Episiotomy repair: Vicryl versus Vicryl rapide. The Ulster Medical Journal. 2000 May; 69(1): 27. doi:

Odijk R, Hennipman B, Rousian M, Madani K, Dijksterhuis M, de Leeuw JW et al. The MOVE-trial: Monocryl® vs. Vicryl Rapide™ for skin repair in mediolateral episiotomies: a randomized controlled trial. BMC Pregnancy and Childbirth. 2017 Dec; 17: 1-7. doi: 10.1186/s12884-017-1545-8. DOI: https://doi.org/10.1186/s12884-017-1545-8

Choudhari RG, Tayade SA, Venurkar SV, Deshpande VP. A review of episiotomy and modalities for relief of episiotomy pain. Cureus. 2022 Nov; 14(11): e31620. doi: 10.7759/cureus.31620. DOI: https://doi.org/10.7759/cureus.31620

Susmitha DJ and Bidri DS. A comparative study between fast absorbing polyglactin 910 vs chromic catgut in episiotomy wound repair. Int. J. Clin. Obstet. Gynaecol. 2021 Jun; 5(4): 287-91. doi: 10.33545/gynae.2021.v5.i4e.1000. DOI: https://doi.org/10.33545/gynae.2021.v5.i4e.1000

Shahgheibi S, Zandvakili F, Rasouli MA, Naqshbandi M, Limouei C. A comparison of chromic catgut, polyglactin 910, and Vicryil rapide sutures for episiotomy repair: a randomized clinical trial. 2022 May: PREPRINT (Version 1). doi: 10.21203/rs.3.rs-1659930/v1. DOI: https://doi.org/10.21203/rs.3.rs-1659930/v1

Gupta K, Gupta T, Dalmia K. A comparative study of vicryl rapid versus chromic catgut for episiotomy repair. International Journal of Contemporary Medical Research. 2021; 8(1): A1-5.