COMPARISON OF OUTCOME OF SUTURE MATERIALS POYGLACTIN 910 & POLYAMIDE MONOFILAMENT AS SUBCUTICULAR STITCHES IN CAESAREAN SECTION.

Abstract

INTRODUCTION:Caesarean delivery rate rose from 4.5 percent in 1970 to 32.9 percent in 2009. And then the rate has trended slightly downward, and it was 32 percent in 2015 in the USA. More than 85 percent of these operations are performed only for four reasons- prior caesarean delivery, dystocia, fetal jeopardy, or abnormal fetal presentation. As per the latest data (National Family Health Survey 2015-16 (NFHS-4), the caesarean rates at population level in India seems to be 17.2%. In 1985 WHO stated: ―There is no justication for any region to have Caesarean section rates higher than 10-15%. AIMS AND OBJECTIVES:The efcacy of two suture materials polyglactin 910 (Vicryl 2.0) and polyamide monolament (Ethilon 2.0) in terms of pain, tenderness, swelling, induration, discharge, cosmesis and wound healing, suture materials with least complications. MATERIALS AND METHODS:This was a prospective, observational, comparative study conducted in the Department of Obstetrics and Gynecology, in a tertiary medical college in Paschim Medinipur, for 18 months after getting approval from the Institutional Ethical Committee. 18 months; 1st April 2019 to 30th September 2020. Randomly selected term pregnant women admitted in the Department Of Obstetrics and Gynecology, Midnapore Medical College and Hospital during the study period and fullling the eligibility criteria (according to inclusion and exclusion criteria). RESULTS AND ANALYSIS:It is clear that the parameters, pain and tenderness (p value = 0.3710), swelling and induration (p value = 1) and wound dehiscence (p value =0) in both the groups are statistically insignicant and the other parameters are signicant in both the groups; discomfort (p value = 0.0114) and wound dehiscence (p value = 0.0254347). SUMMARY & CONCLUSION: Multilament sutures also induce a more intense inammatory response and contribute to larger knot volumes than monolaments of equal sizes. Multilament sutures demonstrate enhanced capillarity with a resultant increase in the transport and spread of microorganisms. There are multiple factors which cause surgical site complications that have not been analyzed in this study and need an additional evaluation in further studies and there is lack of previous research studies on the same topi