COMPARISON BETWEEN CHROMIC CATGUT VERSUS FAST ABSORBING POLYGLACTIN 910 FOR REPAIR OF EPISIOTOMY:A PROSPECTIVE STUDY

Abstract

BACKGROUND: Although the utility of episiotomies in obstetrics is still debatable, when they are performed, they must be repaired with the best suture material and suturing techniques by trained operators. There is no consensus among researchers about the superiority of suture materials. Hence, further interventional researches are required to evaluate and compare the impact of new suture materials. Thus the present study was designed to compare between Chromic Catgut Versus fast absorbing Polyglactin 910 for repair of Episiotomy. A c METHOD: ross-sectional, prospective, observational study was carried out in department of Obstetrics and Gynecology, Hind Institute of Medical Science, Sitapur on 130 women requiring an episiotomy between January 2021 to July 2022. 130 women were equally divided into Catgut vs Polyglactin group . Results were obtained after assessment at 48 hours, 1 week, 2 weeks and 6 weeks postnatally. At 48 hrs, the severe pain was in 46.2% RESULT: patients of Chromic catgut and in 20% of Polyglactin 910. There was signicant reduction in short term pain with polyglactin 910. At 6 week no moderate or severe pain was seen in either of the groups except for mild pain was seen in only 3.8% patients of Chromic catgut but none required analgesics. Dyspareunia at 3 months was in 7.3% patients of Chromic catgut and in 4.2% patients of Polyglactin though the results were not statistically signicant. The CONCLUSION: fast absorbing polyglactin seems to be effective in reducing short term pain associated with episiotomy repair following childbirth. But as the serious problems of wound dehiscence, severe dyspareunia were not more common in either of the groups and also Chromic catgut being less costly and readily available is still found to be an effective suture material for perineal repair without compromising the long term outcomes.