Urvashi Vats1, Narayan Pandit Suchitra2. 1. Department of Obgyn, CSMMU, Lucknow, UP India. 2. Department of Obstetrics and Gynecology, Kokilaben Dhirubhai Ambani Hospital and Research Centre, Andheri, Mumbai, India ; 102, Little Star, R K Mission Marg, Santacruze (W), Mumbai, 400 054 India.
Abstract
OBJECTIVES: To compare the efficacy of three suture materials, i.e., poliglecaprone 25, polyglactin 910, and polyamide, as subcuticular skin stitches in post-cesarean women. STUDY DESIGN: This was a randomized clinical trial. POPULATION: The study was conducted in the department of obstetrics and gynecology of a tertiary institute, LTMMC, Sion, Mumbai, India. Only those women undergoing emergency cesarean section were included. METHODS: The study was conducted in the department of obstetrics and gynecology of a tertiary institute, LTMMC, Sion, Mumbai, India. 90 women undergoing emergency cesarean section were included and divided into three groups. In group 1, poliglecaprone 25 was used as subcuticular skin stitches; in group 2, polyglactin 910 was used as subcuticular skin stitches; and in group 3, polyamide was used as subcuticular skin stitches. RESULTS: Thirty percentage of the patients in group 3 had discomfort on day 10, while it was only 3.3 % in group 1. In group 1, 6.6 % patients had swelling and indurations, while it was 33.3 % in group 2 on day 4. Wound dehiscence was present in 3.3 % patients in group 1, 26.6 % in group 2, and 6.6 % in group 3. Regarding wound healing, 93.3 % patients had excellent wound healing in group 1, 66.6 % in group 2, and 86.6 % in group 3. CONCLUSIONS: The results were almost similar with poliglecaprone and polyamide, except for discomfort which was present more in patients in group 3.
RCT Entities:
OBJECTIVES: To compare the efficacy of three suture materials, i.e., poliglecaprone 25, polyglactin 910, and polyamide, as subcuticular skin stitches in post-cesarean women. STUDY DESIGN: This was a randomized clinical trial. POPULATION: The study was conducted in the department of obstetrics and gynecology of a tertiary institute, LTMMC, Sion, Mumbai, India. Only those women undergoing emergency cesarean section were included. METHODS: The study was conducted in the department of obstetrics and gynecology of a tertiary institute, LTMMC, Sion, Mumbai, India. 90 women undergoing emergency cesarean section were included and divided into three groups. In group 1, poliglecaprone 25 was used as subcuticular skin stitches; in group 2, polyglactin 910 was used as subcuticular skin stitches; and in group 3, polyamide was used as subcuticular skin stitches. RESULTS: Thirty percentage of the patients in group 3 had discomfort on day 10, while it was only 3.3 % in group 1. In group 1, 6.6 % patients had swelling and indurations, while it was 33.3 % in group 2 on day 4. Wound dehiscence was present in 3.3 % patients in group 1, 26.6 % in group 2, and 6.6 % in group 3. Regarding wound healing, 93.3 % patients had excellent wound healing in group 1, 66.6 % in group 2, and 86.6 % in group 3. CONCLUSIONS: The results were almost similar with poliglecaprone and polyamide, except for discomfort which was present more in patients in group 3.