DOI: https://doi.org/10.14710/dimj.v3i2.15429

A Comparison of Wound Healing Score between Chromic Catgut and Polyglycolic Acid Perineal Suturing at Seven Days Postpartum: A Single Blind Randomized Controlled Trial

*Syaiful Alam  -  Department of Obstetrics and Gynecology, Faculty of Medicine, Diponegoro University/Dr Kariadi General Hospital Medical Center, Semarang, Central Java, Indonesia, Indonesia
Open Access Copyright (c) 2022 Diponegoro International Medical Journal
Creative Commons License This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Citation Format:
Abstract

Background: Perineal Injury is a frequent vaginal delivery complication that can result in dyspareunia, urine and fecal incontinence, granulomas, and discomfort, which can contribute to long-term morbidity. The choice of suture material determines the outcome in perineal injury. This study aims to compare the wound healing scores between chromic catgut and polyglycolic acid perineal suturing at seven days postpartum

Methods: Randomized control trial study conducted at 3 hospitals in Indonesia. The patient met our criteria was randomly group into Chromic Catgut as a control and Polyglycolic Acid as a treatment group. After 7 days of perineal suturing, the wound healing was assessed with REEDA (redness, edema, ecchymosis, discharge, approximation) score by the chosen operator.

Results:  No significant difference in each indicator of the REEDA score (p>0.05). Most of the indicators are each dominated by a score of 0. The maximum score for redness is 2, the score for edema is 1, the score for ecchymosis and discharge is 0, the approximation score is 1, and the total score is 4. On hematological examination, polyglycolic acid showed lower hemoglobin levels and higher leukocyte levels compared to chromic catgut (p=0.025 and 0.005, respectively).

Conclusion: There was no difference in wound healing score between Chromic Catgut and Polyglycolic Acid Perineal Suturing at Seven Days Postpartum.

Fulltext View|Download
Keywords: Chromic Catgut, Polyglycolic Acid, Perineal, Suturing, Injury

Article Metrics:

Article Info
Section: Original Research Article
Language : EN
Recent articles
The Association between Obstructive Sleep Apnea and Glycated Haemoglobin A1c (Hba1c) Level in Diabetes Mellitus Type II Patient Comparison of Saline Infusion Sonohisterography (SIS) and Histeroscopy Examination in Abnormal Uterine Bleeding Factors Associated With Recurrence Of Epithelial Ovarian Cancer In RSUP Dr. Kariadi Semarang More recent articles
  1. Jansson MH, Franzén K, Hiyoshi A, Tegerstedt G, Dahlgren H, Nilsson K. Risk factors for perineal and vaginal tears in primiparous women – the prospective POPRACT-cohort study. BMC Pregnancy and Childbirth. 2020;20(1):749
  2. Smith LA, Price N, Simonite V, Burns EE. Incidence of and risk factors for perineal trauma: a prospective observational study. BMC Pregnancy Childbirth. 2013;13:59
  3. Goh R, Goh D, Ellepola H. Perineal tears - A review. Aust J Gen Pract. 2018;47(1-2):35-8
  4. Jones K, Webb S, Manresa M, Hodgetts-Morton V, Morris RK. The incidence of wound infection and dehiscence following childbirth-related perineal trauma: A systematic review of the evidence. Eur J Obstet Gynecol Reprod Biol. 2019;240:1-8
  5. Aguiar M, Farley A, Hope L, Amin A, Shah P, Manaseki-Holland S. Birth-Related Perineal Trauma in Low- and Middle-Income Countries: A Systematic Review and Meta-analysis. Matern Child Health J. 2019;23(8):1048-70
  6. Vieira F, Guimarães JV, Souza MCS, Sousa PML, Santos RF, Cavalcante A. Scientific evidence on perineal trauma during labor: Integrative review. Eur J Obstet Gynecol Reprod Biol. 2018;223:18-25
  7. Trott AT. Wounds and lacerations-e-book: emergency care and closure: Elsevier Health Sciences; 2012
  8. Ziaie T, Porhidary M, Nazifkar H, Kazemnejad E. Comparison of wound repair outcomes of chromic catgut versus vicryl sutures for episiotomy repair: A clinical trial. Advances in Nursing and Midwifery. 2016;26(92):1-5
  9. Kettle C, Johanson R. Absorbable synthetic versus catgut suture material for perineal repair. Cochrane database of systematic reviews. 1996(1)
  10. Kettle C, Johanson RB. Absorbable synthetic versus catgut suture material for perineal repair. Cochrane Database Syst Rev. 2000(2):Cd000006
  11. Kettle C, Dowswell T, Ismail KM. Absorbable suture materials for primary repair of episiotomy and second degree tears. Cochrane Database Syst Rev. 2010;2010(6):CD000006-CD
  12. Rose J, Tuma F. Sutures And Needles. StatPearls [Internet]: StatPearls Publishing; 2020
  13. Buhagiar LM, Cassar OA, Brincat MP, Buttigieg GG, Inglott AS, Adami MZ, et al. Pre-operative pain sensitivity: a prediction of post-operative outcome in the obstetric population. J Anaesthesiol Clin Pharmacol. 2013;29(4):465
  14. Garbuio DC, Zamarioli CM, da Silva NCM, de Souza Oliveira-Kumakura AR, Carvalho EC. Assessment tools for the healing of wounds: an integrative review. Rev Eletr Enf. 2018;20:v20a40
  15. Alvarenga MB, Francisco AA, Oliveira SMJVd, Silva FMBd, Shimoda GT, Damiani LP. Episiotomy healing assessment: redness, oedema, ecchymosis, discharge, approximation (REEDA) scale reliability. Rev Lat Am Enfermagem. 2015;23:162-8
  16. Dudley L, Kettle C, Ismail K. Prevalence, pathophysiology and current management of dehisced perineal wounds following childbirth. British Journal of Midwifery. 2013;21(3):160-71
  17. Mahomed K, Grant A, Ashurst H, James D. The Southmead perineal suture study. A randomized comparison of suture materials and suturing techniques for repair of perineal trauma. Br J Obstet Gynaecol. 1989;96(11):1272-80
  18. Bänninger U, Bührig H, Schreiner WE. [A comparison between chromic catgut and polyglycolic acid sutures in episiotomy repair (author's transl)]. Geburtshilfe Frauenheilkd. 1978;38(1):30-3
  19. Althumairi AA, Canner JK, Gearhart SL, Safar B, Fang SH, Wick EC, et al. Risk factors for wound complications after abdominoperineal excision: analysis of the ACS NSQIP database. Colorectal Dis. 2016;18(7):O260-6
  20. Alvarenga MB, Francisco AA, de Oliveira SMJV, da Silva FMB, Shimoda GT, Damiani LP. Episiotomy healing assessment: Redness, Oedema, Ecchymosis, Discharge, Approximation (REEDA) scale reliability. Rev Lat Am Enfermagem. 2015;23(1):162-8
  21. CHAPTER 8 - Instruments and Suture Materials. In: Trott AT, editor. Wounds and Lacerations (Third Edition). Philadelphia: Mosby; 2005. p. 93-106
  22. Suzuki JB, Resnik RR. Wound dehiscence: Incision line opening. Misch's Avoiding Complications in Oral Implantology: Elsevier; 2018. p. 402-39
  23. Arbib N, Aviram A, Gabbay Ben-Ziv R, Sneh O, Yogev Y, Hadar E. The effect of labor and delivery on white blood cell count. The Journal of Maternal-Fetal & Neonatal Medicine. 2016;29(18):2904-8
  24. Pierpont YN, Dinh TP, Salas RE, Johnson EL, Wright TG, Robson MC, et al. Obesity and surgical wound healing: a current review. International Scholarly Research Notices. 2014;2014
  25. Mahajan NP, Gs PK, Gadod L, Patil TC, Pande K. Study of Influence of Hemoglobin Levels during Healing of Soft-tissue Wounds of High Energy Trauma to the Extremities. INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY. 2021;8(12):106-12
  26. Lakew Y, Biadgilign S, Haile D. Anaemia prevalence and associated factors among lactating mothers in Ethiopia: evidence from the 2005 and 2011 demographic and health surveys. BMJ open. 2015;5(4):e006001

Last update:

No citation recorded.

Last update:

No citation recorded.