A STUDY TO ASSESS THE EFFECTIVENESS OF RAPID VICRYL IN COMPARISONTOVICRYL ON HEALING OF EPISIOTOMY WOUND

Author's Name: Dr. Virul Shrivastava, Dr. Priyakshi Chaudhary & Dr. Deepti Shrivastava
Subject Area: Health Science
Subject Nursing and Health Professions
Section Informative Article

Keyword:

episiotomy, perineum, vicryl, vicrylrapide, dyspareunia, uneventful


Abstract

Introduction: Episiotomy is an iatrogenic trauma to perineum in prevention of uncontrolled soft tissue injury during childbirth .So many times this may lead to troublesome short term and delayedcomplications.Since so many years there is debate going on whether to give episiotomy or not, which method to be practiced and which suture material to be used in this surgical process for best outcome. In present study we tried to observe the reduction of adverse events with the use of Vicrylrapide in comparison to Vicryl as a suture material for episiotomy. Method: In a prospective randomized comparative study, 400 uneventful deliveries with episiotomy were distributed into two groups out of which 200 were sutured with vicryl and the rest with Rapid vicryl.Primary outcome was measured on day 2 and day7 by REEDA scale and VAS scale. Delayed outcomes were measured on day 45. Result: Significant difference was seen only on 45th day and nonsignificant difference in all 400 women on day 2 and 7. Rapid vicryl group demonstrated nonsignificant number of cases of discomfort in sitting and walking and difficulty in defecation and urination on day 7 along with cases of dyspareunia and induration on day 45. There was no requirement of removal of stitches on use of rapid vicryl. Conclusion: Vicrylrapide for episiotomy repair leads to lesser discomfort, perineal pain and results in better healing as compared to that on using plain vicryl.

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