Episiotomy
Conditions
Keywords
Episiotomy, continuous suture, Skin adhesive tape
Brief summary
This study will be undertaken to question the superiority of use skin adhesive tape (® Steri-Strip) closure system in wound healing over the traditional running absorbable subcuticular suture technique in perineal repair after episiotomy.
Detailed description
Episiotomy is the most common operating procedure that most obstetricians will perform in their lifetime. Because it is so common and considered minor surgery, teaching students or interns the principles and techniques usually is left to the most junior of residents The optimal method for episiotomy and perineal trauma repair following childbirth remains open to debate and a great cause of concern to doctors, midwives, and the public Apparently, the ideal method for perineal repair should be quick, painless, easy to perform and preferably, without increase in pain and dyspareunia during the puerperium This study will be undertaken to question the superiority of use skin adhesive tape (® Steri-Strip) closure system in wound healing over the traditional running absorbable subcuticular suture technique in perineal repair after episiotomy.
Interventions
PROCEDURESkin adhesive tape
Sponsors
Lobna Ahmed Nabil
Dr. Ahmed Sherif
Dr. Mohamed Mahmoud El Sherbiny
Prof. Mohamed Ashraf Mohamed Farouk Kortam
Dr.Haitham Torky
Ain Shams University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Primiparous. * First and second degree perineal tear. * Normal not instrumental vaginal delivery; spontaneous not induced. * Patient willingness to randomize to episiotomy repair technique.
Exclusion criteria
* Previously existing local infections or lesions. * Third and forth degrees perineal tear. * Maternal diseases interfere with wound healing or causing excessive bleeding (coagulopathy, collagen disease, diabetes mellitus, known immunodeficiency, immunosuppressive treatment). * Known hypersensitivity to adhesive materials * Maternal unwillingness to undergo randomization. * Participation in another intervention-trial with interference of intervention and/or outcome of this study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| postoperative pain | During the procedure | pain experience will be evaluated during the procedure,, 6 hours and 12 hours after the procedure by Wong-Baker faces pain rating scale . During the second visit 7-10 days after delivery; pain and patient satisfaction will be evaluated and recorded, data may be collected by phone for those may not be able to come back for the second visit. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| wound healing. | 10 days | During the second visit 7-10 days after delivery; wound healing will be evaluated and recorded by Redness, Edema, Ecchymosis, Drainage, Approximation (REEDA), data may be collected by phone for those may not be able to come back for the second visit. |
| wound sepsis | 10 days | During the second visit 7-10 days after delivery; wound sepsis will be evaluated and recorded by wound sepsis score, data may be collected by phone for those may not be able to come back for the second visit. |
| Postoperative pain | 2 hours after procedure | pain experience will be evaluated 2 hours after the procedure by Wong-Baker faces pain rating scale . |
| timing of procedure | During the procedure | timing of both procedures will be recorded and documented |
Outcome results
None listed