Episiotomy
Conditions
Keywords
triclosan, sutures, infection
Brief summary
Surgical repair of perineal lesions after delivery can be associated with infection of the surgery site. The aim of this study was to compare the surgical site infection with triclosan-coated suture (Vicryl Plus) versus coated suture (Vicryl) in the episiotomy after delivery.
Detailed description
Women undergoing planned were randomized to either episiotomy suture with VICRYL PLUS or VICRYL. The primary outcome measures were number of sutures used and the development of hematoma, seroma, surgical site infection (SSI) or wound disruption one week after episiotomy. Secondary outcome measures were the cost of the treatment with or without infection, and scar evaluation (wound complication). Data were analyzed according to the intention to treat principle.
Interventions
episiotomy with triclosan-coated sutures
episiotomy with non antibacterial coated suture
Sponsors
Study design
Eligibility
Inclusion criteria
* Pregnant women who had had an episiotomy at the delivery * vaginal delivery * no further perineal or vaginal lesions present
Exclusion criteria
* collagen disease * known immunodeficiency * Clinical signs of infection at the time of episiotomy * History of keloids and a medical disorder that could affect wound healing * Hypersensitivity to any of the suture materials used in the protocol * Diabetes mellitus * Disorders requiring chronic corticosteroid use or immunosuppression * Instrumental extraction
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| number of sutures used | two hours |
| number of patients with wound complications (infection, hematoma, disruption) | one week |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| cost of the treatment with and without infection | two weeks | cost of the treatment with and without infection |
| number of patients with adverse outcomes | two weeks | — |
Countries
Tunisia