Comparison between Closure and Non-Closure Technique of the Skin during Repair of Episiotomy by Continuous Suturing

Authors

1 Professor of Obstetrics and Gynecology Damietta Faculty of medicine - Al-Azhar University

2 Assistant professor of Obstetrics and Gynecology Damietta Faculty of medicine - Al-Azhar University

3 Resident of Obstetrics and Gynecology Department, Al-Azhar University Hospital

Abstract

Background: An episiotomy is a surgical incision made in the perineum to enlarge the birth canal and is one of the most frequently conducted obstetrical procedures. Objective: Evaluation of using continuous suturing during closure of the skin versus non-closure methods throughout episiotomy healing. Patients and Methods: Our randomized comparative interventional study carried out within the Al-Azhar University hospital within Damietta's Obstetrics & Gynecology department; included 150 patients full term primigravida who underwent episiotomy repair by two different techniques; Suture less (group 1), and subcuticular (group 2) 75 patients in each. Results: The group 2's repair time was considerably more than the group 1's.In group 1 no statistically significant difference either between all follow-up periods or between each 2 follow-up periods. In group 2, we found a significant difference between all follow-up periods; we found a significant difference between 6 hours and 1 week, and between 6 h and 2 months. We reported only one case (1.3%) in group 1 at one week postoperative of wound dehiscence. the ugly scar was found to be positive in 6.7% of group 1, and 13.3% in group 2 with no significant difference. 81.3% in both groups had no pain with intercourse, 12% in group 1, and 16% in group 2 had pain with intercourse that doesn’t prevent the completion, and 6.7% in group 1, and 2.7% in group 2 had pain with intercourse requiring discontinuance. Conclusion: on-closure technique is associated with less time of repair, while both techniques have similar results during episiotomy repair.

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