Continuous Versus Interrupted Sutures for Repair of Episiotomy or Second Degree Tears: a Randomised Controlled Trial

Study Overview
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Brief Summary
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The best technique for this repair would be that which requires least time in realisation, least consumption of material for the repair and that which produces less pain at short and long-term permitting the resumption of intercourse quicker and with less pain thereby requiring less necessity to take out the stitches and less frequency of re stitching. The investigators research is looking for a technique for repairing the perineum more advantageously.

Detailed Description
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445 women who participated in the project had undergone normal deliveries with episiotomy or second-grade tearing of the perineum. One group was repaired with continuous non-locking suture in the vagina, perineum and subcutaneous tissue. The other group used continuous locking suture of the vagina, interrupted sutures in the perineum muscle and interrupted transcutaneous suture. The threads used for stitching were identical in both groups. The same questions were asked concerning the sensation of pain and the use of painkillers, the second and the tenth day and at the three months.

Official Title
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Continuous Versus Interrupted Sutures for Repair of Episiotomy or Second Degree Tears: a Randomised Controlled Trial

Conditions
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Pain

Intervention / Treatment
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* Procedure: repair of episiotomy or second degree tears
* Procedure: repair of episiotomy or second degree tears


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: vaginal childbirth at least 37 weeks of gestation assistance by one of the 4 matrons who participated in the project have been subjected to an episiotomy or the appearance of tearing that affected skin and muscle The newborn child had to be alive, viable Exclusion Criteria: instrumentation produce injury in the anal sphincter or in the rectum. serious congenital malformations.
Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: 1 continuous<br>continuous suture technique with continuous non-locking suture in the vagina, perineum and subcutaneous tissue. | Procedure: repair of episiotomy or second degree tears<br>* continuous suture technique with continuous non-locking suture in the vagina, perineum and subcutaneous tissue.<br>* Other names: (Vicryl Rapid; Ethicon);Procedure: repair of episiotomy or second degree tears<br>* interrupted technique with continuous locking suture of the vagina, interrupted sutures in the perineum muscle and interrupted transcutaneous suture<br>* Other names: (Vicryl Rapid; Ethicon).;|
| Experimental: 2 interrupted<br>interrupted technique with continuous locking suture of the vagina, interrupted sutures in the perineum muscle and interrupted transcutaneous suture | Procedure: repair of episiotomy or second degree tears<br>* interrupted technique with continuous locking suture of the vagina, interrupted sutures in the perineum muscle and interrupted transcutaneous suture<br>* Other names: (Vicryl Rapid; Ethicon).;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain at that moment (pain now) |  | the second and the tenth day and at the three months. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| If sexual intercourse had been re initiated, how long after childbirth, if pain had been experienced the first time and if this continued. |  | at the three months. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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episiotomy, perineal lesion, vaginal trauma