Episiotomy or perineal tears: compared with catgut, synthetic sutures reduce risk of short-term pain and need for resuturing; rapidly absorbing sutures comparable to synthetic but reduce the need for suture removal

@article{Fernando2010EpisiotomyOP,
  title={Episiotomy or perineal tears: compared with catgut, synthetic sutures reduce risk of short-term pain and need for resuturing; rapidly absorbing sutures comparable to synthetic but reduce the need for suture removal},
  author={Ruwan J. Fernando},
  journal={Evidence Based Nursing},
  year={2010},
  volume={14},
  pages={17 - 18}
}
  • R. Fernando
  • Published 24 September 2010
  • Medicine
  • Evidence Based Nursing
Commentary on: KettleCDowswellTIsmailKM. Absorbable suture materials for primary repair of episiotomy and second degree tears. Cochrane Database Syst Rev 2010;6:CD000006. 

References

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Episiotomy and perineal lesions in spontaneous vaginal deliveries
TLDR
The influence of mediolateral episiotomy on the perineal state after spontaneous, singleton vaginal deliveries with fetus in the occiput anterior position is evaluated.
Continuous versus interrupted sutures for repair of episiotomy or second degree tears.
TLDR
Continuous suturing techniques for perineal closure, compared to interrupted methods, are associated with less short-term pain, and if the continuous technique is used for all layers (vagina,perineal muscles and skin) compared to perineAL skin only, the reduction in pain is even greater.
Absorbable suture materials for primary repair of episiotomy and second degree tears.
TLDR
Catgut may increase short-term pain compared with synthetic sutures, and when catgut and glycerol impregnated catGut were compared, results were similar for most outcomes, although the latter was associated with more short- term pain.