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Fast-absorbing polyglactin 910 sutures decrease pain.(Obstetrics)
SCOTTSDALE, ARIZ. -- Perineal repairs involving fast-absorbing polyglactin 910 sutures resulted in less pain and earlier resumption of sexual intercourse for new mothers in a randomized, controlled trial comparing the material with standard polyglactin 910 and chromic catgut.
Patients repaired with fast-absorbing polyglactin 910 sutures consumed fewer doses of analgesia and narcotics within 36-48 hours of giving birth. Two-thirds had resumed sexual intercourse at 6 weeks, and 48% had a pain-free experience, investigator Emmanuel Bujold, M.D., said at the annual meeting of the Central Association of Obstetricians and Gynecologists.
Only 42% of women repaired with chromic catgut sutures and 56% with standard polyglactin 910 resumed intercourse at 6 weeks. Just 27% in the chromic catgut cohort and 42% in the standard polyglactin 910 group said intercourse was pain free.
"The benefits of fast-absorbing polyglactin 910 include less short-term perineal pain and probably a shorter time to resumption of pain-free sexual intercourse," said Dr. Bujold of Ste. Justine Hospital and the University of Montreal.
Dr. Bujold and coinvestigator Nathalie Leroux, M.D., also of the University of Montreal, undertook the study to see if the fast-absorbing form of polyglactin 910 could offer the benefits of a synthetic suture without the problems associated with delayed absorption of sutures.
He described suture-related discomfort as very common, with 85% of women suffering some form of perineal trauma in spontaneous vaginal birth. Medical literature reports as many as 69% require sutures, according to the investigators. Most patients suffer perineal pain after delivery, and about a fifth have long-term problems.
The study enrolled women with uncomplicated pregnancies early in labor. Those who had an uncomplicated median episiotomy or a second-degree perineal tear were randomized to sutures made with the three materials; 66 to chromic catgut, 60 to standard polyglactin 910, and 66 to ...
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- Magazine article from: Women's Health Weekly August 1, 2002 700+ words
...and interrupted), and two types of suture (the more rapidly absorbed polyglactin 910 suture material and the standard polyglactin 910 material). With continuous suturing, the perineal muscle and skin are reapproximated with a loose, continuous...
