Comparison of Efficacy of Three Suture Materials, i.e., Poliglecaprone 25, Polyglactin 910, Polyamide, as Subcuticular Skin Stitches in Post-Cesarean Women: A Randomized Clinical Trial

J Obstet Gynaecol India. 2014 Feb;64(1):14-8. doi: 10.1007/s13224-013-0448-5. Epub 2013 Sep 4.

Abstract

Objectives: To compare the efficacy of three suture materials, i.e., poliglecaprone 25, polyglactin 910, and polyamide, as subcuticular skin stitches in post-cesarean women.

Study design: This was a randomized clinical trial.

Population: The study was conducted in the department of obstetrics and gynecology of a tertiary institute, LTMMC, Sion, Mumbai, India. Only those women undergoing emergency cesarean section were included.

Methods: The study was conducted in the department of obstetrics and gynecology of a tertiary institute, LTMMC, Sion, Mumbai, India. 90 women undergoing emergency cesarean section were included and divided into three groups. In group 1, poliglecaprone 25 was used as subcuticular skin stitches; in group 2, polyglactin 910 was used as subcuticular skin stitches; and in group 3, polyamide was used as subcuticular skin stitches.

Results: Thirty percentage of the patients in group 3 had discomfort on day 10, while it was only 3.3 % in group 1. In group 1, 6.6 % patients had swelling and indurations, while it was 33.3 % in group 2 on day 4. Wound dehiscence was present in 3.3 % patients in group 1, 26.6 % in group 2, and 6.6 % in group 3. Regarding wound healing, 93.3 % patients had excellent wound healing in group 1, 66.6 % in group 2, and 86.6 % in group 3.

Conclusions: The results were almost similar with poliglecaprone and polyamide, except for discomfort which was present more in patients in group 3.

Keywords: Poliglecaprone; Polyamide; Polyglactin.