Mostafa Maged Four-stitch Technique in Closure the Episiotomy During Vaginal Delivery

Fayoum University

Status: Unknown

Conditions: Ecchymosis; Suture, Complication; Tear; Cervix; Hematoma; Vaginal Delivery

Treatments: Procedure: The Mostafa Maged four-stitch technique fore closure of the episiotomy; Procedure: patients of controlled group with routine closure of episiotomy

Study type: Interventional

Funder types: Other

Identifiers

NCT05247073

R 206

Details and patient eligibility

About

Most primigravida is confronted with episiotomy during childbirth to prevent the perineal and vaginal lacerations which could be performed at birth. There are many types of episiotomy which are median, mediolateral, and J-shaped episiotomy.

Prevention of the formation of the dead space during the repair of episiotomy so avoiding hematoma formation in the episiotomy area after child-birth.

The Mostafa Maged four-stitch technique uses absorbable vicryl threads with round needles 75 mm.

Full description

Methodology: This technique will be applied to all women with episiotomy at the time of delivery or having tears in the perineum or the vagina. The technique uses absorbable vicryl threads with round needles 75 mm long. The technique includes the vaginal epithelium and the deep muscle layer together continuously at the same sutures. Assessment of the perineal area in the next twenty-four hours till discharge looking for (edema - hematoma - septic wound - continence - ecchymosis - dyspareunia).

Enrollment: 50 estimated patients

Sex: Female

Ages: 18 to 40 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Primigravida patients having episiotomies or tears in the vagina
2. Age between 18 to 40 years old

Exclusion criteria

1. Smokers
2. Diabetics
3. Morbidly obese patients
4. Chronic diseases such as renal diseases

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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50 participants in 2 patient groups

Patients of controlled group with routine closure of the episiotomy

Other group

Description:

The vagina will be stitched using a continuous locking stitch and the perineal muscles and skin are repaired using approximately three or four individual stitches, each needing to be knotted separately to prevent them from dislodging.

Treatment:

Procedure: patients of controlled group with routine closure of episiotomy

Patients of study group with Mostafa Maged technique for closure of the episiotomy

Active Comparator group

Description:

The vagina will be stitched with the Mostafa Maged technique, The Mostafa Maged four-stitch technique uses absorbable vicryl threads with round needles 75 mm. The technique will prevent dead space formation, Good and tight hemostasis of the episiotomy strong approximation of the two edges of the episiotomy.

Treatment:

Procedure: The Mostafa Maged four-stitch technique fore closure of the episiotomy