Steristrips Adhesive Tape Versus Subcuticular Suture for Episiotomy Repair in Primigravid Obese Women

Cairo University (CU)

Status: Completed

Conditions: Episiotomy Wound

Treatments: Procedure: Adhesive tape; Procedure: Continuous subcuticular skin suturing

Study type: Interventional

Funder types: Other

Identifiers

NCT03702751

episiotomy

Details and patient eligibility

About

This study will be done to question the superiority of using skin adhesive tape (® Steri-Strip) closure in wound pain and healing over the traditional running absorbable subcuticular suture technique in perineal repair after episiotomy in obese primiparous women..

Full description

Episiotomy is the most common operating procedure that most obstetricians will perform in their lifetime. Because it is so common and considered minor surgery, teaching students or interns the principles and techniques usually is left to the most junior of residents

The optimal method for episiotomy and perineal trauma repair following childbirth remains open to debate and a great cause of concern to doctors, midwives, and the public

Apparently, the ideal method for perineal repair should be quick, painless, easy to perform and preferably, without an increase in pain and dyspareunia during the puerperium

This study will be commenced to question the advantage of using skin adhesive tape (® Steri-Strip) closure in wound pain and healing over the traditional running absorbable subcuticular suture technique in perineal repair after episiotomy in obese primiparous women.

Enrollment: 100 patients

Sex: Female

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• primigravidae 18 years or older.
• Spontaneous not induced full term normal not instrumental vaginal delivery with mediolateral episiotomy.
• First and 2nd-degree perineal tear.
• BMI≥30

Exclusion criteria

• • patients who had an instrumental delivery.

  • 3rd and fourth-degree perineal tears.
  • those with local infectious lesions in the area to be repaired.
  • preexisting medical disorders as diabetes mellitus, severe pulmonary disease and collagen disease.
  • Immunosuppressive treatment.
  • known hypersensitivity to adhesive tape or materials.
  • Maternal unwillingness to undergo randomization.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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100 participants in 2 patient groups

Adhesive tape

Experimental group

Description:

will be subjected to skin repair after episiotomy with skin adhesive tape.

Treatment:

Procedure: Adhesive tape

Continuous subcuticular skin suturing

Active Comparator group

Description:

will be subjected to skin repair after episiotomy with the currently traditional method for episiotomy repair by continuous absorbable subcuticular suture.

Treatment:

Procedure: Continuous subcuticular skin suturing