Clinical equivalence of Trusynth fast® and Vicryl rapide® polyglactin 910 fast absorbing sutures on maternal morbidity experienced by women following episiotomy repair: a single-blind, randomized study

Background: Episiotomy procedure enlarges the vaginal outlet to facilitate childbirth. Polyglactin 910 fast-absorbing sutures are widely used for repair of episiotomy because their rapid absorption and less inflammatory response. This study was designed subjective assessment perineal pain post-episiotomy repair, with Trusynth Fast® Vicryl Rapide® polyglactin sutures. Method: a single-blind, randomized, prospective conducted between January 7, 2021 July 14, across two centers in India. Primiparous or multiparous women (18—40 years), who required during delivery were included, either Fast® (n=47) or Rapide® (n=49) suture repair. The primary endpoint, assessed visual analogue scale at all follow-up visits. secondary endpoints, quantity local anesthesia, number used, time episiotomy, intraoperative handling, analgesics early late wound complications, re-suturing, complete healing, presence residual sutures, return sexual activity, dyspareunia, adverse events also recorded. Results: showed no significant difference groups any visit. A statistically (p<0.05) total score healing on day 2 (0.13±0.34 versus 0.35±0.56) swelling (8.51 versusversus 28.57%) noted group. Non-significant observed regarding analgesics, puerperal fever, infection, dehiscence, hematoma, urinary incontinence, activity dyspareunia. Conclusion: is clinically equivalent can be minimal risk complications. Clinical Trials Registry India Registration: CTRI/2020/12/029925; Registered December 18, 2020