OBJECTIVE To ascess the degree of pain and Dysparunia with Synthetic Vicryl and
Chromic Catgut after Perineal repair.
DESIGN Single blind randomized controlled clinical trial.
PLACE & DURATION OF STUDY Department of Obstetrics and Gynecology Unit II,
Abbasi Shaheed Hospital, Karachi from Jan, 2008 to June, 2008.
PATIENTS & METHODS 200 women who had spontaneous vaginal delivery,after
having on elective episiotomy or perineal tear were randomly allocated to repair with
either synthetic vicryl or chronic catgut, and pain was observed on day 3 post partum
and dysparunia after 3 months..
RESULTS Results were assessed in terms of pain on day 3 and superficial dysparunia
after 3 months .20% patients experienced mild pain on day 3 with chromic catgut,
whereas as only 14% experienced mild pain with vicryl. None of the patients had
dysparunia.after 3 months .
CONCLUSION Continous suturing technique with either chromic catgut or vicryl is
associated with less perineal pain and dysparunia .
KEYWORDS 1. chromic catgut ,episiotomy ,perineal pain,vicryl
70% of women need repair and stitching .Despite the high incidence of such repair,
nobody monitors either the repair procedure or subsequent healing. Both short term and
long term complication after child birth may have an affect on the amount of pain and
This study was undertaken to determine the effects of synthetic absorbable vicryl which
is polyglactin, causes less tissue reaction and is absorbed by hydrolysis.. Chromic catgut
is manufactured from collagen, is reported to cause an inflamatory response into the
tissues as it is broken down by proteolytic enzymes and phagocytosis.
Absorbable synthetic material in the form of polyglycolic acid and polyglactin suture
for perineal repair following child birth appears to decrease women’s experience of short
term pain after delivery23.
This study was undertaken to determine the effects of absorbable synthetic suture vicryl
and natural chromic catgut on short term perineal pain and dyspar