Scoring the early complications of episiotomy repair with different suture materials and antibiotics

ABSTRACT

Early post opisiotomy complications; pain, redness, oedema, gapping and granulation tissue overgrowth were assessed and scored on the 10th postopartum day. Each item was given a score ranging from zer up to 3 with a total score of 14. The score was developd to evaluate episiotomy repair with chromic catgut, Dexon, and vicryl, with use of either systemic or local antibiotic spray, on 120 primigravide. The score is simple and valuable. Postepisiotomy complications were statistically higher with use of chronic catgut than with vicryl or Dixon, while there was no statistical difference between vicry or dexon neither on the scond nor on the tenth postpartum days. There was no statistical difference between systemic and local antibiotic spray. The total cost of episiotomies repaired with chromic was higher than with Dexon and vicryl. The latter was the best due its association with fewer cases of resuturing, readmission and antibiotic use. We recommend repairing episiotomies with either vicryl or Dixon and the use of coal antibiotic spary