Vicryl versus safil: A comparison of handling characteristics and incidence of postoperative wound complications in cesarean section.
- Author:
Jericho Thaddeus P LUNA
;
Joanne Karen S AGUINALDO
- Publication Type:Journal Article, Original
- Keywords:
SafilPolyglycolic SuturesVicrylRandomized Controlled TrialPostoperative Wound ComplicationsCesarian Section
- MeSH:
Polyglactin 910;
Sutures
- From:
Philippine Journal of Obstetrics and Gynecology
2007;31(4):212-217
- CountryPhilippines
- Language:English
-
Abstract:
Polyglycolic sutures, such as Vicryl and Dexon, are currently being used worldwide in obstetric and gynecologic surgeries and are usually preferred over chromic catgut sutures. Recently, Safil, a multifilament braided polyglycolic suture with polyglyconate coating, is introduced in the market. Objective: To compare the handling performance and incidence of postoperative wound complications of Safil and Vicryl sutures used in cesarean section. Methodology: This was a two-part randomized controlled trial among pregnant patients who underwent elective or emergency cesarean section in a tertiary hospital from May to August 2006. Using a computer-generated table of random numbers, fourth year obstetrics and gynecology residents were instructed to repair the transverse low segment uterine muscle incision in 2 layers and to close the fascial layer using either Safil or Vicryl 0 atraumatic sutures. In addition, the skin was apposed using either a Safil or Vicryl 4-0 atraumatic suture. The Fisher Exact test was used to compare the incidences of postoperative wound complications. Descriptive statistic using percentages was used for the survey that was used to compare handling performance of the sutures. Results: Among 56 patients who underwent cesarean section, 23 (41.07 percent) patients were randomized to the Vicryl group while 33 patients (58.93 percent) to the Safil group. There was no statistically significant difference (p = 0.383) in incidence of postoperative wound complications between the two groups. Majority of the senior residents (66.67 percent) did not find any overall difference in using Safil versus Vicryl sutures. Conclusion: Safil can be safely used in patients undergoing cesarean section without an increased incidence of postoperative wound complications. (Author)
