Outcomes of Wound closure of Pfannenstiel-Kerr or public incision for caesarean delivery by Polypropylene and Polyglactin sutures at Tertiary Care Hospital.

Abstract

Objective: - To compare the outcomes of prolene and vicryl in caesarean delivery.

Study design: - Cross sectional study Place of study: - Department of Gyn/Obs Unit 2 PMCH Nawabshah Material and methods:-This study was done at Department of Gyne/ Obs unit 2 PMCH Nawabshah. Patients with transverse/pfannenstiel entry point during an elective/crisis cesarean area were recruited for this research. Patients with gestational diabetes, coagulation issues, hemodynamic ailments, septicemia or chorioamnionitis were excluded from this study. Results:-This study included total 80 patients. In group A, 40(50%) patients were included in which Vicryl of different sizes was used. In group B, 40 (509c) patients were included in which Prolene of different sizes was used.. The use of Vicryl 0 showed infected wound in 1(1.25' r) and pain in wound in 5 (6.25%) patients. Cosmetically the scar of patient was found to be good. The results of Prolene use in wound closure were little bit different as compared to vicryl. Infected wound was found in 1 (1.25%), 5 (6.25%), and 3 (3.759a) patients after use of Prolene2/0, 0 and 1 respectively. Pain in wound was found to be in 2(2.She), 7(8.759c) and 2 (2.5'7o) patients after the use of Prolene 2/0, 0 and 1 respectively. Cosmetically, the wound resulted in good scar.

Conclusion: - Vicryl thread proved to be the better as compared to Prolene as Prolene 0 produced more infection as compared to all other sutures.