AI Article Synopsis
- The study aimed to evaluate adhesive glue for repairing first degree perineal tears compared to traditional suturing in a controlled trial.
- A total of 102 participants were involved, with results indicating that adhesive glue provided similar cosmetic and functional outcomes as suturing, but with benefits like shorter procedure times and less pain.
- The findings suggest that adhesive glue could be a viable alternative for postpartum repairs, though further research is needed to fully confirm its effectiveness.
Article Abstract
Our objective was to evaluate the effectiveness of adhesive glue in repairing first degree perineal tears. We conducted a noninferiority prospective, randomized, controlled trial comparing adhesive glue with traditional suturing. Each case was evaluated immediately after birth and after the puerperium. The two-sample t-test and the Mann-Whitney nonparametric test were applied to compare quantitative variables between the treatment groups. The chi-squared test and Fisher's exact test were used to assess the association between qualitative variables. A total of 102 women participated, 28 in the suture arm and 74 in the adhesive glue arm. While cosmetic and functional results of adhesive glue use were not inferior to suturing, the use of adhesive glue was associated with a shorter procedure, less need for local anesthetic, less pain, and greater satisfaction. Our results suggest a novel approach for the repair of common postpartum first degree lacerations. The use of adhesive glue achieves cosmetic and functional results equal to traditional suturing and offers some immediate advantages for the patient. While further clinical trials are needed to validate our results, it is important to inform obstetrician of the possible use of adhesive glue in these very common clinical scenarios. This trial is registered with NCT00746707.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4095740 | PMC |
| http://dx.doi.org/10.1155/2014/526590 | DOI Listing |
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