scholarly journals A comparative study of subcuticular and interrupted stitches for episiotomy

2018 ◽  
Vol 7 (12) ◽  
pp. 5107
Author(s):  
Pooja Thukral ◽  
Shweta Mendiratta ◽  
Gunjan Bhola
Keyword(s):  
Comparative Study ◽  
Vaginal Delivery ◽  
Suture Material ◽  
Perineal Pain ◽  
Obstetrics And Gynecology ◽  
Medical Sciences ◽  
Common Complaint ◽  
Suturing Technique ◽  
Perineal Muscle ◽  
Prospective Comparative Study

Background: Perineal pain is the most common complaint after episiotomy. For more than 70 years researchers have been suggesting that ‘continuous non-locking suture techniques’ for repair of the vagina, perineal muscle and skin are associated with less perineal pain than ‘traditional interrupted methods’. The objective of the present study was to compare the two techniques of episiotomy closure in patients after vaginal delivery with mediolateral episiotomy.Methods: This study was conducted in the Department of Obstetrics and Gynecology, Asian Institute of medical sciences, Faridabad. The duration of study was from July 2017 to August 2017. Total 50 patients were selected and randomly divided in two groups. This was a prospective comparative study between continuous and interrupted suturing used for episiotomy repair.Results: Continuous suturing technique requires lesser number of suture material, needs lesser time and is associated with lesser pain experience.Conclusions: It was concluded from the present study that continuous suturing technique is more economical and causes lesser morbidity than the interrupted suturing technique.

Management of intertrochantric fractures with dynamic hip screw and trochanteric femoral nail - A prospective comparative study

2019 ◽  
Vol 9 (3) ◽  
pp. 65-71
Author(s):  
Sujana Theja J S ◽  
◽  
Kiran Marathe ◽  
B Gurumurthy ◽  
Pavankumar Patted ◽  
...  
Keyword(s):  
Comparative Study ◽  
Dynamic Hip Screw ◽  
Femoral Nail ◽  
Prospective Comparative Study ◽  
Hip Screw

Comparative Study between Endoscopic Aided Septoplasty with Two Handed Technique using Endoholder and Conventional Septoplasty

2020 ◽  
Vol 16 (3) ◽  
Author(s):  
Apar Pokharel ◽  
Naganawalachullu Jaya Prakash Mayya ◽  
Nabin Gautam
Keyword(s):  
Comparative Study ◽  
Nasal Septum ◽  
Deviated Nasal Septum ◽  
Endoscopic Septoplasty ◽  
Septal Surgery ◽  
Significant Difference ◽  
Common Causes ◽  
Prospective Comparative Study ◽  
Evolutionary Step ◽  
One Year

Introduction: Deviated nasal septum is one of the most common causes for the nasal obstruction. The objective of this study is to compare the surgical outcomes in patients undergoing conventional septoplasty and endoscopic septoplasty in the management of deviated nasal septum. Methods:  Prospective comparative study was conducted on 60 patients who presented to the Department of ENT, College of Medical sciences, during a period of one year. The severity of the symptoms was subjectively assessed using NOSE score and objectively assessed using modified Gertner plate. Results: There was significant improvement in functional outcome like NOSE Score and area over the Gertner plate among patients who underwent endoscopic septoplasty. Significant difference in incidence of post-operative nasal synechae and haemorrhage was seen in conventional group compared to endoscopic group. Conclusions: Endoscopic surgery is an evolutionary step towards solving the problems related to deviated nasal septum. It is safe, effective and conservative, alternative to conventional septal surgery.

641 What Is the Most Reliable Way to Secure A Surgical Drain?

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
B Hughes ◽  
J Stallard ◽  
S Jivan
Keyword(s):  
Suture Material ◽  
Suture Techniques ◽  
Robust Method ◽  
Suturing Technique ◽  
The Moment ◽  
Tissue Reactions ◽  
Surgical Drain

Abstract Introduction Surgical drains are used by many specialities, we aim to determine the most robust method of securing them by comparing suturing technique, material and fixation angle. Method A Blake’s drain was inserted into a piece of pork belly and secured using a standard ‘three half hitch’ technique with 3.0 Silk, EthilonTM and ProleneTM . For each suture type, drains were sutured in line, at 45 and 90 degrees to the course of the drain. The force needed for the suture to failure was measured and each repeated 3 times. Different suture techniques were then used to determine the strongest fixation. Results With the drain exiting inline the moment of failure was, on average, 1.25kg for silk, 3.5kg for EthilonTM and 4.0kg for ProleneTM. Increasing drain fixation angle required more force for the suture to fail. With EthilonTM and ProleneTM, the suture snapped before the drain slipped. Three half hitches was the strongest technique. Conclusions Suture material, technique and drain fixation angle had an impact on suture strength with ProleneTM outperforming Silk. We advocate using a ‘three half hitch’ technique with 3.0 ProleneTM to secure a surgical drain. It offers superior strength whilst reducing the risk of localised tissue reactions.

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