Comparison of Adhesive Glue With Skin Suture for Repair of Episiotomy

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00840788
Recruitment Status : Completed
First Posted : February 10, 2009
Last Update Posted : February 10, 2009
Universidade do Porto
Information provided by:
Hospital Sao Joao

Brief Summary:
Surgical repair of perineal lesions after delivery is frequently associated with pain and discomfort interfering with the normal activities of the puerperium. The aim of this study was to compare perineal skin repair after episiotomy with adhesive glue versus a subcuticular suture, regarding the incidence of pain and wound complications.

Condition or disease Intervention/treatment Phase
Mediolateral Episiotomy After Delivery Procedure: octyl-2-cyanoacrylate adhesive glue Procedure: Subcuticular suture of perineal skin Not Applicable

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 100 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Participant)
Primary Purpose: Treatment
Official Title: Skin Adhesive Versus Subcuticular Suture for Perineal Skin Repair After Episiotomy - a Randomized Controlled Trial.
Study Start Date : May 2005
Actual Primary Completion Date : May 2006
Actual Study Completion Date : January 2007

Arm Intervention/treatment
Experimental: Skin adhesive
perineal skin repair with octyl-2-cyanoacrylate skin adhesive
Procedure: octyl-2-cyanoacrylate adhesive glue
use of octyl-2-cyanoacrylate adhesive glue for perineal skin repair after episiotomy
Other Name: Dermabond

Active Comparator: subcuticular suture
continuous subcuticular suture of perineal skin using rapidly absorbable polyglactin 910
Procedure: Subcuticular suture of perineal skin
Use of continuous subcuticular suture with rapidly absorbable polyglactin 910 for closure of the perineal skin in episiotomy repair
Other Name: Vicryl

Primary Outcome Measures :
  1. Self-assessed perineal pain [ Time Frame: First 30 days after delivery ]

Secondary Outcome Measures :
  1. Total time spent with repair of episiotomy [ Time Frame: within 1 hour after birth ]
  2. Pain during procedure [ Time Frame: within 1 hour after birth ]
  3. Difficulties reported during procedure [ Time Frame: within 1 hour after birth ]
  4. Number of sutures and adhesive devices used [ Time Frame: within 1 hour after birth ]
  5. Wound complications [ Time Frame: 42-68 hours after delivery ]
  6. Need to seek health facilities [ Time Frame: 30 days after delivery ]
  7. Return of sexual activity [ Time Frame: 30 days after delivery ]

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Ages Eligible for Study:   Child, Adult, Older Adult
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • vaginal delivery
  • episiotomy performed
  • no further perineal or vaginal lesions present

Exclusion Criteria:

  • previously existing local infections or lesions
  • body mass index > 35 (Kg/m2)
  • severe pulmonary disease
  • collagen disease
  • known immunodeficiency
  • diabetes mellitus
  • immunosuppressive treatment

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00840788

Servico de Ginecologia e Obstetricia, Hospital de S, Joao
Porto, Portugal, 4200-319
Sponsors and Collaborators
Hospital Sao Joao
Universidade do Porto
Principal Investigator: Diogo Ayres-de-Campos, PhD Hospital de S. Joao, Faculdade de Medicina da Universidade do Porto

Responsible Party: Diogo Ayres de Campos, Servico de Ginecologia e Obstetricia, Hospital de S. Joao Identifier: NCT00840788     History of Changes
Other Study ID Numbers: Episio- 01 - RCT
First Posted: February 10, 2009    Key Record Dates
Last Update Posted: February 10, 2009
Last Verified: February 2009

Keywords provided by Hospital Sao Joao:
skin adhesive
tissue adhesive
mediolateral episiotomy
perineal repair
labor and delivery