Eficacia de la poliglactina 910 con irradiación gamma en la reparación del desgarro perineal, Hospital General Regional Vicente Corral Moscoso 2013.

Abstract

Background: perineal repair after trauma pelvic floor is one of the most common surgical practice in obstetrics. The perineal short or long term infections, dyspareunia, urinary incontinence, fecal pain are some of the complications that can occur if the breast surgical technique is applied and appropriate suture is used. (1)

Hypothesis: polyglactin 910 with gamma radiation is more effective than standard polyglactin 910 to reduce short-term perineal pain, and analgesic requirement until 12 hours postpartum.

Objective: To evaluate the efficacy of gamma radiation polyglactin 910 perineal repair in parturients compared with standard polyglactin 910.

Material and methods: A randomized clinical study, single-blind statistical masking in the Regional General "Vicente Corral Moscoso", Cuenca, Ecuador Hospital. December 2012 to November 2013, the group of study was 51 primiparous and secundiparous where perineal repair with polyglactin 910 with gamma radiation and the control group at 55 that used standard polyglactin 910 was performed.

Results: The patient pain polyglactin 910 with gamma irradiation for repair of perineal tear was used was lower compared to those handled polyglactin 910 with standard RR 0.29 95% CI (0016-0.49) P value 0.000, RRR 0.70 (0.50 to 0.83) RRA 0.47 (0.29 to 0.61) NNT 2.09 (1.61-3.36).

Conclusions: By using polyglactin 910 with gamma irradiation in perineal tear grade II pain evaluated in 12 hours postpartum was lower.