



@article {2304,
	title = {Skin adhesive versus subcuticular suture for perineal skin repair after episiotomy - A randomized controlled trial},
	journal = {Acta Obstetricia et Gynecologica ScandinavicaActa Obstet. Gynecol. Scand.},
	volume = {88},
	year = {2009},
	note = {Cited By (since 1996): 3Export Date: 21 November 2012Source: ScopusCODEN: AOGSAdoi: 10.1080/00016340902883133Language of Original Document: EnglishCorrespondence Address: Mota, R.; Servi{\c c}o de Ginecologia e Obstetr{\'\i}cia, Hospital de S. Jo{\~a}o, 4200-319 Porto, Portugal; email: sisporto@med.up.ptChemicals/CAS: Tissue Adhesives; cyanoacrylic acid octyl ester, 6701-17-3; polyglactin, 26780-50-7, 34346-01-5Tradenames: Dermabond, EthiconManufacturers: EthiconReferences: Kettle, C., Hills, R.K., Jones, P., Darby, L., Gray, R., Johanson, R., Continuous versus interrupted perineal repair with standard or rapidly absorbed sutures after spontaneous vaginal birth: A randomized controlled trial (2002) Lancet, 359, pp. 2217-2223;Gordon, B., Mackrodt, C., Fern, E., Truesdale, A., Ayers, S., Grant, A., The Ipswich Childbirth Study: 1. A randomized evaluation of two stage postpartum perineal repair leaving the skin unsutured (1998) Br J Obstet Gynaecol, 105, pp. 435-440; 
Mackrodt, C., Gordon, B., Fern, E., Ayers, S., Truesdale, A., Grant, A., The Ipswich Childbirth Study: 2. A randomized comparison of polyglactin 910 with chromic catgut for postpartum perineal repair (1998) Br J Obstet Gynaecol, 105, pp. 441-445; 
Kettle, C., Johanson, R.B., Continuous versus interrupted sutures for perineal repair (2000) Cochrane DataBase Syst Rev, (2). , CD000947; 
Kettle, C., Hills, R.K., Ismail, K.M.K., Continuous versus interrupted sutures for repair of episiotomy or second degree tears (2007) Cochrane DataBase Syst Rev, (4). , CD000947; 
Gemynthe, A., Langhoff-Roos, J., Sahl, S., Knudsen, J., New VICRYL formulation: An improved method of perineal repair? (1996) Br J Midwifery, 4, pp. 230-234; 
Oboro, V.O., Tabowei, T.O., Loto, O.M., Bosah, J.O., A multicentre evaluation of the two-layered repair of postpartum perineal trauma (2003) J Obstet Gynaecol, 23, pp. 5-8; 
Kindberg, S., Stehouwer, M., Hvidman, L., Henriksen, T.B., Postpartum perineal repair performed by midwives: A randomised trial comparing two suture techniques leaving the skin unsutured (2008) Br J Obstet Gynaecol, 115, pp. 472-479; 
Gennari, R., Rotmensz, N., Ballardini, B., Scevola, S., Perego, E., Zanini, V., A prospective, randomized, controlled clinical trial of tissue adhesive (2-octylcyanoacrylate) versus standard wound closure in breast surgery (2004) Surgery, 136, pp. 593-599; 
Bernard, L., Doyle, J., Friedlander, S.F., Eichenfield, L.F., Gibbs, N.F., Cunningham, B.B., A prospective comparison of octylcya-noacrylate tissue adhesive (dermabond) and suture for the closure of excisional wounds in children and adolescents (2001) Arch Dermatol, 137, pp. 1177-1180; 
Matin, S.F., Prospective randomized trial of skin adhesive versus sutures for closure of 217 laparoscopic port-site incisions (2003) J Am Coll Surg, 196, pp. 845-853; 
Bhende, S., Rothenburger, S., Spangler, D.J., Dito, M., In vitro assessment of microbial barrier properties of Dermabond( topical skin adhesive (2002) Surg Infect, 3, pp. 251-257; 
Rogerson, L., Mason, G.C., Roberts, A.C., Preliminary experience with twenty perineal repairs using Indermil tissue adhesive (2000) Eur J Obstet Gynecol Reprod Biol, 88, pp. 139-142; 
Bowen, M.L., Selinger, M., Episiotomy closure comparing enbucrilate tissue adhesive with conventional sutures (2002) Int J Gynecol Obstet, 78, pp. 201-205; 
Adoni, A., Anteby, E., The use of Histoacryl for the episiotomy repair (1991) Br J Obstet Gynaecol, 98, pp. 476-478; 
Man, J., Quinn, J., Cyanoacrylate tissue adhesives (1997) Am J Cosm Surg, 14, pp. 413-416; 
Maw, J.L., Quinn, J.V., Wells, G.A., Ducic, Y., Odell, P.F., Lamothe, A., A prospective comparison of octylcyanoacrylate tissue adhesive and suture for the closure of head and neck incisions (1997) J Otolaryngol, 26, pp. 26-30
},
	month = {2009///},
	pages = {660 - 666},
	abstract = {Objective. 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. Study design. Randomized clinical trial. Setting. Tertiary care university hospital. Material and methods. One hundred women having mediolateral episiotomy at vaginal delivery were enrolled. They were randomized to receive skin adhesive (n = 53) or subcuticular suture (n = 47) for closure of perineal skin. The main outcome measure was self-evaluated pain in the 30 days following delivery. Secondary outcome measures were technical difficulties reported with the procedure, duration of surgical repair, wound complications observed at 42-68 hours post-partum and re-initiation of sexual activity by 30 days post-partum. Results. No significant differences were observed between the two groups in incidence of technical difficulties and failed procedures, pain during the procedure, wound complications at hospital discharge, self-evaluated measures of pain at 7 and 30 days or re-initiation of sexual activity by 30 days post-partum. The skin adhesive group had a significantly shorter mean duration of the procedure (four minutes less). Conclusion. Perineal skin closure using adhesive glue is faster than subcuticular suture, and associated with a similar incidence of complications and pain in the first 30 days.},
	keywords = {adult, article, clinical trial, comparative study, controlled clinical trial, controlled study, cyanoacrylic acid octyl ester, edema, episiotomy, Episiotomy closure, Female, granuloma, human, Humans, injury, major clinical study, obstetric care, pain, pain assessment, Perineal repair, perineum, perineum injury, polyglactin, priority journal, questionnaire, randomized controlled trial, sexual intercourse, Skin, Skin adhesive, suture, Suture Techniques, suturing method, Tissue adhesive, Tissue Adhesives, treatment outcome, vaginal delivery, wound closure, wound dehiscence, Wounds and Injuries},
	isbn = {00016349 (ISSN)},
	url = {http://www.scopus.com/inward/record.url?eid=2-s2.0-66149113694\&partnerID=40\&md5=2a28b4b09b79b1c79c4cf903af92a16c},
	author = {Mota, R. and Costa, F. and Amaral, A. and Oliveira, F. and Santos, C.C. and Ayres-de-Campos, D.}
}
