Neuralgia, Perineal Clinical Trial
Official title:
Promoting Optimal Healing After Laceration Repair Study - PALS Study
The goal of this research is to investigate three different methods of perineal skin closure
during second-degree perineal wound repair and determine which method is associated with the
least amount of patient pain.
Null hypothesis: There will be no difference in patient pain among the three different
methods for second degree perineal wound repair.
At the University of Michigan, there are currently two standard techniques for repairing
second-degree perineal lacerations that differ only in management of the perineal skin :
1. Closure of the deep tissues and superficial perineal skin using a continuous 3-0 Vicryl
suture
2. Closure of the deep tissues with a continuous 3-0 Vicryl suture and reapproximation of,
but not suture-closure of the perineal skin.
The primary goal of our study is to compare patient pain amongst the following three perineal
skin repair techniques after second degree laceration:
1. Perineal skin closure with suturing
2. Not suturing the perineal skin
3. Closure of the perineal skin with n-Butyl 2-cyanoacrylate (Indermil®) surgical glue.
In all women, the deep vaginal and perineal tissues will be closed using a continuous 3-0
Vicryl suture, as is current standard practice.
Aim: To assess and compare patient pain among the three groups at intervals of 1 day, 2
weeks, 6 weeks and 3 months postpartum.
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