Evidence map›Paper›PMID 31887803›Full record

Trial reportYonsei medical journal2020

Randomized, Double-Blind, Placebo-Controlled Trial on the Efficacy of Hyaluronidase in Preventing Perineal Trauma in Nulliparous Women.

Hayan Kwon, Hyun Soo Park, Jae Yoon Shim, Kyo Won Lee, Suk Joo Choi, Gyu Yeon Choi

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Yonsei medical journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07705165 (A Randomized, Split Body, Evaluator-blinded, Trial on the Effect of Tergase Injection), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07705165 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

A Randomized, Split Body, Evaluator-blinded, Trial on the Effect of Tergase Injection (Berahyaluronidase Alfa) on Reducing Edema After Both Total Knee Arthroplasty

TypeinterventionalSponsorMan Soo KimRan2026 to 2028Enrolled30ConditionsOsteoarthritis, Knee, Postoperative Edema, Bilateral Total Knee ArthroplastyArmsBerahyaluronidase alfa
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Hyaluronidase for reducing perineal trauma.The Cochrane database of systematic reviews · 2024
    Pooled it
  2. A Simulation Analysis of Maternal Pelvic Floor Muscle.International journal of environmental research and public health · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 6 institutions in 1 country.

Hayan KwonDepartment of Obstetrics and Gynecology, Dongguk University Ilsan Hospital, Dongguk University College of Medicine, Goyang, Korea.ORCID https://orcid.org/0000-0002-5195-7270
Hyun Soo ParkDepartment of Obstetrics and Gynecology, Dongguk University Ilsan Hospital, Dongguk University College of Medicine, Goyang, Korea.ORCID https://orcid.org/0000-0002-7873-3234
Jae Yoon ShimDepartment of Obstetrics and Gynecology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0003-1881-8436
Kyo Won LeeDepartment of Obstetrics and Gynecology, Kangbuk Samsung Hospital, School of Medicine, Sungkyunkwan University, Seoul, Korea.ORCID https://orcid.org/0000-0001-9920-5433
Suk Joo ChoiDepartment of Obstetrics and Gynecology, Samsung Medical Center, School of Medicine, Sungkyunkwan University, Seoul, Korea.ORCID https://orcid.org/0000-0002-8946-4789
Gyu Yeon ChoiDepartment of Obstetrics and Gynecology, Soonchunhyang University Seoul Hospital, Seoul, Korea. kychoi@schmc.ac.kr.ORCID https://orcid.org/0000-0001-8636-4849
Dongguk University · KRKangbuk Samsung Hospital · KRSamsung Medical Center · KRSoonchunhyang University Hospital Seoul · KRUlsan College · KRYonsei University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeHyaluronidase (HAase) has many uses in medicine, and reports suggest that it affects perineal tissue during fetal passage through the vaginal canal. However, its potential use for preventing perineal trauma has yet to be determined. This study sought to evaluate the efficacy and safety of perineal HAase injections in reducing perineal trauma during vaginal delivery. MATERIALS AND

methodsA multi-center, double-blind, placebo-controlled, randomized study was conducted from January 2016 to March 2017. Nulliparous women who planned to undergo vaginal delivery were recruited, and the enrolled women were randomly assigned to the HAase injection group (HAase injection, 5000 IU, n=75) or the control group (normal saline injection, n=73). The degree of perineal laceration, rate of episiotomy, and grade of perineal edema at 1 hour and 24 hours after spontaneous vaginal delivery were compared between the two groups.

resultsA total of 148 women who underwent vaginal delivery were recruited. No significant differences were observed between the HAase injection and control groups in the rates of perineal laceration (

conclusionHAase injections in nulliparous women afforded no reductions in the rates of perineal lacerations and episiotomy. However, the use of perineal HAase injections did reduce perineal edema without severe adverse events.

Indexed as

AdultCase-Control StudiesDelivery, ObstetricDouble-Blind MethodEdemaEpisiotomyFemaleHumansHyaluronoglucosaminidaseIncidenceInfant, NewbornLacerationsPerineumPlacebosPregnancyTreatment OutcomeHyaluronoglucosaminidasePlaceboshyaluronidasenulliparityperineal traumarandomized controlled trialVaginal delivery

Identifiers

PMID31887803
PMCPMC6938784
OpenAlexW2996855282

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.