Evidence map›Paper›PMID 37046212›Full record

Trial reportBMC pregnancy and childbirth2023

Use of surgical glue versus suture to repair perineal tears: a randomised controlled trial.

Adriana Caroci-Becker, Wesllanny Sousa Brunelli, Marlise de Oliveira Pimentel Lima, Angela Megumi Ochiai, Sheila Guimarães Oliveira, Maria Luiza Riesco

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC pregnancy and childbirth, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.5field-weighted citation impact, top 11% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Review
  3. 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 1 institution in 1 country.

Adriana Caroci-BeckerSchool of Nursing, University of São Paulo, São Paulo, Brazil. acaroci@usp.br.
Wesllanny Sousa BrunelliSchool of Nursing, University of São Paulo, São Paulo, Brazil.
Marlise de Oliveira Pimentel LimaSchool of Arts, Sciences and Humanities, University of São Paulo, São Paulo, Brazil.
Angela Megumi OchiaiSchool of Arts, Sciences and Humanities, University of São Paulo, São Paulo, Brazil.
Sheila Guimarães OliveiraMunicipal Hospital Dr Moses Deustch, São Paulo, Brazil.
Maria Luiza RiescoSchool of Nursing, University of São Paulo, São Paulo, Brazil.
Universidade de São Paulo · BR

Funding

Conselho Nacional de Desenvolvimento Científico e Tecnológico 424069/2016Fundação de Amparo à Pesquisa do Estado de São Paulo 15/15162-1
6 · The paper itself

Abstract

backgroundSurgical glue has been used in several body tissues, including perineal repair, and can benefit women.

objectivesTo evaluate the effectiveness of n-butyl-2-cyanoacrylate surgical glue compared to the polyglactin 910 suture in repairing first- and second-degree perineal tears and episiotomy in vaginal births.

designA parallel randomised controlled open trial.

settingBirth centre in Itapecerica da Serra, São Paulo, Brazil. PARTICIPANTS AND

methodsThe participants were 140 postpartum women allocated into four groups: two experimental groups repaired with surgical glue (n = 35 women with a first-degree tear; n = 35 women with a second-degree tear or episiotomy); two control groups sutured with thread (n = 35 women with a first-degree tear; n = 35 women with a second-degree tear or episiotomy). The outcomes were perineal pain and the healing process. Data collection was conducted in six stages: (1) up to 2 h after perineal repair; (2) from 12 to 24 h postpartum; (3) from 36 to 48 h; (4) from 10 to 20 days; (5) from 50 to 70 days; and (6) from 6 to 8 months. ANOVA, Student's t, Monte Carlo, x-square and Wald tests were used for the statistical analysis.

resultsOne hundred forty women participated in the first three stages, 110 in stage 4, 122 in stage 5, and 54 in stage 6. The women treated with surgical glue had less perineal pain (p ≤ 0.001). There was no difference in the healing process, but the CG obtained a better result in the coaptation item (p ≤ 0.001).

conclusionsPerineal repair with surgical glue has low pain intensity and results in a healing process similar to suture threads.

trial registrationBrazilian Registry of Clinical Trials (UTN code: U1111-1184-2507; RBR-2q5wy8o); date of registration 01/25/2018; www.ensaiosclinicos.gov.br/rg/RBR-2q5wy8/.

Indexed as

IodineLacerationsTissue AdhesivesBrazilEpisiotomyFemaleHumansParturitionPelvic PainPerineumPregnancySuturesIodineTissue AdhesivesCyanoacrylatesMidwiferyNursePerineumSuturesTearsTissue adhesives

Identifiers

PMID37046212
PMCPMC10091848
OpenAlexW4365149953

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.