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Preliminary experience with twenty perineal repairs using Indermil tissue adhesive
L Rogerson1, G C Mason, A C Roberts
1Department of Obstetrics and Gynaecology, Leeds General Infirmary, Belmont Grove, UK.
Objective:
To assess the use of Indermil tissue adhesive for perineal repair.
Setting:
Leeds General Infirmary, a teaching hospital with 4500 deliveries annually.
Method:
Over a period of five months, 20 women who sustained either a second degree tear or who had an episiotomy at vaginal delivery had their perineal skin repaired with Indermil tissue adhesive. They were followed up prior to discharge and then by telephone once discharged.
Results:
Ten repairs followed normal vaginal deliveries, six were after ventouse deliveries, three after midcavity forceps delivery and one after a rotational forceps delivery. Three women noticed a burning sensation during application of adhesive. At follow up, 13 women were completely without problems, two complained of a sharp sensation from excess adhesive, one had silver nitrate applied at the six week check, two had small defects in the skin which healed well and in two women the skin edges broke down completely but did not need resuturing.
Conclusion:
Indermil tissue adhesive appears to be a safe and effective method of skin closure for episiotomies and second degree tears. The skin closure is quick and painless.