Question:
Type of suture used in complete perineal tear is?
Type of suture used in complete perineal tear is?
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A layered repair of different tissues needs more than one absorbable material.
Updated On: Jun 24, 2026
- Catgut
- Silk
- Vicryl
- Vicryl and catgut
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Verified By Collegedunia
The Correct Option is D
Solution and Explanation
Step 1: A complete (third or fourth degree) perineal tear extends through the perineal body, the anal sphincter and into the rectal mucosa, so repair is done in layers using different absorbable materials for different tissues.
Step 2: The torn rectum is first dissected free of scar tissue and the cut edges are freshened. The rectal and anal mucosal edges are approximated with vicryl (polyglactin) sutures.
Step 3: The deep muscles of the perineal body and the levator ani, along with the sphincter, are identified and repaired, classically with catgut, while the superficial layers are closed with vicryl. Because more than one material is used, option (d) vicryl and catgut is correct.
Step 4: Single answers such as catgut alone (a) or vicryl alone (c) are incomplete for a layered repair, and silk (b) is non-absorbable and unsuitable for this region as it would act as a nidus for infection.
Step 2: The torn rectum is first dissected free of scar tissue and the cut edges are freshened. The rectal and anal mucosal edges are approximated with vicryl (polyglactin) sutures.
Step 3: The deep muscles of the perineal body and the levator ani, along with the sphincter, are identified and repaired, classically with catgut, while the superficial layers are closed with vicryl. Because more than one material is used, option (d) vicryl and catgut is correct.
Step 4: Single answers such as catgut alone (a) or vicryl alone (c) are incomplete for a layered repair, and silk (b) is non-absorbable and unsuitable for this region as it would act as a nidus for infection.
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