Question:medium
Type of suture used in complete perineal tear is?
Type of suture used in complete perineal tear is?
Show Hint
A layered repair of different tissues needs more than one absorbable material.
Updated On: Jun 24, 2026
- Catgut
- Silk
- Vicryl
- Vicryl and catgut
Show Solution
The Correct Option is D
Solution and Explanation
Step 1: When a tear is complete it breaches the anorectal wall, the sphincter and the perineal muscles, so the surgeon rebuilds each plane separately with a stitch suited to that tissue.
Step 2: After clearing scar tissue and refreshing the rectal margins, the mucosa and submucosa of the rectum and anus are brought together with vicryl.
Step 3: The muscular layer, the perineal body and levator ani, is reconstructed with catgut, and the superficial tissues are again closed with vicryl, so the repair as a whole relies on both vicryl and catgut.
Step 4: Picking only catgut or only vicryl ignores the layered technique, and silk is rejected outright because being non-absorbable it persists and predisposes to sinus and infection in this contaminated area.
\[\boxed{\text{Vicryl and catgut}}\]
Step 2: After clearing scar tissue and refreshing the rectal margins, the mucosa and submucosa of the rectum and anus are brought together with vicryl.
Step 3: The muscular layer, the perineal body and levator ani, is reconstructed with catgut, and the superficial tissues are again closed with vicryl, so the repair as a whole relies on both vicryl and catgut.
Step 4: Picking only catgut or only vicryl ignores the layered technique, and silk is rejected outright because being non-absorbable it persists and predisposes to sinus and infection in this contaminated area.
\[\boxed{\text{Vicryl and catgut}}\]
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