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Perineal Repair Workshop

Perineal Repair Workshop. Dr Scott Strayer, MD MPH ALSO Workshop. Rectal Mucosa and Rectal Sphincter . (Rectal Mucosa). (Sphincter Capsule). (Rectal Sphincter). 5. (Rectal Shape). Repair model: Equipment. Condom over meat, cut ends .

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Perineal Repair Workshop

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  1. Perineal Repair Workshop Dr Scott Strayer, MD MPH ALSO Workshop

  2. Rectal Mucosa and Rectal Sphincter (Rectal Mucosa) (Sphincter Capsule) (Rectal Sphincter) 5 (Rectal Shape)

  3. Repair model: Equipment

  4. Condom over meat, cut ends

  5. Condom over Butterfinger, cut 4-5 cm cut in “rectal mucosa”

  6. Position anatomically

  7. Rectal Mucosa Repair

  8. Rectovaginal Fascia

  9. Rectal Sphincter • Repair the two “severed” end of the rectal sphincter with 4 interrupted sutures • Use 2-0 Vicryl • Follow the order of PISA, per favore!

  10. Rectal Sphincter: P-I-S-A

  11. Rectal Sphincter: P-I-S-A

  12. Checking the Sphincter

  13. Vaginal Repair: Apex to hymen

  14. Transition & Crown stitches

  15. Perineal interrupted stitches

  16. Finishing the Repair

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