Perineal Repair Workshop

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Presentation transcript:

Perineal Repair Workshop 11/7/2018 Perineal Repair Workshop Dr Scott Strayer, MD MPH ALSO Workshop

Rectal Mucosa and Rectal Sphincter (Sphincter Capsule) (Rectal Sphincter) 5 (Rectal Shape) 11/7/2018

Repair model: Equipment 11/7/2018

Condom over meat, cut ends 11/7/2018

Condom over Butterfinger, cut 4-5 cm cut in “rectal mucosa” 11/7/2018

Position anatomically 11/7/2018

Rectal Mucosa Repair 11/7/2018

Rectovaginal Fascia 11/7/2018

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! 11/7/2018

Rectal Sphincter: P-I-S-A 11/7/2018

Rectal Sphincter: P-I-S-A 11/7/2018

Checking the Sphincter 11/7/2018

Vaginal Repair: Apex to hymen 11/7/2018

Transition & Crown stitches 11/7/2018

Perineal interrupted stitches 11/7/2018

Finishing the Repair 11/7/2018

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