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Objectives Classification and anatomy Causes Prevention

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Presentation on theme: "Objectives Classification and anatomy Causes Prevention"— Presentation transcript:

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2 Objectives Classification and anatomy Causes Prevention
Repair techniques

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6 Perineal body - sagittal

7 Perineal body – frontal
Bulbocavernosus muscle Transverse perineal muscle External anal sphincter Ciné-Med, Inc., 127 Main St. N, Woodbury, CT Copyright© Ciné-Med, Inc.

8 Sphincter anatomy Netter 1989

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13 Right angle retractors

14 Another retractor

15 Gelpi retractor

16 Allis clamp

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20 Repair: first and second degree
Vaginal floor Perineal body Perineal skin

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24 Repair: 3rd and 4th degree
Additional structures first: Rectal mucosa Internal anal sphincter External anal sphincter

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