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Objectives Classification and anatomy Causes Prevention
Repair techniques
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Perineal body - sagittal
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Perineal body – frontal
Bulbocavernosus muscle Transverse perineal muscle External anal sphincter Ciné-Med, Inc., 127 Main St. N, Woodbury, CT Copyright© Ciné-Med, Inc.
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Sphincter anatomy Netter 1989
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Right angle retractors
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Another retractor
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Gelpi retractor
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Allis clamp
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Repair: first and second degree
Vaginal floor Perineal body Perineal skin
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Repair: 3rd and 4th degree
Additional structures first: Rectal mucosa Internal anal sphincter External anal sphincter
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