Perineal Laceration Repair
This Perineal Laceration Repair course will teach you:
- To restore the anatomy of the perineal region including the anal sphincter. Especially with sphincter damage secondary to trauma caused by obstetric damage
Special attention is paid to the following hazards you may encounter during the Perineal Laceration Repair:
- Complete closure of the external anal sphincter
- Perineal muscle alignment
With the following tips you might perform the Perineal Laceration Repair even better:
- External anal sphincter identification
- External anal sphincter testing
- External anal sphincter closure
- Bulbocavernosus muscle suturing
- Perineal repair
After studying this Perineal Laceration Repair course you are familiar with the most common complications:
- Fecal incontinence,
- Fecal urgency
- Chronic perineal pain
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Step by step
Identify the degree of the rupture (classification by Sultan)
1st degree ruptures include only the tearing of the skin and subcutaneous tissue of the perineum and vaginal epithelium. 2nd degree rupture is characterized by tearing of the deep and superficial transverse perineal muscles, the bulbospongiosus muscles and the peroneal body.
3rd degree ruptures are divided in three levels, A (<50% of external anal sphincter) B (>50% external sphincter) and C (external and internal sphincter involved).
Most severe are the 4th degree lacerations where also the rectal mucosa is ruptured.
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