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

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

3. Repair model: Equipment
11/7/2018

4. Condom over meat, cut ends
11/7/2018

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

6. Position anatomically
11/7/2018

7. Rectal Mucosa Repair
11/7/2018

8. Rectovaginal Fascia
11/7/2018

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!
11/7/2018

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

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

12. Checking the Sphincter
11/7/2018

13. Vaginal Repair: Apex to hymen
11/7/2018

14. Transition & Crown stitches
11/7/2018

15. Perineal interrupted stitches
11/7/2018

16. Finishing the Repair
11/7/2018