How To - Perineal Repair
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The Southern Medical Program and the Okanagan Academic Campus of the University of British Columbia are situated on the territory of the Syilx Okanagan Nation.
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With respect the Lekwungen peoples on whose traditional territory the Island Medical Program and the University of Victoria stand and the Songhees, Esquimalt and WSÁNEĆ peoples whose historical relationships with the land continue to this day.
We acknowledge our traditional hosts and honour their welcome and graciousness to the students who seek knowledge here.
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Dr. Helen Ting (UBC Clinical Instructor, Department of Family Practice) practices the repair of second degree vaginal tear after childbirth with suturing equipment and a foam block. Prior to watching this video it is important to review the anatomy of the female perineum.
KEY POINTS for REPAIR of 2nd DEGREE PERINEAL TEAR
1. IDENTIFY THE APEX
2. RE-APPROXIMATE THE ANATOMY BY USING ANATOMICAL LANDMARKS
3. REPAIR IN 3 STAGES (VAGINAL MUCOSA, DEEP TISSUE, SKIN)
4. CLOSE THE DEAD SPACE
5. PERFORM A DRE (DIGITAL RECTAL EXAM) BEFORE AND AFTER THE REPAIR
Produced by: Ed Tech
Written and performed by: Dr. Helen Ting
Associate Producer: Stephen Gillis
Produced by Paul Milaire
Camera: Paul Milaire and Sam McGuinness
Thumbnail image designed by: Sam McGuinness
Medical tools designed by 588ku care of pngtree.com/freepng/scalpel-i...
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All rights reserved. Reproduction and distribution of this presentation without written permission from UBC Faculty of Medicine Duplication is strictly prohibited.
Пікірлер: 24
Wow thank you for this video easy way of episiorrhapy.
Beautifully explained
Excellent!
Nice work
Thanks for the video
Very informative video. Thanks.
@ubcmedvid
3 жыл бұрын
Thanks for watching. Subscribe to our channel so you don't miss new content.
Thanks a lot.
Very nice
very brief and informative video. Thank you so much
Nice
Wow For me, this is the easiest way to do this.
Is it done under under GA or LA?
@shasha96613
2 жыл бұрын
Usually under LA
@mayurirathore1160
2 жыл бұрын
Thanks
Where do you buy the sponge blocks? Thanks Vince LaPorte, MD
@helenting3632
3 жыл бұрын
Hi Vince, I purchase the foam blocks at a foam store. The foam is sold in different densities and is easily cut to size. I order 5-6” cubes and mark the lines with a black permanent marker pen.
Can you tell why did you use locked suture ? No way
@Muslimah33
3 жыл бұрын
Hemostasis.
@alecipputz
2 жыл бұрын
@@Muslimah33 where dodo you find a study that suggests this type of suture? Nice Guidelines and Royal College consider no locked suture if no needed. And continuous suture in three layers to avoid pain in women after long-term childbirth. you know how many women have sexual pain in intercourse because of how they are sutured? because of that suture knot that is placed at the end of the vagina ( introito ) which should NEVER be there ??? Studies recommend continuous unlocking suture with a single 2-0 thread a frinedly woman suture is recommended.
@Muslimah33
2 жыл бұрын
@@alecipputz i learned that you can use locking in the vagina for hemostasis if necessary. I prefer unlocked for all of the reasons you mentioned.
Translete to Arabic please💙
@ubcmedvid
3 жыл бұрын
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@reemrajjal5620
3 жыл бұрын
@@ubcmedvid Thank you very much 💙 I subscribed with your channel,, It is my favourite channel.🌸🌸