Vincent LaPorte

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@ericaliebenberg7844 11 ай бұрын

Do they give a location anesthetic when stitching?

@ShiningSakura 5 ай бұрын

I had a 3rd degree tear, had epidural onboard already.... would hate to know how it would have been without it...... XC

@PrinceMascara 3 ай бұрын

Ideally yes, but many public hospital just give 1 dose of lidocaine.

@sumannimmiwal2770 Жыл бұрын

Haw much sitches are comes in this cases

@sumannimmiwal2770 Жыл бұрын

Haw much stitches comes in this cases

@stellalagat766 Жыл бұрын

Why didn't you tie the first knot at begging?

@Widderic Жыл бұрын

KZbin took me to a weird place tonight. Anyways, your knot tying skills are great. Surgeons are impressive!

@АндрейПрищепа-к5л Жыл бұрын

This method is very quickly,but... 1)continuous suture worsens the blood supply to tissues.Separate interrupted sutures are better 2)The suture material in the tissues takes a long time to dissolve. This brings discomfort to women and worsens the consequences. The interrupted sutures are removed and the wound heals faster. 3)with continuous suturing, the risk of hematomas is higher

@sdfPZXC 2 жыл бұрын

Ty u this is exactly what my teacher did

@tatianikaratsopanou9413 2 жыл бұрын

Thank you!

@timwoodman 2 жыл бұрын

If the water gets real hot almost boiling is the thermostat bad?

@michaeldoherty2289 2 жыл бұрын

yes

@fauzianawaz9167 2 жыл бұрын

thanks sir for such a good demonstration

@avikillozmusic 2 жыл бұрын

When u do this procedure, do you start closest to the vagina when starting or the opposite direction?, closest to the anus, or does it matter?? Asking for a friend who feels they did hers wrong 😇😇😇

@Chuberdooberflubergooben 3 жыл бұрын

Thank you so much for this information, genius if you're asking me! Was worried my 6 Waters were not working after we just had night of 15 degree freezing temperatures and as I cleaned the waterers this past morning, I couldn't tell if they had even kicked on the heat because the water was still very ice cold to the touch. But with your Technique of Geniusness 😄 I was able to verify that they all are in proper working order, thanks again!💪🏼😁👍🏻👏🏻

@nighatkaramat1436 3 жыл бұрын

Thanks for more information

@thaliaklotz5122 3 жыл бұрын

Contenu vide. Je suis assez déçue, j'attendais a avoir une chute digne d'un Vincent Lafenêtre. Fuck les haters

@metinulusoy4829 3 жыл бұрын

Thanks

@basoyangmichaelb.mid2a895 3 жыл бұрын

Sir can you put step by step doing the 2nd degree Perenial repair demonstration

@Carribean_gurl 3 жыл бұрын

Looks painful..

@dilpreets7 3 жыл бұрын

Ok there shaky hands

@navajules6334 3 жыл бұрын

Wow! This is an excellent video. Thank you for being so thorough. Love it.

@walkkey1 4 жыл бұрын

Thank you sir!. I am going to check my 5 waterers right now.

@neginsarmadi2779 5 жыл бұрын

perfect thanks dr.LaPorte

@neginsarmadi2779 5 жыл бұрын

perfect perfect perfect

@joshsan66 6 жыл бұрын

Stitches are so loose I wouldn’t want you sewing anybody up

@vdlaporte 6 жыл бұрын

Perineal swelling can be considerable in the first 24 hours - so just approximate with slight tension do not strangulate.

@drsherinsultan4616 6 жыл бұрын

Thank you

@josephchang007 7 жыл бұрын

Great Demo. Thanks.

@vdlaporte 7 жыл бұрын

Joseph, Glad you found it useful. Fine cheap suture at esuture.com - best to phone and describe your request.

@CaptainMorgan_10 8 жыл бұрын

How long does this repair take on a patient? Thanks!

@vdlaporte 7 жыл бұрын

Morgan, A typical second degree repair (no extensions) should take 15 - 20 minutes. Vince

@CaptainMorgan_10 8 жыл бұрын

How is an internal sulcus tear repaired? thanks!

@kathleenmccarthy619 8 жыл бұрын

Has this been published in a journal?

@vdlaporte 8 жыл бұрын

Kathleen, No, this video nor an article has been published - only placed on KZbin.com. I have taught Perineal Repair as part of the ALSO (Advanced Life Support Obstetrics) course presented twice per year by the University of Minnesota Department of Family Medicine since about 2010. I realized that I was repeating myself each time so I hired a local wedding videographer to record the instructions. Now, I have the students view the video at home prior to the class and actually play the video on small computers at each workstation during the class. I then can assist individual students when they get stuck. I encourage students to take the yellow sponge home and continue to learn with the video support on KZbin. You will note video four of the series - "Materials and Methods" - offers instructions on sponge prep and resources for equipment. My intent was to assist other instructors. Feel free to publish this information. I guess I am too lazy to publish as I am 72 years old.

@amyb639 8 жыл бұрын

What about burying the final knot deeper in the vagina? I've found that sutures near the hymen or on the introitus cause significant pain and irritation during the healing process, many have to have the knots removed early due to severe discomfort.

@vdlaporte 8 жыл бұрын

I have not noted this issue. Now remember, that women who breast-feed have a high levels of prolactin which acts as an antiestrogen and produces atrophic vaginitis. The treatment is Premarin vaginal cream.

@iceykargbo4028 9 жыл бұрын

This is the most helpful demonstration of laceration repair. It's even more clearer than practicing with my professors in person. Thank you!

@dr.shrutimani4276 9 жыл бұрын

great idea!! thanks Dr.LaPorte!!

@shiltsze 9 жыл бұрын

Thank you for uploading a clear video n u made it look very simple! :)

@fartunahmed2187 9 жыл бұрын

@lisamarieoxenham2945 10 жыл бұрын

I share Leilani Hall's question down below regarding avoiding the hymenal ring as it leads to long term discomfort for the mother. Could you respond?

@vdlaporte 10 жыл бұрын

Dear Ms Oxenham, I am not aware of any data regarding long term pain - do you have any references or studies - I would like to know. Thanks, Vince

@khalilullahnatory257 10 жыл бұрын

Thanks for this teaching procedures

@luisafranco764 10 жыл бұрын

Is there a video for a 1st degree Perineal Repair?

@vdlaporte 10 жыл бұрын

No, that is too simple. Vince

@user-js2is9qo2l 8 жыл бұрын

sometimes they don't even repair those because the tear is just skin.

@giseleross 10 жыл бұрын

grata por sua contribuição! percebe-se que você é um homem muito dedicado ao que faz. from brazil

@bandanasharma9396 7 жыл бұрын

TGisele Ross

@christianpearls3725 10 жыл бұрын

Thank you! This will be on repeat!

@vdlaporte 10 жыл бұрын

Sir, Thanks - I hope you find it useful. Vince

@leilanihall1345 11 жыл бұрын

Dr. LaPorte, Thank you for your clear examples. I was taught to avoid the hymenal ring, as it causes long-term pain for women. What is your experience? Thanks, Leilani Hall

@Lally75uk 2 жыл бұрын

this is a male obstetrician's repair... We do not do this as midwives. Listen to women always

@vdlaporte 11 жыл бұрын

No, less than 25% need repairs. Thanks, Vince

@manhanoorlittledoll8763 6 жыл бұрын

no it repair very soon one week or after week

@naabaakesagoe7378 11 жыл бұрын

Thank you so much. It was very instructive

@wintermoongoddess 11 жыл бұрын

thanks!! as a midwife working in india i needed clear concise instructions and an easy way to stitch!

@jyotilakshmi4443 2 жыл бұрын

ap please mere kuch doubts clear karoge

@mohamedmoustafa8759 11 жыл бұрын

thank you doctor Vincent ,its soo magnificent :)

@vloc15 11 жыл бұрын

Very informative! Thank you so much for this video! It really is a big help. Vince

@c6cowboy 11 жыл бұрын

well done!

@riemacantik45 11 жыл бұрын

bagus2 om...

@Musamustansar 7 жыл бұрын

Riema cantikz jybhhyhuhiuhk87tyg5r

@Musamustansar 7 жыл бұрын

Riema cantikz ythgyy6y6yoi8j90opp9k9millwoodpiokoi8kiu88jpjiui9io9p0kmii9ui7uo0i'm

@kurbanpathan7655 7 жыл бұрын

@jds91md 12 жыл бұрын

Great work, Dr. LaPorte! Your videos here are so clear that I'll be able to use your approach with my trainees. This was very generous of you to share like this. Thank you! --JSt

@lambsouvlaki7272 12 жыл бұрын

Very clear and useful. Thank you from Canada!

@vdlaporte 8 жыл бұрын

My mom was Canadian. Vince

@vdlaporte 12 жыл бұрын

Nexxett, Feel free to use this information in your teaching or your personal education. I plan to revise the 4th degree laceration simulation as I have located better materials for this section. Luck, Vince

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