How To - Perineal Repair

The Vancouver Fraser Medical Program and the Vancouver Academic Campus of the University of British Columbia are situated on the traditional territory of the Musqueam, Squamish and Tsleil-Waututh peoples.
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.
The Northern Medical Program and the University of Northern BC are situated on the traditional territory of the Lheidli T’enneh, part of the Dakelh (Carrier) First Nations.
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...
© 2010-2020 UBC Faculty of Medicine
All rights reserved. Reproduction and distribution of this presentation without written permission from UBC Faculty of Medicine Duplication is strictly prohibited.

[@NN-rn1oz]

Excellent!

[@Minaxii555]

Beautifully explained

[@charinagarcia1614]

Wow thank you for this video easy way of episiorrhapy.

[@felistuskitema9677]

Nice work

[@jisnudeepmandal]

Thanks for the video

[@drmabdulrazzaq]

Very informative video. Thanks.

[@ubcmedvid]

Thanks for watching. Subscribe to our channel so you don't miss new content.

[@dr.asmaalam319]

Thanks a lot.

[@wilsoneveal2281]

very brief and informative video. Thank you so much

[@summaryofmaths]

Nice

[@rahulmane9645]

Very nice

[@petepan735]

Wow For me, this is the easiest way to do this.

[@vdlaporte]

Where do you buy the sponge blocks? Thanks Vince LaPorte, MD

[@helenting3632]

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.

[@mayurirathore1160]

Is it done under under GA or LA?

[@shasha96613]

Usually under LA

[@mayurirathore1160]

Thanks

[@alecipputz]

Can you tell why did you use locked suture ? No way

[@Muslimah33]

Hemostasis.

[@alecipputz]

@@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]

@@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.

[@reemrajjal5620]

Translete to Arabic please💙

[@ubcmedvid]

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[@reemrajjal5620]

@@ubcmedvid Thank you very much 💙 I subscribed with your channel,, It is my favourite channel.🌸🌸