From Society of Gynecologic Surgeons

Instructional video for fourth-degree obstetric laceration repair using modified beef tongue model

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Brought to you by the Society of Gynecologic Surgeons. In this video, the authors demonstrate anatomic considerations and outline the steps in the repair of a fourth-degree obstetric laceration. Proper technique for repair, as well as each step of the repair, is demonstrated, including repair of: the anal epithelium with a second imbricating layer through the anorectal muscularis and submucosa; the internal anal sphincter; the external anal sphincter in posterior, inferior, superior, and anterior fashion; and the second-degree portion of the vaginal laceration and perineal body.

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