This is the most helpful demonstration of laceration repair. It's even more clearer than practicing with my professors in person. Thank you!
@Widderic
Жыл бұрын
KZitem took me to a weird place tonight. Anyways, your knot tying skills are great. Surgeons are impressive!
@christianpearls3725
10 жыл бұрын
Thank you! This will be on repeat!
@vdlaporte
10 жыл бұрын
Sir, Thanks - I hope you find it useful. Vince
@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
@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
@lisamarieoxenham2945
9 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
9 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
@lambsouvlaki7272
12 жыл бұрын
Very clear and useful. Thank you from Canada!
@vdlaporte
7 жыл бұрын
My mom was Canadian. Vince
@vloc15
11 жыл бұрын
Very informative! Thank you so much for this video! It really is a big help. Vince
@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
@basoyangmichaelb.mid2a895
3 жыл бұрын
Sir can you put step by step doing the 2nd degree Perenial repair demonstration
@shiltsze
9 жыл бұрын
Thank you for uploading a clear video n u made it look very simple! :)
@stellalagat766
Жыл бұрын
Why didn't you tie the first knot at begging?
@ericaliebenberg7844
8 ай бұрын
Do they give a location anesthetic when stitching?
@ShiningSakura
2 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
16 күн бұрын
Ideally yes, but many public hospital just give 1 dose of lidocaine.
@sdfPZXC
Жыл бұрын
Ty u this is exactly what my teacher did
@amyb639
7 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
7 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.
@morganendres5207
7 жыл бұрын
How is an internal sulcus tear repaired? thanks!
@nighatkaramat1436
2 жыл бұрын
Thanks for more information
@kathleenmccarthy619
7 жыл бұрын
Has this been published in a journal?
@vdlaporte
7 жыл бұрын
Kathleen, No, this video nor an article has been published - only placed on KZitem.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 KZitem. 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.
@tatianikaratsopanou9413
Жыл бұрын
Thank you!
@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.
@sumannimmiwal2770
10 ай бұрын
Haw much sitches are comes in this cases
@morganendres5207
7 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
@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.
@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
@Aaliyah_luvs_dogs
3 жыл бұрын
Looks painful..
@joshsan66
5 жыл бұрын
Stitches are so loose I wouldn’t want you sewing anybody up
@vdlaporte
5 жыл бұрын
Perineal swelling can be considerable in the first 24 hours - so just approximate with slight tension do not strangulate.
@neginsarmadi2779
5 жыл бұрын
perfect perfect perfect
@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 😇😇😇
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