• 2.2.3 Setup: Instruments and Materials

    Setup for Repairing Lower Genital Tract Lacerations Materials for Repairing Lacerations For all repairs Additional, for Higher Order or Complex tears Sterile drapes and gloves Foley catheter Irrigation solution (warm sterile saline or water) Allis clamps (for anal sphincter repairs) Needle driver Ring forceps (for cervical repairs) Suture scissors Tissue…

  • 2.2.0 Perineal Lacerations

    Complicated Lower Genital Tract Lacerations. Module by: Nicole Wade & Katherine Rabicki Learning Objectives Review risk factors for complicated lacerations Review relevant pelvic and perineal anatomy Review basic principles of perineal lacerations Instruments Materials Propose an approach for the following complicated lacerations: Deep vaginal Anterior and periurethral Third degree (Obstetrical…

  • 3.1.3 CS – Delivery of the Head

    Slide your fingers between the head and the lower part of the incision​ Keep your hand stiff so it forms a “slide” for the baby’s head while the assistant pushes on the uterine fundus​ Don’t fight the contraction, direct the head through the incision during relaxation phase​ Assistant may push up from below to…

  • 3.1.2 CS – Uterine Incision

    Lower Segment (Transverse) Thin myometrium therefore less blood loss, quicker entry​ Lower risk of catastrophic uterine rupture in future pregnancies​ Width is restricted by uterine arteries and Azygos plexus​ May have to create a “T” incision to obtain adequate exposure  The choice of uterine incision largely depends on the indication…

  • Review Process

    Modules Prioritized (complete) Modules Assigned, with planned review date (goal 4 weeks) Content Creator makes initial documents (Word, PowerPoint, etc) Initial documents circulated to reviewers (curriculum working group, current residents, etc) and comments / edits are made in online version of Word, PowerPoint files (goal 2 weeks) Content Creator makes…