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Conference Talk
Diagnosis and Repair of Obstetric Anal Sphincter Injuries Speaker: Ranee Thakar
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There is an increase in obstetric anal sphincter injury rates and this results in maternal morbidity. Dr. Ranee discusses the anatomy of the anal sphincter and classification of tears. Diagnosis of anal tears needs a high index of suspicion.  The diagnosis of tears and the various repair techniques are elaborated. Overlap should be done only for full length tears. During repair, internal anal sphincter is repaired end to end. The full length of external anal sphincter should be repaired. Obstetric anal sphincter injuries can be minimized by using warm compresses, episiotomy at 600, perineal support and use of ventouse delivery. Prevention and repair of tears and episiotomy through coordinated training (PROTECT) is is a certified web based hands on training programme.

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