Post Repair Perineal d/t Perineal Rupture grade IV

June, 7th 2022

• The patient was laid on the operation table with iv line installed well
• Under Spinal anesthesia.The patient was positioned in a lithotomy position and then performed
aseptic and antiseptic measures with povidone iodine
• The surgical field was closed with a sterile drape
• evaluation of bleeding was carried out, concluded with a grade IV perineal laceration
• Suturing the rectal mucosa with vicryl 3.0 was technique simply interrupted
• The anal sphincters were sutured overlapping with vicryl 2.0
• rectal mucosal was sutured continuous layer-by-layer suturing is performed.
• Then the bleeding is evaluated, the impression is controlled.
• wound is closed with sterile gauze
• The general condition of the patient after surgery is stable