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This Concept Map, created with IHMC CmapTools, has information related to: Procedure- 3rd degree laceration, Equipment ???? suture material and needle, A downward dissection is made from the rectovestibular shelf to expose the divided muscle fibres of the perineal body ???? The edges of skin from the anal sphincter to the most ventral point of the incision is closed using 1. interrupted vertical mattress sutures for tension 2. simple interrupted suture for apposition of the skin, Equipment ???? Allis tissue forceps, Procedure ???? Drugs used, Goetze technique Involves everting the rectal mucosa into the rectum and vaginal mucosa into the vagina An incision is made across the scar tissue demarking the junction between the vagina and rectum, An incision is made across the scar tissue demarking the junction between the vagina and rectum ???? Two skin flaps are created and brought to the midline without any tension, Drugs used caudal epidural analgesia 2% lidocaine HCL Dose= 8-10mL, Procedure single stage repair Goetze technique, A horizontal dissection of 2-3cm is done across the wound marking the junction between the vagina and rectum The shelf is closed in two layers 1.A simple continuous suture pattern is used in the tissue under the rectal mucosa to invert it, Procedure two-stage repair Aanes technique, Administration of local anaesthia prior to surgery and excess tissue is removed ???? A downward dissection is made from the rectovestibular shelf to expose the divided muscle fibres of the perineal body, Drugs used sedation 2% xylazine HCL, A horizontal dissection of 2-3cm is done across the wound marking the junction between the vagina and rectum The shelf is closed in two layers 2. A six-bite interrupted purse string suture is used to close the perineal shelf and vaginal mucosa, Aanes technique ???? Stage 2, Stage 1 reconstruction of the rectovestibular shelf (perineal body is left open) A horizontal dissection of 2-3cm is done across the wound marking the junction between the vagina and rectum, Equipment ???? scalpel/ surgical scissors, Stage 2 closure of the perineal body (can be performed at the same time/ more often 3-4 weeks after) Administration of local anaesthia prior to surgery and excess tissue is removed, Equipment ???? syringe and needle, Equipment ???? cotton swabs/gauze, Two skin flaps are created and brought to the midline without any tension ???? The edges of the skin flaps were closed using the six-bite vertical mattress suture pattern