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how do you prepare for a 3rd degree lacteration repair ?○ Identify shelf of tissue○ Incise along lateral walls of vagina at this level○ Create 2 flaps of lateral vagina○ Suture flaps together from cranial to caudal in midline suturing only sub-mucosa and lateral wall rectum to re-create dorsal roof○ Do not suture anal sphincter○ Ensure defaecating at day 1 (painful)Re-examine at 3 weeks and suture perineum (like Caslick's)

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