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so in this video Iamp;#39;m going to show a slightly different way to repair the panum uh this is a second degree tear or an otomy midline I think of the perineum as taking two pieces of triangle and bring it together the vaginal layer the Deep layer and the paranal skin layer so you saw me start at the Apex just above the apex of the tear in the vagina and you want to be above that because it help helps you with hemostasis I only put two knots in but you always have to put at least three knots in uh now Iamp;#39;m doing a running locking Stitch and once again this improves hemostasis the most vascular area is that vaginal tissue I apologize on this video for the small amount of suture material Iamp;#39;m using and thatamp;#39;s going to make it a little hard to do the knot at the end when Iamp;#39;m demonstrating so Iamp;#39;m just at the inside of of the himal Ring there and so weamp;#39;re going to go on the inside of the ring lock it and then Iamp;#39;m going to come out to
