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this portion demonstrates the third degree includes external finked er visualization is important here a gal pier attractor which unfortunately I donamp;#39;t have for this video but I did show you a photo of is very helpful its self retaining and it will spread the vaginal laceration so that the extra rectal sphincter is easily visible for repair I do have a guardian retractor from Cooper Surgical this is a very large vaginal retractor and often is inserted superiorly like this to spread the superior tissues and AG LP retractor posterior Lee to reveal the external rectal sphincter weamp;#39;ll try to get along without our gallop yet for this part of the demonstration weamp;#39;re going to demonstrate the side-to-side repair of the rectal sphincter physicians in the past have used the four-point repair like the hands of a clock 12 3 6 amp;amp; 9 the overlapping repair side to side is more durable in favored by rectal surgeons and will be the method I propose here the Alice retracto
