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today we will talk about a very important topic of static and that is the first and second degree perennial tier repair in order to get up-to-date knowledge about the obstetric sphincture entries I would recommend you to study the rcog guideline about Orc in this video first of all we will study the requirements of the perennials here repair and then one by one I will discuss how to repair the first and second degree perennial tears so what are the requirements of perennial tear repair the prepared of perineum requires first of all the good lighting and visualization secondly proper surgical instruments thirdly the suture material is very important effective suture material is extremely important and compared with the surgical repair using chromic suture or category repair using two zero or three zero polygalactin or Michael suture results in decreased wound Essence and less postpartum perennial pain and lastly we shouldnamp;#39;t forget the importance of adequate analgesia to the pat