Obstetric Perineal Laceration Repair Equipment

OB/GYN, Procedure Checklist

  • Sterile drapes and gloves
  • Irrigation solution
  • Needle holder
  • Metzenbaum scissors
  • Suture scissors
  • Forceps with teeth
  • Allis clamps
  • Gelpi or Deaver retractor (for use in visualizing third- or fourth-degree perineal lacerations, or deep vaginal lacerations)
  • 10-mL syringe with a 22-gauge needle
  • 1% lidocaine (Xylocaine)
  • 3-0 polyglactin 910 (Vicryl) suture on CT-1 needle (for vaginal mucosa sutures)
  • 3-0 polyglactin 910 suture on CT-1 needle (for perineal muscle sutures)
  • 4-0 polyglactin 910 suture on SH needle (for skin sutures)
  • 2-0 polydioxanone sulfate (PDS) suture on CT-1 needle (for external anal sphincter sutures)

 

**We only use absorbable sutures for vaginal laceration repair. Vicryl is preferred over Catgut.

Resources:

http://www.aafp.org/afp/2003/1015/p1585.html

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