Anal Sphincter Repair Trainer, Dark

Skills

• Recognition of internal anatomy
• Perform infiltration (administering local anaesthesia, we recommend this is done ‘dry’)
• Identification of degree of tear using the pill rolling technique
• Repair techniques for fourth degree perineal tears
• Tissue layer identification and handling
• Deep musculature suturing
• Subcuticular suturing
• Superficial suturing
• Dissection of anal sphincter muscles
• End-to-end or overlap repair of the external sphincter
• Repair of internal sphincter and rectal mucosa

Features

• Obstetric Anal Sphincter Injuries (OASIS) are complications that occur during a vaginal delivery, also referred to as 3rd and 4th degree perineal lacerations
• Developed in collaboration with Mr Abdul Sultan, Consultant Obstetrician and Gynecologist with Croydon University Hospital (UK), the Anal Sphincter Repair Trainer presents ideal practise for 4th degree perineal repairs
• The Anal Sphincter Repair Trainer can be used for end-to-end and overlap repair of the external anal sphincter, as well as repair of the internal anal sphincter and anal mucosa
• Anatomically accurate model for teaching perineal laceration suturing
• Includes Illustration Pack to aid in identification of key landmarks and internal anatomy of each degree of perineal trauma
• Silicone module can be positioned for examination or suturing
• Improved rubber has increased accuracy when suturing through the perineal muscle
• This product can be used in conjunction with the PROMPT Flex birthing simulator and a simulated patient
• Simulated Patient: this product can be used with a simulated patient
• All essential layers of tissue are present, and can accept repeated suturing
• Soft skin on the trainer has a similar drag and strength to human skin
• Improved, thinner skin layer, more anatomically accurate and allowed for more accurate placement of subcuticular sutures
• Quick and easy set up
• When in place, there are two resting positions for the perineum:
  • Relaxed, unhooked for suturing
  • Tensed, hooked to stand for examination
•  Anatomy
  • Vaginal mucosa
  • Distinct Perineal dermis and epidermis
  • Posterior Fourchette
  • Perineal muscles (bulbocavernosus and transverse presented together)
  • External anal sphincter with pararectal fat
  • Internal anal sphincter
  • Anal mucosa
• Compact and portable, clamps can be used on a variety of surfaces to secure for training