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Updated: Jul 4, 2026

Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
A complete audit cycle of management of third/fourth degree perineal tears
R Panigrahy1, J Welsh, F MacKenzie
1Department of Obstetrics and Gynaecology, Queen Mother's Hospital, Glasgow, UK. bsrita@yahoo.com
Abstract:
We present a complete audit cycle of the management of third/fourth degree perineal tears in the three Glasgow maternity hospitals measured against the recommendations of the Royal College of Obstetricians and Gynaecologists (RCOG) Guideline No. 29 (www.rcog.org.uk). Following an initial 6-month data collection period, shortcomings in the practice were identified, circulated and an operative proforma was designed and introduced. A re-audit demonstrated improved compliance with the RCOG guidelines. We recommend the introduction of an operative proforma to aid management and documentation of third/fourth degree tear repairs.
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