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- If you cannot see edges, use general anesthesia
- If you can see edges, use local or block
- Repair rectal mucosa with 3-0 or 4-0 interrupted sutures
- Close fascial layer
- Close sphincter with interrupted 2-0
- During repair, use multiple rounds of antiseptic wash
- Change gloves
- Repair vaginal mucosa, perineal muscles, skin
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