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What do you need to keep in mind when suturing to minimise perineal pain?

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What do you need to keep in mind when suturing to minimise perineal pain?

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Adequate local anaesthesia to torn perineal area, When suturing keep sutures 1-1.5cm apart and loose to allow for swelling. Keep final knot buried as not to cause irritation. Also adequate pain relief post repair.

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