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    NCBI Bookshelf. Boston: Butterworths; A wag once remarked, with considerable truth, that a consultant is a doctor who makes a rectal examination. Rectal examination consists of visual inspection of the perianal skin, digital palpation of the rectum, and assessment of neuromuscular function of the perineum. The clinical situation and experience of the examiner will often dictate which of several methods to employ in performing the rectal examination.
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    The Rectal Examination - Clinical Methods - NCBI Bookshelf

    To describe and evaluate the use of a simple, low-cost, and reproducible simulator for teaching the repair of obstetric anal sphincter injuries OASIS. Twenty resident doctors in obstetrics and gynecology and four obstetricians participated in the simulation. A fourth-degree tear model was created using lowcost materials condom simulating the rectal mucosa, cotton tissue simulating the internal anal sphincter, and bovine meat simulating the external anal sphincter. The simulator was initially assembled with the aid of anatomical photos to study the anatomy and meaning of each component of the model. The laceration was created and repaired, using end-to-end or overlapping application techniques. The sutures of the layers rectal mucosa, internal sphincter, and external sphincter were performed in keeping with the surgical technique.
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