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Step 4 of the Four-Step Process to become a PROTECT-trained trainer is the submission of personal videos or photos. The videos and photos must demonstrate live surgical technique. Below you’ll find more information on submitting videos and photos and the criteria for scoring them. 

Submission of Videos and Photos
Please submit your videos and photos to the IUGA Executive Office through the following link.

Please note that a consent form from the subject/patient in the videos and/or photos must be submitted to the IUGA Executive Office. Please use the consent forms that are typically used within your own institution.

Criteria for Scoring Video and Photo Submissions

EPISIOTOMY

OBSTETRIC ANAL SPHINCTER INJURY

Demonstration of per rectal examination before repair to exclude OASIS or button hole tear

Demonstrating classification of tear

Identifying apex of vaginal laceration

Demonstration of per rectal examination before repair

Technique of repair i.e Continuous technique for all 3 layers

Identification of EAS and IAS (if torn)

Suture material - Vicryl rapide (explanation if not used)

Suturing mucosa if 4th degree tear (interrupted or continuous)

Good apposition of muscle and skin

Repair of IAS* (end-to-end)

Demonstration of per rectal examination after repair

Repair of EAS** – End-to-end (Overlap only acceptable if complete 3b or greater)

Quality of video for teaching purposes

Demonstration of per rectal examination after repair

 

Appropriate suture material (PDS 3-0 or Vicryl 2-0 for sphincters)

 

Quality of video for teaching purposes


*IAS = internal anal sphincter
**EAS = External anal sphincter