Hey, FRiend-- just a guess? I can't account for the sticks, but I believe that pine-cone looking horror is used to force the vagina open for "trimming."
I really don't know enough foul words to accurately describe what I feel about this savagery.
If I had to guess I’d say those hollow reeds are inserted after cutting to make sure everything doesn’t totally fuse when healing to allow meunstral flow in the future.