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At least 19 recordsLinked to original sources
PubMed1987

Symphysiotomy as an alternative to cesarean section.

The author compares the value of symphysiotomy to cesarean section in the management of cephalopelvic disproportion. He outlines the history of the procedure and reviews the literature on the subject. He then presents results of 54 symphysiotomies performed from 1976 to 1983 in two rural hospitals in the southwestern highlands of Tanzania, together with the outcome of subsequent labor in 25 other women with a history of previous symphysiotomy. The risk of maternal mortality after symphysiotomy is lower than after cesarean section when performed for cephalopelvic disproportion. Although different in nature, maternal morbidity after both operations is equally common. In contrast with findings reported in the literature, a history of previous symphysiotomy still constitutes a high obstetrical risk. The author concludes that symphysiotomy has a place in the management of cephalopelvic disproportion.

Africa↗
PubMed1990

Safe motherhood: cesarean section or symphysiotomy?

The place of symphysiotomy in the management of cephalopelvic disproportion is discussed on the basis of the existing literature, reviewing maternal mortality and morbidity after symphysiotomy and the vaginal delivery rate in a subsequent pregnancy after a previous symphysiotomy. These are compared with the outcome of cesarean section performed in similar circumstances.

Cesarean Section↗
PubMed1990

Symphysiotomy for the trapped aftercoming parts of the breech: a review of the literature and a plea for its use.

The most dreaded complication of vaginal breech delivery is entrapment of the aftercoming head. When this is due to disproportion, persistent attempts at vaginal extraction are likely to result in a dead or damaged baby. A largely unknown solution in this desperate predicament is to surgically enlarge the pelvis by means of a symphysiotomy. A review of the literature shows that symphysiotomy performed to free the trapped aftercoming head will save at least 80% of babies if the procedure is performed without delay. Every obstetrician should be prepared to perform a symphysiotomy if the aftercoming head is trapped.

Breech Presentation↗
PubMed1992

Emergency symphysiotomy for the trapped head in breech delivery: indications, limitations and method.

Careful case selection can avoid most obstetrical emergencies. However, even with optimum management of breech labour, the fetal head may become trapped. Since doctors in developing nations must be prepared for this dire situation, this article reviews breech case selection and outlines the steps in breech delivery, illustrating symphysiotomy for the entrapped head. The limitations and precautions associated with symphysiotomy are stressed.

Breech Presentation↗
PubMed1978

Six years' experience of symphysiotomy in a teaching hospital.

One hundred and sixty-one symphysiotomies were performed at Harari Maternity Hospital, Rhodesia, over a 6-year period. Indications for the operation are discussed and fetal and maternal results reviewed. Seventy-two patients suffered from postoperative complications but the majority of these were minor and of short duration. Multiparous patients did not have a higher morbidity than did primiparous ones. It is concluded that symphysiotomy has a useful role to play in a teaching hospital, provided it is performed by an experienced surgeon on carefully selected patients.

Adult↗
PubMed1974

Symphysiotomy.

Explore the source record for details and available documents.

Anesthesia, Local↗
PubMed1975

Symphysiotomy or transpubic approach to traumatic strictures of the posterior urethra.

The trans-symphyseal or transpubic approach is a useful technique which gives a very good exposure of the prostatic and membraneous urethra. We have used it on seven patients, for repair of post-traumatic strictures of the posterior urethra, complementary to the transperineal route in most difficult cases. This technique has allowed a correct anastomosis between the distal and the prostatic urethra in all these cases. The short-term results are good and no lasting orthopaedic sequelae have been observed.

Abdominal Muscles↗