Pubiotomy

Pubitomy is a surgical procedure used to increase the patency of the birth canal in women with a narrow pelvis. It involves cutting the pubic bone near the pubic symphysis, where the right and left halves of the pubic bone meet. Pubitomy is now a rarely used procedure but may still be necessary in cases where caesarean section is not possible or desirable.

The pubitomy procedure was introduced into obstetrics in the early 20th century and was widely used until the advent of caesarean section. Currently, it is only used in cases where caesarean section is not possible or not recommended due to medical contraindications.

The operation is performed when the mother's pelvis is not large enough to allow the baby to pass through the birth canal. During the operation, the surgeon cuts the tissue covering the pubic bone and then cuts into the bone to increase the size of the birth canal. The bones are then connected with metal clamps or sutures to allow a natural healing process.

Pubitomy is a less common procedure than caesarean section because it carries the risk of bone damage, bleeding and infection. However, in some cases, pubitomy may be the preferred procedure due to faster recovery from surgery and lower risk of complications.

Although pubitomy is primarily used in obstetrics, it can also be performed to facilitate access to the base of the bladder and urethra during complex urologic procedures such as urethroplasty. In this case, cutting the pubic bone allows the surgeon to perform the operation more efficiently and reduces the risk of damage to surrounding tissue.

Although a pubitomy is a less common procedure, it may still be necessary in selected cases. The surgeon must evaluate the indications and risks of pubitomy before performing it and discuss them with the patient in order to make an informed decision about performing this operation.

Pubitomy: A surgical procedure to address special medical situations

Pubitomy, also known as pubic dissection, is a surgical procedure used in certain medical cases. This procedure involves cutting the pubic bone near the pubic symphysis, the junction of the right and left halves of the pubic bone. Pubitomy can be performed both during childbirth, when the size of the mother's pelvis is insufficient for the normal passage of the child through the birth canal in the presence of contraindications to cesarean section, and to provide access to the base of the bladder and urethra during complex urological operations, for example, urethroplasty.

In childbirth medicine, pubitomy is used in special cases where the normal process of childbirth may pose a threat to both mother and baby. For example, if the mother has a narrow pelvis or other anatomical features that may make it difficult for the baby to pass through the natural birth canal, a pubitomy may be considered as an alternative to a cesarean section. However, it should be noted that pubitomy is a rare procedure and is usually used only in cases where other methods are insufficiently effective or contraindicated.

When performing a pubitomy, the surgeon creates a small hole or cut in the pubic bone near the pubic symphysis. This allows you to expand the size of the pelvis and facilitate the passage of the child during the birth process. After the baby is born, the pubic bone usually heals and heals, regaining its strength and stability.

Pubitomy can also be used in urology to provide access to the base of the bladder and urethra during complex urological operations. For example, in urethroplasty, a procedure aimed at repairing or altering the urethra, a pubitomy can make it easier for the surgeon to access the necessary areas for surgery.

It is important to note that p

Pubitomy A surgical operation is a dissection of the pubic bone (pubis) near the pubic joint, the so-called pubic symphysis. The operation is performed mainly during caesarean section and its purpose is to provide access to the abdominal cavity through the pubic symphysis and protect the uterus from pressure on it by the weight of the baby and amniotic fluid. Although this procedure can be performed as a temporary measure to ease late labor, it is also used in a variety of complex bladder and urinary tract surgeries.

**Renaissance of operations: consequences of obstetric section** Many still believe that pubitotomy serves the only purpose - to help the full-term baby leave the mother's head in this unpleasant transverse direction. However, in fact, this procedure was developed centuries ago to treat complications not directly related to cephalic presentation. Before birth, it was used to care for patients with obstetric complications arising from labor presentations, as well as in the postoperative period. Currently, even obstetricians are abandoning the practice of performing obstetric pubitomy. According to them, this is an unjustified operation. It is also not a medical necessity. Newborn children with a head circumference greater than 34 cm are disabled; they either cannot pass through the birth canal through their mother’s narrow pelvis, or even after birth they do not have the opportunity to develop properly in utero. Typically, such children have many gross developmental anomalies, and subsequently they do not live to see the first year of life.