Symphysiotomy

Symphysiotomy is a surgical operation consisting of dissection of the pubic symphysis in order to increase the diameter of the pelvis and facilitate labor. It is used in cases where the fetal head is too large and cannot pass through the mother's pelvis.

During the operation, the surgeon makes a small incision above the pubic symphysis (the junction of the two pubic bones) and cuts through it to slightly separate the pelvic bones. This allows you to increase the diameter of the pelvis by 2-3 cm, providing sufficient space for the baby's head to pass through. After childbirth, the symphysis usually recovers without additional interventions.

Symphysiotomy has been used quite widely in the past, especially for narrow pelvises in women. However, its use has now declined greatly due to the advent of alternative methods such as caesarean section. Symphysiotomy is performed extremely rarely today, only under special circumstances and in difficult cases when other options are not available. This is associated with a risk of complications such as chronic pain and pelvic ring instability.

Symphysiotomy: A procedure rarely used today but important in the history of obstetrics

In the medical world, there are many procedures designed to ensure a safe and successful birth. Among them, one of the most rarely used operations is symphysiotomy. This surgical procedure involves cutting the pubic symphysis, often called the pubic symphysis, to increase the diameter of the pelvis and facilitate labor, especially in situations where the fetal head is too large to fit through the mother's pelvic opening.

Historically, symphysiotomy was common and used as an alternative to another procedure called a cesarean section. While a caesarean section was an operation in which the fetus was removed through an incision in the mother's abdomen, a symphysiotomy allowed vaginal delivery. It was particularly useful in cases where the fetal head was too large to pass through the mother's pelvic canal but there was no medical indication for a caesarean section.

The operation was performed by cutting the ligaments connecting both halves of the pubic symphysis, allowing these parts of the pelvis to separate slightly. This increased the diameter of the pelvis and facilitated the passage of the fetal head. After childbirth, the procedure could be reversible, and the ligaments would grow back together.

However, over time, with the development of obstetrics and the availability of modern methods, symphysiotomy began to be performed less and less. Currently, it is rarely used, and this is due to several factors. First, symphysiotomy may be associated with certain complications, such as bleeding, infection, and tenderness at the symphysis. In addition, modern obstetrics methods offer other alternatives to solve the problem of pelvic obstruction, such as cesarean section or the use of instrumental assistants, such as forceps or vacuum devices.

Overall, symphysiotomy is an interesting procedure with important historical significance in obstetrics. She helped solve complex cases and facilitated the birth process in situations where other methods were unavailable or unacceptable. However, with the development of medicine and the emergence of safer and more effective alternatives, symphysiotomy has faded into the background. Modern obstetricians and gynecologists prefer to use more modern techniques and methods that ensure the safety and well-being of both mother and child.

It is important to note that the decision to perform a symphysiotomy should be made after careful discussion between the physician and the patient. Each case is individual, and the doctor must consider all possible risks and benefits in order to make the right decision in the interests of the health of the mother and child.

In conclusion, symphysiotomy is a surgical procedure that cuts the pubic symphysis to increase the diameter of the pelvis and facilitate labor in cases where the fetal head is too large to pass through the mother's pelvis. However, with the development of modern medicine and the availability of other methods, symphysiotomy has become rarely performed. The decision to perform this procedure should be based on careful discussion between physician and patient, taking into account the individual circumstances of each case.

Symphysio is a type of surgery that is used to relieve pressure on the pelvis and widen the birth canal. This is done when a woman gives birth and the fetal head does not enter the pelvic canal, blocked by the pressure of the uterus on the body during childbirth. Women who meet with Symphysiometry may undergo pelvic dissection, a surgery that creates a new shape of the Symphizuma, reducing its size. This form of breakthrough means that the resulting membrane between the two halves of the pelvis makes a "hole" to spread the thighs apart to help the baby pass. Some women also choose not to have surgery