Symphysiotomy
Symphysiotomy
Symphysiotomy (pronunciation: sim-fiz-ee-ot-uh-mee) is a surgical procedure in which the cartilage of the pubic symphysis is divided to widen the pelvis allowing childbirth when there is a mechanical problem. It is a controversial procedure that is not commonly used in modern medicine.
Etymology
The term "symphysiotomy" is derived from the Greek words "symphysis", meaning growing together, and "tome", meaning cutting. It refers to the cutting of the pubic symphysis, a joint that connects the two halves of the pelvis.
Procedure
Symphysiotomy involves making an incision above the pubic bone and then using a scalpel to cut through the fibrous cartilage of the pubic symphysis. This allows the two halves of the pelvis to move apart, increasing the diameter of the pelvic outlet to facilitate childbirth.
History
Symphysiotomy was first described in the 18th century as a method to assist in difficult childbirths. It was used as an alternative to the more dangerous caesarean section in situations where the pelvis was too narrow for the baby to pass through. However, with the advancements in obstetrics and gynecology, the use of symphysiotomy has declined significantly.
Controversy
The use of symphysiotomy has been controversial due to the potential for serious complications, including long-term pain, difficulty walking, and bladder and bowel problems. It is generally considered a procedure of last resort, to be used only when all other options have been exhausted.
Related Terms
External links
- Medical encyclopedia article on Symphysiotomy
- Wikipedia's article - Symphysiotomy
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