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Symphysiotomy (0):
Recent article
Symphysiotomy
Abstract
In the eighteenth century many Dutch physicians travelled to Paris, in order to improve their skills in the fields of surgery and obstetrics. Early in 1769, Petrus Camper, who had a lively correspondence with Antoine Louis, was informed by him about the activities of Jean-René Sigault, regarding th...
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PMID: 20506697
PDF is available here.
PDF is available here.
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Abstract
Abstract
Four (0.8%) out of 526 obstetric fistulas were related to a preceding symphysiotomy procedure. Complete destruction of the urethra and bladder neck with retropubic fibrosis was found. Faulty technique is the most probable cause. All women had stillborn babies before the symphysiotomy delivery, and t...
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PMID: 18446542
PDF is available here.
PDF is available here.
Abstract
Abstract
There is no evidence of more foetal mortality or morbidity after a symphysiotomy. Short term maternal morbidity is more serious after Caesarean Section. Long term maternal morbidity might be increased after symphysiotomies, compared with Caesarean Section. Because there are more repeat operative del...
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PMID: 20355674
PDF is available here.
PDF is available here.
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A Persian cat was presented with open-mouth jaw locking. It was suspected that abnormal extrusion of the maxillary canine teeth caused contact with the mandibular canine teeth on closure of the mouth, resulting in levering forces that may have led to increased symphyseal mobility, temporomandibular...
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PMID: 15580823
PDF is available here.
PDF is available here.
Abstract
One thousand and thirteen (1013) symphysiotomies were performed and 27,477 deliveries were conducted during the period. The symphysiotomy rate in the study period was 3.7%. Fifty-six percent (56%) of the patients who had symphysiotomy were aged 39 years and below, and the mean age was 27.94 +/- 7.16...
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PMID: 15369933
PDF is available here.
PDF is available here.
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Journal of Trauma (53)6 2002
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A 5-year-old dog was presented with a large caudal maxillary osteosarcoma, which was causing extreme pain on opening of the mouth. The mass was not resectable through a standard oral approach. This article describes the successful use of mandibular symphysiotomy to allow extensive caudal hemimaxille...
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PMID: 12074305
PDF is available here.
PDF is available here.
Abstract
Symphysiotomy has been extensively studied, modified and refined over the last century, and the scientific documentation is substantial. The results indicate that symphysiotomy is safe for the mother from a vital perspective, confers a permanent enlargement of the pelvis and facilitates vaginal deli...
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PMID: 11950177
PDF is available here.
PDF is available here.
Abstract
Abstract
An Anglo-Arab foal with bilateral postprandial nasal discharge was diagnosed as having a full-length defect of the soft palate. Surgical repair was attempted using a combination of two surgical approaches. Initially a mandibular symphysiotomy approach was used. The posterior portion of the defect di...
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PMID: 12019699
PDF is available here.
PDF is available here.
Abstract
Symphysiotomy and fetal destructive operations - while rarely, if ever, performed in developed countries - are an option in developing nations of the world. Problems endemic to developing countries not infrequently predispose to patients arriving at health care facilities in a moribund state with ne...
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PMID: 11866501
PDF is available here.
PDF is available here.
Abstract
Tropical Doctor (31)1 2001
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Symphysiotomy is regularly performed in developing countries where cesarean section can be a source of significant short-term and long-term morbidity. However, this method can be useful in some rare occasions and should be taught in our countries, at least theoretically. Such a case is presented wit...
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PMID: 10598344
PDF is available here.
PDF is available here.
Abstract
Abstract
Ankylosis of the temporomandibular joint (TMJ) in the cat is an unusual complication of traumatic lesions involving articular (true ankylosis) or periarticular structures (false ankylosis). Seven cats with true ankylosis of the TMJ (four cases unilateral and three cases bilateral), of which previous...
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PMID: 10092035
PDF is available here.
PDF is available here.
Pediatric Surgery International (15)3-4 1999
Abstract
We studied the records of ten children, two of whom had bilateral UPJO. Only one child presented with calculi; 11 units were operated upon for UPJO, 1 needed a partial nephrectomy. The surgical outcome was evaluated with emphasis on the changes in renal drainage and function assessed by ultrasonogra...
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PMID: 10370031
PDF is available here.
PDF is available here.
Abstract
Abstract
We describe one patient who had pubic osteotomy and three who had symphysiotomy as an aid to radical tumour resections over the last 7 years. In each it was possible to distract the pelvis so improving access to the tumour. All four patients had pelvic rhabdomyosarcomata, three primarily in the pros...
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PMID: 9484926
PDF is available here.
PDF is available here.
Abstract
We present three cases of shoulder dystocia unrelieved by standard maneuvers, including cephalic replacement. Symphysiotomy was performed in an effort to preserve fetal life. All three infants sustained severe neurologic injury and later died. Maternal morbidity including urinary incontinence was si...
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PMID: 9290471
PDF is available here.
PDF is available here.
Abstract
Cutting through the symphysis pubis cartilage as a means of widening the birth canal during long, drawn-out deliveries was probably common in Europe at the turn of the century and presumably occurred even later. As a result of progress in hygiene and clinical practice, Caesarean section has become m...
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PMID: 9182360
PDF is available here.
PDF is available here.
Abstract
The pubic symphyseal growth plates contribute significantly to development of the pelvis. Premature closure of these growth plates (pubic symphysiodesis) results in outward rotation of the acetabula, which might be beneficial in some cases of can be hip dysplasia; however, this rotation is accompani...
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PMID: 8896678
PDF is available here.
PDF is available here.
Abstract
Abstract
The perinatal and maternal outcomes of 65 symphysiotomies and 108 caesarean sections carried out after failed trial of assisted delivery at the Port Moresby General Hospital between 1988 and 1994 were retrospectively analyzed. There were no significant differences in perinatal outcomes between the t...
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PMID: 9522856
PDF is available here.
PDF is available here.
Abstract
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Journal d'Urologie (Paris) (101)5-6 1995
Abstract
We opted for a symphysiotomy approach in the management of cervico-urethro-vaginal fistulae in two patients. This approach offers an excellent exposure of the region of the bladder neck. After section of the symphysis pubis with a Gigli's wire saw, the anterior wall of the bladder was taken down to...
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PMID: 8761879
PDF is available here.
PDF is available here.
Abstract
We feel, however, that in certain rural areas of third world countries, often ill-equipped and with poor medical services, this procedure can still be very useful in certain exceptional situations in dystocia by moderate feto-pelvic disproportion, in circumstances in which cesarean section is imposs...
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PMID: 7481444
PDF is available here.
PDF is available here.
Abstract
Symphysiotomy in a case of severe shoulder dystocia resulted in a successful vaginal delivery. Maternal morbidity, however, was considerable.
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PMID: 8194651
PDF is available here.
PDF is available here.
Abstract
Experience of 32 cases of symphysiotomy carried out in Mozambique and in Botswana is reviewed. Of all cases only 1 was lost to follow-up. The observation period varied from 7 days to 6 months. Among 31 cases examined at discharge or on return from check-up few complications occurred. Vaginal lacerat...
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PMID: 7959323
PDF is available here.
PDF is available here.
Tropical Doctor (23)4 1993
Abstract
Jordemodern (105)9 1992
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Tropical Doctor (22)2 1992
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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...
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PMID: 1604718
PDF is available here.
PDF is available here.
Abstract
What constitutes proper management for the singleton baby who presents by the breech at term has remained one of the most contentious subjects in obstetric practice. Perinatal morbidity and mortality are much higher in breech than in cephalic presentation. Elective caesarean section has been increas...
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PMID: 1799092
PDF is available here.
PDF is available here.
Abstract
We modified Ackerman's method and operated on 18 patients with middle and lower rectal carcinoma at the level of 4-8 cm above the anus. 1cm width of the inferior part of the pubic symphysis was preserved. Results were compared with 19 patients operated on in the original way. Dissection of the arcua...
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PMID: 1813254
PDF is available here.
PDF is available here.
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American Journal of Obstetrics and Gynecology (163)1 Pt 1 1990
Abstract
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...
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PMID: 2375330
PDF is available here.
PDF is available here.
Abstract
We have presented our technique for and experience with splitting the symphysis to provide wide exposure in reconstructive surgery for incontinence. Our experience has demonstrated that the technique is widely applicable to many reconstructive situations in patients of all ages. We believe that spre...
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PMID: 2305519
PDF is available here.
PDF is available here.
Abstract
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 enlar...
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PMID: 2189391
PDF is available here.
PDF is available here.
Abstract
By symphysiotomy and inserting of a homograft, the pelvic transverse diameter of a cat, suffering from pelvic fracture complication, has been improved. Chronic obstipation has been suppressed; gait and muscular atrophy have been ameliorated.
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PMID: 2320988
PDF is available here.
PDF is available here.
Journal of Urology (142)2 Pt 2 1989
Abstract
In the last 13 years splitting the pubic symphysis has been used in 46 patients 1 to 32 years old for wide access to the bladder neck and entire urethra in female, or the bladder neck and urethra down into the bulb in male patients. Each patient had a complex problem to reconstruct and most had unde...
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PMID: 2746773
PDF is available here.
PDF is available here.
Abstract
Abstract
Labor outcome of primiparae less than 17 years was compared with non-juvenile primiparae in a population with a high incidence of contracted pelvis. Juvenile primiparae were referred to hospital on the basis of age, whereas non-juveniles were referred for an obstetric complication. There was no stat...
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PMID: 2565831
PDF is available here.
PDF is available here.
Abstract
Jean-René Sigault and his assistant Alphonse Le Roy first performed in Paris symphyseotomy on the 1st of october 1777 and thereby successfully delivered Madame Souchot. This patient had a rachitic pelvis with an antero-posterior diameter of 6.5 to 7 centimeters and had previously given birth to fou...
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PMID: 2654268
PDF is available here.
PDF is available here.
Abstract
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 i...
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PMID: 2892703
PDF is available here.
PDF is available here.