Re: symphysiotomy

From: Danny Tucker (73064.3507@compuserve.com)
Wed Dec 20 08:37:22 1995


There has been one of the above performed at our hospital in the last few years that's been recounted to us in teaching sessions by the unfortunate chap who was landed with it. I don't know if there have been any others. We have about 6000 del's/year.

Patient had a trial of mid-cavity forceps delivery in the OR. Shoulder dystocia became apparent and standard manoevures were unsuccessful.

Neither the Registrar or Prof (who was present teaching some medical students at the time) had seen one done, so the Reg put a catheter in and did a symphysiotomy. Only afterwards he found that you're supposed to cut from the outside down to the symphysis, not starting in the vagina....! Baby ok.

--
Danny Tucker MB BS
Senior House Officer
Nottingham, UK




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