. An American text-book of obstetrics. For practitioners and students. opening avenues for the possibleinfection of the symphysis. To what extent these complications may be pre-vented future experience must decide. Anatomical Limitations.—The gainof space attainable in symphysiotomyis mainly determined by the mobilityof the sacro-iliac joints (Fig. 501).Experiments on the cadaver by Wehieand numerous other observers showthat in non-puerperal pelves the ante-rior sacro-iliac ligaments rupture atdifferent degrees of pubic separation,ranging from about 4 to 9 centimeters(1J to 3J inches), the res
. An American text-book of obstetrics. For practitioners and students. opening avenues for the possibleinfection of the symphysis. To what extent these complications may be pre-vented future experience must decide. Anatomical Limitations.—The gainof space attainable in symphysiotomyis mainly determined by the mobilityof the sacro-iliac joints (Fig. 501).Experiments on the cadaver by Wehieand numerous other observers showthat in non-puerperal pelves the ante-rior sacro-iliac ligaments rupture atdifferent degrees of pubic separation,ranging from about 4 to 9 centimeters(1J to 3J inches), the results varyingwith the age and the physical conditionof the subject. In pelves from puer-peral women a separation of 8, or even9, centimeters is possible without injuryto the sacro-iliac articulations. In twooperations by Caruso an interpubicspace of centimeters (3|- inches) inone and 9 centimeters (3| inches) inthe other was obtained with no bad results; centimeters (2f inches) maybe regarded as an entirely safe limit of pubic separation. With an interpubic. Fig. 501.—Separation of the sacro-iliac joint onopening the pubic symphysis (Farabeuf).
Size: 1372px × 1822px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1890, booksubjectobstetrics, bookyear1
