The American text-book of obstetrics for practitioners and students . onditions of the passages the latterinjuries may assume no little importance by opening avenues for the possible infection of the symphysis. Anatomical Limitations.—The gainof space attainable in symphysiotomyis mainly determined by the mobilityof the sacro-iliac joints (Fig. 216).Experiments on the cadaver by TVehleand 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(li to 3h inches), the result
The American text-book of obstetrics for practitioners and students . onditions of the passages the latterinjuries may assume no little importance by opening avenues for the possible infection of the symphysis. Anatomical Limitations.—The gainof space attainable in symphysiotomyis mainly determined by the mobilityof the sacro-iliac joints (Fig. 216).Experiments on the cadaver by TVehleand 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(li to 3h 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 articulatious. In twooperations by Caruso an interpubicspace of centimeters (3-3- inches) inone and 9 centimeters (3f- inches) inthe other was obtained with no bad results; centimeters (24 inches) maybe regarded as an entirely safe limit of pubic separation. With an interpubic. Fig. 216.—Separation of the sacro-iliac joint onopening the pubic symphysis (Farabeuf).
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectobstetrics, bookyear1
