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symphysiotomy
Symphysiotomy 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 also known as pelviotomy,〔 synchondrotomy,,〔(symphysiotomy ), The American Heritage Stedman's Medical Dictionary. Retrieved March 22, 2012, from Dictionary.com.〕 pubiotomy,〔Hunter, Niall.(A symphysiotomy victim's story ), February 19, 2010. ''Irish Health''.〕 and Gigli's operation after Leonardo Gigli, who invented a saw commonly used in Europe to accomplish the operation.
==Introduction==
Symphysiotomy was advocated in 1597 by Severin Pineau after his description of a diastasis of the pubis on a hanged pregnant
woman.〔Dumont M: La longue et laborieuse naissance de la symphyséotomie ou de Séverin Pineau à Jean-René Sigault. J Gynecol Obstet Biol Reprod 1989;18:11-21〕 Thus symphysiotomies became a routine surgical procedure for women experiencing an obstructed labour. They became less frequent in the late 19th century after the risk of maternal death post-caesarean section decreased due to improvement in techniques, hygiene, and clinical practice.〔Bergstrsm S, Lublin H, Molin A: Value of Symphysiotomy in Obstructed Labour Management and Follow-up of 31 Cases. Gynecol Obstet Invest 1994;38:31-35〕
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