New Concealed-Incision Extrapelvic Approach for Pubic Symphysis Diastasis and Parasymphyseal Fractures

2020 ◽  
Vol 102 (17) ◽  
pp. 1542-1550 ◽  
Author(s):  
Songxiang Liu ◽  
Baojun Xiao ◽  
Ping Liu ◽  
Youxiu Wei ◽  
Yongwei Liu ◽  
...  
Keyword(s):  
Pubic Symphysis ◽  
Pubic Symphysis Diastasis ◽  
Symphysis Diastasis

scholarly journals PUBIC SYMPHYSIS DIASTASIS IN PREGNANCY AND DELIVERY (REVIEW)

2018 ◽  
Vol 24 (3) ◽  
pp. 145-156
Author(s):  
A. L. Petrushin ◽  
A. V. Pryaluchina
Keyword(s):  
Internal Fixation ◽  
Treatment Options ◽  
Pubic Symphysis ◽  
Lower Limbs ◽  
Sacroiliac Joints ◽  
Pubic Symphysis Diastasis ◽  
Partial Load ◽  
Short Period ◽  
Pregnancy And Delivery ◽  
Symphysis Diastasis

Purpose of the study— to generalize and arrange the data published in scientific literature and to present currentviews on epidemiology, diagnostics and treatment options for pubic symphysis diastasis during pregnancy and delivery. Semeiotic separation wider than 10 mm is considered pubic symphysis diastasis during pregnancy and delivery. Diastasis above 14-25 mm might be associated with ruptures of sacroiliac joints. Frequency of such pathology is reported in the range from 0,03 to 2,8%. Key risk factors of this pathology include multiparity and repeated labor. Symptoms of pubic separation include pain and signs of pelvic instability manifesting immediately after delivery or within a short period of time after the delivery. AP roentgenography is the principal diagnostics method however lately ultrasound exam is done more frequently. Conservative option prevails in treatment of pubic symphysis diastasis. Surgical procedures are recommended in case of separation above 30-50 mm, ruptures of sacroiliac joints, open lesions, failed conservative treatment and urological dysfunction. In such cases preferred option is the internal fixation by plate and screws. Some authors use external fixation. Late-term outcomes of both methods do not demonstrate significant differences. Pain regress after the surgery is observed within 3 weeks to 6 months postoperatively, walking with partial load is restored in 5-14 days, full load on the lower limbs is possible 6 months postoperatively. Indications for removal of implants after internal fixation are not clearly defined. Following surgical treatment of pubic symphysis diastasis the majority of authors incline to subsequent operative delivery.

scholarly journals Pubic Symphysis Diastasis: A Case Series and Literature Review

2017 ◽  
Vol 32 (6) ◽  
pp. 510-514 ◽  
Author(s):  
Jaya Jethra Chawla ◽  
Devendra Arora ◽  
Namrita Sandhu ◽  
Megha Jain ◽  
Anju Kumari
Keyword(s):  
Literature Review ◽  
Case Series ◽  
Pubic Symphysis ◽  
Pubic Symphysis Diastasis ◽  
Symphysis Diastasis

Transpubic herniation of the bladder: a sequel of traumatic pubic symphysis diastasis

Hernia ◽  
1999 ◽  
Vol 3 (2) ◽  
pp. 85-88
Author(s):  
J. L. Grolleau ◽  
N. Vazzoler ◽  
J. P. Chavoin
Keyword(s):  
Pubic Symphysis ◽  
Pubic Symphysis Diastasis ◽  
Symphysis Diastasis

Herniation of the bladder after recurrent pubic symphysis diastasis

2010 ◽  
Vol 20 (6) ◽  
pp. 497-500
Author(s):  
William Tabib ◽  
Délphine Mitilian ◽  
François Pauthier ◽  
Eva Ghiles
Keyword(s):  
Pubic Symphysis ◽  
Pubic Symphysis Diastasis ◽  
Symphysis Diastasis
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