Pubic Symphysis - Anterior Approach
This Pubic Symphysis – Anterior Approach course will teach you:
- To access the pubic symphysis and superior pubic ramii. This is most often followed by open reduction and fixation of displaced superior pubic ramus fractures or to treat pubic symphysis disruption and diastasis.
Special attention is paid to the following hazards you may encounter during the Pubic Symphysis – Anterior Approach:
- Urinary bladder injury
- Opening of the peritoneum
- Fascial necrosis
With the following tips you might perform the Pubic Symphysis – Anterior Approach even better:
- Incision with optimal cosmetic result
- Combining pelvic ring approach with laparotomy
- Optimizing exposure by dissection the insertion of the rectus abdominis muscle
- Usage of the Hohmann retractor on the caudal border of the pubic symphysis to increase exposure
- Direction of screw placement
- Optimizing visualization by extension of the skin incision
- Extending the approach to expose the acetabulum
- Urinary catheter inspection
- Subfascial knot
- Wound closure: reducing infection risk
After studying the Pubic Symphysis – Anterior Approach course you are familiar with the most common complications:
- Bladder injury
- Venous plexus bleeding
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Step by step
Mark a Pfannenstiel incision on the skin: in a horizontal, slightly curved direction for a length of approximately 5cm, centering it about 1 cm above the pubic symphysis.
Incise the skin following the previously made incision line.
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