Culdoscopy
Salpingitis
Sterilization, Tubal
Encyclopedias as Topic
Surgical Procedures, Minor
A systematic arrangement of laparoscopic total abdominal hysterectomy: a new technique. (1/12)
This sequential, prospective, observational clinical trial evaluated a systematic arrangement of laparoscopic total abdominal hysterectomy and prophylactic, retroperitoneal posterior culdoplasty with vaginal vault suspension surgical techniques by suturing method. The uterus was extirpated laparoscopically in 25 consecutive patients using an extra- and intra-corporeal two-turn flat square knot method. Upon completion of uterine excision, a new prophylactic laparoscopic technique of retroperitoneal posterior culdoplasty and vaginal vault suspension were initiated to prevent pelvic relaxation. Retroperitoneal culdoplasty was performed using the anterior rectal fascia, the posterior uterovaginal fascia, and the deep layer retroperitoneal of the uterosacral ligaments. Vaginal vault suspension was performed using posteriorly the deep layer of the uterosacral ligaments; from a lateroposterior aspect, the vaginal vault was suspended to the cardinal ligaments bilaterally, and anteriorly, the vesicouterine fascia provided support for the vaginal apex. A systematic arrangement of surgical steps was evaluated. All predetermined samples of laparoscopic total abdominal hysterectomy with posterior retroperitoneal culdoplasty and vaginal vault suspension were accomplished in a prearranged systematic order. Neither technical failure nor conversion to laparotomy or transvaginal approach was encountered. This technique expedites uterine extirpation and prophylactic pelvic reconstruction with a low complication rate, can be executed with no transvaginal approach, and eliminates the morbidity and mortality associated with laparotomy itself. (+info)Culdolaparoscopy: a preliminary report. (2/12)
OBJECTIVE: To introduce a surgical technique that combines culdoscopy with laparoscopy and microlaparoscopy. METHODS: This was a feasibility study conducted at The Mount Sinai Hospital of Queens. The technique is used when a larger port is required during laparoscopy or microlaparoscopy procedures. The additional port is placed in the vagina and, under laparoscopic surveillance, into the posterior cul-de-sac. RESULTS: This operation has been performed successfully in 5 oophorectomies, 4 myomectomies, 3 salpingoophorectomies, and 1 salpingectomy. CONCLUSION: This technique reduces the need for abdominal ports in excess of 5 mm. These ports can have a visual or operative function depending on the nature or stage of the procedure. The vaginal port can serve a visual function similar to that of culdoscopy or may be used for the introduction of operative instruments and the extraction of specimens. A principal benefit of using the larger vaginal port is derived from the capability of assisting laparoscopy and allowing the surgeon to use fewer and smaller abdominal trocars. (+info)Investigation of the infertile couple: a one-stop outpatient endoscopy-based approach. (3/12)
Transvaginal hydrolaparoscopy (THL) is a new culdoscopic technique for exploration of the pelvic cavity that takes advantage of micro-endoscopic technology and uses aquaflotation for inspection of the tubo-ovarian structures. In infertility patients, THL is systematically combined with mini-hysteroscopy, chromopertubation, fimbrioscopy and, when indicated, salpingoscopy. Mini-hysteroscopy in combination with the chromopertubation test allows accurate assessment of the uterine cavity and tubal patency. The transvaginal access combined with the aquaflotation during THL facilitates detailed inspection of the tubo-ovarian structures and detection of subtle pelvic disease. This combined transvaginal endoscopic approach allows complete evaluation of the reproductive tract. THL is better tolerated than hysterosalpingography, less invasive than standard laparoscopy, and can be used safely as a first line investigation of the female partner in a one-stop infertility clinic. (+info)Laparoscopic sacrocolpopexy, hysterectomy, and burch colposuspension: feasibility and short-term complications of 77 procedures. (4/12)
OBJECTIVE: To report our first cases of laparoscopic sacropexy and assess the feasibility and short-term complications. METHODS: We retrospectively studied 77 laparoscopic sacral colpopexies performed from June 1996 to May 1998. Suspension was reinforced with 2 strips of synthetic mesh. Five patients had previously undergone hysterectomy, and 4 others had experienced failure of surgery for prolapse of the uterus. RESULTS: Laparoscopy was performed in 83 women with symptomatic prolapse of the uterus. Six cases required conversion to laparotomy because of technical difficulties. All of the remaining 77 patients underwent laparoscopic sacropexy that included anterior and posterior mesh reinforcement. Subtotal laparoscopic hysterectomy was performed in 60 cases, laparoscopic Burch colposuspension in 74, and levator myorrhaphy via a vaginal approach in 55. Operative time decreased from 292 to 180 minutes as experience was gained. The main operative complications were 1 rectal and 2 bladder injuries. Three patients required reoperations for hematoma or hemorrhage. One patient complained of chronic inflammation of the cervix, and another experienced rejection of the posterior mesh 6 months after the operation. Mean follow-up was 343 days. Three other patients required reoperation, 1 for a third-degree cystocele and 2 for recurrent stress incontinence. CONCLUSION: Laparoscopic sacrocolpopexy is feasible. Operative time and postoperative complications are related to the surgeon's experience but remain comparable to those noted in laparotomy. Long-term assessment is required to confirm the results of this procedure. (+info)Culdolaparoscopic cholecystectomy during vaginal hysterectomy. (5/12)
BACKGROUND: Exploration of the abdominal cavity is routinely performed during abdominal and laparoscopic hysterectomies. The visualization of the abdomen during vaginal hysterectomy, however, is not usually done. During a vaginal hysterectomy, after the uterus is removed, an opening is present in the cul-de-sac, which offers a unique opportunity for the performance of not only exploratory but also concomitant surgeries, such as a cholecystectomy. METHOD: Culdolaparascopy is a culdoscopy assisted laparoscopic technique that utilizes a 12-mm trocar in the vagina as a multifunctional port in conjunction with laparoscopy and minilaparoscopy. A cholecystectomy was performed utilizing the vaginal trocar as an insufflation, visual, and extracting port during a vaginal hysterectomy. CONCLUSION: Culdolaparoscopy, when performed during vaginal hysterectomy, can be used for exploration and operation in the abdominal cavity. This case report illustrates the feasibility of a cholecystectomy performed using this surgical concept. (+info)Sonographic demonstration of air in the myometrium. A complication of culdocentesis. (6/12)
Six cases are presented in which air was seen in the myometrium in the distribution of the arcuate vessels during sonography performed after culdocentesis to exclude ectopic pregnancy. Three of these patients had viable intrauterine pregnancies; the others had an incomplete abortion, a complete abortion, and a right ectopic pregnancy. This relatively rare complication of culdocentesis should be kept in mind, especially when scanning patients with suspected inflammatory process of the uterus, so as not to confuse air in the arcuate vessels with a uterine abscess. (+info)Minilaparoscopy-assisted natural orifice surgery. (7/12)
BACKGROUND AND OBJECTIVES: New technology has allowed us to perform major abdominal and pelvic surgeries with increasingly smaller instruments. The ultimate goal is surgery with no visible scars. Until current technical limitations are overcome, minilaparoscopy-assisted natural orifice surgery (MANOS) provides a solution. The aim of this study was to examine our clinical and experimental experience with MANOS. METHOD: Minilaparoscopic abdominal instruments were used together with a large vaginal port, which was used for insufflation, visual purposes, introduction of operative instruments, and specimen extraction. Minilaparoscopy-assisted intraperitoneal transgastric appendectomy was done in simulators (Lap trainer with SimuVision, Simulab Corp., Seattle, WA). RESULTS: Since 1998, we have used this technique in 100 cases including ovarian cystectomies, oophorectomies, salpingo-oophorectomies, myomectomies, appendectomies, and cholecystectomies. Some oophorectomies were performed after vaginal hysterectomy in cases where vaginal extraction was not possible. In this case series, we had only one complication, a case of postoperative fever after an ovarian cystectomy, which was diagnosed as drug-related fever. Our limited simulator experience showed that MANOS is a feasible technique for performing transgastric appendectomies. CONCLUSION: It may take several years for natural orifice surgery to become standard care. Meanwhile, MANOS could encourage and expedite this process. (+info)Ultrasound-guided culdotomy for vaginal ovarian cystectomy using a renal balloon dilator catheter. (8/12)
(+info)Culdoscopy is a medical procedure that involves the insertion of a laparoscope through the vagina and into the pelvic cavity, allowing the medical professional to visually examine the organs in the area, such as the ovaries, fallopian tubes, and uterus. The procedure is typically used for diagnostic purposes, such as to investigate the cause of pelvic pain or abnormal bleeding, or to guide surgical procedures. It is not a commonly performed procedure due to the development of other less invasive techniques, such as transvaginal ultrasound and pelvic laparoscopy.
Salpingitis is a medical term that refers to the inflammation of the fallopian tubes, which are the pair of narrow tubes that transport the egg from the ovaries to the uterus during ovulation. This condition can occur due to various reasons, including bacterial infections (such as chlamydia or gonorrhea), pelvic inflammatory disease, or complications following surgical procedures.
Acute salpingitis is characterized by symptoms like lower abdominal pain, fever, vaginal discharge, and irregular menstrual bleeding. Chronic salpingitis may not present any noticeable symptoms, but it can lead to complications such as infertility, ectopic pregnancy, or fallopian tube damage if left untreated. Treatment typically involves antibiotics to eliminate the infection and, in severe cases, surgery to remove or repair damaged tissues.
Tubal sterilization, also known as female sterilization or tubal ligation, is a permanent form of birth control for women. It involves blocking, sealing, or removing the fallopian tubes, which prevents the sperm from reaching and fertilizing the egg. This procedure can be performed surgically through various methods such as cutting and tying the tubes, using clips or rings to block them, or removing a portion of the tube (known as a partial salpingectomy). Tubal sterilization is considered a highly effective form of contraception with a low failure rate. However, it does not protect against sexually transmitted infections and should be combined with condom use for that purpose. It's important to note that tubal sterilization is a permanent procedure and cannot be easily reversed.
An encyclopedia is a comprehensive reference work containing articles on various topics, usually arranged in alphabetical order. In the context of medicine, a medical encyclopedia is a collection of articles that provide information about a wide range of medical topics, including diseases and conditions, treatments, tests, procedures, and anatomy and physiology. Medical encyclopedias may be published in print or electronic formats and are often used as a starting point for researching medical topics. They can provide reliable and accurate information on medical subjects, making them useful resources for healthcare professionals, students, and patients alike. Some well-known examples of medical encyclopedias include the Merck Manual and the Stedman's Medical Dictionary.
Minor surgical procedures are defined as surgical interventions that are relatively simple, performed using local anesthesia or conscious sedation, and have minimal impact on the patient's overall health. These procedures typically involve a small incision, excision, or removal of tissue, and may be performed in a variety of settings, including physician offices, clinics, or ambulatory surgery centers. Examples of minor surgical procedures include:
1. Excision of skin lesions (e.g., moles, cysts, lipomas)
2. Incision and drainage of abscesses
3. Removal of foreign bodies from the skin or soft tissues
4. Repair of simple lacerations or wounds
5. Insertion of ear tubes for recurrent otitis media (ear infections)
6. Biopsy of superficial tissue or organs
7. Cauterization of bleeding vessels
8. Cryotherapy for the removal of warts or other benign growths
9. Injection of therapeutic agents into joints or soft tissues
10. Placement of peripheral intravenous catheters or central lines in certain cases.
While these procedures are considered minor, they still require careful planning, sterile technique, and postoperative care to minimize complications and ensure optimal outcomes for patients.
A rectocele is a type of pelvic organ prolapse, which occurs when the rectum (the lower end of the colon) bulges into the back wall of the vagina. This condition most commonly affects women who have gone through childbirth, although it can also occur in older women or those with long-term constipation or other conditions that put pressure on the pelvic floor muscles.
Rectoceles can cause a variety of symptoms, including difficulty having bowel movements, feeling like something is sticking out of the vagina, and pain during sexual intercourse. In some cases, rectoceles may not cause any symptoms at all. Treatment options for rectoceles include pelvic floor physical therapy, lifestyle changes (such as avoiding heavy lifting or straining), and in severe cases, surgery.
The exact medical definition of a rectocele is: "A herniation of the rectal wall into the vaginal wall, often associated with disruption of the rectovaginal septum." This means that there is a protrusion or bulge of the rectal wall into the vaginal wall, which can be caused by a weakening or tearing of the tissue that separates the two structures.
The Douglas pouch, also known as the recto-uterine pouch or cul-de-sac of Douglas, is a potential space within the female pelvic cavity. It is located between the posterior wall of the uterus and the anterior wall of the rectum. This space can be examined during a gynecological examination, such as a transvaginal ultrasound or during surgery, to assess for any abnormalities or pathologies that may be present in this area.
Culdoscopy
Culdoscope
Culdocentesis
Ovarian drilling
Hans Frangenheim
Fertiloscope
List of MeSH codes (E04)
List of MeSH codes (E01)
Culdoscopy - Wikipedia
Culdoscopy | Harvard Catalyst Profiles | Harvard Catalyst
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Laparoscopy3
- Laparoscopy couldn't have been that entrenched at this time because culdoscopy easily displaced it within a decade of Decker's 1944 debut. (sls.org)
- Gynecology endoscopy, culdoscopy and laparoscopy in infertility. (ijrcog.org)
- Endometriosis surgery [17:30] was started with a diagnostic culdoscopy and later laparoscopy followed by a laparotomy. (topcosmeticgyn.com)
Operative1
- Tsin DA, Colombero LT, Mahmood D, Padouvas J, Manolas P. Operative culdolaparoscopy: a new approach combining operative culdoscopy and minilaparoscopy. (wikipedia.org)
Laparoscopic approach2
- The use of culdoscopy faded in the 1970s as the laparoscopic approach was recognized to be superior due to technological advancements. (wikipedia.org)
- In this decade, we witness the beginning of a new trend in America, the rise of culdoscopy, while in Europe and elsewhere, the true laparoscopic approach remains the most popular. (sls.org)
Procedures1
- Culdoscopy allows the performance of minor procedures such as tubal sterilization. (wikipedia.org)
Minor1
- This graph shows the total number of publications written about "Culdoscopy" by people in Harvard Catalyst Profiles by year, and whether "Culdoscopy" was a major or minor topic of these publication. (harvard.edu)
General2
- Culdoscopy is performed with the patient in a knee chest position under local or general anesthesia. (wikipedia.org)
- Such unpredictable complications may have been the crucial factor which led US physicians to adopt the alternative approach of culdoscopy, which required no insufflation or general anesthesia, which meant that it could be performed without the need for a hospital. (sls.org)
Dictionary1
- culdoscopy" - via The Free Dictionary. (wikipedia.org)
Faded in the 1970s1
- The use of culdoscopy faded in the 1970s as the laparoscopic approach was recognized to be superior due to technological advancements. (wikipedia.org)
Tubal3
- Conditions diagnosable by culdoscopy include tubal adhesions (causing sterility), ectopic pregnancy, and salpingitis. (wikipedia.org)
- Culdoscopy allows the performance of minor procedures such as tubal sterilization. (wikipedia.org)
- 10. [Tubal ligation by culdoscopy in a simplified surgical procedure: study and follow-up of 214 cases]. (nih.gov)
Posterior3
- Culdoscopy is an endoscopic procedure performed to examine the rectouterine pouch and pelvic viscera by the introduction of a culdoscope through the posterior vaginal wall. (wikipedia.org)
- Transvaginal hydrolaparoscopy (THL) is a modification of culdoscopy that can be used to evaluate the posterior uterus, pelvic sidewalls, and adnexae. (medscape.com)
- Potential complications specific to the NOTES procedure may be extrapolated from the complications of culdoscopy (accessing the abdominal cavity through the posterior fornix) described in the gynecology literature. (medscape.com)
Culdoscope1
- The word culdoscopy (and culdoscope) is derived from the term cul-de-sac, which means literally in French "bottom of a sac", and refers to the rectouterine pouch (or called the pouch of Douglas). (wikipedia.org)
Advantages1
- The advantages of culdoscopy in infertility were stressed in the French and English literature. (justia.com)
Knee chest position2
- Culdoscopy is performed with the patient in a knee chest position under local or general anesthesia. (wikipedia.org)
- not in a knee-chest position as in the old style culdoscopy. (justia.com)
Procedure1
- Culdoscopy is a well known medical procedure for visualization of the pelvic organs by means of an optical instrument through the vaginal route. (justia.com)
Patient1
- Unlike culdoscopy used in the past which required relatively large patient sedation because of the pain from use of a large trocar, minihydroculdoscopy in accordance with the present invention can be used with only local anesthesia because only a small puncture hole is pierced and then expanded in a less painful manner than merely puncturing a large size hole. (justia.com)