Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Culdoscopy”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 343 records · Page 19Linked to original sources
PubMed2000

[Retrospective study of pelviscopic adhesiolysis for treatment of chronic lower abdominal pain (January 1996-December 1997)].

A report is given about 486 patients, who were operated because of suspicion of adhesion in 74 cases (15.2%), of an adnexal tumor 116 (23.9%), endometriosis 9 (1.9%), infertility 24 (4.9%), irreversible contraception 42 (8.6%) or chronic abdominal pain in the lower abdomen 221 (45.5%). 89.1% of them suffered preoperatively of chronic abdominal pain. 350 (72%) patients had to be laparotomized once or several times. 326 women only had adhesions; adhesions and an adnexal tumor were found in 107 patients; 53 women had adhesions and endometriosis. Among the 326 women with adhesions only were about 45% with adhesions of first and just as many with second graduation, adhesions of third graduation were found in 10% of the patients. Adhesions of first graduation were solved completely in all cases, such of second graduation could be solved in 43% of cases completely and in 54% at least incompletely. Adhesions of third graduation were solved in most of the cases (74%) incompletely. 221 (67.8%) of the patients with adhesions only answered the questionnaires 8-10 months later. Two third of them were free from pain or stated a clear improvement. After complete adhesiolysis 70% of the women stated a positive result of operation, 57% after incomplete adhesiolysis.

Adult↗
PubMed2001

Repair of enterocele and vault prolapse: transvaginal culdosuspension.

PURPOSE: Transvaginal culdosuspension for treatment of enterocele and vaginal vault prolapse is described. Surgical principles include high ligation of the hernia sac, obliteration of the cul-de-sac, and support of the vaginal cuff high on the levator plate. The normal vaginal axis is restored, and adequate vaginal depth is provided for normal sexual activity. MATERIALS AND METHODS: One hundred four patients underwent transvaginal culdosuspension in conjunction with enterocele repair (64 patients) or vaginal hysterectomy (40 patients). Two culdosuspension sutures support the vaginal vault to the origin of the sacrouterine and cardinal ligaments, and the cul-de-sac is obliterated with two pursestring sutures. RESULTS: One hundred patients were followed-up for a mean of 17.3 months. Recurrent vault prolapse or enterocele occurred in four patients. Complications were rare, and there were no instances of vaginal foreshortening, urinary retention, vaginal skin necrosis, bladder perforation, or rectovaginal fistula. CONCLUSIONS: Transvaginal culdosuspension is a safe and effective surgery for enterocele and vaginal vault prolapse. This technique restores the normal vaginal depth and axis, resulting in a sexually functional vagina.

Aged↗
PubMed1975

Current aspects of sterilization. The selection and application of various surgical methods of sterilization.

A partial analysis of 4,270 female sterilizations performed during a 7 year time period was described as related to changing patterns of application according to a sterilization program. Special attention was given to such factors as type of procedure, reasons for selection of procedures, ancillary conditions, mortality rate, and follow-up. A plea is made for accuracy when a sterilization is truly used as the primary indication for surgery and for flexibility and individualization in the application of sterilization techniques.

Culdoscopy↗
PubMedDate not supplied

Laparoscopic sacrocolpopexy, hysterectomy, and burch colposuspension: feasibility and short-term complications of 77 procedures.

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.

Adult↗
PubMedDate not supplied

[Culdoscopic sterilization].

Culdoscopic sterilization deserves to have a high place in the methods chosen for surgical sterilization. It has to be carried out in the operating theatre. Asepsis is essential. The process is simple and quick and is carried out under analgesia (Meperidine and Chlorpromazine) and a local anaesthetic. The patient is placed in the knee-chest position. A special speculum is inserted. Both fimbriae are removed after they have been brought down into the vagina from the Pouch of Douglas using Gutierrez-Najar's special forceps. On the average the operation takes about a quarter of an hour. The patient may go home with her husband six hours later. The convalescence is usually completely uncomplicated without any after-effects.

Adult↗