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PubMed1991

Operative laparoscopy followed by colpotomy for resecting a colonic leiomyosarcoma. A case report.

Operative laparoscopy was followed by colpotomy for the excision of an unsuspected, 7 x 7.5-cm, colonic leiomyosarcoma intact. That surgical approach was quick and had all the benefits of operative laparoscopy without potentially increasing the risk of tumor spread by cutting through malignant tissue.

Colonic Neoplasms↗

PubMed1988

Laparoscopic and vaginal colpotomy for the excision of infiltrating cul-de-sac endometriosis.

Palpable endometriotic nodules deep in the cul-de-sac and vagina represent the extension of intraperitoneal disease. Although such nodules used to be excised with vaginal colpotomy and by tracing the endometriosis to the peritoneum, the dissection of these lesions under laparoscopic visualization had aided in their removal. Of seven patients who were approached with a plan for combined laparoscopic and vaginal excision, five underwent the procedure. The last two required laparotomy due to bowel muscularis involvement.

Douglas' Pouch↗

PubMed1993

Effects of bilateral ovariectomy via colpotomy in mares: 23 cases (1984-1990).

Postoperative performance and behavioral patterns were investigated retrospectively in 23 client-owned mares after bilateral ovariectomy via colpotomy. The interval from surgery to postoperative inquiries ranged from 9 to 67 months. Information obtained from review of the medical record and client interviews included the reason for ovariectomy, postoperative complications, problems identified by owners after discharge of the mare from the hospital, postoperative level of athletic performance, postoperative signs of estrus, and overall owner satisfaction. Reasons given by owners for having mares ovariectomized were behavioral modification (16 mares), use as embryo-transfer recipients (3 mares), use as mount mares for collecting semen (2 mares), elimination of chronic colic during estrus (1 mare), and sterilization for registration (1 mare). Postoperative complications developed in 4% (1/23) of the mares; however, problems were noticed by the owners of 4 other mares after discharge from the hospital. Continuing signs of behavioral estrus were detected in 35% (8/23) of the mares, but in only in 9% (2/23) was the behavior judged to be objectionable by the owner. Of 12 mares used in performance events prior to bilateral ovariectomy, 10 were judged to be competing at greater than preoperative levels, 1 was judged to be competing at the same level, and 1 was judged to be competing at less than preoperative level of performance. Of 18 owners, 14 were satisfied, 2 were undecided, and 2 were dissatisfied with their mare after it had had bilateral ovariectomy.

Animals↗

PubMed1976

Colpotomy drainage of pelvic abscess.

Sixty-five patients who had a pelvic abscess drained by colpotomy or rectal incision were studied. The minority of the patients (28) developed the abscess after a hospital-acquired infection (Group I) while the other 37 patients developed the abscess after a community-acquired infection (Group II). Except for those patients who developed an abscess after hysterectomy, about one-third of the patients in both groups required a subsequent major operative procedure because of residual infection or symptoms. Of the 40 patients in whom there was a possibility of conceiving following the drainage procedure, 4 (10%) conceived at a later date.

Abscess↗

PubMed1959