Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Colpotomy”

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 55 records · Page 3Linked to original sources
PubMed1995

[Total pelviscopic removal of ovarian tumors in a bag bag posterior colpotomy].

Treatment of suspicious ovarian masses requires the oophorectomy in toto without opening the tumor or cyst wall. We describe a laparoscopic technique for the in-toto-removal of clinically suspicious ovarian tumours without puncture or morcellation of the tumour before it is entirely brought outside of the abdominal wall and without performing any abdominal incision longer than 25 mm: Oophorectomy is performed by means of bipolar coagulation and the CO2-laser. A nylon bag (Lapsac, Cook Inc.) is inserted into the abdomen and the ovary is enclosed in this bag by pulling the drawstring. The drawstring is held with a needleholder while the posterior vaginal fornix is opened. The needleholder drives the drawstring out of the pelvis through the vagina; this manoeuvre only takes a short amount of time, therefore preventing loss of CO2-gas and of visibility. By pulling the drawstring from outside the vagina the bag can be easily removed with its unmorcellated content. There is no danger of the intestines being damaged by a grasping forceps. Such a problem could occur in the event of extraction through a posterior culdotomy under impaired visibility due to loss of CO2-gas. Because the bag itself serves as a closing valve of the vaginal opening, there is a good visibility all the time.

Female↗
PubMed1991

[Hysterectomy via laparotomy or pelviscopy. A new CASH method without colpotomy].

Total Hysterectomy has been until non performed by extracervical "enucleation" of the fascia of the uterine corpus with amputation of the vagina. The new method leaves the extrafascial highly vascularised vascular stem, the corresponding nerves and the topography of the ureter untouched. It is limited to an intrafascial cylindriform enucleation of the cervix. The diameter of the cervical cylinder can be determined beforehand by vaginal sonography. Punching-out is effected from a new instrument C.U.R.T. (= calibrated uterine resection tool) of 10-20 mm diameter. A cervicohaemostaser provides for safe transvaginal haemostasis in the residual cervix. The transvaginal sexual sensations of the patient are not impaired due to the fact that the cardinal ligaments are preserved as well as the nerve supply of the cervical fascia. Suspension of the cervical fascia at the supporting ligaments of the uterus can be performed in an ideal manner. Pelviscopic extirpation of the uterus is done in the classical way used in abdominal hysterectomy with ligature and suture. Morcellated cylinders of 2-3 cms in diameter, of the cervix and corpus uteri and even of myomas up to the size of a child's head, will suffice for relevant histological examination. The physical stress to which the patient is exposed is about the same as in routine surgical pelviscopy. The abdominal space remains practically unopened in pelviscopic transabdominal hysterectomy. Pelviscopic transabdominal hysterectomy with and without adnexae according to the CASH technique corresponds to surgery performed with a minimum of invasiveness. It is fully sufficient as regards cancer prophylaxis with respect to cervical or endometrial cancer.

Female↗