Topic
Culdoscope
About: Culdoscope is a research topic. Over the lifetime, 18 publications have been published within this topic receiving 161 citations.
Papers
TL;DR: Flexible culdoscopy is a excellent procedure for diagnostic endoscopy that correlates well with office laparoscopy, requires less anesthesia, and is better tolerated by patients.
Abstract: Study Objective. To assess correlation between findings at standard laparoscopy and office flexible culdoscopy. Design. Observational study (Canadian Task Force classification II-1). Setting. University-affiliated hospital. Patients. Eleven women undergoing diagnostic laparoscopy to evaluate infertility. Interventions. Microlaparoscopy and flexible culdoscopy. In the first six cases laparoscopy was performed firstfollowed by culdoscopy; in the last five cases the order was reversed. Measurements and Main Results. The number of endometriotic implants or adhesions was counted for both operativetechniques. The flexible 2.2-mm culdoscope provided a view of the pelvis similar to the laparoscope. Correlation between the procedures was 100%. The flexible scope achieved better visualization than the standard rigid posterior cul-de-sac culdoscope. Conclusion. Flexible culdoscopy is a excellent procedure for diagnostic endoscopy. It correlates well with officelaparoscopy, requires less anesthesia, and is better tolerated by patients. Several operative procedures are currently being tested through this mode of access.
57 citations
Journal Article•
TL;DR: A panculdoscope an endoscopic instrument which can be used as a diagnostic tool for still or motion color photography and as an operative instrument for the lysis of adhesions biopsies studies of ovum transportation and the aspiration of ovarian follicular contents is described.
25 citations
TL;DR: Flexible culdoscopy with a small flexible scope can be performed safely in awake patients, providing adequate visualization of the female pelvis, according to this study.
Abstract: The purpose of this study was to reassess culdoscopic visualization of the female pelvis using a small flexible fiberoptic choledochoscope introduced via a disposable trochar system. A disposable 5-mm retractable laparoscopic trochar was used to gain access to the peritoneal cavity via the posterior fornix of the vagina. A 4.9-mm flexible choledochoscope then was introduced through this trochar to visualize the pelvic organs. The initial procedures were performed with the patient under general anesthesia using direct laparoscopic visualization of the cul-de-sac. Subsequent procedures were performed on women who were awake, using local anesthesia and sedation with the patients in a knee–chest position. In this study, 18 women taken to the operating room for a planned transvaginal hysterectomy or laparoscopically assisted vaginal hysterectomy underwent flexible culdoscopy. Three procedures were performed with the patients under general anesthesia using direct laparoscopic visualization, and 15 procedures were performed in a blind fashion with the patient awake in a knee–chest position. The average Quetelet Index was 31.2 (range, 22.8–43.1). Of the 18 procedures, 16 were successful in adequately visualizing the pelvic organs. There were no significant complications from the procedures, and no injury to adjacent organs. Culdoscopy with a small flexible scope can be performed safely in awake patients, providing adequate visualization of the female pelvis.
16 citations
TL;DR: The culdoscope has proved to be a very worthwhile part of the gynecologists's diagnostic armamentarium, of greatest benefit to patients who complain of chronic pelvic pain, and has helped considerably in the investigation of patients suspected of having endometriosis, pelvic inflammatory disease, ectopic pregnancy, and infertility problems.
12 citations
Journal Article•
TL;DR: The laparoscope trocar could be inserted under direct controlled vision with the culdoscope in nine cases, suggesting that this procedure averts bowel adhesions, and this technique may be a contribution to safer laparoscopy.
Abstract: Suspected bowel adhesions are often considered a relative contraindication to laparoscopy. To attempt preoperative diagnoses of intraabdominal adhesions, miniculdoscopy was performed on ten patients with a miniendoscope. It was possible to establish the presence or absence of adhesions and to determine a safe abdominal trocar insertion site. The laparoscope trocar could be inserted under direct controlled vision with the culdoscope in nine cases, suggesting that this procedure averts bowel adhesions. This technique may be a contribution to safer laparoscopy.
9 citations
Related Topics (5)
Performance Metrics
| Year | Papers |
|---|---|
| 2002 | 1 |
| 2000 | 1 |
| 1999 | 1 |
| 1981 | 1 |
| 1980 | 1 |
| 1979 | 1 |