Culdolaparoscopy: a preliminary report.
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.


CONCLUSIONS
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.
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Department of Gynecology, The Mount Sinai Hospital of Queens, Astoria, New York, USA. Lasergyn@aol.com
D003131:Combined Modality Therapy; D003464:Culdoscopy / Q000379:methods*; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007889:Leiomyoma / Q000473:pathology / Q000601:surgery*; D010049:Ovarian Diseases / Q000473:pathology / Q000601:surgery*; D010052:Ovariectomy / Q000379:methods*; D012494:Sampling Studies; D012680:Sensitivity and Specificity; D014594:Uterine Neoplasms / Q000473:pathology / Q000601:surgery*