title: Operative culdolaparoscopy: a new approach combining operative culdoscopy and minilaparoscopy.
abstract: The tendency is to use small cannulas for operative laparoscopy; however, working with these cannulas may have technical limitations. We developed a technique for performing appendectomy combining culdoscopy and minilaparoscopy. It uses 3- or 5-mm abdominal cannulas, and the large 10- or 12-mm cannula is inserted into the posterior vaginal fornix under laparoscopic surveillance. The vaginal port is used to introduce operative instruments and extract specimens, and for vision. Culdolaparoscopy avoids additional or large abdominal ports, thus overcoming limitations of small cannulas.
authors.affiliation: Department of Obstetrics and Gynecology, Mount Sinai Hospital of Queens, Astoria, New York, USA.
authors.forename: D A
authors.initials: DA
authors.lastname: Tsin
authors.forename: L T
authors.initials: LT
authors.lastname: Colombero
authors.forename: D
authors.initials: D
authors.lastname: Mahmood
authors.forename: J
authors.initials: J
authors.lastname: Padouvas
authors.forename: P
authors.initials: P
authors.lastname: Manolas
mesh_terms: D000328:Adult; D001062:Appendectomy / Q000295:instrumentation* / Q000379:methods; D001065:Appendix; D002429:Cecal Diseases / Q000601:surgery; D003464:Culdoscopy; D005260:Female; D006801:Humans; D010535:Laparoscopy; D013525:Surgical Instruments; D000267:Tissue Adhesions