WordNet

endoscopic examination of a womans pelvic organs by the insertion of a culdoscope through the vagina

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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2018/01/12 08:38:52」(JST)

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Culdoscopy is an endoscopic procedure performed to examine the rectouterine pouch and pelvic viscera by the introduction of a culdoscope through the posterior vaginal wall.^[1] The word culdoscopy (and culdoscope) is derived from the term cul-de-sac, which means literally in French "bottom of a sac", and refers to the rectouterine pouch (or called the pouch of Douglas).^[2]

The culdoscope is a non-flexible endoscope, basically a modified laparoscope.^[3] A trocar is first inserted through the vagina into the posterior cul-de-sac, the space behind the cervix, allowing then the entry of the culdoscope. Due to the position of the patient intestines fall away from the pelvic organs which can then be inspected. Conditions diagnosable by culdoscopy include tubal adhesions (causing sterility), ectopic pregnancy, and salpingitis. Culdoscopy allows the performance of minor procedures such as tubal sterilization.^[4]

Culdoscopy is performed with the patient in a knee chest position under local or general anesthesia. There is no insufflation of the abdomen as necessary in laparoscopy. There is no adbominal incision, the entry point in the vagina is closed with a suture.

The procedure was inaugurated by Albert Decker in 1939^[3] and became popular after his reported experience in 1944.^[5] Decker had his culdoscope made by American Cystoscope Makers (ACM). He published a textbook about culdoscopy in 1952.^[6] The use of culdoscopy faded in the 1970s as the laparoscopic approach was recognized to be superior due to technological advancements.^[3]

References

^ "culdoscopy - definition of culdoscopy in the Medical dictionary - by the Free Online Medical Dictionary, Thesaurus and Encyclopedia".
^ "Culdoscope definition - Medical Dictionary definitions of popular medical terms easily defined on MedTerms".
^ ^a ^b ^c Camran Nezhat. Nezhat's History of Endoscopy: A Historical Analysis of Endoscopy's Ascension Since Antiquity. Endo Press, 2011. p. 134f. ISBN 978-3-89756-916-4.
^ Stacey M.Ed, LMHC, Dawn. "Culdoscopy". About.com. Retrieved 28 March 2011.
^ Andrea Tinelli, Antonio Malvasi (editors). Uterine Myoma, Myomectomy and Minimally Invasive Treatments. Springer, 2015. p. 214. ISBN 978-3-319-10304-4.
^ Albert Decker (1952). Culdoscopy. New Technic in Gynecologic and Obstetric Diagnosis.

Tsin DA, Colombero LT, Mahmood D, Padouvas J, Manolas P. Operative culdolaparoscopy: a new approach combining operative culdoscopy and minilaparoscopy. J Am Assoc Gynecol Laparosc. 2001 Aug;8(3):438-41. PMID 11509789

UpToDate Contents

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Assessment of cells in the ascitic fluid of women with ovarian hyperstimulation syndrome: the clinical implications for subsequent ovarian malignancy.

Hatzipetros I1, Gocze PM, Cziraky K, Kovacs K, Kalman E, Farkas B.
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PMID 24028152

Minimally invasive surgery in gynecologic oncology.

Mori KM1, Neubauer NL.
ISRN obstetrics and gynecology.ISRN Obstet Gynecol.2013 Aug 12;2013:312982. doi: 10.1155/2013/312982. eCollection 2013.
Minimally invasive surgery has been utilized in the field of obstetrics and gynecology as far back as the 1940s when culdoscopy was first introduced as a visualization tool. Gynecologists then began to employ minimally invasive surgery for adhesiolysis and obtaining biopsies but then expanded its us
PMID 23997959

Vaginal myomectomy is a safe and feasible procedure: a retrospective study of 46 cases.

Rolli R1, Favilli A, Acanfora MM, Scuderi G, Di Renzo GC, Gerli S.
The journal of obstetrics and gynaecology research.J Obstet Gynaecol Res.2012 Sep;38(9):1201-5. doi: 10.1111/j.1447-0756.2012.01852.x. Epub 2012 May 8.
AIM: The aim of this study was to establish the feasibility and safety of vaginal myomectomy via posterior colpotomy in a series of consecutive procedures performed by one surgeon.MATERIAL AND METHODS: We conducted a retrospective study in a tertiary care university hospital, involving 46 patients w
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Japanese Journal

内視鏡・腹腔鏡のたゆまぬ挑戦の歴史

共済医報 64(3), 229-236, 2015-08
NAID 40020612217

Culdoscopy : a new method in the diagnosis of pelvic disease-preliminary-report

Am J Surg 64, 40-44, 1994
NAID 30009824985

Culdoscopyの現況

日本産科婦人科内視鏡学会雑誌 4(1), 14-17, 1988
NAID 130001012363

Related Pictures

Culdoscopie; coelioscopie transvaginale Culdoscopy (pelviscopy) Culdocentesis, Culdoscopy | images | Fictional characters, Character, Zelda Culdoscopy; Culdoscopic Surgical Procedures; Surgical Procedures, Culdoscopic Investigations in gynaecology What Is Pouch Of Douglas? Fluid And Endometriosis What Is The Definition Of Culdoscopy - Medical Dictionary Free Online - YouTube Culdoscopy: A Foundation for Natural Orifice Surgery—Past, Present, and Future

★リンクテーブル★

リンク元	「クルドスコピー」「骨盤腔鏡」

「クルドスコピー」

Culdoscopy
	Sagittal section of the lower part of a female trunk, right segment. (Pouch of Douglas labeled at bottom right.)
ICD-9-CM	70.22
MeSH	D003464
OPS-301 code	1-696
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