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At least 19 recordsLinked to original sources
PubMedDate not supplied

Risks and benefits of culdoscopic female sterilization.

This paper reviews the risks and benefits of the culdoscopic approach to female sterilization in an alnalysis of 2153 culdoscopic sterilization procedures performed at 11 centers in nine countries. Inability to occlude the tubes as planned was reported for approximately 6.0% of the cases including 1.4% in which one or both tubes could not be occluded by any technique. Surgical difficulties were reported for about 13.0% of the procedures, and surgical complications, of which the most frequent was torn or bleeding tubes, occurred in 2.0% of the cases. Pregnancy rates were significantly higher for patients whose tubes were occluded by tantalum clips (7.7 per 100 women at 12 months), indicating that this is not the preferred technique of tubal occlusion; the 12-month life table pregnancy rates were 0.1 per 100 women for tubal ring and 0.0 for Pomeroy and fimbriectomy. Comparison of these data with similar pooled data on laparoscopy and minilaparotomy indicates that culdoscopy is associated with greater technical difficulty and morbidity. Thus, abdominal procedures will continue to be preferred for use in most large-scale programs.

Culdoscopy↗
PubMed1975

Culdoscopic ligation as an outpatient procedure.

The increasing demand for abortion and sexual sterilization has caused the need to perform such operations on an outpatient basis. The University Department of Obstetrics and Gynaecology, Singapore, started a prospective study of culdoscopic ligation as an outpatient procedure in November, 1972. To date, over 600 operations have been performed. Analysis of the first 405 cases showed a low complication rate of 2.4 per cent. This study showed that culdoscopic ligation performed in the hospital outpatient is safe and feasible.

Adult↗
PubMed1976

Comparison of culdoscopic and laparoscopic tubal sterilization.

The growing number of women requesting interval sterilization (apart from term delivery or abortion procedures) necessitates the re-evaluation of traditional surgical procedures. A total of 800 women--the first 400 women undergoing culdoscopic and laparoscopic tubal sterilization procedures at Siriraj Hospital in Bangkok, Thailand--evaluate the appropriateness of the two sterilization procedures for use in interval sterilization programs. No serious operative complications occurred in either group. However, the rate of postoperative complications was considerably higher for the culdoscopic group than for the laparoscopic group. Hospitalization was required for only a small percentage of the patients and most had resumed their normal activities within two days of the operation. This study indicates that both procedures are effective and may be safely performed on an outpatient basis without general anesthetics and with minimal discomfort for the patients.

Culdoscopy↗
PubMedDate not supplied

[Culdoscopic sterilization].

Culdoscopic sterilization deserves to have a high place in the methods chosen for surgical sterilization. It has to be carried out in the operating theatre. Asepsis is essential. The process is simple and quick and is carried out under analgesia (Meperidine and Chlorpromazine) and a local anaesthetic. The patient is placed in the knee-chest position. A special speculum is inserted. Both fimbriae are removed after they have been brought down into the vagina from the Pouch of Douglas using Gutierrez-Najar's special forceps. On the average the operation takes about a quarter of an hour. The patient may go home with her husband six hours later. The convalescence is usually completely uncomplicated without any after-effects.

Adult↗
PubMed1989

Scintigraphic and culdoscopic diagnosis of bile peritonitis complicating liver biopsy.

After an ultrasound-guided percutaneous liver biopsy, a 37-year-old woman developed a clinical syndrome suggestive of bile peritonitis, despite the presence of nondilated bile ducts and a surgically absent gallbladder. The diagnosis was established via hepatobiliary scintigraphy, which demonstrated aberrant biliary flow, as well as by culdocentesis, which yielded bilious fluid. The patient was managed medically and recovered uneventfully; follow-up biliary scanning established resolution of bile extravasation.

Adult↗
PubMed1976

A comparison of laparoscopy and culdoscopy for internal sterilization.

In recent years, the increased demand for sterilization by women who have achieved their desired family size has emphasized the need to improve both existing methods of tubal occlusion and the means of access to the Fallopian tubes. Utilization of diagnostic instruments such as the laparoscope and culdoscope to perform sterilization minimizes the trauma associated with standard laparotomy and colpotomy and promises to reduce morbidity occurring as a result of sterilization. In order to evaluate and compare the improved techniques of laparoscopy and culdoscopy for elective interval sterilization, 722 women were studied between January and August of 1973 at the Siriraj Hospital in Bangkok. For 279 patients (Group I), sterilization was performed by culdoscopic tubal ligation using a modified Pomeroy technique; for 443 patients (Group II), the procedure used was laparoscopic tubal cauterization and cutting. All procedures were performed using local anesthesia on an outpatient basis. Complication rates and required surgical time were similar for both procedures and compared favorably with rates reported by other investigators. Because of a low incidence of complications and the elimination of the need for general anesthesia and hospitalization, both endoscopic procedures appear to be of particular value in developing countries where hospital facilities and physician time are in short supply.

Adult↗
PubMed1979

Diagnostic miniculdoscopy preceding laparoscopy when bowel adhesions are suspected.

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.

Culdoscopes↗
PubMed1977

Psychological sequelae of sterilization in women in Singapore.

The Chinese in Singapore erroneously believe that there is an association between sterilization and castration. This belief has led to deep-seated fears that sterilization may result in obesity, physical weakness, and impairment of sexual function. Beginning in 1969, Singapore authorities introduced increasingly stronger social policies to help reduce family size. Subsequently, there was a large increase in the number of tubal ligations. It was initially thought that this might result in a high incidence of psychological sequelae. A study of 150 women who had had culdoscopic ligations showed that 6.3 percent were dissatisfied at the end of 2 years. Women with fewer than 4 children and those with fewer than 2 sons tended to be more dissatisfied with sterilization.

Adult↗
PubMedDate not supplied

The history of pregnancies that occur following female sterilization.

Data on 208 pregnancies occurring among 20,749 women following sterilization were collected by the International Fertility Research Program and the histories of these pregnancies from conception to termination were analyzed. In the laparoscopic series, the operator's failure to interrupt the tube by electrocoagulation or a tubal occlusion device was the major reason reported for sterilization failure. In the culdoscopic series, operator error or device deficiency were the major reasons for failure. About three quarters of pregnancies in this study were conceived within the first year following sterilization and were confirmed during the first trimester. The rate of ectopic pregnancy occurring in this series was higher than the rate reported for nonsterilized women and was especially high when electrocoagulation was used.

Abortion, Induced↗
PubMed1977

Selection of medical or surgical treatment of endometriosis.

The use of the culdoscope and now the laparoscope has made the accurate diagnosis of endometriosis possible so that each case can be clinically staged. A suggested staging of endometriosis similar to that used for carcinoma of the cervix, i.e., consisting of four stages, is proposed. Surgical or hormonal treatment, or a combination of both, can be chosen on the basis of the stage of the disease. Success of therapy can be determined and compared to results of other investigators using the same staging or classification. The choice and extent of surgical treatment, stage for stage, is discussed. The several hormonal regimens, progestins alone, progestins plus estrogen or danazol, are outlined. Previously reported results in the treatment of endometriosis demonstrated a close correlation between stage of disease and percentage of patients who conceive.

Androgens↗
PubMed1976

The development of modern endoscopy.

The development of endoscopic techniques and instruments is traced from Bozzini's light transmitter in the early 1800's to the present. Early use of laparoscopes, cystoscopes, hysteroscopes and culdoscopes is described. While the site of use of these instruments differs, certain general aspects are similar. Modern instrumentation permits visualization into almost any body cavity.

Animals↗
PubMed1977

Sterilization failures in Singapore: an examination of ligation techniques and failure rates.

The University Department of Obstetrics and Gynecology, Kandang Kerbau Hospital in Singapore, initiated a study in early 1974 of failure rates for various methods of sterilization and the factors responsible for the failures. During the period January 1974 to March 1976, 51 cases of first pregnancy following ligation were discovered. Cumulative failure rates at 24 months were 0.34 per 100 women for abdominal sterilization, 1.67 for culdoscopic, 3.12 for vaginal, and 4.49 for laparoscopic procedures. Findings for 35 patients who underwent religation showed that recanalization and the establishment of a fistulous opening caused the majority of failures. Clearly, more effective methods of tubal occlusion in sterilization are needed.

Abdomen↗