culdotomy
Surgical incision through the posterior vaginal fornix into the pouch of Douglas for access to the pelvis.
Full Definition
Culdotomy is a surgical approach that involves making an incision through the posterior vaginal wall at the level of the posterior fornix to enter the pouch of Douglas (rectovesical pouch). This technique provides access to the pelvic cavity through the vagina, avoiding abdominal incisions. It is commonly used for procedures such as tubal ligation, ovarian cyst removal, or drainage of pelvic fluid collections. The approach offers advantages of reduced postoperative pain and faster recovery compared to abdominal approaches. However, it requires careful patient selection and anatomical considerations.
Usage
Usage note: Distinguish from culdocentesis, which is a diagnostic aspiration procedure.
In Context
- "The surgeon performed a culdotomy to access the ovarian cyst via the vaginal approach." — operative report
- "Contraindications to culdotomy include severe pelvic adhesions and rectovaginal endometriosis." — surgical planning notes