Special Surgical Procedures II
LESSON 2: Procedures in Gynecological and Obstetrical Surgery
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2-31. COLPOTOMY
a. General. Needle culdocentesis is the insertion of an aspirating needle through the posterior fornix of the vagina. Posterior colpotomy is an incision through the vagina and peritoneum and the removal of pus and blood. The needle procedure is done to diagnose ectopic pregnancy or to detect intraperitoneal bleeding or cul-de-sac hematoma. Posterior colpotomy is done to evacuate pus and establish drainage from a cul-de-sac abscess or tubo-ovarian abscess, or in a search for blood when a tubal pregnancy is suspected.
b. Operative Procedure.
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