Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0242172 (pelvic inflammatory disease)
 3,755 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

This report is based on 502 culdotomies performed by the author and his associates. The method is commonly but erroneously called colpotomy . Of the 502 culdotomies, 293 were performed for tubal interruption, 209 were done for diagnosis and other surgical procedures. There were 9 complications, 3 requiring abdominal intervention. The operation is an incision into the cul-de-sac and is a practical means of investigating the pelvis to determine the status of the uterus, tubes, and ovaries. It has been the first step in vaginal hysterectomy technique. In the uncomplicated cases patients for tubal interruption were discharged from the hospital 42 hours after admission. No pregnancies have followed. W hen the operations were done for other purposes the hospital stay averag ed 72-96 hours. Preliminary evaluation includes a Papanicolaou smear. Chronic or recent pelvic inflammatory disease must be eliminated. Preoperative vaginal preparation with Gantrisin cream has been used. The operation may be done with a general or local anesthetic, preferably with an analgesic such as Demerol or morphine. Iv lactated Ringer's solution is also given and Valium at intervals. A transverse incision is made through the cul-de-sac. Unclotted blood encountered may indicate the existence of an ectopic pregnancy. Details of the technique are described. Approximately 30 minutes are required for the operation. Postoperatively the patient uses the Gantrisin cream 3 times weekly. Culdotomy is considered an efficent and practical approach to the pelvis for diagnosis and therapy. Discussion of the paper by others follows.
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PMID:Culdotomy: a method of evaluating the pelvis. 459 65