Tanaka M, Sagawa T, Hashimoto M, Mizumoto Y, Yoshimoto H, Yamazaki R, Kasai T, Inoue M
Department of Obstetrics and Gynecology, Kanazawa University, School of Medicine, Ishikawa, Japan.
Endoscopy. 2009 May;41(5):472-4. doi: 10.1055/s-0029-1214593. Epub 2009 May 5.
A reliable method of transvaginal access is needed for natural orifice transluminal endoscopic surgery. We introduce a new culdotomy procedure, using a technique for the creation of space in the cul-de-sac, transvaginal ultrasound, and a newly developed umbrella Hakko needle. An artificially developed, saline-containing space in the cul-de-sac was punctured by an umbrella Hakko needle from the vagina under the guidance of ultrasound. The vaginal walls on both sides of the needle were incised with an electric scalpel. In five cases with benign gynecological tumors, culdotomy was successfully performed. Operating time was less than 10 minutes and blood loss was less than 10 mL. There were no culdotomy-associated complications. This procedure, named Culdotomy FourS Two U, is a simple, safe, and reliable method for entry into the cul-de-sac in transvaginal gynecological surgeries and may have future applications in transluminal endoscopic surgery through the vagina.
自然腔道内镜手术需要一种可靠的经阴道入路方法。我们介绍一种新的阴道后穹窿切开术，该方法使用在直肠子宫陷凹创建空间的技术、经阴道超声以及新开发的伞状八光针。在超声引导下，从阴道用伞状八光针对直肠子宫陷凹内人工制造的含盐水空间进行穿刺。用电刀切开针两侧的阴道壁。在5例良性妇科肿瘤患者中，成功实施了阴道后穹窿切开术。手术时间少于10分钟，失血量少于10毫升。未发生与阴道后穹窿切开术相关的并发症。该手术名为“阴道后穹窿切开术FourS Two U”，是经阴道妇科手术中进入直肠子宫陷凹的一种简单、安全且可靠的方法，可能在经阴道腔道内镜手术中有未来应用前景。
