Wood C, Hill D, Maher P
Melbourne Gynoscopy Centre, Cliveden Hill Private Hospital.
Aust N Z J Obstet Gynaecol. 1993 Feb;33(1):67-70. doi: 10.1111/j.1479-828x.1993.tb02058.x.
Laparoscopic culdotomy has been performed in 32 patients. The indications for the procedure included the removal of organs or tissue excised by operative laparoscopy, excision of vaginal endometriosis involving the pouch of Douglas and drainage of a pelvic haematoma. The surgical technique is described and no complications resulted from this technique. Laparoscopic culdotomy has advantages for the removal of lumps exceeding 1 cm, and for the drainage of a pelvic haematoma or pelvic abscess. It is also an integral step in the removal of infiltrating endometriotic lesions in the pouch of Douglas which are attached to the vagina.
32例患者接受了腹腔镜直肠子宫陷凹切开术。该手术的适应证包括切除经腹腔镜手术切除的器官或组织、切除累及Douglas陷凹的阴道子宫内膜异位症以及盆腔血肿引流。文中描述了手术技术，且该技术未导致任何并发症。腹腔镜直肠子宫陷凹切开术对于切除直径超过1 cm的肿块、盆腔血肿或盆腔脓肿引流具有优势。它也是切除附着于阴道的Douglas陷凹浸润性子宫内膜异位病变的一个重要步骤。
