| Popis: |
1. The results of 444 consecutive cases of culdoscopic examinations are presented. 2. Patient preparation, preoperative and operative techniques are described, and anesthesias specified. 3. The culdoscope has proved to be a very worthwhile part of the gynecologists's diagnostic armamentarium. 4. It is of greatest benefit to patients who complain of chronic pelvic pain, and has helped considerably in the investigation of patients suspected of having endometriosis, pelvic inflammatory disease, ectopic pregnancy, and infertility problems. 5. Culdoscopy is considered a safe procedure and there was only a 6 per cent rate of minor complications which occurred in this series. 6. Culdoscopy reduces diagnostic errors, prevents unnecessary exploratory laparotomies, and shortens periods of hospitalization. 7. Twenty-eight failures (6 per cent) were due mainly to obliteration of the cul-de-sac, to failure of the instrument itself, and to unfavorable reactions to the preoperative intravenous medications. |
