Laparoscopically assisted colpotomy with the Pelosi illuminator and Visiport trocar system
Pelosi, M.A.; Pelosi, M.A.
Journal of Reproductive Medicine 41(8): 548-554
1996
ISSN/ISBN: 0024-7758 PMID: 8866380 Document Number: 459004
OBJECTIVE: To describe a technique for laparoscopically assisted colpotomy. STUDY DESIGN: The Pelosi endoscopic illuminator and Visiport trocar system were combined to perform visually guided transvaginal colpotomy. Thirty-five consecutive laparoscopic gynecologic cases necessitating cul-de-sac entry were approached with this technique. RESULTS: The technique was performed successfully in all 35 cases without complications or technical difficulties and with an average colpotomy time of 3.5 minutes. Indications for colpotomy included removal of laparoscopic supracervical hysterectomy specimens, myomata, large adnexal cysts and large tubal pregnancy. CONCLUSION: This colpotomy technique is quick, efficient and easy to perform. Advantages include retention of pneumoperitoneum, facilitated transvaginal insertion of instrumentation to remove pelvic masses, avoidance of an electrosurgical or laser incision, and complete visual control, which minimizes the possibility of traumatic injury to bowel and other pelvic structures.