In the TLH group, the colpotomy
was created with an ultrasonically activated scalpel and closed with No.
allows the removal of fibroids during laparoscopic myomectomy without the need to enlarge the abdominal incisions and without the use of intracorporeal power morcellation.
Again, using the "cut" mode on the console during the colpotomy
In some cases, posterior vaginal colpotomy
incision is used for removal of the intact cyst or cyst wall (11).
In addition, because the size of the specimen frequently is too large to remove through a colpotomy
intact, I morcellate the uterus manually with a scalpel using coring, wedge resection, and myomectomy.
Next, in preparation for the anterior colpotomy
, further development of the bladder flap is necessary.
Next month we continue our series on surgical techniques with a video on why choosing the proper colpotomy
cup is critical for successful minimally invasive hysterectomy.
to identify the anterior and posterior fornices in preparation for colpotomy
VIDEO 2 Vaginal approach to open hand morcellation of a large uterus using a colpotomy
incision during hysterectomy
is completed with the scissors, and the specimen is delivered through the colpotomy
These alternatives include abdominal hysterectomy, vaginal hysterectomy, or a hybrid operation involving removal of the uterine tissue through a mini-laparotomy or colpotomy
The use of uterine manipulators with a colpotomy
cup can help delineate the posterior vaginal fornix and the rectum.